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Committee advances EMS surprise-billing bill setting insurer payment formula and limiting patient balance billing
Summary
The Senate Health Committee adopted a committee substitute to Senate Bill 632 and reported it to the full Senate; the substitute would limit patient balance billing for out-of-network ground ambulance services and set insurer payment criteria and timing.
The Senate Health Committee reported a committee substitute to Senate Bill 632 to the full Senate with a recommendation that it pass and with referral to the Committee on Finance under the original double reference.
Counsel explained the substitute prohibits out-of-network emergency medical services (EMS) agencies from surprise-billing a covered enrollee or their insurer for ground ambulance services, clarifies that insurer payment is payment in full except for any insurer-required cost-sharing, and prohibits the EMS agency from billing the individual beyond applicable cost-sharing.…
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