Bill > HB2285

This bill: - Bans balance billing of consumers enrolled in fully insured, regulated health plans and plans offered to public and school employees for ground ambulance services and services provided at nonparticipating facilities, by nonparticipating providers at in-network facilities, and by ground ambulance services organizations. - Requires ground ambulance services organizations to accept a set payment rate as payment in full, with the enrollee only responsible for their in-network cost-sharing amount. - Requires health carriers to provide coverage for ground ambulance transports to behavioral health emergency services providers for enrollees experiencing an emergency medical condition. - Directs the Office of the Insurance Commissioner to conduct an actuarial analysis on the cost and potential cost savings of covering ground ambulance services when the person is treated but not transported, and to study whether emergency medical services should be treated as an essential public health service. The bill aims to remove consumers from balance billing disputes and ensure they are not responsible for costs beyond their in-network cost-sharing when receiving certain out-of-network services.

Health and Social Services

https://app.leg.wa.gov/billsummary?BillNumber=2285&Year=2023&Initiative=false