Introduced
Passed House
Passed Senate
Became law
Adjourned sine die. The bill was pending when the session ended, so it did not pass.
Last action · January 29, 2026
To Banking & Insurance (H)

Introduced January 21, 2026

House
Adjourned Sine Die
2026 Regular Session

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.

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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 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

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

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Portrait of Rebecca Raymer

Rebecca Raymer

Representative · House District 015

Primary sponsor
rebecca.raymer@kylegislature.gov

Co-sponsors (31)

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Portrait of Chad Aull

Chad Aull

Representative · House District 079

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

Ryan Bivens

Representative · House District 024

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

John Blanton

Representative · House District 092

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

Steve Bratcher

Representative · House District 025

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

Emily Callaway

Representative · House District 037

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

Ryan Dotson

Representative · House District 073

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

Robert Duvall

Representative · House District 017

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

Daniel Fister

Representative · House District 056

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

Patrick Flannery

Representative · House District 096

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

Ken Fleming

Representative · House District 048

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

Chris Freeland

Representative · House District 006

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

Chris Fugate

Representative · House District 084

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

Deanna Frazier Gordon

Representative · House District 081

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

David Hale

Representative · House District 074

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

Tony Hampton

Representative · House District 062

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

Mark Hart

Representative · House District 078

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

Mary Imes

Representative · House District 005

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

Derek Lewis

Representative · House District 090

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

Scott Lewis

Representative · House District 014

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

Candy Massaroni

Representative · House District 050

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

Bobby McCool

Representative · House District 097

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

Amy Neighbors

Representative · House District 021

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

Steve Riley

Representative · House District 023

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

Tom Smith

Representative · House District 086

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

Walker Thomas

Representative · House District 008

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

Timmy Truett

Representative · House District 089

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

Ken Upchurch

Representative · House District 052

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

Billy Wesley

Representative · House District 091

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

Mitch Whitaker

Representative · House District 094

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

Richard White

Representative · House District 099

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

Wade Williams

Representative · House District 004

Co-sponsor
wade.williams@kylegislature.gov

Bill Text Versions

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