SB 1342
An Act amending the act of May 17, 1921 (P.L.682, No.284), known as The Insurance Company Law of 1921, in casualty insurance, further providing for billing.
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Sign in to take action- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
Bill overview
This bill amends Pennsylvania’s Insurance Company Law to clarify billing procedures for emergency medical services (EMS) agencies. Specifically, it establishes a system where insurers must directly reimburse non-network EMS agencies for 911 emergency medical services at 350% of the current Medicare rates. Insurers are prohibited from requiring EMS agencies to contract with them for reimbursement and cannot bill the patient directly for the service, except for cost-sharing amounts. The bill also outlines requirements for agencies to submit standardized forms and restricts fundraising practices to prevent misleading donors about billing.
Key provisions
- Insurers must directly reimburse non-network EMS agencies for 911 emergency medical services.
- Reimbursement rates must be 350% of the current Medicare rates.
- Insurers cannot require EMS agencies to contract for reimbursement.
- EMS agencies must submit standardized forms annually.
- Insurers cannot bill patients directly for the service, except for cost-sharing amounts.
- EMS agencies cannot solicit donations with the implication that donations will prevent billing.
- The department must maintain a public registry of EMS agencies seeking direct reimbursement.
- The bill applies only to non-network EMS agencies providing emergency medical services.
Who is affected
- Emergency Medical Services (EMS) Agencies
- Insurance Companies
- Healthcare Providers
- Patients
- The Commonwealth of Pennsylvania
Notable changes
Sponsors
Official sponsors from legislative records.
Primary sponsor
Cosponsors
Judith Schwank
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