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Legislative Year: 2025 Change
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Bill Detail: HB25-1088

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Title Costs for Ground Ambulance Services
Status Introduced In House - Assigned to Health & Human Services (01/22/2025)
Bill Subjects
  • Health Care & Health Insurance
  • Public Health
House Sponsors K. Brown (D)
K. McCormick (D)
Senate Sponsors K. Mullica (D)
M. Baisley (R)
House Committee Health and Human Services
Senate Committee
Date Introduced 01/22/2025
AI Summary
Summary

For ground ambulance services (ambulance services), the bill:
  • Allows a political subdivision or an ambulance service
providing ambulance services on behalf of the political
subdivision to submit to the division of insurance (division)
the established rates for the ambulance services, if the rates
meet specified conditions;
  • Requires the division to publish reimbursement rates on the
division's public-facing website;
  • Establishes reimbursement rates for ambulance services
that are out of network; and
  • Prohibits an out-of-network ambulance service from billing
an individual covered under a health insurance coverage
plan (covered person) any outstanding balance for a
covered service not paid for by an insurance carrier, except
for any coinsurance, deductible, or copayment amount
required to be paid by the covered person. If a covered
person makes a payment for an out-of-network ambulance
service, the payment must be applied to the covered
person's in-network deductibles and in-network
out-of-pocket maximum amounts.

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with Amendments
None
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