The US Doesn’t Have Universal Health Care— But These States (almost) Do

Ten states have uninsured rates below 5 percent. What are they doing right?

By Dylan Scott@dylanlscott  Nov 26, 2023

Dylan Scott covers health care for Vox. He has reported on health policy for more than 10 years, writing for Governing magazine, Talking Points Memo and STAT before joining Vox in 2017.

Universal health care remains an unrealized dream for the United States. But in some parts of the country, the dream has drawn closer to a reality in the 13 years since the Affordable Care Act passed.

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Texas Senate Bill 2476 – Ground Ambulance Balance Billing

Expands current balance billing prohibitions to include ground ambulance services. Rather than applying the independent dispute resolution process, SB 2476 directs TDI to create an emergency service provider balance billing rate database. Health plans must reimburse ground ambulance services at:

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