{"code":"HSC","codeName":"Health and Safety Code","section":"1797.233","citation":"Health & Saf. Code, § 1797.233","status":"in-force","lawOn":"2026-09-28","headings":[{"name":"DIVISION 2.5. EMERGENCY MEDICAL SERVICES [1797. - 1863.]","url":"https://blackletter.si/health-and-safety-code/division-2.5"},{"name":"CHAPTER 4. Local Administration [1797.200. - 1797.276.]","url":"https://blackletter.si/health-and-safety-code/division-2.5/chapter-4"},{"name":"ARTICLE 1. Local EMS Agency [1797.200. - 1797.233.]","url":"https://blackletter.si/health-and-safety-code/division-2.5/chapter-4/article-1"}],"history":"Amended by Stats. 2024, Ch. 520, Sec. 9.   (SB 1061)   Effective January 1, 2025.","effective":"2025-01-01","html":"<p>(a) A ground ambulance provider shall not require an uninsured patient or self-pay patient to pay an amount more than the established payment by Medi-Cal or Medicare fee-for-service amount, whichever is greater.</p><p>(b) (1) A ground ambulance provider shall only advance to collections the Medicare or Medi-Cal payment amount, as determined pursuant to subdivision (a), that the uninsured or self-pay patient failed to pay.</p><p>(2) The ground ambulance provider, or an entity acting on its behalf, including a debt buyer or assignee of the debt, shall not do either of the following:</p><p>(A) Report adverse information to a consumer credit reporting agency.</p><p>(B) Commence civil action against the individual for a minimum of 12 months after the initial billing regarding amounts owed by the individual pursuant to subdivision (a).</p><p>(3) With respect to an uninsured patient or self-pay patient, the ground ambulance provider, or an entity acting on its behalf, including an assignee of the debt, shall not use wage garnishments or liens on primary residences as a means of collecting unpaid bills pursuant to this section.</p><p>(c) Ground ambulance service providers remain subject to balance billing protections for Medi-Cal beneficiaries under Section <a href=\"/wic/14019.4\">14019.4</a> of the Welfare and Institutions Code.</p>","text":"(a) A ground ambulance provider shall not require an uninsured patient or self-pay patient to pay an amount more than the established payment by Medi-Cal or Medicare fee-for-service amount, whichever is greater. (b) (1) A ground ambulance provider shall only advance to collections the Medicare or Medi-Cal payment amount, as determined pursuant to subdivision (a), that the uninsured or self-pay patient failed to pay. (2) The ground ambulance provider, or an entity acting on its behalf, including a debt buyer or assignee of the debt, shall not do either of the following: (A) Report adverse information to a consumer credit reporting agency. (B) Commence civil action against the individual for a minimum of 12 months after the initial billing regarding amounts owed by the individual pursuant to subdivision (a). (3) With respect to an uninsured patient or self-pay patient, the ground ambulance provider, or an entity acting on its behalf, including an assignee of the debt, shall not use wage garnishments or liens on primary residences as a means of collecting unpaid bills pursuant to this section. (c) Ground ambulance service providers remain subject to balance billing protections for Medi-Cal beneficiaries under Section 14019.4 of the Welfare and Institutions Code.","otherVersions":[],"url":"https://blackletter.si/health-and-safety-code/local-ems-agency-1797-233","source":"California Legislative Information bulk export (pubinfo)"}