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State Law Eligibility Tool

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Some states have their own laws governing out-of-network payment disputes, and those laws can determine whether a dispute belongs in the Federal or State IDR process. This tool gathers the eligibility criteria for the most common State Specific Laws (SSLs) in one place, so you can check which rules apply before you file. Use it as a starting reference. It does not replace the text of a state’s law or regulation and is not legal advice — confirm the criteria against the governing statute for the state at issue.

State Law Eligibility Guide

State Law Eligibility Guide

No Surprises Act — Federal vs. State IDR coverage by state

This guide outlines eligibility criteria for the most common State Specific Laws (SSLs). It is subject to change and should be verified against current state regulations before relying on it. States not listed with a specific law route all disputes through Federal IDR.

Disclaimer: This State Law Eligibility Tool is provided by Federal Hearings and Appeals Services, LLC (“FHAS”) as a convenience for preliminary screening purposes only. This content is provided only on an “AS-IS” basis, meaning that we make no guarantees, and the information’s accuracy, thoroughness, and level of performance are at the user’s sole risk. FHAS disclaims all liability for any errors, omissions, or reliance on the Tool’s output. The Tool is offered without any warranties. You use this Tool at your own risk. Parties should independently verify state laws through official channels and consult qualified professionals before taking any action based on this Tool. By using the Tool, you acknowledge and accept these terms.

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