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Alabama Legislature · SB269 · Enacted

Ground ambulance services; to prohibit balance billing and set minimum reimbursement rates by health care insurers to emergency medical service providers

Introduced
Moved
Reached a final decision
Became law
Derived from the official record below.

Officially: “Ground ambulance services; to prohibit balance billing and set minimum reimbursement rates by health care insurers to emergency medical service providers Read the full text

2026 regular session

What it does

This act, until June 1, 2029: (1) requires health care insurers to reimburse in-network and out-of-network emergency medical service (EMS) providers for responding to emergency calls at minimum rates according to Medicare reimbursement rates; (2) prohibits EMS providers from billing patients for outstanding ambulance fees in excess of the amount reimbursed by insurance; (3) imposes dispute resolution guidelines when insurers and EMS providers disagree regarding reimbursement; (4) requires EMS pr
From the official legislative record, shown verbatim. Not legal advice.

Where it is

Enacted (latest official status) · Feb 5, 2026
Latest official status shown, exactly as the official record states it. The step by step history lives on the official page linked below.

The numbers

1
sponsor on the bill

Sponsors

Singleton

Recorded votes

Recorded voteHouse · 2026-03-31 · yeas 103, nays 0, abstains 1
Recorded voteHouse · 2026-03-31 · yeas 102, nays 0, abstains 1
Recorded voteSenate · 2026-03-04 · yeas 27, nays 2, abstains 1
Recorded voteSenate · 2026-03-04 · yeas 25, nays 1, abstains 1
Recorded voteSenate · 2026-03-04 · yeas 25, nays 2, abstains 1
Roll-call results shown verbatim from the Alabama legislature’s records. A result reflects that roll call’s own motion, not the bill’s overall outcome.
Every fact on this page links to its source, starting with the official bill record. Last action: Enacted.