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GA SB462

Bill

Status

Engrossed

2/18/2026

Primary Sponsor

Shawn Still

Click for details

Origin

Senate

2025-2026 Regular Session

AI Summary

  • Amends Georgia's Surprise Billing Consumer Protection Act to require healthcare plans to cover emergency transport services when requested by a first responder or healthcare practitioner responsible for the patient's care.

  • Sets minimum reimbursement rates for out-of-network ambulance providers at either the rate established by local government contract/ordinance, or if none exists, the lesser of 325% of Medicare reimbursement rates or the provider's billed charges.

  • Caps patient cost-sharing (copayments, coinsurance, deductibles) for out-of-network ambulance services at the same amount as in-network ambulance services, protecting patients from surprise balance billing.

  • Requires insurers to pay ambulance providers directly within 30 days of receiving a clean claim, and prohibits payment to the covered person instead of the provider.

  • Excludes air ambulance services from these provisions; applies only to ground ambulance transportation by licensed emergency transport providers.

Legislative Description

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

Last Action

House Withdrawn, Recommitted

3/9/2026

Committee Referrals

Insurance2/19/2026
Health and Human Services2/5/2026

Full Bill Text

No bill text available