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KY HB447

KY HB447
AN ACT relating to coverage for emergency ground ambulance services.


summary

Introduced
01/21/2026
In Committee
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)

Last Action

to Banking & Insurance (H) (on 01/29/2026)

bill text


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