{"data":{"id":"us/45-cfr-149.440","jurisdiction":"us","citation":"45 CFR 149.440","heading":"Balance billing in cases of air ambulance services.","body":"(a) In general. 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 who is furnished air ambulance services (for which benefits are available under such plan or coverage) from a nonparticipating provider of air ambulance services, with respect to such plan or coverage, the provider must not bill, and must not hold liable, the participant, beneficiary, or enrollee for a payment amount for the air ambulance services furnished by the provider that is more than the cost-sharing amount for such service (as determined in accordance with 26 CFR 54.9817-1T(b)(1) and (2), 29 CFR 2590.717-1(b)(1) and (2), and § 149.130(b)(1) and (2), as applicable).\n(b) Applicability date. The provisions of this section are applicable with respect to air ambulance services furnished during a plan year (in the individual market, policy year) beginning on or after January 1, 2022.","path":["Title 45—Public Welfare","SUBTITLE A—Department of Health and Human Services","SUBCHAPTER B—REQUIREMENTS RELATING TO HEALTH CARE ACCESS","PART 149—SURPRISE BILLING AND TRANSPARENCY REQUIREMENTS","Subpart E—Health Care Provider, Health Care Facility, and Air Ambulance Service Provider Requirements"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-45.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:21Z","sha256":"2ce0414d36f2c2d8f303f5e86f675f4fc95df0e5653109ea818f597b750b90b8","source_id":"us-cfr","stale":true,"prev":"us/45-cfr-149.430","next":"us/45-cfr-149.450"},"notice":"GroundRules: Original legal text. Not legal advice."}