Bill

Bill > HB1088


CO HB1088

CO HB1088
Costs for Ground Ambulance Services


summary

Introduced
01/22/2025
In Committee
04/30/2025
Crossed Over
05/15/2025
Passed
05/15/2025
Dead
Vetoed
05/29/2025

Introduced Session

2025 Regular Session

Bill Summary

CONCERNING COSTS ASSOCIATED WITH THE PROVISION OF GROUND AMBULANCE SERVICES, AND, IN CONNECTION THEREWITH, MAKING AN APPROPRIATION.

AI Summary

This bill addresses the regulation of ground ambulance service billing rates and out-of-network reimbursement in Colorado. It requires political subdivisions or ambulance services to submit their emergency ambulance service rates annually to the Division of Insurance, which will then publish these rates on a public website. The bill establishes that for out-of-network ambulance services, insurance carriers must reimburse at either the locally established rates (if submitted) or at a maximum of 325% of Medicare reimbursement rates. The legislation mandates that these rates must be reasonable, uniformly charged, and legislatively adopted. For emergency ambulance services, carriers will pay the ambulance service directly, minus any patient cost-sharing, and patients cannot be billed for additional balances beyond their required coinsurance, deductibles, or copayments. The bill also ensures that these cost-sharing payments will be applied to the patient's in-network deductibles and out-of-pocket maximums. Additionally, the bill includes a fiscal appropriation of $38,149 to the Department of Regulatory Agencies for implementation, covering personnel and operating expenses. The legislation aims to provide transparency in ambulance service pricing and protect patients from unexpected high medical bills.

Committee Categories

Health and Social Services

Sponsors (55)

Mark Baisley (R)* Kyle Brown (D)* Karen McCormick (D)* Kyle Mullica (D)* Matt Soper (R)* Jennifer Bacon (D),  Matt Ball (D),  Carlos Barron (R),  Shannon Bird (D),  Andrew Boesenecker (D),  Jarvis Caldwell (R),  Sean Camacho (D),  Michael Carter (D),  Marc Catlin (R),  Chad Clifford (D),  Monica Duran (D),  Cecelia Espenoza (D),  Tony Exum (D),  Lisa Feret (D),  Meg Froelich (D),  Lori Garcia Sander (R),  Julie Gonzales (D),  Ryan Gonzalez (R),  Eliza Hamrick (D),  Jamie Jackson (D),  Iman Jodeh (D),  Dusty Johnson (R),  Rebecca Keltie (R),  Cathy Kipp (D),  Sheila Lieder (D),  William Lindstedt (D),  Meghan Lukens (D),  Matt Martinez (D),  Tisha Mauro (D),  Julie McCluskie (D),  Dafna Michaelson Jenet (D),  Amy Paschal (D),  Byron Pelton (R),  Rod Pelton (R),  Jacqueline Phillips (D),  Naquetta Ricks (D),  Dylan Roberts (D),  Manny Rutinel (D),  Gretchen Rydin (D),  Emily Sirota (D),  Lesley Smith (D),  Katie Stewart (D),  Tammy Story (D),  Alex Valdez (D),  Elizabeth Velasco (D),  Katie Wallace (D),  Ron Weinberg (R),  Michael Weissman (D),  Ty Winter (R),  Steven Woodrow (D), 

Last Action

Governor Vetoed (on 05/29/2025)

bill text


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bill summary

Document Type Source Location
State Bill Page https://leg.colorado.gov/bills/hb25-1088
Fiscal Note FN3 https://leg.colorado.gov/sites/default/files/documents/2025A/bills/fn/2025a_hb1088_f1.pdf
BillText https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1088_enr.pdf
BillText https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1088_rer.pdf
BillText https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1088_rev.pdf
Fiscal Note/Analysis - Budget Staff Analysis SA2 https://leg.colorado.gov/sites/default/files/documents/2025A/bills/fn/2025a_hb1088_sen.pdf
Fiscal Note FN2 https://leg.colorado.gov/sites/default/files/documents/2025A/bills/fn/2025a_hb1088_r1.pdf
BillText https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1088_ren.pdf
BillText https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1088_eng.pdf
Second Reading Amendment L.002 https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2025A/amendments/103D2F30406D1E2A87258C69006DC83C/HB1088_L.002.pdf
Second Reading Amendment L.001 https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2025A/amendments/20B7CBD59F1F870587258C6600690E09/HB1088_L.001.pdf
House Appropriations Amendment J.001 https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2025A/amendments/F4F2D51CDD80936A87258C6900805B76/HB1088_J.001.pdf
Fiscal Note/Analysis - Budget Staff Analysis SA1 https://leg.colorado.gov/sites/default/files/documents/2025A/bills/fn/2025a_hb1088_hse.pdf
Fiscal Note FN1 https://leg.colorado.gov/sites/default/files/documents/2025A/bills/fn/2025a_hb1088_00.pdf
BillText https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1088_01.pdf
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