North Carolina legislation · 2025-2026 Session
North Carolina H489: Insurance Coverage Emergency Ambulance Trans.
Status: In committee, May 7, 2025
What the bill says
An act to provide for a minimum allowable reimbursement rate under health benefit plans for emergency ambulance services provided by an out-of-network ambulance service provider.
From the introduced text:
A BILL TO BE ENTITLED AN ACT TO PROVIDE FOR A MINIMUM ALLOWABLE REIMBURSEMENT RATE UNDER HEALTH BENEFIT PLANS FOR EMERGENCY AMBULANCE SERVICES PROVIDED BY AN OUT-OF-NETWORK AMBULANCE SERVICE PROVIDER. The General Assembly of North Carolina enacts: SECTION 1.(a) G.S. 58-3-190 reads as rewritten: "§ 58-3-190. Coverage required for emergency care. (a) Every insurer shall provide coverage for emergency services to the extent necessary to screen and to stabilize the person covered under the plan or to transport the covered person to a medically appropriate location for screening and stabilization and shall not require prior authorization of the services if a prudent layperson acting reasonably would have believed that an emergency medical condition existed. Payment of claims for emergency services shall be based on the retrospective review of the presenting history and symptoms of the covered person. (b) With respect to emergency services provided by a health care provider who is not under contract with the insurer, the services shall be covered if:if any of the following criteria are met: (1) A prudent layperson acting reasonably would have believed that a delay would worsen the emergency, oremergency. (2) The covered person did not seek services from a provider under contract with the insurer because of circumstances beyond the control of the covered person. (3) The covered person did not have …
Sponsors
- Loftis, Donnie (R, 109) · primary sponsor
- Potts, Larry W. (R, 81) · primary sponsor
- Huneycutt, Cody (R, 67) · primary sponsor
- Lambeth, Donny (R, 75) · primary sponsor
- Belk, Mary (D, 88)
- Brockman, Cecil (D, 60)
- Carney, Becky (D, 102)
- Cunningham, Carla D. (I, 106)
- Harrison, Pricey (D, 61)
- Logan, Carolyn G. (D, 101)
- McNeely, Jeffrey C. (R, 84)
- Moss, Ben T. (R, 52)
Latest actions
- : Ref To Com On Rules and Operations of the Senate
- : Passed 1st Reading
- : Regular Message Received From House
- : Regular Message Sent To Senate
- : Passed 3rd Reading
- : Passed 2nd Reading
- : Placed On Cal For 05/06/2025
- : Cal Pursuant Rule 36(b)
- : Reptd Fav
- : Re-ref Com On Rules, Calendar, and Operations of the House
Votes
- Insurance Coverage Emergency Ambulance Transportation. Second Reading (May 6, 2025): 111 yea, 0 nay, passed
Subjects: EMERGENCY MEDICAL SERVICES, AMBULANCES, HEALTH SERVICES, INSURANCE, PUBLIC, INSURANCE, HEALTH, EMERGENCY SERVICES
Common questions
- What is H489?
- H489 is a bill in the North Carolina Legislature (2025-2026 Session): Insurance Coverage Emergency Ambulance Trans.
- What does H489 do?
- In its own words: An act to provide for a minimum allowable reimbursement rate under health benefit plans for emergency ambulance services provided by an out-of-network ambulance service provider.
- What is the status of H489?
- In committee as of May 7, 2025. Latest action: Ref To Com On Rules and Operations of the Senate (May 7, 2025).
- Who sponsored H489?
- Loftis, Donnie (R, 109), with 11 co-sponsors.
- Where is the official record for H489?
- On the North Carolina Legislature website: https://www.ncleg.gov/BillLookUp/2025/H489
Source: official North Carolina record. Tracked by Delilah, AI for legislation across all 50 states and Congress.