RI · last verified 2026-05-12
Rhode Island — NSA dispute pathway
Ground-ambulance balance-billing law
NO STATE LAW
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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 Rhode Island fits the NSA picture
RI Gen. Laws §27-18-69 only caps the in-network ground-ambulance copay at $50; does not prohibit out-of-network balance billing. RI's 2020 surprise-bill law does not extend to ground ambulance.
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.