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Bill

Bill

SB 645

Prohibiting surprise billing of ground emergency medical services by nonparticipating providers

2026 Regular Session Introduced by Vince Deeds

SB 645 prohibits surprise billing for ground ambulance services by requiring nonparticipating providers to charge in-network rates during emergencies when patients cannot select their provider.

Chapter 57, Acts, Regular Session, 2026
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Bill Summary · SB 645

Legislative bill overview

SB 645 prohibits "surprise billing" when patients receive ground emergency medical services (ambulances) from providers who don't participate in their insurance network. The bill requires that patients be charged only in-network rates when they cannot choose their ambulance provider due to medical emergencies, even if the service is delivered by a nonparticipating provider.

Why is this important

Ground ambulance services often operate as monopolies in specific geographic areas, leaving patients with no choice of provider during emergencies. Without protections, patients can receive substantial out-of-network bills after transport, sometimes exceeding several thousand dollars. This bill protects vulnerable patients from unexpected financial harm during medical crises.

Potential points of contention

  • Provider revenue impact: Ambulance services may argue that restricting what nonparticipating providers can charge reduces their operational funding and threatens service viability in rural or underserved areas
  • Insurance network negotiation: Insurers may face pressure to expand ambulance networks or adjust reimbursement rates, potentially raising premiums for all policyholders
  • Definition scope: Ambiguity about what constitutes an "emergency" or when patients truly "cannot choose" their provider could create enforcement complications and disputes over billing

Compiled from official sources — confirm details with the bill’s official record.

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