This bill amends the medical fee schedule established by the Commissioner of Banking and Insurance for reimbursement of medical expenses by automobile insurers. It specifically mandates that services provided by ambulatory surgical centers (ASCs) that are not currently listed on the fee schedule must be reimbursed at a rate of 300 percent of the Medicare payment rate, provided these services comply with the Centers for Medicare and Medicaid Services guidelines. Additionally, unlisted medical supplies used in conjunction with these services are to be reimbursed at their invoice cost plus 20 percent.

The bill aims to ensure that ASCs receive fair compensation for their services, particularly for those not previously accounted for in the existing fee schedule. By establishing these reimbursement rates, the legislation seeks to enhance the financial viability of ASCs and improve access to necessary medical services for patients covered under automobile insurance. The act is set to take effect 120 days after its enactment.

Statutes affected:
Introduced: 39:6A-4.6