ND SB2231

Requires hospitals to inform patients of air ambulance service providers' health insurance network status before referral, with the insurance department publishing this data quarterly on its website.

Mandates health benefit plans provide out-of-network air ambulance reimbursement equal to the average of in-network rates, treating such payments as full and final settlements.

Requires health care providers to request prior authorization from insurers before arranging air ambulance services and provide written disclosures about out-of-network status and potential charges to patients.

Establishes a mediation process for resolving out-of-network air ambulance billing disputes between insurers and providers, with insurers required to maintain records of all mediation requests.

Prohibits air ambulance providers from selling or soliciting subscription agreements for their services, with violations subject to civil fines up to $10,000.