Bill > HB401

This bill prohibits "balance billing" by ground ambulances in Alabama. It establishes a minimum reimbursement amount that health care insurers must pay to out-of-network emergency medical service providers, which is the lesser of the provider's billed charge or 325% of the applicable Medicare rate. The bill also prohibits providers from billing or seeking collection from enrollees for amounts exceeding the minimum reimbursement, except for the enrollee's in-network cost-sharing amount. The bill also sets timelines for insurers to process claims and resolve disputes with providers, and excludes enrollees from being involved in those disputes.

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