Introduced January 21, 2026
HB447
Log in to followAN 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.
Plain-language summary
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 out of the patient's insurance network. It would also ban ambulance providers from sending patients extra bills beyond what insurance pays, a practice known as balance billing. These rules would apply to most health plans issued or renewed starting January 1, 2027, including the state employee health plan. Who it may affect: Kentuckians with health insurance who use emergency ground ambulance services, including state employees, and ambulance service providers.
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Legislative History
Primary Sponsor
Rebecca Raymer
Representative · House District 015
Co-sponsors (31)
Chad Aull
Representative · House District 079
Ryan Bivens
Representative · House District 024
John Blanton
Representative · House District 092
Steve Bratcher
Representative · House District 025
Emily Callaway
Representative · House District 037
Ryan Dotson
Representative · House District 073
Robert Duvall
Representative · House District 017
Daniel Fister
Representative · House District 056
Patrick Flannery
Representative · House District 096
Ken Fleming
Representative · House District 048
Chris Freeland
Representative · House District 006
Chris Fugate
Representative · House District 084
Deanna Frazier Gordon
Representative · House District 081
David Hale
Representative · House District 074
Tony Hampton
Representative · House District 062
Mark Hart
Representative · House District 078
Mary Imes
Representative · House District 005
Derek Lewis
Representative · House District 090
Scott Lewis
Representative · House District 014
Candy Massaroni
Representative · House District 050
Bobby McCool
Representative · House District 097
Amy Neighbors
Representative · House District 021
Steve Riley
Representative · House District 023
Tom Smith
Representative · House District 086
Walker Thomas
Representative · House District 008
Timmy Truett
Representative · House District 089
Ken Upchurch
Representative · House District 052
Billy Wesley
Representative · House District 091
Mitch Whitaker
Representative · House District 094
Richard White
Representative · House District 099
Wade Williams
Representative · House District 004
Bill Text Versions
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