Bill
Bill > HB447
summary
Introduced
01/21/2026
01/21/2026
In Committee
01/29/2026
01/29/2026
Crossed Over
Passed
Dead
Introduced Session
2026 Regular Session
Bill Summary
Create a new section of Subtitle 17A of KRS Chapter 304 to require coverage for emergency ground ambulance services; establish minimum allowable reimbursement for out-of-network emergency ground ambulance services; establish requirements for reimbursement of out-of-network ground ambulance providers; prohibit balance billing by out-of-network ground ambulance providers; establish construction clause in the event of conflicts; amend KRS 18A.225 to require the state employee health plan to comply with emergency ground ambulance coverage and payment requirements; provide that Act applies to health benefit plans issued or renewed on or after January 1, 2027; EFFECTIVE January 1, 2027.
AI Summary
This bill mandates that health benefit plans must cover emergency ground ambulance services, including those provided by out-of-network providers, and prohibits these out-of-network providers from billing patients more than their standard cost-sharing amounts. It establishes a minimum reimbursement rate for out-of-network emergency ground ambulance services, which will be the local emergency ground ambulance service rate if one exists, or otherwise the lesser of 400% of the Medicare reimbursement rate or the provider's billed charges. The bill also requires the state employee health plan to comply with these new coverage and payment requirements, and these provisions will apply to health benefit plans issued or renewed on or after January 1, 2027.
Committee Categories
Business and Industry
Sponsors (31)
Rebecca Raymer (R)*,
Ryan Bivens (R),
John Blanton (R),
Steve Bratcher (R),
Emily Callaway (R),
Ryan Dotson (R),
Robert Duvall (R),
Dan Fister (R),
Patrick Flannery (R),
Ken Fleming (R),
Deanna Frazier Gordon (R),
Chris Freeland (R),
Chris Fugate (R),
David Hale (R),
Tony Hampton (R),
Mark Hart (R),
Mary Beth Imes (R),
Derek Lewis (R),
Scott Lewis (R),
Candy Massaroni (R),
Bobby McCool (R),
Amy Neighbors (R),
Steve Riley (R),
Tom Smith (R),
Walker Thomas (R),
Timmy Truett (R),
Ken Upchurch (R),
Bill Wesley (R),
Mitchum Whitaker (R),
Richard White (R),
Wade Williams (R),
Last Action
to Banking & Insurance (H) (on 01/29/2026)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://apps.legislature.ky.gov/record/26RS/hb447.html |
| Local Mandate Fiscal Impact | https://apps.legislature.ky.gov/recorddocuments/note/26RS/hb447/LM.pdf |
| BillText | https://apps.legislature.ky.gov/recorddocuments/bill/26RS/hb447/orig_bill.pdf |
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