The civic record
Read. Follow. Verify.Georgia House Bill 961 regulates out-of-network ambulance insurance coverage, reimbursement rates, and consumer cost-sharing limits
Last action · March 6, 2026: Senate Read and ReferredSponsors: Alan Powell and 5 others
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What This Bill Proposed
Health insurance plans in Georgia must cover out-of-network emergency ambulance services when requested by a first responder or healthcare practitioner, or when medically necessary. Insurers must directly pay ambulance providers within 30 days of receiving a , and out-of-network cost-sharing for patients cannot exceed in-network copayments, coinsurance, or deductibles.
Patients receiving out-of-network emergency ambulance transport are protected from excessive balance billing, with their out-of-pocket costs capped at in-network levels while insurers face mandatory minimum reimbursement rates and strict payment timelines.
Who It Would Have Affected
Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.
covered persons
Patient cost-sharing for out-of-network ambulance services is capped at in-network levels and patients are released from further payment responsibility beyond standard cost-sharing.
ambulance provider
Providers receive guaranteed minimum reimbursement rates and direct payments from insurers within a 30-day window for clean claims.
insurer
Insurers must cover specified out-of-network ambulance services, pay at least the mandated minimum reimbursement rate, and process claims within a 30-day timeline.
Key Facts
- Health insurance plans must cover emergency transport service when requested by a first responder or healthcare practitioner, or when it is a medical necessity.
- The minimum allowable reimbursement rate for out-of-network ambulance providers is set by local contract, ordinance, or 300 percent of the Medicare reimbursement rate if no local agreement exists.
- Payments made to an ambulance provider release the covered person from further payment responsibility other than standard copayments, coinsurance, or deductibles.
- Out-of-network ambulance copayments, coinsurance, or deductibles cannot exceed the amounts owed for similar services provided by an in-network provider.
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- Insurers must remit payment directly to the ambulance provider within 30 days of receiving a clean claim.
- Insurers must acknowledge receipt of claims not deemed clean within 30 days, providing reasons for denial or requests for additional information.
Frequently Asked Questions
How much can an out-of-network ambulance provider charge me?
How quickly must insurers pay ambulance claims?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
This bill did not become law - Died at adjournment · passed the House · in the Senate.
Procedural history
7 actions- Mar 6, 2026SenateIntroducedSenate Read and Referred
- Mar 4, 2026HouseHouse Third Readers
- Mar 4, 2026HouseFloorHouse Passed/Adopted By Substitute
- Feb 24, 2026HouseCommitteeHouse Committee Favorably Reported By Substitute
- Jan 16, 2026HouseHouse Second Readers
- Jan 15, 2026HouseIntroducedHouse First Readers
Show 1 earlier action
- Jan 14, 2026HouseIntroducedHouse Hopper
Version history & redline
3 versions on fileVoting Record
PASSAGE
Total
176
- Yes
- 173
- No
- 1
- Present
- 0
- Not voting
- 1
- Abstain
- 0
- Other positions
- 1
How they voted (176)
152 more members
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
Show 1 more sponsor
Connected Entities
Sources
www.legis.ga.gov
Analysis Score
0–100- Significance20Lowered because this bill did not pass (its text scored 75)
- Controversy40Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz35Current news / social attention level
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