Tennessee SB1376 aims to prevent surprise ambulance billing by prohibiting balance billing for out-of-network services.

Tennessee SB1376 amends Tennessee Code to prohibit out-of-network ambulance service providers from balance billing enrollees in health benefit plans. The bill defines "balance billing" as charging an enrollee for the difference between the provider's fee and the reimbursable amount under the enrollee's plan. Enrollees must pay the lesser of their in-network cost-sharing amount, the provider's billed charges, or 325% of the federal Medicare rate. The changes apply to health benefit plans issued or renewed after July 1, 2025.

Tennessee SB1376 aims to prevent surprise ambulance billing by prohibiting balance billing for out-of-network services.

Tennessee SB1376 amends Tennessee Code to prohibit out-of-network ambulance service providers from balance billing enrollees in health benefit plans. The bill defines "balance billing" as charging an enrollee for the difference between the provider's fee and the reimbursable amount under the enrollee's plan. Enrollees must pay the lesser of their in-network cost-sharing amount, the provider's billed charges, or 325% of the federal Medicare rate. The changes apply to health benefit plans issued or renewed after July 1, 2025.