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Read. Follow. Verify.Utah Legislature Bans Ground Ambulance Balance Billing and Adjusts Medicaid Reimbursement Rates
Last action · March 26, 2026: Governor SignedSponsors: Cory Maloy and 2 others
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What This Bill Does
Patients are explicitly protected from ing by ground ambulance and paramedic providers, while Medicaid ambulance service provider reimbursement rates are adjusted to include medication costs starting July 1, 2026. Health benefit plans and workers' compensation carriers must directly accept and pay allowable expenses for these services.
Ambulance and paramedic providers, health plans, and patients face updated allowable fee structures and prohibitions against charging individuals additional fees beginning July 1, 2026.
Who It Affects
Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.
Ground Ambulance Providers
Providers are subject to updated base rates, must include medication costs within the base rate, can no longer balance bill patients, and must accept direct payments from insurers.
Health Benefit Plans
Health plans must accept correctly charged mileage rates, base rates, and medication maximum costs as allowable expenses and pay providers directly.
Workers' Compensation Insurance Carriers
Carriers must accept correctly charged mileage, base rates, and medication costs as allowable expenses and submit direct payments to out-of-network and in-network providers.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
What changes for ground ambulance base rates under this bill?
Can ground ambulance providers still balance bill patients for uncovered amounts?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Current status: Signed into law.
Procedural history
64 actions- Mar 26, 2026Lieutenant Governor's office for filingEnrolledGovernor Signed
- Mar 12, 2026HouseHouse/ to Governor
- Mar 12, 2026HouseHouse/ received enrolled bill from Printing
- Mar 11, 2026HouseHouse/ enrolled bill to Printing
- Mar 11, 2026Clerk of the HouseEnrolled Bill Returned to House or Senate
- Mar 6, 2026Legislative Research and General Counsel / EnrollingDraft of Enrolled Bill Prepared
Show 58 earlier actions
- Mar 6, 2026Legislative Research and General Counsel / EnrollingBill Received from House for Enrolling
- Mar 6, 2026HouseHouse/ signed by Speaker/ sent for enrolling
- Mar 6, 2026HouseHouse/ received from Senate
- Mar 6, 2026SenateSenate/ to House
- Mar 6, 2026SenateSenate/ signed by President/ returned to House
- Mar 6, 2026SenateSenate/ received from House
- Mar 5, 2026HouseHouse/ to Senate
- Mar 5, 2026HouseHouse/ concurs with Senate amendment
- Mar 5, 2026HouseHouse/ placed on Concurrence Calendar
- Mar 5, 2026HouseHouse/ received from Senate
- Mar 5, 2026SenateSenate/ to House with amendments
- Mar 5, 2026SenateFloorSenate/ passed 2nd & 3rd readings/ suspension
- Mar 5, 2026SenateSenate/ substituted
- Mar 5, 2026SenateSenate/ placed on 2nd Reading Calendar
- Mar 5, 2026SenateSenate/ Rules to 2nd Reading Calendar
- Mar 4, 2026SenateSenate/ placed back on 3rd Reading Calendar
- Mar 4, 2026ReleasedLFA/ fiscal note publicly available for HB0269S04
- Mar 4, 2026Version SponsorLFA/ fiscal note sent to sponsor for HB0269S04
- Mar 4, 2026Legislative Fiscal AgencyLFA/ bill sent to agencies for fiscal input for HB0269S04
- Mar 4, 2026Legislative Fiscal AnalystLFA/ bill assigned to staff for fiscal analysis for HB0269S04
- Mar 3, 2026Legislative Fiscal AgencyLFA/ bill sent to agencies for fiscal input for HB0269S03
- Mar 3, 2026Legislative Fiscal AnalystLFA/ bill assigned to staff for fiscal analysis for HB0269S03
- Feb 25, 2026SenateSenate/ placed on 3rd Reading Calendar table
- Feb 25, 2026SenateSenate/ 3rd reading
- Feb 25, 2026SenateFloorSenate/ passed 2nd reading
- Feb 25, 2026SenateSenate/ 2nd reading
- Feb 20, 2026SenateSenate/ placed on 2nd Reading Calendar
- Feb 20, 2026SenateSenate/ committee report favorable
- Feb 19, 2026SenateSenate Comm - Favorable Recommendation
- Feb 18, 2026SenateCommitteeSenate/ to standing committee
- Feb 17, 2026SenateIntroducedSenate/ 1st reading (Introduced)
- Feb 13, 2026SenateSenate/ received from House
- Feb 13, 2026HouseHouse/ to Senate
- Feb 13, 2026HouseFloorHouse/ passed 3rd reading
- Feb 13, 2026HouseHouse/ 3rd reading
- Feb 9, 2026ReleasedLFA/ fiscal note publicly available for HB0269S02
- Feb 6, 2026Version SponsorLFA/ fiscal note sent to sponsor for HB0269S02
- Feb 5, 2026HouseHouse/ 2nd reading
- Feb 5, 2026HouseHouse/ comm rpt/ substituted
- Feb 4, 2026HouseHouse Comm - Favorable Recommendation
- Feb 4, 2026HouseHouse Comm - Substitute Recommendation
- Feb 4, 2026Legislative Fiscal AgencyLFA/ bill sent to agencies for fiscal input for HB0269S02
- Feb 4, 2026Legislative Fiscal AnalystLFA/ bill assigned to staff for fiscal analysis for HB0269S02
- Feb 3, 2026ReleasedLFA/ fiscal note publicly available for HB0269S01
- Feb 3, 2026Version SponsorLFA/ fiscal note sent to sponsor for HB0269S01
- Jan 30, 2026HouseHouse Comm - Not Considered
- Jan 29, 2026Legislative Fiscal AgencyLFA/ bill sent to agencies for fiscal input for HB0269S01
- Jan 29, 2026Legislative Fiscal AnalystLFA/ bill assigned to staff for fiscal analysis for HB0269S01
- Jan 26, 2026HouseCommitteeHouse/ to standing committee
- Jan 21, 2026HouseHouse/ received fiscal note from Fiscal Analyst
- Jan 21, 2026ReleasedLFA/ fiscal note publicly available for HB0269
- Jan 20, 2026HouseIntroducedHouse/ 1st reading (Introduced)
- Jan 20, 2026HouseHouse/ received bill from Legislative Research
- Jan 19, 2026Version SponsorLFA/ fiscal note sent to sponsor for HB0269
- Jan 15, 2026Legislative Fiscal AgencyLFA/ bill sent to agencies for fiscal input for HB0269
- Jan 15, 2026Legislative Fiscal AnalystLFA/ bill assigned to staff for fiscal analysis for HB0269
- Jan 15, 2026Legislative Research and General CounselNumbered Bill Publicly Distributed
- Jan 15, 2026Legislative Research and General CounselBill Numbered but not Distributed
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Connected Entities
Sources
le.utah.gov
Analysis Score
0–100- Significance75How much this matters to a regular citizen
- Controversy40Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz20Current news / social attention level
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