Montana legislators advance House Bill 758 to curb surprise ambulance billing

March 01, 2025 | 2025 Legislature MT, Montana


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Montana legislators advance House Bill 758 to curb surprise ambulance billing
Montana's House Bill 758 aims to protect consumers from unexpected ambulance service bills while ensuring fair reimbursement rates for providers. During a recent government meeting, supporters emphasized the bill's importance in addressing balance billing, which occurs when insurance does not cover the full cost of emergency ambulance services.

Proponents, including representatives from the Montana Ambulance Association, highlighted that patients often face surprise bills after emergencies, as ambulance services provide care without prior payment verification. The bill proposes that no patient with commercial insurance will pay more than $100 out of pocket for ambulance services. Additionally, it mandates that insurers reimburse providers at a rate established by local ordinances or, if none exists, at 400% of Medicare rates.

Supporters argue that this legislation is crucial for maintaining access to essential emergency services, particularly in rural areas where ambulance providers often struggle financially. They noted that similar laws have been enacted in 17 other states, demonstrating a growing recognition of the issue.

However, the bill faced opposition from insurance representatives who expressed concerns about its potential to inflate costs. They argued that setting a minimum reimbursement rate could lead to higher premiums for consumers and disrupt existing contracts between insurers and ambulance services. Critics also questioned the bill's clarity regarding how local rates would be established and maintained.

As discussions continue, the committee will weigh the implications of House Bill 758 on both consumers and providers. The outcome could significantly impact how ambulance services are billed and reimbursed across Montana, shaping the future of emergency medical care in the state.

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Scribe from Workplace AI
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