1Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An 
2act relating to insurance; amending, revising, and 
3consolidating the law providing for the incorporation of 
4insurance companies, and the regulation, supervision, and 
5protection of home and foreign insurance companies, Lloyds 
6associations, reciprocal and inter-insurance exchanges, and 
7fire insurance rating bureaus, and the regulation and 
8supervision of insurance carried by such companies, 
9associations, and exchanges, including insurance carried by 
10the State Workmen's Insurance Fund; providing penalties; and 
11repealing existing laws," providing for joint payment for 
12emergency <-service organization medical services agencies.

13The General Assembly of the Commonwealth of Pennsylvania
14hereby enacts as follows:

15Section 1. The act of May 17, 1921 (P.L.682, No.284), known 
16as The Insurance Company Law of 1921, is amended by adding a 
17section to read:

18Section 635.7. Joint Payment for Emergency <-Service
19Organization.--(a) Whenever direct payment is made to an
20insured for a claim covered under a health insurance policy for
21a service performed by an emergency service organization, the
22payment shall be made jointly payable to the insured and the

1emergency service organization.

2(b) The joint payment required under subsection (a) shall
3not apply in the following instances:

4(1) Payment is made under terms of the health insurance
5policy in the single name of a provider or emergency service
6organization.

7(2) Evidence of prepayment to the emergency service
8organization is submitted as part of a claim for payment to the
9insurer, in which case payment shall be made in the single name
10of the insured. <-Medical Services Agencies.--(a) When an
11emergency medical services agency is properly dispatched by a
12public safety answering point as defined in 35 Pa.C.S. § 5302
13(relating to definitions) and provides medically necessary
14emergency care, a payment made by an insurer for a claim covered
15under a health insurance policy for a service performed by the
16emergency medical services agency during the call shall be paid
17directly to the emergency medical services agency.

18(b) An emergency medical services agency paid by an insurer
19under this section may not bill the insured directly or
20indirectly or otherwise attempt to collect from the insured for
21the service provided, except for a billing to recover a
22copayment or deductible as specified in the health insurance
23policy.

24(c) This section shall apply to any health insurance policy
25offered, issued or renewed by an insurer in this Commonwealth on
26or after the effective date of this section, except that this
27section shall not include the following policies:

28(1) Accident only.

29(2) Fixed indemnity.

30(3) Limited benefit.

1(4) Credit.

2(5) Dental.

3(6) Vision.

4(7) Specified disease.

5(8) Medicare supplement.

6(9) Civilian Health and Medical Program of the Uniformed
7Services (CHAMPUS) supplement.

8(10) Long-term care.

9(11) Disability income.

10(12) Workers' compensation.

11(13) Automobile medical payment insurance.

12(d) This section shall be construed to apply only to
13emergency medical services agencies that are nonnetwork
14providers.

15Section 2. This act shall take effect in 60 days.