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GA SB462
Bill
Status
2/18/2026
Primary Sponsor
Shawn Still
Click for details
AI Summary
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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.
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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.
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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.
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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.
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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House Withdrawn, Recommitted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