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§1185l Air Ambulance Report Requirements

Title 29 › CHAPTER 18 — EMPLOYEE RETIREMENT INCOME SECURITY PROGRAM › SUBCHAPTER I — PROTECTION OF EMPLOYEE BENEFIT RIGHTS › Subtitle B — Regulatory Provisions › part 7 — group health plan requirements › Subpart B — Other Requirements › § 1185l

Last updated Sep 22, 2026|Official source

Summary

Group health plans and insurers that offer group coverage must send air-ambulance data to the Secretary, together with the Health and Human Services and Treasury Secretaries. The first report is due no later than 90 days after the end of the first calendar year that begins on or after the date a final rule is issued under section 106(d) of the No Surprises Act. A second report is due no later than 90 days after the end of the next plan year. The reports must include claims data for air ambulance services, broken down by emergency vs. nonemergency, type of provider program (hospital-owned/sponsored, municipality-sponsored, hospital independent partnership (hybrid), independent, or tribally operated in Alaska), whether the trip started in a rural or urban area, aircraft type (for example, helicopter or fixed-wing), and whether the provider has a contract with the plan or issuer. The Secretary may require other provider information as well.

Title 29, §1185l

Labor, Source: USLM XML via OLRC

(a)In general

Each group health plan and health insurance issuer offering group health insurance coverage shall submit to the Secretary, jointly with the Secretary of Health and Human Services and the Secretary of the Treasury—

(1)not later than the date that is 90 days after the last day of the first calendar year beginning on or after the date on which a final rule is promulgated pursuant to the rulemaking described in section 106(d) of the No Surprises Act, the information described in subsection (b) with respect to such plan year; and

(2)not later than the date that is 90 days after the last day of the plan year immediately succeeding the calendar year described in paragraph (1), such information with respect to such immediately succeeding plan year.

(b)Information described

For purposes of subsection (a), information described in this subsection, with respect to a group health plan or a health insurance issuer offering group health insurance coverage, is each of the following:

(1)Claims data for air ambulance services furnished by providers of such services, disaggregated by each of the following factors:

(A)Whether such services were furnished on an emergent or nonemergent basis.

(B)Whether the provider of such services is part of a hospital-owned or sponsored program, municipality-sponsored program, hospital independent partnership (hybrid) program, independent program, or tribally operated program in Alaska.

(C)Whether the transport in which the services were furnished originated in a rural or urban area.

(D)The type of aircraft (such as rotor transport or fixed wing transport) used to furnish such services.

(E)Whether the provider of such services has a contract with the plan or issuer, as applicable, to furnish such services under the plan or coverage, respectively.

(2)Such other information regarding providers of air ambulance services as the Secretary may specify.

Editorial Notes

References in Text

section 106(d) of the No Surprises Act, referred to in subsec. (a)(1), is section 106(d) of div. BB of Pub. L. 116–260, which is set out as a note under section 300gg–118 of Title 42, The Public Health and Welfare.

§1185l Air Ambulance Report Requirements

Summary

Title 29, §1185l

Notes & Related Subsidiaries

Editorial Notes

References in Text

Citations & Metadata