Bill > HB0269

This bill amends existing laws to adjust how ground ambulance services are reimbursed by health benefit plans and employers, specifically by updating the definition of "base rate" to include the cost of medication and by establishing a process for the bureau to annually adjust this base rate based on the medical care consumer price index, which measures inflation in medical services. It also clarifies that "balance billing" (billing a patient for the difference between charges and what insurance pays) is prohibited for ambulance services, except in specific circumstances like billing uninsured individuals or when insurance doesn't cover the full base rate and mileage, and it removes provisions related to "medication maximum cost" and a legislative audit of ambulance provider rates. The bill also sets a new effective date of July 1, 2026, and removes the previous repeal dates for these ambulance reimbursement provisions, meaning they will no longer automatically expire on July 1, 2027.

Business and Industry, Health and Social Services

https://le.utah.gov/~2026/bills/static/HB0269.html