HB245
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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 304.17A-099 to exempt emergency ground ambulance coverage and payment requirements from the cost defrayal payment suspension requirement; amend KRS…
Introduced: February 4, 2025
Last action: February 7, 2025
Plain-language summary
This bill would require health insurance plans in Kentucky to cover emergency ground ambulance services and set minimum reimbursement rates when the ambulance provider is out of network. It also prohibits ambulance providers from billing patients directly for any costs beyond what their insurance pays, a practice known as balance billing. State employee health plans would be subject to the same rules, and the requirements would apply to plans issued or renewed starting January 1, 2026. Who it may affect: Kentuckians with health insurance who need emergency ground ambulance services, including state employees, and ground ambulance providers.
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Legislative History
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Co-sponsors (1)
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