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Changes to Existing Law

SB211 — Prohibit certain billing practices by ambulance service providers and establish reimbursement standards for out-of-network emergency medical services.

2 sections modified+445-28
View:

§ 58-17

New Section
+396
NEW SECTION added to Chapter 58-17
Terms used in this Act mean: (1) "Ambulance service," any ground ambulance service licensed pursuant to chapter 34-11; (2) "Emergency medical services," ambulance transportation and prehospital emergency medical care provided to a patient; (3) "Out-of-network provider," an ambulance service provider that does not have a direct or contractual agreement with the patient’s health benefit plan. 21

§ 58-17-63

Amended
+49-28
Section 58-17-63 — AMENDED
Health benefit plan defined. 58-17-63. For the purposes of §§ 58-17-64, sections to inclusive, of this Act, §§ 58-18-63, 58-38-36, and 58-40-33, a health benefit plan is any hospital or medical policy or certificate, hospital or medical service plan, or health maintenance organization subscriber contract. The term does not include specified disease, hospital indemnity, fixed indemnity, fixed duration of one year or less, accident-only, credit, dental, vision, medicare supplement, long-term care, or disability income insurance, coverage issued as a supplement to liability insurance, workers' compensation or similar insurance, or automobile medical payment insurance. 13