Docket Room
HB 5379·WV·house

To require payment by insurers directly to the out-of-network emergency medical services agency and the prompt payment of clean claims.

In CommitteeFiled Feb 9, 2026
Sponsor: Mike Hite (R)
Latest Action

To House Finance

Feb 13, 2026

Summary

The bill forces health insurers to send payment for ground ambulance services provided by non‑participating emergency medical services agencies straight to the agency, not to the patient, within 30 days of receiving a clean claim. It also obligates insurers to give written notice within 30 days when a claim is not clean, explaining why payment is delayed or denied. The measure aims to speed reimbursement for out‑of‑network ambulance providers and reduce billing disputes.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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