PRINTER'S NO. 386
THE GENERAL ASSEMBLY OF PENNSYLVANIA
SENATE BILL
No.
435
Session of
2015
INTRODUCED BY BREWSTER, GREENLEAF, FONTANA, SCHWANK, SMITH,
HUGHES, YUDICHAK, COSTA, FARNESE, BOSCOLA, WOZNIAK, SCAVELLO,
RAFFERTY, DINNIMAN AND VULAKOVICH, FEBRUARY 12, 2015
REFERRED TO BANKING AND INSURANCE, FEBRUARY 12, 2015
AN ACT
Requiring insurers that approve claims for emergency services to
directly reimburse organizations that provide such services.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. Short title.
This act shall be known and may be cited as the Emergency
Service Organization Direct Reimbursement Act.
Section 2. Definitions.
The following words and phrases when used in this act shall
have the meanings given to them in this section unless the
context clearly indicates otherwise:
"Emergency service organization." An ambulance service,
emergency medical service or river rescue service that is
located in this Commonwealth.
"Insurer." An insurance company, association or exchange or
any other entity subject to the jurisdiction of the Insurance
Department.
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Section 3. Direct reimbursement to emergency service
organizations.
An insurer that approves a claim that includes the expense
charged by an emergency service organization shall make payment
of the claim that represents such expense directly to the
emergency service organization, unless the person who filed the
claim demonstrates to the insurer that he or someone on his
behalf already paid such expense.
Section 4. Effective date.
This act shall take effect in 60 days.
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