Title 42 — The Public Health and WelfareRelease 119-73

§300gg–135 Air ambulance services

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER XXV— - REQUIREMENTS RELATING TO HEALTH INSURANCE COVERAGE › Part Part E— - Health Care Provider Requirements › § 300gg–135

Last updated Apr 6, 2026|Official source

Summary

For plan years that begin on or after January 1, 2022, a person covered by a group health plan or by group or individual health insurance who gets air ambulance care from a nonparticipating provider must not be billed or held responsible for more than the cost‑sharing amount for that service, as determined under paragraphs (1) and (2) of section 300gg–112(a) of this title, section 1185f(a) of title 29, or section 9817(a) of title 26, as applicable. Nonparticipating provider: a provider not in the plan’s network.

Full Legal Text

Title 42, §300gg–135

The Public Health and Welfare — Source: USLM XML via OLRC

In the case of a participant, beneficiary, or enrollee with benefits under a group health plan or group or individual health insurance coverage offered by a health insurance issuer and who is furnished in a plan year beginning on or after January 1, 2022, air ambulance services (for which benefits are available under such plan or coverage) from a nonparticipating provider (as defined in section 300gg–111(a)(3)(G) of this title) with respect to such plan or coverage, such provider shall not bill, and shall not hold liable, such participant, beneficiary, or enrollee for a payment amount for such service furnished by such provider that is more than the cost-sharing amount for such service (as determined in accordance with paragraphs (1) and (2) of section 300gg–112(a) of this title, section 1185f(a) of title 29, or section 9817(a) of title 26, as applicable).

Reference

Citations & Metadata

Citation

42 U.S.C. § 300gg–135

Title 42 — The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73