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.

SB 622 modifies Pennsylvania's Insurance Company Law of 1921 to change how non-network emergency medical services (EMS) agencies bill insurers and patients. It requires EMS agencies to submit an annual form by October 15 to receive direct payments from insurers, with the Department of Health maintaining a public registry of these agreements. The bill prohibits EMS agencies from billing patients directly when insurers pay at network rates (except for copayments/deductibles) and bans suggesting donations will avoid billing. These changes apply specifically to insurers covering emergency medical services under health insurance policies, excluding certain types like homeowner's or fixed indemnity insurance.