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H.B. 560

Failed

Ambulance Amendments

View on le.utah.gov
H.B. 560Failed

Ambulance Amendments

House
Senate
Governor

What This Bill Does

This bill enacts provisions relating to ambulance membership organizations.

Key Provisions

This bill:

  • provides that accident and health insurance does not include an ambulance membership contract;
  • enacts Title 31A, Chapter 6c, Ambulance Membership Organizations;
  • defines terms;
  • provides that an ambulance membership organization is exempt from certain chapters of Title 31A, Insurance;
  • provides the powers and duties of the commissioner of the Insurance Department (commissioner) in relation to Title 31A, Chapter 6c, Ambulance Membership Organizations;
  • provides the licensing requirements for an ambulance membership organization;
  • provides the license renewal process for an ambulance membership organization;
  • provides that an ambulance membership organization shall submit an annual report to the commissioner;
  • provides requirements for an ambulance membership organization to maintain reserve funds and a surety bond;
  • provides that an ambulance membership organization may charge a fee to a member of the ambulance membership organization;
  • provides an ambulance membership organization's required disclosures to the ambulance membership organization's members;
  • provides the requirements for an ambulance membership contract;
  • prohibits an ambulance membership organization from selling, offering for sale, or providing an ambulance membership contract to an individual enrolled in Medicaid;
  • provides the requirements for an individual who purchases an ambulance membership contract and who subsequently enrolls in Medicaid;
  • enacts marketing requirements and required disclosures for an ambulance membership organization;
  • authorizes the commissioner to revoke or suspend an ambulance membership organization's license;
  • provides for penalties related to a violation of Title 31A, Chapter 6c, Ambulance Membership Organizations; and
  • makes technical changes.

Plain-Language Summary

AI-generated summary. We recommend consulting the bill text for important decisions.

This bill creates a new licensing and regulatory framework for ambulance membership organizations — companies that sell contracts promising to reimburse members for ambulance costs and related transportation expenses in an emergency. These organizations must obtain an annual state license for $500, maintain a reserve fund equal to at least 20% of their earned fees, post a surety bond of at least $5,000 per 100 Utah members, submit annual reports to the Insurance Commissioner, and comply with strict marketing and disclosure rules that prohibit misleading consumers into thinking these contracts are insurance. Contracts must clearly state all fees, service limitations, and cancellation terms, and organizations are barred from selling memberships to anyone enrolled in Medicaid.