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Committee weighs competing fixes to surprise ambulance billing as sponsors debate reimbursement standard

Subcommittee on Insurance, Life and Health · February 19, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Chairman Powell presented House Bill 9‑61 to set a statutory reimbursement approach for surprise ambulance billing after recounting a $4,500 private-ambulance bill; EMS groups urged a 325% of Medicare standard while insurer representatives warned a fixed percentage could push providers out of in‑network contracts and raised a 2027 federal subsidy risk for exchange plans.

Chairman Powell told the subcommittee House Bill 9 61 aims to protect patients from surprise ambulance bills while balancing the funding needs of public EMS providers. He opened with a personal anecdote about a private ambulance charging $4,500 for a 10‑mile transport and said the bill in committee text referenced a 300% of Medicare standard as a compromise point.

Why it matters: Members and witnesses described competing tradeoffs. Representative Scott recounted a $1,800 bill for a short transport and…

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