Loading chat...
MA H1159
Bill
Status
Introduced
2/27/2025
Primary Sponsor
Dennis Gallagher
Click for details
AI Summary
- Requires insurers to pay out-of-network ambulance providers directly for emergency services, rather than reimbursing the patient
- Payment rate must equal the rate established by the municipality where the patient was transported, except for non-profit critical care ambulance services performing ground and air transports
- Prohibits ambulance providers from balance billing patients beyond coinsurance, co-payments, or deductibles after receiving the municipal rate payment
- Grants ambulance providers a right of action against insurers who fail to make required direct payments
- Applies to health insurers, HMOs, non-profit hospital service corporations, preferred provider organizations, small group health plans, self-insurance plans, and motor vehicle liability insurers providing medical coverage
Legislative Description
Relative to payments for use of ambulance services
Last Action
Accompanied a study order, see H5207
3/12/2026
Committee Referrals
Financial Services2/27/2025
Full Bill Text
No bill text available