PRINTER'S NO. 369
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No.
347
Session of
2015
INTRODUCED BY O'NEILL, READSHAW, BAKER, BARRAR, CAUSER, COHEN,
D. COSTA, CUTLER, DAVIS, DAY, DEASY, DiGIROLAMO, DUSH,
GABLER, GILLEN, HARHART, HARPER, A. HARRIS, JAMES, KAUFFMAN,
M. K. KELLER, KORTZ, LAWRENCE, MALONEY, MARSHALL, MASSER,
MILLARD, MILNE, RADER, SONNEY, TALLMAN, TRUITT, WATSON,
WHEATLEY AND FEE, FEBRUARY 5, 2015
REFERRED TO COMMITTEE ON VETERANS AFFAIRS AND EMERGENCY
PREPAREDNESS, FEBRUARY 5, 2015
AN ACT
Amending Title 35 (Health and Safety) of the Pennsylvania
Consolidated Statutes, in emergency medical services system,
providing for emergency service system billing.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. Section 8103 of Title 35 of the Pennsylvania
Consolidated Statutes is amended by adding a definition to read:
§ 8103. Definitions.
The following words and phrases when used in this chapter
shall have the meanings given to them in this section unless the
context clearly indicates otherwise:
* * *
"Insurer." As follows:
(1) An entity that is responsible for providing or
paying for all or part of the cost of emergency medical
services covered by an insurance policy, contract or plan.
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The term includes an entity subject to:
(i) the act of May 17, 1921 (P.L.682, No.284), known
as The Insurance Company Law of 1921;
(ii) the act of December 29, 1972 (P.L.1701,
No.364) , known as the Health Maintenance Organization
Act; or
(iii) 40 Pa.C.S. Ch. 61 (relating to hospital plan
corporations) or 63 (relating to professional health
services plan corporations).
(2) The term does not include an entity that is
responsible for providing or paying under an insurance
policy, contract or plan which meets any of the following:
(i) Is a homeowner's insurance policy.
(ii) Provides any of the following types of
insurance:
(A) Accident only.
(B) Fixed indemnity.
(C) Limited benefit.
(D) Credit.
(E) Dental.
(F) Vision.
(G) Specified disease.
(H) Medicare supplement.
(I) Civilian Health and Medical Program of the
Uniformed Services (CHAMPUS) supplement.
(J) Long-term care.
(K) Disability income.
(L) Workers' compensation.
(M) Automobile medical payment insurance.
* * *
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Section 2. Title 35 is amended by adding a section to read:
§ 8158. Billing.
(a) General rule.--When an emergency medical services agency
is properly dispatched by a public safety answering point as
defined in section 5302 (relating to definitions) and provides
medically necessary emergency care, a payment made by an insurer
for a claim covered under a health insurance policy for a
service performed by the emergency medical services agency
during the call shall be paid directly to the emergency medical
services agency.
(b) Application.--This section shall be construed to apply
only to emergency medical services agencies that are nonnetwork
providers.
Section 3. This act shall take effect in 60 days.
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