New York S 6255: Relates to reimbursement for ambulance services

Bill Text

Bill Search and Legislative Information | New York State Assembly 

• 

• 

• 

• 

• 

• 

• 

• 

 Skip to main content 

 New York State Assembly

 Speaker Carl E. Heastie

 --> 
 --> 

 --> 

• 
 Assembly Members 

• 
 Legislative Info 

• 
 Public Hearings 

• 
 Speaker's Press 

• 
 Assembly Reports 

• 
 Committees & More 

• Bill Search Home
• Laws
• Legislative Calendar
• Public Hearing Schedule
• Assembly Calendars
• Assembly Committee Agenda 

 Javascript must be enabled to properly view this page. 

 Bill No.: 

• Summary 
• Actions 
• Committee&nbspVotes 
• Floor&nbspVotes 
• Memo 
• Text 
• LFIN 
• Chamber&nbspVideo/Transcript 
S06255 Summary:

BILL NOS06255 

&nbsp

SAME ASSAME AS A06712

&nbsp

SPONSORSKOUFIS

&nbsp

COSPNSR

&nbsp

MLTSPNSR

&nbsp

Amd §§3216, 3221 & 4303, Ins L

&nbsp

Relates to reimbursement for ambulance services; requires insurers to submit payments directly to ambulance providers who are in-network or, for out-of-network ambulance providers, requires the issuance of a joint check to the insured specifying both the insured and the ambulance provider as payees.

Go to top S06255 Actions:

BILL NOS06255 

&nbsp

03/07/2025REFERRED TO INSURANCE

01/07/2026REFERRED TO INSURANCE

Go to topS06255 Committee&nbspVotes:

Go to topS06255 Floor&nbspVotes:

There are no Assembly votes for this bill in this legislative session.

Go to topS06255 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 6255

 2025-2026 Regular Sessions

 IN SENATE

 March 7, 2025
 ___________

 Introduced by Sen. SKOUFIS -- read twice and ordered printed, and when
 printed to be committed to the Committee on Insurance

 AN ACT to amend the insurance law, in relation to reimbursement for
 ambulance services

 The People of the State of New York, represented in Senate and Assem-
 bly, do enact as follows:

 1 Section 1. Paragraph 24 of subsection (i) of section 3216 of the
 2 insurance law is amended by adding a new subparagraph (F) to read as
 3 follows:
 4 (F) An insurer who issues reimbursement under this paragraph shall
 5 submit such payments either directly to the provider at the rates nego-
 6 tiated between the provider and the insurer, or if no rate has been
 7 negotiated between the provider and insurer, then to the insured in the
 8 form of a joint check specifying as payees both the insured and the
 9 provider of ambulance services, at the usual and customary charge, which
 10 shall not be excessive or unreasonable; provided however, if the provid-
 11 er of ambulance services has on file a duly executed assignment of bene-
 12 fits for such services to the insurer, notwithstanding any policy
 13 language to the contrary, the issuer shall accept such assignment of
 14 benefits and the insurer shall issue reimbursement solely to the provid-
 15 er. An insurer issuing payment in the form of a joint check shall notify
 16 the provider via electronic communication of the issuance of such
 17 payment. The notification shall include the name of the patient, the
 18 date of service, the date of payment, the amount of payment and the
 19 address to which the payment was sent.
 20 § 2. Paragraph 15 of subsection (1) of section 3221 of the insurance
 21 law is amended by adding a new subparagraph (F) to read as follows:
 22 (F) An insurer who issues reimbursement under this paragraph shall
 23 submit such payments either directly to the provider at the rates nego-
 24 tiated between the provider and the insurer, or if no rate has been
 25 negotiated between the provider and insurer, then to the insured in the

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD09361-01-5

 S. 6255 2

 1 form of a joint check specifying as payees both the insured and the
 2 provider of ambulance services, at the usual and customary charge, which
 3 shall not be excessive or unreasonable; provided however, if the provid-
 4 er of ambulance services has on file a duly executed assignment of bene-
 5 fits for such services to the insurer, notwithstanding any policy
 6 language to the contrary, the insurer shall accept such assignment of
 7 benefits and the insurer shall issue reimbursement solely to the provid-
 8 er. An insurer issuing payment in the form of a joint check shall notify
 9 the provider via electronic communication of the issuance of such
 10 payment. The notification shall include the name of the patient, the
 11 date of service, the date of payment, the amount of payment and the
 12 address to which the payment was sent.
 13 § 3. Subsection (aa) of section 4303 of the insurance law is amended
 14 by adding a new paragraph 6 to read as follows:
 15 (6) An insurer who issues reimbursement under this subsection shall
 16 submit such payments either directly to the provider at the rates nego-
 17 tiated between the provider and the insurer, or if no rate has been
 18 negotiated between the provider