PRINTER'S NO. 2484
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No.
1827
Session of
2017
INTRODUCED BY MASSER, DRISCOLL, MILLARD, SCHLOSSBERG, TALLMAN,
KNOWLES, A. HARRIS, FARRY, LAWRENCE, WHEELAND, WARD AND
GABLER, SEPTEMBER 26, 2017
REFERRED TO COMMITTEE ON VETERANS AFFAIRS AND EMERGENCY
PREPAREDNESS, SEPTEMBER 26, 2017
AN ACT
Amending Title 35 (Health and Safety) of the Pennsylvania
Consolidated Statutes, in emergency medical services system,
further providing for definitions and providing for 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.
The term includes an entity subject to:
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(i) section 630, Article XXIV or any other provision
of 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:
§ 8143 . Billing.
When a non-network EMS agency is dispatched by a public
safety answering point as defined in section 5302 (relating to
definitions) or an EMS agency dispatch center under section
8129(i) (relating to emergency medical services agencies) for an
emergency and provides medically necessary emergency medical
services , a payment made by an insurer for a claim covered under
and in accordance with a health insurance policy for a service
performed by the EMS agency during the call shall be paid
directly to the EMS agency.
Section 3. This act shall take effect in 60 days.
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