The original instrument and the following digest, which constitutes no part of the
legislative instrument, were prepared by Beth O'Quin.
DIGEST
SB 109 Original 2023 Regular Session Talbot
Proposed law provides definitions for ambulance service provider, enrollee, health care benefit plan,
health care insurer, and out-of-network.
Proposed law requires the minimum allowable reimbursement rate under any health care benefit plan
issued by a heath care insurer to an out-of-network ambulance service provider is one of the
following:
(1) At the rates set or approved, whether in contract or ordinance, by a local governmental entity
in the jurisdiction in which the covered health care services originate, or as provided by law.
(2) Requires if no rates have been set or approved, the minimum allowable rate of
reimbursement under any health benefit plan issued by any health care insurer is 375% of the
current published rate for ambulance services as established by the Centers for Medicare and
Medicaid Services for the same service provided in the same geographic area or the
ambulance service provider's billed charges, whichever is less.
Effective August 1, 2023.
(Adds R.S. 22:1880.2)