HB 456 North Carolina House · 2025-2026 Session

No Surprises for Ambulance Services Act.

HB 456, the "No Surprises for Ambulance Services Act," prevents unexpected high costs for ambulance services by requiring health insurance companies to cover both emergency and non-emergency ground ambulance transport without surprise bills. Specifically, it caps out-of-network cost-sharing (like copays or deductibles) for ambulance services at 110% of what would apply for in-network providers, ensuring patients aren’t charged more for using an ambulance outside their insurance network. This directly affects insured individuals who use ambulance services, especially in emergencies or when they cannot choose a network provider. The law also mandates insurers to clearly disclose coverage details for emergency services, including cost-sharing and how to access care.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 19, 2025 Last action Mar 20, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Filed Edition 1 · 4 edits
MODERATE
The bill was renumbered from a draft version to Edition 1, and the sponsor list was updated to include four primary sponsors while adding a reference to the General Assembly website for the complete list. The bill's substantive policy content regarding ambulance coverage appears unchanged in this version, with no modifications to eligibility, funding, or operational requirements.
TECHNICAL

Bill number changed from draft identifier DRH10206-MRa-66 to official version H456-v-1

Sponsor list expanded to include Representatives Buansi, Greenfield, and Colvin alongside Representative von Haefen as primary sponsors

Added reference directing readers to the North Carolina General Assembly website for complete sponsor information

Date of referral updated from March 19, 2025 to March 20, 2025

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
1
Mar 20, 2025
Committee
Ref to the Com on Appropriations, if favorable, Rules, Calendar, and Operations of the House
lower
Mar 19, 2025
Introduced
Filed
lower
3 primary · 14 co-sponsors

Sponsors