Relating to billing and reimbursement for certain medical equipment, devices, and supplies provided to Medicare enrollees; creating a criminal offense.

SB 1330 limits how nonparticipating medical equipment suppliers (those not enrolled in Medicare as participating providers) can bill Medicare enrollees. It prohibits charging more than 115% of the Medicare-approved amount for durable medical equipment, orthotic devices, or prosthetic devices without the enrollee’s written agreement and prior payment of the full amount. Suppliers must also disclose that Medicare covers 80% of the approved amount and that supplemental plans won’t cover amounts over 115%. Violating these rules constitutes a misdemeanor punishable by a $500-$1,000 fine, effective September 1, 2025.