NY LEG Ambulance Service Payments


On Jun. 9, NY LEG bill on ambulance service insurance payments.


  • NY LEG issued AB 250 (SB 1466) on insurance payments to ambulance providers.
  • Ensures emergency ambulance service companies receive direct payment for services.
  • Amended NY INS 32-3224 on standard claim forms for accident and health insurance.
  • Bill Provisions
  • Health insurers must make payments directly to nonparticipating or non-preferred providers of ambulance services or jointly to both the provider and the insured.
  • Required that the insurer provide reimbursement for ambulance services at a rate negotiated with provider; in the absence of agreed rates, must pay at ususal charge.
  • Direct payments apply to ambulance transfers of patients between hospitals/facilities.
  • Legislative History
  • On Jan. 12, 2023, bill was introduced in Senate; on Jun. 9, 2023, bill passed Senate.
  • On Jun. 6, 2023, bill introduced in Assembly; on Jun. 9, 2023, bill passed Assembly.
  • Effectiveness
  • Effective Jan. 1, 2025, and applies to claims submitted for payment after such date.
  • Nov. 2023 NY LEG Bill Approved
  • On Nov. 17, 2023, NY LEG enacted bill AB 250, signed by governor, enrolled Ch 649

Regulators NY LEG
Entity Types Ins
Reference Ch 649, 11/17/2023; Bill A00250, S01466, 6/9/2023; Citation: NY INS 32-3224;
Functions Claims/Accelerated Benefits; Compliance; Financial; Legal; Operations
Countries United States of America
Category
State
Products Accident; Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 11/17/2023
Effective Date 1/1/2025
Rule Id 175872
Linked to N/A
Reg. Last Update 11/17/2023
Report Section US Insurance

Last substantive update on 11/20/2023