A health benefit plan shall accept a correctly charged mileage rate as an allowable expense for a claim, including acceptance of claims for out-of-network providers.
Health benefit plan shall accept a correctly charged amount equal to base rate as an allowable expense, or equal to the medication maximum cost as an allowable expense.
Claim provisions also apply to an employer's workers' compensation insurance carriers.
Defines balance bill as practice of a health care provider billing an individual for the difference between individual's billed charges and the amount covered by health plan.
Base rate is the rate ground ambulance provider charges for transporting an individual to hospital, supplies used during transport, medication or procedures during transport.
Bureau shall establish a maximum mileage rate for ground ambulance providers.
Legislative History
On Jan. 23, 2025, bill was introduced in House; on Feb. 21, 2025, bill passed House.
On Feb. 21, 2025, bill was introduced in Senate; on Mar. 6, 2025, bill passed Senate.
On Mar. 7, 2025, House received bill from Senate and draft of enrolled bill prepared.
Effectiveness
This bill takes effect on May 7, 2025.
Mar. 25, 2025 UTA LEG Governor Approval
On Mar. 25, 2025, UTA LEG governor approved bill HB 301 on ambulance payments.
Regulators
UTA LEG
Entity Types
Ins
Reference
Bill HB301, 3/25/2025; Bill HB0301S03, 3/7/2025; Citation: UTA INS 31A-22-627.1; *UTA LEG* 53-2d-503, 63I-1-231, 63I-1-234, 63I-1-253, 34A-2-407.1;
