An Act amending the act of May 17, 1921 (P.L.682, No.284), known as The Insurance Company Law of 1921, in casualty insurance, further providing for billing.

HB 1152 requires insurance companies to directly reimburse non-network emergency medical services (EMS) agencies for 911 emergency calls within 45 days at 350% of the Medicare ambulance rate for the same service in the same area. EMS agencies must register with the state annually to qualify for direct payments, and insurers cannot demand contracts to facilitate this reimbursement. The insurer's payment covers the full service cost (excluding the patient's copay, coinsurance, or deductible), so EMS agencies cannot bill patients for the remaining amount. This law applies only to non-network EMS providers offering 911 emergency medical services, unless preempted by federal law.