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NSAidr
IL · last verified 2026-05-12

Illinois — NSA dispute pathway

Ground-ambulance balance-billing law
STATE LAW APPLIES
215 ILCS 5/356z.3a (Public Act 104-0248)
State IDR pathway
STATE IDR AVAILABLE
Federal IDR (45 CFR §149.510)
ERISA self-funded plans
STATE DOI HAS NO JURISDICTION
Self-funded plans always route to Federal IDR + DOL/EBSA enforcement, regardless of state.

How Illinois fits the NSA picture

Illinois Public Act 104-0248 (SB 2405) added consumer protection from surprise health-care billing for ground ambulance services. Effective 2025-07-01.

State DOI consumer-protection entry ↗Statute: 215 ILCS 5/356z.3a (Public Act 104-0248)

Free first step — CMS No Surprises Help Desk

The CMS-administered consumer complaint pathway. Free, federal, and the recommended first action for any balance-billed insured patient. You have 90 calendar days from when you knew or should have known of the NSA violation to file.

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