H489

Insurance Coverage Emergency Ambulance Trans

Chamber Passed·5/7/25

North Carolina H489 establishes minimum reimbursement rates for emergency ambulance services by out-of-network providers.

North Carolina H489 mandates that insurers cover emergency services, including those provided by out-of-network ambulance service providers. It sets a minimum allowable reimbursement rate for these services, which is either 100% of the rate set by a local governmental entity or 400% of the most recent published Medicare rate for the same services in the same geographic area. Insurers must promptly remit payment directly to the ambulance service provider and cannot impose cost-sharing requirements exceeding $100 or 10% of the minimum allowable reimbursement rate.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

See what it does, who it affects, and the critical issues in plain language. Free, 30 seconds.

Where it stands

Last
Passed the House · 111–0 · May 7, 2025
Current
Rules and Operations of the Senate Committee
Next
Senate floor vote

Sponsors

DDDDDDDDD
9
8
RRRRRRRR
Democratic CaucusRepublican Caucus

Roll Call Votes

Second Reading

111 Yea

DDRDDDRDRRDRRRDDDRDRRDRRDDRRDRRRRRRRRDRDRDDRRRRRRRRRRRRRRRRRRDDRDDRRRRDDDDRRDDRRDRRDDRRRRDDRDRRDRDRDRRDDRDDRRDD

0 Nay

2 Not Voting

RD

7 Absent

DDDRDRR

Calendar

May 5, 2025

4:00 PM

Rules, Calendar, and Operations of the House Hearing

May 5, 2025

4:00 PM

Rules, Calendar, and Operations of the House Hearing

History

May 7, 2025

House

Regular Message Sent To Senate

May 7, 2025

Senate

Regular Message Received From House

May 7, 2025

Senate

Passed 1st Reading