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PA HB1152

Bill

Status

Introduced

4/4/2025

Primary Sponsor

Jill Cooper

Click for details

Origin

House of Representatives

2025-2026 Regular Session

AI Summary

  • Requires insurers to directly reimburse EMS agencies for dispatched 911 emergency medical services at 350% of the Medicare rate for ambulance services in the same geographic area, with payment due within 45 days of receiving a bill.

  • Prohibits EMS agencies from balance billing patients beyond standard cost-sharing amounts (copayments, coinsurance, deductibles) when insurers pay the required rate.

  • Removes the previous requirement for EMS agencies to register with the state department and maintain a registry to receive direct insurer reimbursement.

  • Prohibits insurers from requiring EMS agencies to contract with them as a condition of receiving reimbursement under this section.

  • Takes effect 60 days after enactment; violations of fundraising restrictions are subject to the Unfair Trade Practices and Consumer Protection Law.

Legislative Description

In casualty insurance, further providing for billing.

Last Action

Referred to Veterans Affairs & Emergency Preparedness

4/4/2025

Committee Referrals

Veterans Affairs & Emergency Preparedness4/4/2025

Full Bill Text

No bill text available