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| THE GENERAL ASSEMBLY OF PENNSYLVANIA |
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| SENATE BILL |
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| INTRODUCED BY BREWSTER, SOLOBAY, RAFFERTY, FONTANA, GREENLEAF, WAUGH, McILHINNEY, BOSCOLA, SCHWANK, TARTAGLIONE, ALLOWAY AND FERLO, MAY 12, 2011 |
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| REFERRED TO BANKING AND INSURANCE, MAY 12, 2011 |
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| AN ACT |
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1 | Requiring insurers that approve claims for emergency services to |
2 | directly reimburse organizations that provide such services. |
3 | The General Assembly of the Commonwealth of Pennsylvania |
4 | hereby enacts as follows: |
5 | Section 1. Short title. |
6 | This act shall be known and may be cited as the Emergency |
7 | Service Organization Direct Reimbursement Act. |
8 | Section 2. Definitions. |
9 | The following words and phrases when used in this act shall |
10 | have the meanings given to them in this section unless the |
11 | context clearly indicates otherwise: |
12 | "Emergency service organization." An ambulance service, |
13 | emergency medical service or river rescue service that is |
14 | located in this Commonwealth. |
15 | "Insurer." An insurance company, association or exchange or |
16 | any other entity subject to the jurisdiction of the Insurance |
17 | Department. |
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1 | Section 3. Direct reimbursement to emergency service |
2 | organizations. |
3 | An insurer that approves a claim that includes the expense |
4 | charged by an emergency service organization shall make payment |
5 | of the claim that represents such expense directly to the |
6 | emergency service organization, unless the person who filed the |
7 | claim demonstrates to the insurer that he or someone on his |
8 | behalf already paid such expense. |
9 | Section 4. Effective date. |
10 | This act shall take effect in 60 days. |
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