HB1061 aims to prevent balance billing for out-of-network ambulance services in Tennessee.
HB1061 amends Tennessee law to prohibit out-of-network ambulance service providers from balance billing enrollees in health benefit plans. Effective July 1, 2025, enrollees will only pay the lesser of their in-network cost-sharing amount, the provider's billed charges, or 325% of the federal Medicare rate for the same service. This change ensures that enrollees are not unexpectedly charged more for out-of-network emergency ambulance services.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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