Out-of-Network Billing

Texas EMS Alliance - EMS provider with patient at the Texas Capitol
Public Policy · Patient Protection

Texas: The Nation’s Model on EMS Billing

Texas leads the nation in protecting patients from surprise EMS bills. Learn how SB 2476 became the model law, how SB 916 extended its protections in 2025, and how federal policy is following Texas’ lead.

2023 Texas Legislature

Texas Law: The Nation’s Model

Texas’ 2023 law, SB 2476, serves as the nation’s model for addressing EMS out-of-network payments at the federal level.

The 2020 No Surprises Act

Federal Legislation

Congress’ 2020 passage of the No Surprises Act created an advisory committee to develop the future of out-of-network billing for federally-regulated plans.