Oregon legislation · 2025 Legislative Measures
Oregon HB3243: Relating to billing for ground ambulance services.
Status: Chaptered, August 13, 2025
Digest: Tells ambulance service providers not to balance bill some patients and makes them report local rates to DCBS. Makes some rules about health insurance for ambulance services. Tells DCBS to make a new database of local rates and allows for penalties. Tells DCBS to submit a report. (Flesch Readability Score: 63.5). Prohibits balance billing for ambulance ground transportation services in certain circumstances and creates rules for health benefit plan reimbursement of ambulance services. Requires ground ambulance services to submit established local rates to the Department of Consumer and Business Services. Establishes a database of local rates for ambulance services and allows for penalties to be imposed for violations. Requires the department to submit a report on the implementation of this Act.
What the bill says
From the enrolled text, June 25, 2025:
83rd OREGON LEGISLATIVE ASSEMBLY--2025 Regular Session House Bill 3243 Sponsored by Representative NOSSE; Representatives GAMBA, JAVADI, NGUYEN H, PHAM H, SOSA, Senator PATTERSON (Presession filed.) CHAPTER ................................................. Relating to billing for ground ambulance services. SECTION 1. Section 2 of this 2025 Act is added to and made a part of the Insurance Code. SECTION 2. (1) As used in this section: (a) "Enrollee" has the meaning given that term in ORS 743B.005. (b) "Established local rate" means the rate established where the health care services originated for the provision of ground ambulance services through a publicly accessible process that includes an analysis of the cost to provide the ground ambulance services by: (A) The local government entity if the ground ambulance services are provided by ground ambulance services organizations that are owned or operated by the local government entity; or (B) The contract between a privately owned or operated ground ambulance services organization and the local government entity if the ground ambulance services are provided by a privately owned or operated ground ambulance services organization. (c) "Ground ambulance services" means: (A) The rendering of medical treatment and care at the scene of a medical emergency or while transporting an individual from the scene to an appropriate health care facility when the services are provided by one or more ground ambulance …