OR HB3243

Ground ambulance services are prohibited from billing enrollees beyond their in-network cost-sharing amount for covered services

Health benefit plans must reimburse ground ambulance organizations at the established local rate, or at minimum 325% of the Medicare rate if no local rate exists

Ground ambulance organizations must submit their rate catalogs to the Department of Consumer and Business Services annually and within five days of any rate changes

The department must create a publicly accessible database of established local rates and may impose civil penalties up to $1,000 for repeated violations

$502,113 is allocated for the 2025-2027 biennium to implement the requirements, with a report on consumer complaints, contracts, and premium impacts due by September 15, 2026