Prohibiting surprise billing of ground emergency medical services by nonparticipating providers

Summary

The bill forces insurers to pay non‑participating ground ambulance providers directly, using the lesser of 200 % of the Medicare rate or the provider’s billed charge, and bars those providers from sending patients any additional bill. Patients only owe the usual copayment, coinsurance or deductible, which cannot exceed what they would pay for an in‑network ambulance. The rule applies to health‑insurance policies issued on or after January 1 2027.

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