CAL LEG Emergency Medical Coverage


On Sep. 10, CAL LEG passed bill on paramedicine, triage services.


  • CAL LEG passed bill SB 1180 on health care coverage for emergency medical services.
  • Added S. 1371.51 to CAL health, safety code, CAL INS 2-2.2-5; S. 10126.61 to Ins code, CAL INS 2-2-1-1; S. 14132.13 to Welfare, institutions code, CAL INS 9-3-7-4.
  • Bill Provisions
  • Establish process to reimburse for services provided by a community paramedicine program, triage to alternate destination program, mobile integrated health program.
  • For health care service plan contract or health insurance policy after Jul. 1, 2025.
  • Contracts and policies to require enrollee or insured who receives covered services from a noncontracting program to pay no more than the same cost-sharing amount.
  • That they would pay for the same covered services received from contracting program.
  • Prohibit reimbursement rates exceeding usual, customary charges services rendered.
  • Services provided by programs covered benefits under the Medi-Cal program.
  • California Constitution requires State to reimburse local agencies and school districts for certain costs mandated; bill provides no reimbursement is required by this act.
  • Legislative History
  • On Feb. 14, 2024, bill introduced into Senate; on May 21, 2024, bill passed Senate.
  • On May 22, 2024, bill introduced in Assembly; on Aug. 28, 2024, bill passed Assembly.
  • On Sep. 10, 2024, bill enrolled and presented to governor for further action.
  • Effectiveness
  • No effective date specified; generally effective Jan. 1 after enactment, on Jan. 1, 2025.
  • Sep. 2024 CAL LEG Governor Approval
  • On Sep. 28, 2024, CAL LEG reported governor approved bill; assigned as Chapter 884.

Regulators CAL LEG
Entity Types Ins
Reference Ch. 884, 9/28/2024; Bill, SB1180, 9/10/2024; Citation: *CAL INS* 2-2.2-5, 2-2-1-1, 9-3-7-4;
Functions Claims/Accelerated Benefits; Compliance; Legal; Operations; Product Administration
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 9/10/2024
Effective Date 1/1/2025
Rule Id 225888
Linked to N/A
Reg. Last Update 9/28/2024
Report Section US Insurance

Last substantive update on 10/02/2024