Kentucky legislation · 2026 Regular Session
Kentucky HB447: AN ACT relating to coverage for emergency ground ambulance services.
Status: In committee, January 29, 2026
Create a new section of Subtitle 17A of KRS Chapter 304 to require coverage for emergency ground ambulance services; establish minimum allowable reimbursement for out-of-network emergency ground ambulance services; establish requirements for reimbursement of out-of-network ground ambulance providers; prohibit balance billing by out-of-network ground ambulance providers; establish construction clause in the event of conflicts; amend KRS 18A.225 to require the state employee health plan to comply with emergency ground ambulance coverage and payment requirements; provide that Act applies to health benefit plans issued or renewed on or after January 1, 2027; EFFECTIVE January 1, 2027.
What the bill says
An act relating to coverage for emergency ground ambulance services.
From the introduced text:
AN ACT relating to coverage for emergency ground ambulance services. Be it enacted by the General Assembly of the Commonwealth of Kentucky: SECTION 1. A NEW SECTION OF SUBTITLE 17A OF KRS CHAPTER IS CREATED TO READ AS FOLLOWS: (1) As used in this section: (a) "Adverse determination" has the same meaning as in KRS 304.17A-600, except for purposes of this section the term includes determinations regarding emergency ground ambulance services furnished or proposed to be furnished to a covered person; (b) "Clean claim" has the same meaning as in KRS 304.17A-700; (c) "Cost sharing" means any copayments, coinsurance, deductibles, and other out-of-pocket expense requirements imposed upon a covered person by a health benefit plan; (d) "Emergency ground ambulance services" means emergency ambulance services provided by a ground ambulance provider that are not air ambulance services; (e) "Ground ambulance provider" means a ground ambulance provider licensed in accordance with administrative regulations promulgated by the Kentucky Board of Emergency Medical Services; (f) "Local governing authority" means: 1. Any city, county, charter county government, urban-county government, consolidated local government, unified local government, special district, or municipal corporation of this state; and 2. Any agency, authority, board, bureau, department, commission, council, committee, instrumentality, joint venture, or other entity of an entity referenced in subparagraph 1. of this paragraph; (g) "Local emergency ground ambulance …
Sponsors
- Rebecca Raymer (R, HD-015) · primary sponsor
- Chad Aull (D, HD-079)
- Ryan Bivens (R, HD-024)
- John Blanton (R, HD-092)
- Steve Bratcher (R, HD-025)
- Emily Callaway (R, HD-037)
- Ryan Dotson (R, HD-073)
- Robert Duvall (R, HD-017)
- Daniel Fister (R, HD-056)
- Patrick Flannery (R, HD-096)
- Ken Fleming (R, HD-048)
- Chris Freeland (R, HD-006)
Latest actions
- : to Banking & Insurance (H)
- : to Committee on Committees (H)
- : introduced in House
Subjects: Insurance, Health, State Employee Health Plan Mandate, State Employees, Local Mandate, Effective Dates, Delayed, Actuarial Analysis, Health Benefit Plan Mandate, Emergency Medical Services
Common questions
- What is HB447?
- HB447 is a bill in the Kentucky Legislature (2026 Regular Session): AN ACT relating to coverage for emergency ground ambulance services.
- What does HB447 do?
- In its own words: An act relating to coverage for emergency ground ambulance services.
- What is the status of HB447?
- In committee as of January 29, 2026. Latest action: to Banking & Insurance (H) (January 29, 2026).
- Who sponsored HB447?
- Rebecca Raymer (R, HD-015), with 11 co-sponsors.
- Where is the official record for HB447?
- On the Kentucky Legislature website: https://apps.legislature.ky.gov/record/26rs/hb447.html
Source: official Kentucky record. Tracked by Delilah, AI for legislation across all 50 states and Congress.