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No Surprises for Ambulance Services Act

IntroducedHouse

Ref to the Com on Appropriations, if favorable, Rules, Calendar, and Operations of the House2025-03-20

No floor votes recorded.

This bill requires health insurance plans in North Carolina to cover emergency ground ambulance services without imposing higher out-of-pocket costs than they would for in-network providers, and limits cost-sharing for non-emergency ground ambulance services from out-of-network providers to no more than 110% of in-network costs. The bill also requires insurers to provide clearer information to customers about emergency service coverage and costs.

  • Supporters argue this bill protects patients from unexpected high medical bills when they need ambulance services during emergencies, when they have no choice in which provider they use.
  • The bill also increases transparency by requiring insurers to explain emergency coverage options and costs upfront, helping patients make informed decisions and reducing financial hardship from surprise ambulance bills.
  • Opponents may argue the bill increases costs for insurance companies, which could lead to higher premiums for all customers, and that the $1 million annual appropriation may be insufficient to cover the added expenses.
  • Some may also contend that regulating ambulance service pricing could reduce ambulance provider revenues and potentially affect service availability in rural areas where ambulance operations are already challenging.

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