summary
Introduced
01/20/2015
01/20/2015
In Committee
01/20/2015
01/20/2015
Crossed Over
Passed
Dead
07/31/2016
07/31/2016
Introduced Session
189th General Court
Bill Summary
Relative to insurance payments for use of ambulance services. Financial Services.
AI Summary
This bill amends Chapter 176D of the General Laws to establish new rules for how insurance companies pay ambulance service providers for emergency services when the provider is not directly contracted with the insurer. It defines key terms like "ambulance service provider" (a licensed entity providing ambulance services), "emergency ambulance services" (immediate medical attention needed services), "insurance policy" (various types of insurance contracts), "insured" (someone with ambulance benefits), and "insurer" (the insurance company or similar entity). The core provision states that if an ambulance service provider renders emergency services to an insured, and is not contracted with the insured's insurer, the insurer must pay the provider directly and promptly. This payment is required even if the insurance policy generally prohibits assigning benefits, provided the insured assigns their benefits to the provider, or if the insured is unable to do so. The bill clarifies that an ambulance service provider is not considered paid if the insurer pays the insured instead, and the provider has the right to sue the insurer for non-payment. The payment rate will be set by the municipality from which the patient was transported. Once paid according to these rules, the ambulance service provider is considered fully compensated, except for any coinsurance, co-payments, or deductibles the insured owes under their policy. The bill also emphasizes that it does not expand an insured's coverage rights beyond what their existing insurance policy provides.
Committee Categories
Business and Industry
Sponsors (63)
James Cantwell (D)*,
Leah Allen (R),
Jim Arciero (D),
Brian Ashe (D),
Ruth Balser (D),
Jennifer Benson (D),
Donnie Berthiaume (R),
Michael Brady (D),
Gailanne Cariddi (D),
Tackey Chan (D),
Josh Cutler (D),
Angelo D'Emilia (R),
Marjorie Decker (D),
David DeCoste (R),
Viriato deMacedo (R),
Sal DiDomenico (D),
Stephen DiNatale (D),
Diana Dizoglio (D),
Kenneth Donnelly (D),
Shawn Dooley (R),
Peter Durant (R),
James Dwyer (D),
Carolyn Dykema (D),
Lori Ehrlich (D),
Tricia Farley-Bouvier (D),
John Fernandes (D),
Jennifer Flanagan (D),
Bill Galvin (D),
Sean Garballey (D),
Colleen Garry (D),
Susan Gifford (R),
Anne Gobi (D),
Thomas Golden (D),
Jonathan Hecht (D),
Robert Hedlund (R),
Randy Hunt (R),
Louis Kafka (D),
John Keenan (D),
John Keenan (D),
Robert Koczera (D),
Stephen Kulik (D),
Kevin Kuros (R),
Jason Lewis (D),
Timothy Madden (D),
Christopher Markey (D),
Joe McGonagle (D),
Paul McMurtry (D),
Mike Moore (D),
James Murphy (D),
Keiko Orrall (R),
Sarah Peake (D),
Alice Peisch (D),
Angelo Puppolo (D),
John Rogers (D),
Dennis Rosa (D),
Richard Ross (R),
Jeff Roy (D),
John Scibak (D),
Theodore Speliotis (D),
James Timilty (D),
Dave Vieira (R),
Chris Walsh (D),
Jon Zlotnik (D),
Last Action
Accompanied a study order, see H4111 (on 03/28/2016)
Official Document
bill text
bill summary
Loading...
bill summary
Loading...
bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://malegislature.gov/Bills/189/House/H813 |
| State Bill Page | https://malegislature.gov/Bills/189/H813 |
| Bill | https://malegislature.gov/Bills/189/H813.pdf |
Loading...