Minnesota YMCA Youth in Government
Model Legislature
Introduced by: Mary Jane Stephens
Delegation: Orono
Legislative Body: Humphrey House
Committee: Family Services
BILL #: 3301
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BE IT ENACTED BY THE YOUTH LEGISLATURE OF THE STATE OF MINNESOTA YOUTH LEGISLATURE –
An act to
Improve transparency in emergency medical costs and obtain patient consent to reduce the likelihood of unexpected bills.
 
 
SECTION I - PURPOSE
The purpose of this bill is to decrease difficult financial situations caused by surprise medical bills, such as
ambulances, to achieve better patient protection and trust in the healthcare system.
 
 
SECTION II - JUSTIFICATION
Ambulance costs are one of the biggest causes of unexpected medical debt. In fact, ground ambulance bills can reach
thousands of dollars, which many are unable to afford. In fact, Brynn Healy from U.S. News said, “23% of Americans say
that during a medical emergency in which they needed immediate transportation, they purposely did not call an ambulance
due to the cost.” This could be caused due to the increasing medical debt in the country, which about 41% of Americans
struggle with. Not only will this bill take a vital step in reducing that, but it may also place less financial stress
on lower-income families in crises. In addition, this also causes fewer billing disputes. Often, people fight or dispute
ambulance bills as they do not understand them. If bills were made to be simpler with clear prices, patients would be
less likely to turn down ambulance help since they would have a clear price in mind. A similar law to this was passed in
2020, called the No Surprises Act. While it greatly helped to reduce these problems, it strategically left out ambulance
costs.
In this bill, all EMS providers shall publicly disclose the average cost of ambulance transport, price ranges for
typical transportation services, mileage charges, and additional treatment fees. This should be displayed on the
provider’s website, printed in hospitals and ERs, and formatted to be accessible to 911 dispatch centers. In addition,
providers should provide patients with cost estimates before transport. This includes the typical price for ambulance
service in that area, and the patient has the right to decline transport if medically stable. If they are medically
stable, EMS personnel must receive written or verbal consent to transport the patient or their refusal or service.
 
 
SECTION III - DEFINITIONS
No Surprises Act - a U.S. federal law, effective January 1, 2022, that protects consumers from unexpected medical bills,
particularly those from out-of-network providers at in-network facilities.
Surprise medical bills - an unexpected medical bill for "out-of-network" care that patients receive after they've been
treated.
Billing disputes - when a customer or client challenges a charge or invoice, claiming there is an error, the
service/product was unsatisfactory, or the transaction was unauthorized.
EMS providers - Emergency Medical Service Providers
 
 
SECTION IV - FUNDING
This bill has a minimal cost as no major taxes or excessive spending are required. In order to implement this bill, it
requires small costs such as training for providers, website updates, and printing fees. This can be funded through the
existing State Department of Health’s budget. In addition, the state can apply for federal health transparency grants if
needed, and could also be supported by fines from noncooperative healthcare providers.
 
 
SECTION V – PENALTIES/ENFORCEMENT
Employers that refuse to comply with these requirements will be fined up to $5,000. A repeat in violations may result in
a suspension of that provider’s state license.
 
 
SECTION VI – EFFECTIVE DATE
This bill will go into effect six months after it is passed.