|December 23, 2014 03:52 PM
|Representative Stephen Barrar
|All House members
|EMS Reimbursement for NON-Transport Services
|I plan to re-introduce legislation to require emergency medical services agencies be reimbursed for services provided even if transport to a hospital does not take place.
As you may know, under current law EMS agencies can only be reimbursed for a covered claim if they transport the patient to a hospital. Many times an ambulance and/or advanced life support squad will render care at an incident and not provide transport, usually because the patient has refused transport to the hospital.
Furthermore, many EMS agencies that provide ALS service must rely on a contract with a Basic Life Support unit, which transports in order to receive payment for services rendered. Today’s EMS delivery system has grown with many changes and requirements in EMS protocols.
Specifically, my proposal will amend Act 284 of 1921, known as the Insurance Company Law, under Section 2116 relating to emergency services. My legislation will allow for a transport exception under the following conditions:
Too many times EMS providers must wait to respond to a 911 call only to show up at the incident and provide care and treatment, but not transport for various reasons. In either case, the EMS provider responded to the call and expended time and resources on responding to the call. No other sector of the “healthcare” industry operates in this fashion.
Please join me in sponsoring this very important proposal to assist our EMS providers throughout the Commonwealth.
Introduced as HB339