Senate Bill No. 457
(By Senators Prezioso, Tucker, Laird and Plymale)
[Introduced March 6, 2013; referred to the Committee on
Transportation and Infrastructure; and then to the Committee on
A BILL to amend the Code of West Virginia, 1931, as amended, by
adding thereto a new section, designated §5-16-8a, relating to
air-ambulance fees paid by the West Virginia Public Employees
Be it enacted by the Legislature of West Virginia:
That the Code of West Virginia, 1931, as amended, be amended
by adding thereto a new section, designated §5-16-8a, to read as
ARTICLE 16. WEST VIRGINIA PUBLIC EMPLOYEES INSURANCE ACT.
§5-16-8a. Air-ambulance fees.
(a) Notwithstanding any provision of this code to the
contrary, any air-ambulance provider which does not have a contract
with the plan and which provides air-transportation and/or related emergency or treatment services to an employee or dependent of an
employee covered by the plan, may not collect from the plan and the
covered employee or dependent of the employee, a combined amount
for those services which exceeds the reimbursement amount then in
effect for the Federal Medicare program, including any applicable
Geographic Practice Cost Index (GPCI).
(b) If any air-ambulance provider has collected a subscription
fee from an employee or dependent of an employee covered by the
plan, the air-ambulance provider shall accept that subscription fee
as payment in full for any air-ambulance transport and related
emergency or treatment services which the air-ambulance provider
may provide to that employee or dependent of the employee. For
purposes of this section, a subscription fee is a fee collected by
an air-ambulance provider from a person in advance of any immediate
need for air-ambulance services.
NOTE: The purpose of this bill is to provide the maximum
amount for air-ambulance services which may be collected pursuant
to the plans of the West Virginia Public Employees Insurance
This section is new; therefore, strike-throughs and
underscoring have been omitted.