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Read. Follow. Verify.North Dakota bans ambulance balance billing, sets out-of-network insurer reimbursement, and funds a study
Last action · April 30, 2025: Filed with Secretary Of State 04/28Sponsors: Robin Weisz and 1 other
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What This Bill Does
North Dakota prohibits basic and advanced life support ambulance service providers from patients beyond standard s, requires health insurers to pay out-of-network providers directly at 250 percent of the Medicare rate or billed charges, and appropriates $20,000 for a legislative management study on delinquent billing reimbursement.
Patients receiving out-of-network ground ambulance services are protected from surprise balance bills exceeding their copayments, deductibles, or coinsurance, while insurers must directly reimburse providers at a statutory minimum rate.
Who It Affects
Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.
Ambulance service providers
Basic and advanced life support ambulance services are barred from balance billing patients above standard cost-sharing and are guaranteed direct payments from insurers at set rates.
Covered persons
Patients receiving emergency medical transportation are protected from surprise balance bills exceeding their health plan cost-sharing requirements.
Health care insurers
Insurers must remit payments directly to ambulance providers and calculate out-of-network reimbursements based on statutory formulas.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
Can an ambulance provider send me a balance bill if they are out of network?
How much must health insurers pay out-of-network ambulance providers?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Current status: Signed into law.
Procedural history
27 actions- Apr 30, 2025Filed with Secretary Of State 04/28
- Apr 29, 2025HouseEnrolledSigned by Governor 04/28
- Apr 25, 2025HouseEnrolledSent to Governor
- Apr 25, 2025HouseSigned by Speaker
- Apr 24, 2025SenateSigned by President
- Apr 23, 2025SenateFloorSecond reading, passed as amended, yeas 47 nays 0
Show 21 earlier actions
- Apr 23, 2025SenateCommitteeConference committee report adopted
- Apr 23, 2025SenateCommitteeReported back from conference committee, in place of, placed on calendar
- Apr 22, 2025HouseFloorSecond reading, passed, yeas 89 nays 4
- Apr 22, 2025HouseCommitteeConference committee report adopted
- Apr 17, 2025HouseCommitteeReported back from conference committee, in place of, placed on calendar
- Apr 14, 2025SenateCommitteeConference committee appointed Weston Roers Van Oosting
- Apr 10, 2025HouseCommitteeConference committee appointed Fegley Kiefert Rios
- Apr 10, 2025HouseRefused to concur
- Apr 4, 2025HouseReturned to House (12)
- Apr 3, 2025SenateFloorSecond reading, passed as amended, yeas 46 nays 1
- Apr 3, 2025SenateCommitteeAmendment adopted, placed on calendar
- Apr 2, 2025SenateCommitteeReported back amended, do pass, amendment placed on calendar 5 0 1
- Apr 1, 2025SenateCommitteeCommittee Hearing 10:06
- Mar 11, 2025SenateCommitteeCommittee Hearing 09:30
- Mar 7, 2025SenateIntroducedIntroduced, first reading, referred Human Services Committee
- Feb 25, 2025SenateReceived from House
- Feb 25, 2025HouseFloorSecond reading, passed, yeas 87 nays 2
- Feb 25, 2025HouseCommitteeAmendment adopted, placed on calendar
- Feb 24, 2025HouseCommitteeReported back amended, do pass, amendment placed on calendar 12 0 1
- Jan 20, 2025HouseCommitteeCommittee Hearing 10:00
- Jan 13, 2025HouseIntroducedIntroduced, first reading, referred Human Services Committee
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Direct Statutory Insurer Payouts
The bill mandates that all health care insurer reimbursements for ambulance services must be paid directly to the ambulance service provider or their designee.
Connected Entities
Sources
ndlegis.gov
Analysis Score
0–100- Significance75How much this matters to a regular citizen
- Controversy40Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz30Current news / social attention level
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