31A-8-604. Ambulance membership restrictions -- Medicaid program.
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Effective 5/6/2026
31A-8-604. Ambulance membership restrictions -- Medicaid program.
(1)An ambulance membership organization may not knowingly sell, offer for sale, or provide an ambulance membership plan to an individual who is enrolled in the Medicaid program.
(a)If an individual who enters into an ambulance membership plan subsequently enrolls in the Medicaid program during the term of the ambulance membership plan, the individual shall notify the ambulance membership organization of the enrollment within 30 days of the day on which the individual enrolls in the Medicaid program.
(b)If the individual notifies the ambulance membership organization in accordance with Subsection (2)(a) , the ambulance membership organization shall provide the individual a prorated refund of any consideration the individual pays for the period from the effective date of the Medicaid program enrollment through the day on which the ambulance membership plan expires.
(c)If the individual does not notify the ambulance membership organization in accordance with Subsection (2)(a) :
(i)the individual is not entitled to a prorated refund; and
(ii)the ambulance membership organization shall unenroll the individual from the ambulance membership plan within 30 days of the day on which the ambulance membership organization receives notice of the individual's enrollment in the Medicaid program.
Enacted by Chapter 45 , 2026 General Session