Emergency medical services.
Summary
Establishes the community cares initiative grant pilot program for the purpose of assisting in the costs of starting or expanding mobile integrated health care programs and mobile crisis teams in Indiana. Establishes the community cares initiative fund. Requires a health plan operator to provide payment to a nonparticipating ambulance service provider for ambulance service provided to a covered individual: (1) at a rate not to exceed the rates set or approved, by contract or ordinance, by the county or municipality in which the ambulance service originated; (2) at the rate of 400% of the published rate for ambulance services established under the Medicare law for the same ambulance service provided in the same geographic area; or (3) according to the nonparticipating ambulance provider's billed charges; whichever is less. Provides that if a health plan operator makes payment to a nonparticipating ambulance service provider in compliance with these requirements: (1) the payment shall be considered payment in full, except for any copayment, coinsurance, deductible, and other cost sharing amounts that the health plan requires the covered individual to pay; and (2) the nonparticipating ambulance service provider is prohibited from billing the covered individual for any additional amount. Provides that the copayment, coinsurance, deductible, and other cost sharing amounts that a covered individual is required to pay in connection with ambulance service provided by a nonparticipating ambulance service provider shall not exceed the copayment, coinsurance, deductible, and other cost sharing amounts that the covered individual would be required to pay if the ambulance service had been provided by a participating ambulance service provider. Requires a health plan operator that receives a clean claim from a nonparticipating ambulance service provider to remit payment to the nonparticipating ambulance service provider not more than 30 days after receiving the clean claim. Provides that if a claim received by a health plan operator for ambulance service provided by a nonparticipating ambulance service provider is not a clean claim, the health plan operator, not more than 30 days after receiving the claim, shall: (1) remit payment; or (2) send a written notice that: (A) acknowledges the date of receipt of the claim; and (B) either explains why the health plan operator is declining to pay the claim or states that additional information is needed for a determination whether to pay the claim. Removes the requirement that a health plan operator negotiate rates and terms with any ambulance service provider willing to become a participating provider, but retains the requirement that the state negotiate rates and terms with any ambulance service provider willing to become a participating provider.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2024
Committee Review
Mar 2024
House Passage
Mar 2024
Senate Passage
Mar 2024
Signed into Law
Mar 2024
Introduced Jan 11, 2024
Signed Mar 13, 2024
Floor votes · Senate Feb 20, 2024 · House Jan 30, 2024
How they voted
43–5
Passed
Total votes 48
Feb 20, 2024
D
Democratic9
100% Yea
R
Republican39
87% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
37
Key actions
11
Committee
4
Amendments
2
Mar 13, 2024
Signed into law
Signed by the Governor
executive
Mar 12, 2024
Upper · Passed
Signed by the President of the Senate
upper
Mar 11, 2024
Lower · Passed
Signed by the Speaker
lower
Mar 11, 2024
Upper · Passed
Signed by the President Pro Tempore
upper
Mar 8, 2024
Lower · Passed
Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 342: yeas 97, nays 0
lower
Mar 8, 2024
Upper · Passed
Rules Suspended. Conference Committee Report 1: adopted by the Senate; Roll Call 325: yeas 45, nays 2
upper
Mar 4, 2024
Introduced
House dissented from Senate amendments
lower
Feb 20, 2024
Upper · Passed
Third reading: passed; Roll Call 175: yeas 44, nays 5
upper
Feb 19, 2024
Upper · Passed
Amendment #2 (Johnson T) prevailed; voice vote
upper
Feb 15, 2024
Upper · Passed
Committee report: amend do pass, adopted
upper
Jan 30, 2024
Lower · Passed
Third reading: passed; Roll Call 101: yeas 94, nays 1
lower
Jan 25, 2024
Lower · Passed
Committee report: do pass, adopted
lower
4 primary · 6 co-sponsors
Sponsors
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