OH · last verified 2026-05-12
Ohio — NSA dispute pathway
Ground-ambulance balance-billing law
STATE LAW APPLIES
Ohio Rev. Code §3902.51 (HB 388)
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 Ohio fits the NSA picture
Ohio HB 388 (2022) sets OON ambulance reimbursement at the greatest of in-network median / UCR / Medicare. Neither the ambulance nor an out-of-network provider may bill a covered person for the difference.
State DOI consumer-protection entry ↗Statute: Ohio Rev. Code §3902.51 (HB 388)
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.