ND HB1322

Ground ambulance providers (excluding air ambulances) are prohibited from balance billing patients beyond their in-network cost-sharing amounts such as deductibles, copayments, and coinsurance

Health insurers must pay out-of-network ambulance providers the lesser of 250% of the Medicare reimbursement rate or the provider's billed charges, paid directly to the ambulance service

EMS communications regulations are amended to permit secondary communications through cell phones and other devices while maintaining primary communication protocols

Legislative management must study during 2025-26 the feasibility of establishing a delinquent billing reimbursement grant system for ambulance providers, with findings reported to the 70th legislative assembly

$20,000 one-time general fund appropriation provided to the legislative council for consulting services related to the delinquent billing study (July 1, 2025 - June 30, 2027)