On May 23, OKL LEG passed bill re out-of-network ambulance service.
OKL LEG passed bill HB 2872 to add Oklahoma StatutesOKL INS 36-6050.1, OKL INS 36-6050.2, OKL INS 36-6050.3, re minimum rates, billing, payments and processes.
Bill Provisions
Creates the Out-of-network ambulance service provider act and relevant definitions.
Sets a minimum allowable reimbursement rate under a healthcare benefit plan determined by the government agency where covered ambulance services originate.
If no reimbursement rates are set, rate will be lesser of 325% of current published rate for services as established by CMS, or ambulance service provider’s billed charges.
Ambulance service provider is prohibited from billing the enrollee for any additional amounts for the paid covered ambulance services outside of what health insurer pays.
Copayments, coinsurance, deductible, other cost-sharing feature amounts provided by subsection A will not exceed the in-network amounts for services received by enrollee.
Legislative History
On Feb. 6, 2023, bill introduced in House; on Mar. 4, 2024, bill was passed in House.
On Mar. 5, 2024, bill delivered to Senate; on Apr. 22, 2024, bill was passed in Senate.
On Apr. 23, 2024, bill returned to House; on May 23, 2024, bill re-passed in House.
On May 23, 2024, bill was delivered to governor, and is pending bill signature or veto.
Effectiveness
Bill, if approved, becomes effective as of Jan. 1, 2025.
May 2024 OKL LEG Governor Approval
On May 29, 2024, OKL LEG reported governor signed HB 2872, effective Jan. 1, 2025.
Regulators
OKL LEG
Entity Types
Ins
Reference
Bill, 5/29/2024; Bill HB2872, 5/23/2024; Citation: OKL INS 36;
