SB 135 — Ambulance fee dispute resolution.

1 sponsors · 0 co-sponsors · 149 not signed on

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Frequently asked questions

What does SB 135 do?

Provides that: (1) when an individual covered by a health plan is provided emergency ambulance service by a nonparticipating ambulance service provider, the health plan operator shall pay toward the compensation of the nonparticipating ambulance service provider the amount that the health plan operator considers reasonable compensation for the emergency ambulance service; and (2) after the health plan operator pays this amount and after any deductible, copayment, and coinsurance amount is paid, neither the nonparticipating ambulance service provider nor the health plan operator may seek to obtain any further amount from the covered individual. Provides that if the nonparticipating ambulance service provider considers the amount paid to be insufficient, the nonparticipating ambulance service provider: (1) may initiate negotiations with the health plan operator; and (2) if negotiations do not produce a result satisfactory to the nonparticipating ambulance service provider, may initiate arbitration of the ambulance fee dispute. Provides for the selection of an arbitrator and establishes a procedure by which the arbitrator determines a figure representing fair compensation for the emergency ambulance service. Provides that an arbitrator's determination as to fair compensation is binding on the parties and is admissible in any court proceeding. Empowers the insurance commissioner to reprimand, impose a civil penalty on, or suspend the certificate of authority of a health plan operator that fails upon request to provide information on compensation paid to participating ambulance service providers, refuses to negotiate in good faith, or refuses to compensate a nonparticipating ambulance service provider in accordance with an arbitrator's determination. Requires the Indiana emergency medical services commission to adopt rules concerning the certification of arbitrators and the administration of the ambulance fee dispute resolution process.

Who sponsors SB 135?

SB 135 is sponsored by J.D. Ford (Democrat).

What is the current status of SB 135?

This bill died with 2022 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

Where can I track SB 135?

Track SB 135 free on One Click Politics — get push/email alerts when it moves.