MI HB5219

Requires ambulance operations and aircraft transport operations to provide nonemergency patients with written notice before transport, including a good-faith cost estimate, whether the operation participates in the patient's health plan, and notification of the right to choose alternative transport methods.

Mandates a signed acknowledgment form (in at least 12-point type) be obtained from the patient or representative and retained for at least 7 years, with copies provided to health plans or third-party administrators upon request.

Requires ambulance and aircraft operations to accept health plan coverage amounts as payment in full for nonemergency patients who do not receive required notice, except for copayments, coinsurance, or deductibles.

For emergency patients, ambulance and aircraft operations must accept the greater of: the health plan's negotiated rate with participating providers or 150% of the Medicare-covered amount, if the operation is not a participating provider.

Grants participating provider ambulance and aircraft operations the right to land at destination hospitals regardless of contracted status with originating or destination hospitals, and prohibits hospitals from denying landing rights to keep contracted providers on standby; hospitals violating this section are liable for transport costs exceeding insurance coverage.