West Virginia 2026 Regular Session

West Virginia Senate Bill SB645

Introduced
1/28/26  
Refer
1/28/26  
Report Pass
2/6/26  
Engrossed
2/11/26  
Refer
2/12/26  
Refer
2/12/26  
Enrolled
3/13/26  

Caption

Prohibiting surprise billing of ground emergency medical services by nonparticipating providers

Impact

The introduction of SB645 will amend existing laws within the Code of West Virginia, adding new provisions designed to streamline the billing process for ambulance services while ensuring that individuals are not burdened with unexpected costs. Specifically, the bill mandates direct payments to non-participating providers at rates that reflect 200% of the current published CMS rates for similar services in the same geographical area. This adjustment is designed to create a more standardized approach to payments for ambulance services and could potentially improve the financial experience for patients requiring emergency medical transport.

Summary

Senate Bill 645 addresses unexpected medical billing, specifically in the context of ground emergency medical services provided by non-participating providers. The bill establishes that for health insurance policies issued on or after January 1, 2027, insurers must consider payments to non-participating emergency medical services as full payments, except for standard co-payments and other cost-sharing amounts. This aims to protect insured individuals from being charged amounts beyond what their insurance dictates, essentially prohibiting surprise billing practices in ambulance services.

Sentiment

The sentiment surrounding SB645 appears to be largely supportive, with proponents emphasizing the need for clearer billing practices and the reduction of financial surprises associated with emergency medical services. The bill has garnered positive attention from healthcare advocates who argue that it promotes fairer treatment of patients and a more predictable health cost landscape. However, there may be concerns from insurance providers about the financial implications of the mandated payments and the potential for increased costs across the board.

Contention

While SB645 has many advocates, notable contention may arise from those concerned about the effects on non-participating emergency service providers. Critics might argue that imposing these payment structures could create financial strain or incentivize a shift in how emergency services are delivered. Moreover, insurance companies may raise concerns about being mandated to pay higher rates than they would prefer. The bill's prohibition of surprise billing could also spark debates over its enforcement and compliance, particularly in enforcing transparency in claims processing.

Companion Bills

No companion bills found.

Previously Filed As

WV HB3470

Prohibiting surprise billing of ground emergency medical services by nonparticipating providers

WV SB717

Prohibiting surprise billing of ground emergency medical services by nonparticipating providers

WV SB632

Relating to surprise billing of out-of-network ambulance services

WV SB292

Allowing doula services be covered by Medicaid and PEIA

WV HB2348

Relating to salary enhancement for Emergency Medical Services personnel

WV SB669

Requiring medical insurance providers to include infertility services in policies

WV SB874

Permitting current home confinement officers to participate in Emergency Medical Services Retirement System

WV HB2824

Requiring medical insurance providers to include infertility services in their policies

WV SB243

Requiring counties to register automated external defibrillators with Office of Emergency Medical Services

WV SB40

Requiring doula services be covered and reimbursed by Medicaid and PEIA

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