SB211

South Dakota SB211 prohibits ambulance service providers from billing patients directly for emergency services and sets reimbursement standards for.

South Dakota SB211 aims to regulate billing practices by ambulance service providers and establish reimbursement standards for out-of-network emergency medical services. The bill prohibits ambulance service providers from billing patients directly for emergency services, except for coinsurance, copayment, or deductible amounts. It mandates that health benefit plans reimburse out-of-network ambulance service providers at rates set by local political subdivisions or, if no local rate exists, at the lesser of the provider's billed charge or 325% of the Medicare allowable rate.