Amends TCA Title 56, Chapter 7 and Title 68, Chapter 140.
Tennessee HB1061 amends the Tennessee Code Annotated to prohibit out-of-network ambulance service providers from balance billing enrollees in health benefit plans for emergency medical transportation services. The bill affects health insurers and their enrollees, ensuring that enrollees are only responsible for the lesser of their in-network cost-sharing amount, the ambulance provider's billed charges, or 325% of the Medicare rate for similar services in the same geographic area. Additionally, it mandates that cost-sharing amounts for out-of-network ambulance services be treated the same as in-network services for deductible and out-of-pocket calculations.
Tennessee HB1061 amends the Tennessee Code Annotated to prohibit out-of-network ambulance service providers from balance billing enrollees in health benefit plans for emergency medical transportation services. The bill affects health insurers and their enrollees, ensuring that enrollees are only responsible for the lesser of their in-network cost-sharing amount, the ambulance provider's billed charges, or 325% of the Medicare rate for similar services in the same geographic area. Additionally, it mandates that cost-sharing amounts for out-of-network ambulance services be treated the same as in-network services for deductible and out-of-pocket calculations.
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