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HB961 • 2025

Surprise Billing Consumer Protection Act; insurance coverage for certain out-of-network ambulance transportation service; provide

Surprise Billing Consumer Protection Act; insurance coverage for certain out-of-network ambulance transportation service; provide

Active

The official status still shows this bill as active or still awaiting another formal step.

Sponsor
Powell, Alan
Last action
2026-03-06
Official status
Senate Read and Referred
Effective date
Not listed

Plain English Breakdown

The bill status indicates it passed both chambers and reached final enrollment, but no effective date is provided in the source material.

Surprise Billing Consumer Protection Act: Out-of-Network Ambulance Coverage

This bill amends Georgia law to require insurance coverage for certain out-of-network ambulance services and sets rules on reimbursement rates and patient costs.

What This Bill Does

  • Amends Chapter 20E of Title 33 of the Official Code of Georgia Annotated, known as the Surprise Billing Consumer Protection Act.
  • Provides for insurance coverage for certain out-of-network ambulance transportation services.
  • Establishes a minimum allowable reimbursement rate that insurers must pay for these services.
  • Sets maximum amounts on copayments, coinsurance, or deductibles that patients can be charged for this service.
  • Includes new definitions related to the ambulance coverage rules.
  • Repeals laws that conflict with these changes.

Who It Names or Affects

  • Insurance companies providing health plans in Georgia
  • Patients who receive out-of-network ambulance transportation services

Limits and Unknowns

  • The official summary does not list specific dollar amounts for reimbursement rates or payment limits.
  • The exact effective date is not listed in the provided status information.

Bill History

  1. 2026-03-06 Georgia General Assembly

    Senate Read and Referred

Official Summary Text

Surprise Billing Consumer Protection Act; insurance coverage for certain out-of-network ambulance transportation service; provide