Closing the 'ambulance gap': How Colorado and U.S. lawmakers hope to end surprise medical bills

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Closing the 'ambulance gap': How Colorado and U.S. lawmakers hope to end surprise medical bills
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Angelika Albaladejo joined Denver7 in January 2023 as part of the Scripps News Journalism Journey Initiative aimed at bringing print journalists into the world of TV news.

DENVER — If you ever have to call 911 and take an ambulance, the last thing you want to worry about is the cost. That's why Colorado lawmakers and the U.S. Congress are taking steps to stop surprise ambulance bills.

Fox explained that although “people have zero control over what ambulance picks them up” and “whether it’s part of their insurance network,” the existing gap in protections means costs fall on them. Colorado is one of 14 states trying to strengthen protections against surprise bills. But Fox said, “We still need federal-level action to address the gap in its entirety.” That’s because state protections only apply to state-regulated insurance plans, not private employer plans or other plans regulated out of state.

To protect people from balance billing like that, Kelmar said the committee recommends that the U.S. Congress"cap the out-of-pocket cost for an ambulance ride for insured Americans to $100 so that people know it would never be more than $100.” “You have to have quite a number of ambulances out there, all stocked up, ready to go, not busy doing anything else, always ready to take the next call,” Baird said.

The committee also asks Congress to create a “No Surprises Help Desk” for ambulance billing questions.

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