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Subcommittee narrows House Bill 13-22 to out-of-network ambulance payments, approves insurance-tax fund pilot
Summary
A North Dakota House Human Services subcommittee amended House Bill 13-22 to limit a mandated reimbursement rate to out-of-network ambulance providers, discussed replacing a 400% Medicare cap with an in‑network median, and voted to add a pilot program using the insurance tax distribution fund to reimburse unpaid ambulance runs.
BISMARCK, N.D. — The North Dakota House Human Services Subcommittee on Wednesday moved to narrow House Bill 13-22 so its mandated ambulance reimbursement rules apply only to out-of-network providers, discussed replacing a fixed 400%-of-Medicare ceiling with an “in-network median,” and approved an amendment to create a pilot reimbursement program funded from the insurance tax distribution fund.
The bill, introduced as an act relating to ambulance service provider reimbursement and to the insurance tax distribution fund, had prompted sustained testimony from health plans, ambulance associations and lawmakers about unintended consequences if the measure applied to in-network providers.
Blue Cross Blue Shield of North Dakota senior policy adviser Megan Ruby told the subcommittee the amendments would “restrict this to out of network ambulance services so that…
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