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GA HB506

Bill

Status

Enrolled

4/10/2026

Primary Sponsor

Scott Hilton

Click for details

Origin

House of Representatives

2025-2026 Regular Session

AI Summary

  • Amends Georgia's Surprise Billing Consumer Protection Act to require healthcare plans to cover out-of-network emergency ambulance transport services when requested by a first responder.

  • Sets minimum reimbursement rates for out-of-network ambulance providers at either the rate established by local government contract/ordinance, or the lesser of 325% of Medicare rates or the provider's billed charges.

  • Prohibits patients from being charged copayments, coinsurance, or deductibles for out-of-network ambulance services that exceed what they would pay for in-network ambulance services.

  • Requires insurers to pay clean claims directly to ambulance providers within 30 days, and to notify providers within 30 days if claims are denied or require additional information.

  • Effective date: January 1, 2027.

Legislative Description

Social services; Medicaid coverage for tobacco cessation treatments; provide

Last Action

House Sent to Governor

4/10/2026

Committee Referrals

Health and Human Services3/10/2025
Public and Community Health2/19/2025

Full Bill Text

No bill text available