50-state matrix
Ground-ambulance balance-billing by state
The federal No Surprises Act explicitly excludes ground-ambulance services. State law controls. Approximately 10-15 states have their own balance-billing protections; the rest leave consumers vulnerable to balance-billing from out-of-network ambulance providers. Click any state for its ground-ambulance posture, the state DOI consumer-protection entry point, and the controlling statute citation where one is in force.
NSA does not cover ground-ambulance services. State law controls. Click any state for its ground-ambulance balance-billing posture, the state DOI consumer-protection entry point, and a state-specific statute citation where one is in force.
state law applies — state has own law (e.g., NY, CO, MD)partial / verify — partial coverage / verify scopeno state law — no state ground-ambulance law[VERIFY] — primary-source verification pending
CACaliforniapartial / verifyCOColoradostate law appliesILIllinoisstate law appliesINIndianastate law appliesKYKentuckystate law appliesLALouisianastate law appliesMDMarylandstate law appliesMEMainestate law appliesMSMississippistate law appliesNHNew Hampshirestate law appliesNMNew Mexicopartial / verifyNYNew Yorkstate law appliesOHOhiostate law appliesOKOklahomastate law appliesOROregonstate law appliesUTUtahstate law appliesVTVermontstate law appliesWAWashingtonstate law appliesWVWest Virginiastate law appliesARArkansasstate law appliesALAlabamano state lawAZArizonano state lawCTConnecticutno state lawFLFloridano state lawGAGeorgiano state lawHIHawaiino state lawIAIowano state lawIDIdahono state lawKSKansasno state lawMAMassachusettsno state lawMIMichiganno state lawMNMinnesotano state lawMOMissourino state lawNDNorth Dakotano state lawMTMontana[VERIFY]NENebraskano state lawNVNevadano state lawPAPennsylvaniano state lawRIRhode Islandno state lawSCSouth Carolinano state lawSDSouth Dakotano state lawTNTennesseeno state lawTXTexasno state lawVAVirginiano state lawWIWisconsinno state lawWYWyomingno state lawAKAlaska[VERIFY]DEDelaware[VERIFY]DCDistrict of Columbia[VERIFY]NCNorth Carolina[VERIFY]NJNew Jersey[VERIFY]