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HB 4410

Relating to Medicaid reimbursement rates for certain ground ambulance services.

89th Legislature (2025) Introduced by Oscar Longoria

Texas bill adjusting Medicaid payment rates for ground ambulance services to improve provider sustainability and service availability.

Referred to Human Services
#ambulances(s0527) #health&humanservicescommission(v0177) #health--emergencyservices&personnel(i0384) #health--rural(i0381) #humanservices--medicalassistance(i0905) #medicaid(s4885)
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Bill Summary · HB 4410

Legislative bill overview

HB 4410 addresses Medicaid reimbursement rates specifically for ground ambulance services in Texas. The bill appears designed to adjust how much the state's Medicaid program pays ambulance providers for transporting patients. This is a narrow, sector-specific healthcare financing measure.

Why is this important

Ground ambulance services are critical infrastructure in rural and underserved areas where hospitals may be distant. Reimbursement rates directly affect whether ambulance services remain financially viable and available to patients, particularly in rural Texas communities. If rates are too low, providers may reduce service or exit the market entirely; if too high, it strains state budgets.

Potential points of contention

  • Rural vs. urban impact: Rural ambulance services may need higher reimbursement due to longer distances and lower call volumes, while urban services operate at different economics
  • Cost to state budget: Increasing Medicaid reimbursement rates increases state spending unless offset by other cuts or revenue
  • Competition and fairness: Different reimbursement structures could disadvantage private ambulance operators versus municipal services, or vice versa

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

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