An Act Concerning Billing between Emergency Medical Services Providers and Insurance Companies

Sec. 1. 24-A MRSA §4320-J  is enacted to read:

§ 4320-J.  Reimbursement of certain costs of emergency medical assistance

Notwithstanding any other requirements of this Title, a carrier offering a health plan in this State shall provide coverage for the costs of providing emergency medical services to an enrollee, including, but not limited to, the transportation costs required to provide medical assistance even if the enrollee is not transported to a hospital or other health care facility.

Sec. 2. Application. The requirements of this Act apply to all policies, contracts and certificates subject to this Act that are executed, delivered, issued for delivery, continued or renewed in this State on or after January 1, 2016. For purposes of this Act, all contracts are deemed to be renewed no later than the next yearly anniversary of the contract date.

summary

This bill requires health insurance carriers to reimburse for the costs of emergency medical services, including calls for emergency medical assistance when a person is not transported to a hospital. The requirements of the bill apply to all health insurance policies issued or renewed on or after January 1, 2016.