House
Adjourned Sine Die
2026 Regular Session

HB447

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AN ACT relating to coverage for emergency ground ambulance services.

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.

Introduced: January 21, 2026

Last action: January 29, 2026

To Banking & Insurance (H)
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This bill would require health insurance plans in Kentucky to cover emergency ground ambulance services and set minimum payment amounts when the ambulance provider is outside a patient's insurance network. It also prohibits ambulance providers from billing patients directly for amounts beyond what insurance pays, a practice known as balance billing. State employee health plans would also be required to follow these same rules, starting with plans issued or renewed on or after January 1,…

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Introduced (original)

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Legislative History

Jan 21, 2026 · House
Introduced In House
Jan 21, 2026 · House
To Committee On Committees (H)
Jan 29, 2026 · House
To Banking & Insurance (H)

Primary Sponsor

Portrait of Rebecca Raymer
Rebecca Raymer

Representative · House District 015

Primary sponsor
rebecca.raymer@kylegislature.gov
BallotpediaOfficial profile

Co-sponsors (31)

Portrait of Chad Aull
Chad Aull

Representative · House District 079

Co-sponsor
chad.aull@kylegislature.gov
Portrait of Ryan Bivens
Ryan Bivens

Representative · House District 024

Co-sponsor
ryan.bivens@kylegislature.gov
Portrait of John Blanton
John Blanton

Representative · House District 092

Co-sponsor
John.Blanton@kylegislature.gov
Portrait of Steve Bratcher
Steve Bratcher

Representative · House District 025

Co-sponsor
steve.bratcher@kylegislature.gov
Portrait of Emily Callaway
Emily Callaway

Representative · House District 037

Co-sponsor
emily.callaway@kylegislature.gov
Portrait of Ryan Dotson
Ryan Dotson

Representative · House District 073

Co-sponsor
Ryan.Dotson@kylegislature.gov
Portrait of Robert Duvall
Robert Duvall

Representative · House District 017

Co-sponsor
robert.duvall@kylegislature.gov
Portrait of Daniel Fister
Daniel Fister

Representative · House District 056

Co-sponsor
Daniel.Fister@kylegislature.gov
Portrait of Patrick Flannery
Patrick Flannery

Representative · House District 096

Co-sponsor
Patrick.Flannery@kylegislature.gov
Portrait of Ken Fleming
Ken Fleming

Representative · House District 048

Co-sponsor
Ken.Fleming@kylegislature.gov
Portrait of Chris Freeland
Chris Freeland

Representative · House District 006

Co-sponsor
Chris.Freeland@kylegislature.gov
Portrait of Chris Fugate
Chris Fugate

Representative · House District 084

Co-sponsor
Chris.Fugate@kylegislature.gov
Portrait of Deanna Frazier Gordon
Deanna Frazier Gordon

Representative · House District 081

Co-sponsor
Deanna.Gordon@kylegislature.gov
Portrait of David Hale
David Hale

Representative · House District 074

Co-sponsor
David.Hale@kylegislature.gov
Portrait of Tony Hampton
Tony Hampton

Representative · House District 062

Co-sponsor
tony.hampton@kylegislature.gov
Portrait of Mark Hart
Mark Hart

Representative · House District 078

Co-sponsor
Mark.Hart@kylegislature.gov
Portrait of Mary Imes
Mary Imes

Representative · House District 005

Co-sponsor
MaryBeth.Imes@kylegislature.gov
Portrait of Derek Lewis
Derek Lewis

Representative · House District 090

Co-sponsor
Derek.Lewis@kylegislature.gov
Portrait of Scott Lewis
Scott Lewis

Representative · House District 014

Co-sponsor
Scott.Lewis@kylegislature.gov
Portrait of Candy Massaroni
Candy Massaroni

Representative · House District 050

Co-sponsor
candy.massaroni@kylegislature.gov
Portrait of Bobby McCool
Bobby McCool

Representative · House District 097

Co-sponsor
Bobby.McCool@kylegislature.gov
Portrait of Amy Neighbors
Amy Neighbors

Representative · House District 021

Co-sponsor
amy.neighbors@kylegislature.gov
Portrait of Steve Riley
Steve Riley

Representative · House District 023

Co-sponsor
Steve.Riley@kylegislature.gov
Portrait of Tom Smith
Tom Smith

Representative · House District 086

Co-sponsor
Tom.Smith@kylegislature.gov
Portrait of Walker Thomas
Walker Thomas

Representative · House District 008

Co-sponsor
Walker.Thomas@kylegislature.gov
Portrait of Timmy Truett
Timmy Truett

Representative · House District 089

Co-sponsor
Timmy.truett@kylegislature.gov
Portrait of Ken Upchurch
Ken Upchurch

Representative · House District 052

Co-sponsor
Ken.Upchurch@kylegislature.gov
Portrait of Billy Wesley
Billy Wesley

Representative · House District 091

Co-sponsor
Bill.Wesley@kylegislature.gov
Portrait of Mitch Whitaker
Mitch Whitaker

Representative · House District 094

Co-sponsor
mitchum.whitaker@kylegislature.gov
Portrait of Richard White
Richard White

Representative · House District 099

Co-sponsor
Richard.White@kylegislature.gov
Portrait of Wade Williams
Wade Williams

Representative · House District 004

Co-sponsor
wade.williams@kylegislature.gov

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