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MA H5042
Bill
Status
Introduced
2/5/2026
Primary Sponsor
Joint Committee on Financial Services
Click for details
AI Summary
- Requires insurance carriers to pay out-of-network ambulance providers directly at rates established by the municipality where the patient was transported, with rates subject to public process requirements
- Sets default reimbursement rate at 325% of Medicare rates (or billed charges, whichever is less) when no municipal rate exists
- Caps patient cost-sharing for emergency ambulance services at $100, with payments credited toward in-network deductibles and out-of-pocket maximums
- Limits charges for uninsured patients to Medicare rates and prohibits ambulance providers from using wage garnishments, home liens, credit reporting, or lawsuits to collect unpaid emergency ambulance bills
- Requires hospitals and nursing homes to share patient insurance and demographic information with ambulance providers upon request
Legislative Description
Protecting patients from surprise bills related to emergency ambulance service
Last Action
Reported favorably by committee and referred to the Joint Committee on Health Care Financing
2/5/2026
Committee Referrals
Health Care Financing2/5/2026
Full Bill Text
No bill text available