Bill > HB3243

This bill addresses ground ambulance services billing practices by prohibiting balance billing for patients who have paid their in-network cost-sharing amount, establishing a reimbursement framework for health benefit plans, and creating reporting requirements. Specifically, the bill requires ground ambulance services organizations to submit their established local rates to the Department of Consumer and Business Services (DCBS) annually, and mandates that health benefit plans reimburse these organizations at either the established local rate or at least 325% of the Medicare rate. The bill defines key terms like "ground ambulance services" (medical treatment and transportation by ambulance) and "established local rate" (the rate determined through a public process by local government or private organizations). It allows DCBS to create a public database of ambulance service rates and impose civil penalties up to $1,000 for repeated violations. Additionally, the bill requires DCBS to submit a report by September 15, 2026, detailing consumer complaints, new contracts between ambulance services and health plans, and any premium rate effects. The provisions will apply to health benefit plans issued or renewed after the bill's effective date, and self-funded group health plans can opt-in to the requirements.

Budget and Finance, Education, Health and Social Services

https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/HB3243