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132nd MAINE LEGISLATURE
FIRST REGULAR SESSION-2025
Legislative Document No. 1192
S.P. 481 In Senate, March 20, 2025
An Act to Increase the Commercial Insurance Reimbursement Rate
for Ambulance Services
Reference to the Committee on Health Coverage, Insurance and Financial Services
suggested and ordered printed.
DAREK M. GRANT
Secretary of the Senate
Presented by Senator BALDACCI of Penobscot.
Page 1 - 132LR1747(01)
1Be it enacted by the People of the State of Maine as follows:
2Sec. 1. 24-A MRSA §4303-F, sub-§1, ¶A, as enacted by PL 2021, c. 241, §3, is
3 amended to read:
4 A. If the ambulance service provider participates in the carrier's network, the The
5 carrier shall reimburse at the ambulance service provider's rate or 200% 400% of the
6 Medicare rate for that service, whichever is less, plus any adjustment required by
7 paragraph C.
8Sec. 2. 24-A MRSA §4303-F, sub-§1, ¶B, as enacted by PL 2021, c. 241, §3, is
9 repealed.
10Sec. 3. 24-A MRSA §4303-F, sub-§1, ¶D, as enacted by PL 2021, c. 241, §3, is
11 repealed.
12Sec. 4. 24-A MRSA §4303-F, sub-§1-A, ¶A, as enacted by PL 2023, c. 468, §2,
13 is amended to read:
14 A. If the ambulance service provider participates in the carrier's network, the The
15 carrier shall reimburse the ambulance service provider at the ambulance service
16 provider's rate or 200% 400% of the average of the Medicare rate for basic life support
17 services and the Medicare rate for advanced life support services, whichever is less,
18 plus any adjustment required by paragraph C.
19Sec. 5. 24-A MRSA §4303-F, sub-§1-A, ¶B, as enacted by PL 2023, c. 468, §2,
20 is repealed.
21Sec. 6. 24-A MRSA §4303-F, sub-§1-A, ¶D, as enacted by PL 2023, c. 468, §2,
22 is repealed.
23SUMMARY
24 This bill increases the reimbursement rate an insurance carrier must pay for ambulance
25 services to the ambulance service provider's rate or 400% of the Medicare rate, whichever
26 is less.
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