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Bill > S06255


NY S06255

NY S06255
Relates to reimbursement for ambulance services; requires insurers to submit payments directly to ambulance providers who are in-network or, for out-of-network ambulance providers, requires the issuance of a joint check to the insured specifying both the insured and the ambulance provider as payees.


summary

Introduced
03/07/2025
In Committee
01/07/2026
Crossed Over
Passed
Dead

Introduced Session

2025-2026 General Assembly

Bill Summary

AN ACT to amend the insurance law, in relation to reimbursement for ambulance services

AI Summary

This bill modifies New York's insurance law to establish new requirements for how insurers reimburse ambulance service providers. Specifically, insurers must now submit payments either directly to in-network ambulance providers at their negotiated rates, or for out-of-network providers, issue a joint check payable to both the insured patient and the ambulance provider at the usual and customary charge. If an ambulance provider has a signed assignment of benefits on file, the insurer must accept this and pay the provider directly, regardless of any conflicting policy language. Additionally, when issuing a joint check, the insurer must notify the ambulance provider electronically, including details such as the patient's name, date of service, payment date, payment amount, and the address where the payment was sent. The bill applies to multiple types of insurance policies, including individual, group, and direct medical and health insurance, and takes effect immediately upon enactment.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

REFERRED TO INSURANCE (on 01/07/2026)

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