Pennsylvania 2025-2026 Regular Session

Pennsylvania House Bill HB117

Introduced
1/14/25  

Caption

In casualty insurance, further providing for billing.

Impact

The proposed changes have significant implications for both patients and insurance providers. By enforcing clearer communication regarding patient responsibilities and billing procedures, HB117 aims to empower patients to better understand their financial obligations concerning emergency medical services. This could also potentially reduce confusion and disputes between patients and EMS providers regarding payment responsibilities, fostering a more transparent billing environment in the healthcare sector.

Summary

House Bill 117 aims to amend the Insurance Company Law of 1921 in Pennsylvania, specifically focusing on the billing process for reimbursements related to emergency medical services provided by non-network EMS agencies. The bill mandates that insurers must provide detailed notifications to covered persons when sending reimbursement payments. These notifications are required to clearly explain the services covered, the patient's responsibilities regarding payment, and outline any options for negotiating bills with EMS agencies. Additionally, it emphasizes that insurers must present this information prominently and in an easily understandable format.

Sentiment

Sentiment surrounding HB117 appears to be generally positive, particularly among advocates for healthcare transparency and patient rights. Supporters argue that this legislation is a necessary step towards ensuring that patients are fully informed about their financial responsibilities after receiving emergency medical care. However, there may also be skepticism from insurance providers concerned about the implications of additional regulatory requirements and the costs associated with implementing such changes.

Contention

Notable points of contention may arise around the bill's requirements for font size and the specification of colored paper for notifications. Some stakeholders may view these stipulations as overly prescriptive, potentially leading to increased administrative burdens for insurers. Additionally, discussions may center on the balance between enhancing patient awareness and the operational feasibility for EMS agencies and insurance companies to adhere to these new requirements.

Companion Bills

No companion bills found.

Similar Bills

No similar bills found.