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Georgia House Bill 961 regulates out-of-network ambulance insurance coverage, reimbursement rates, and consumer cost-sharing limits

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

Last action · March 6, 2026: Senate Read and ReferredSponsors: Alan Powell and 5 others

Introduced
Committee
Floor Vote
Passed
Law

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Public stanceCommunity reactions are separate from the official record and reporting.

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.

Why it matters

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.

Directly affected

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.

Directly affected

ambulance provider

Providers receive guaranteed minimum reimbursement rates and direct payments from insurers within a 30-day window for clean claims.

Directly affected

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.
Show all 6 facts
  • 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?
Your cost-sharing (copayments, coinsurance, or deductibles) for an out-of-network ambulance cannot exceed what you would owe for an in-network provider.
How quickly must insurers pay ambulance claims?
Insurers must remit payment directly to the ambulance provider no later than 30 days after receiving a .

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

This bill did not become law - Died at adjournment · passed the House · in the Senate.

Procedural history

7 actions
  1. Mar 6, 2026SenateIntroduced
    Senate Read and Referred
  2. Mar 4, 2026House
    House Third Readers
  3. Mar 4, 2026HouseFloor
    House Passed/Adopted By Substitute
  4. Feb 24, 2026HouseCommittee
    House Committee Favorably Reported By Substitute
  5. Jan 16, 2026House
    House Second Readers
  6. Jan 15, 2026HouseIntroduced
    House First Readers
Show 1 earlier action
  1. Jan 14, 2026HouseIntroduced
    House Hopper

Version history & redline

3 versions on file
Comparing LC 46 1466S/hs → LC 46 1466S/hcs
removed addedOfficial text
26 LC 46 1466S removed: The House removed: Committee on Insurance offers added: Bill 961 (COMMITTEE SUBSTITUTE) By: Representatives Powell of the removed: following substitute to HB 961: added: 33rd , Au of the 50th , Jasperse of the 11th , Oliver of the 84th , Cooper of the 45th , and others A BILL TO BE ENTITLED AN ACT To amend Chapter 20E of Title 33 of the Official Code of Georgia Annotated, the "Surprise Billing […]
Redline computed from the official version text (record lane).View this version →

Voting Record

Outcome not reportedHouse3/4/2026Georgia LegislatureOfficial roll call ↗

PASSAGE

Total

176

Yes
173
No
1
Present
0
Not voting
1
Abstain
0
Other positions
1

How they voted (176)

152 more members
Saira DraperParty not recordedyes
Lee HawkinsParty not recordedyes
Tangie HerringParty not recordedyes
Butch ParrishParty not recordedyes
Marvin LimParty not recordedyes
Regina Lewis-WardParty not recordedyes
Gabe OkoyeParty not recordedyes
Bryce BerryParty not recordedyes
Miriam ParisParty not recordedyes
Jon BurnsParty not recordednot voting
Mary Margaret OliverParty not recordedyes
Bruce WilliamsonParty not recordedyes
Edna JacksonParty not recordedyes
Mack JacksonParty not recordedyes
Derrick McCollumParty not recordedyes
Matthew GambillParty not recordedyes
Dale WashburnParty not recordedyes
Rey MartinezParty not recordedyes
James BurchettParty not recordedyes
Carolyn HugleyParty not recordedyes
Trey RhodesParty not recordedyes
Todd JonesParty not recordedyes
Solomon AdesanyaParty not recordedyes
David SampsonParty not recordedyes
Debbie BucknerParty not recordedyes
Chris ErwinParty not recordedyes
Noel WilliamsParty not recordedyes
Steve TarvinParty not recordedyes
Danny MathisParty not recordedyes
Esther PanitchParty not recordedyes
Eddie LumsdenParty not recordedyes
Mike CameronParty not recordedyes
Chuck MartinParty not recordedyes
Mary Ann SantosParty not recordedyes
Shaw BlackmonParty not recordedyes
Omari CrawfordParty not recordedyes
Jason RidleyParty not recordedyes
Chuck EfstrationParty not recordedyes
Angela MooreParty not recordedyes
Stan GunterParty not recordedyes
Mark NewtonParty not recordedyes
Mitchell ScogginsParty not recordedyes
Trey KelleyParty not recordedyes
Segun AdeyinaParty not recordedyes
Houston GainesParty not recordedyes
Victor AndersonParty not recordedyes
Jordan RidleyParty not recordedyes
Scott HolcombParty not recordedyes
David WilkersonParty not recordedyes
Scott HiltonParty not recordedyes
Deborah SilcoxParty not recordedyes
Rhonda BurnoughParty not recordedyes
Charlice ByrdParty not recordedno
Bill HitchensParty not recordedyes
Jesse PetreaParty not recordedyes
Buddy DeLoachParty not recordedyes
Dewey McClainParty not recordedyes
Arlene BecklesParty not recordedyes
Chas CannonParty not recordedyes
Lynn SmithParty not recordedyes
Yasmin NealParty not recordedyes
Rob CliftonParty not recordedyes
Bill WerkheiserParty not recordedyes
Sheila JonesParty not recordedyes
Gary RichardsonParty not recordedyes
Karen LuptonParty not recordedyes
Terry CummingsParty not recordedyes
Darlene TaylorParty not recordedyes
John CorbettParty not recordedyes
Rob LeverettParty not recordedyes
Betsy HollandParty not recordedyes
Sandy DonatucciParty not recordedyes
John LaHoodParty not recordedyes
Inga WillisParty not recordedyes
Debra BazemoreParty not recordedyes
Joe CampbellParty not recordedyes
Carter BarrettParty not recordedyes
Matt ReevesParty not recordedyes
Anne WestbrookParty not recordedyes
Sam ParkParty not recordedyes
Demetrius DouglasParty not recordedyes
Lisa CampbellParty not recordedyes
Al WilliamsParty not recordedyes
El-Mahdi HollyParty not recordedyes
Steven MeeksParty not recordedyes
David ClarkParty not recordedyes
Will WadeParty not recordedyes
Phil OlaleyeParty not recordedyes
Floyd GriffinParty not recordedyes
Angie O'SteenParty not recordedyes
Teddy ReeseParty not recordedexcused
Alan PowellParty not recordedyes
Billy MitchellParty not recordedyes
Beth CampParty not recordedyes
Eric GislerParty not recordedyes
Ruwa RommanParty not recordedyes
Kimberly NewParty not recordedyes
Dar'shun KendrickParty not recordedyes
Lehman FranklinParty not recordedyes
Leesa HaganParty not recordedyes
Holt PersingerParty not recordedyes
Kimberly AlexanderParty not recordedyes
Katie DempseyParty not recordedyes
David JenkinsParty not recordedyes
Imani BarnesParty not recordedyes
Mitchell HornerParty not recordedyes
Tim FlemingParty not recordedyes
Mekyah McQueenParty not recordedyes
Robert FlournoyParty not recordedyes
Emory DunahooParty not recordedyes
Nissa JonesParty not recordedyes
Lydia GlaizeParty not recordedyes
Soo HongParty not recordedyes
L.C. MylesParty not recordedyes
Jasmine ClarkParty not recordedyes
Doreen CarterParty not recordedyes
Jutt HowardParty not recordedyes
Patty Marie StinsonParty not recordedyes
Brian PrinceParty not recordedyes
Bill FincherParty not recordedyes
Michelle AuParty not recordedyes
Matt BartonParty not recordedyes
Matt HatchettParty not recordedyes
Karlton HowardParty not recordedyes
Sandra ScottParty not recordedyes
Steven SainzParty not recordedyes
Rhonda TaylorParty not recordedyes
Derrick JacksonParty not recordedyes
Robert DawsonParty not recordedyes
Karla DrennerParty not recordedyes
Michael SmithParty not recordedyes
Akbar AliParty not recordedyes
Don ParsonsParty not recordedyes
Ron StephensParty not recordedyes
Brad ThomasParty not recordedyes
Viola DavisParty not recordedyes
Matt DubnikParty not recordedyes
Brent CoxParty not recordedyes
Gabriel SanchezParty not recordedyes
Mike CheokasParty not recordedyes
Robert DickeyParty not recordedyes
Bill YeartaParty not recordedyes
Johnny ChastainParty not recordedyes
Lauren McDonaldParty not recordedyes
Long TranParty not recordedyes
Stacey EvansParty not recordedyes
Tanya MillerParty not recordedyes
Ginny EhrhartParty not recordedyes
Park CannonParty not recordedyes
Spencer FryeParty not recordedyes
Martin MomtahanParty not recordedyes
John CarsonParty not recordedyes

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

Emergency Health Section of the Department of Public Health, Medicare program
OrganizationEmergency Health Section of the Department of Public Health“licenses ambulance providers”Map →
OrganizationMedicare program“serves as the benchmark for minimum reimbursement rates when no local agreement ”Map →

Sources

Open source document

www.legis.ga.gov

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 75)
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz35
    Current news / social attention level

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