The legislation, signed into law May 15, limits how much an out-of-network provider can charge a patient for certain medically necessary emergency services. That amount is limited to a patient’s insurance copay, coinsurance or deductible, according to the Current.
The bill also includes a process that determines reimbursement from insurers to out-of-network providers for emergency services.
Additionally, it includes a process for out-of-network providers to transfer patients to a hospital that is in the patient’s insurance network, or to an independent center for emergency care, within 24 hours, according to the report.
Under the legislation, insurers are required to pay a portion of the contracted rate if the out-of-network provider was previously contracted with the insurer.
Read more about the legislation here.
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