MA · last verified 2026-05-12
Massachusetts — NSA dispute pathway
Ground-ambulance balance-billing law
NO STATE LAW
—
State IDR pathway
[VERIFY PENDING]
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 Massachusetts fits the NSA picture
Existing MGL c. 176O §6 surprise-billing law does NOT cover ground ambulance. Pending bills H.5042 and H.1261 still in committee.
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.