The 17 states that don’t offer any surprise billing protections

The No Surprises Act isn’t slated to go into effect until 2022, and millions of Americans will be vulnerable to surprise medical bills in the meantime.

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The No Surprises Act, a measure to end surprise medical bills for emergency and scheduled care, was passed in December when then-President Donald Trump signed a $1.4 trillion year-end spending bill into law. 

Currently, 18 states offer comprehensive protections against surprise billing, and 15 states offer partial protections, according to the Commonwealth Fund.

Below are the 17 states that offer no surprise billing protections, where patients are particularly vulnerable to expensive surprise medical bills:

  1. Alabama
  2. Alaska
  3. Arkansas
  4. Idaho
  5. Hawaii
  6. Kansas
  7. Kentucky
  8. Louisiana
  9. Montana
  10. North Dakota
  11. Oklahoma
  12. South Dakota
  13. South Carolina
  14. Tennessee
  15. Utah
  16. Wisconsin
  17. Wyoming

Click here for an interactive map of how each state protects its healthcare consumers from surprise bills.

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