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Insurers Fight State Laws Restricting Surprise Ambulance Bills

COLORADO, JUL 9 – Colorado lawmakers passed a bill to protect consumers from surprise ground ambulance bills despite insurer warnings of a 0.4% premium increase, filling gaps left by federal law.

  • On last Tuesday, Colorado Governor Jared Polis vetoed a bipartisan bill that had unanimous legislative approval, citing concerns that it would increase premiums by up to $2.15 per member monthly.
  • Following the No Surprises Act’s omission of ground ambulance coverage, Colorado lawmakers enacted targeted measures to protect patients from balance billing gaps.
  • Analysis reveals the average surprise ground ambulance bill in California is $1,209, with nearly 75% of emergency rides billed out-of-network, highlighting widespread billing issues.
  • Colorado patients remain vulnerable to large out-of-network bills and debt collection after Gov. Polis's veto stalls protections, leaving them exposed to financial risks.
  • Meanwhile, the No Surprises Act advisory committee plans to report nonbinding proposals to Congress early next year, including caps on patient liability at $100.
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Insurers fight state laws restricting surprise ambulance bills

Nicole Silva's 4-year-old daughter was headed to a relative's house near the southern Colorado town of La Jara when a vehicle T-boned the car she was riding in.

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npr broke the news in Washington, United States on Wednesday, July 9, 2025.
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