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IN HB1370
Bill
Status
1/8/2026
Primary Sponsor
Tony Isa
Click for details
AI Summary
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Prohibits utilization review entities from requiring prior authorization for ambulance services provided by nonparticipating providers within 12 hours of request, and for emergent or urgent response services provided in good faith within 24 hours of request
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Expands reimbursement requirements for emergency medical services to include responses initiated through 911, equivalent phone numbers, texting systems, or any other method of summoning emergency services
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Requires insurance policies and HMO contracts to reimburse emergency medical services when a physician determines an individual requires such services, regardless of whether the patient is transported
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Removes the limitation that reimbursable emergency services must be "advanced life support services," broadening coverage to all emergency medical services within a provider's scope of practice
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Effective July 1, 2026; applies to accident and sickness insurance policies, individual contracts, and group contracts that provide emergency medical services coverage
Legislative Description
Payment of claims for emergency services.
Last Action
First reading: referred to Committee on Insurance
1/8/2026