Bill > HB392

This bill amends the Insurance Company Law of 1921 to establish new requirements for billing and reimbursement of emergency medical services (EMS) by insurance companies. Specifically, when an insurer reimburses a policyholder directly for a non-network emergency medical service, the payment must include a detailed written notification that provides the date of service, the name of the EMS agency, an itemized explanation of the claim and reimbursement amounts, the EMS agency's billing address, and a specific disclosure statement. The disclosure warns the policyholder that the reimbursement funds are to be used solely for paying the emergency medical service liability, and using the funds for any other purpose could result in an insurance fraud claim. Additionally, the bill mandates that insurers must notify the EMS agency monthly when they have issued a claim payment to a policyholder for a medically necessary emergency medical service. The changes are designed to increase transparency and ensure that reimbursement funds are appropriately used. The bill will take effect 60 days after its enactment.