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PROPOSEDPROPOSED BILLAlabamaHIGH IMPACT

Prohibition on Balance Billing for Ground Ambulance Services

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PROPOSED LEGISLATIONThis bill has been introduced but has NOT been signed into law. Legislative proposals may be amended, passed, or fail to advance. This is not current law.

This proposed bill would prohibit balance billing by ground ambulance services and establish minimum reimbursement rates that health care insurers must pay to emergency medical service providers. Before this change, there were no specific prohibitions against balance billing in Alabama for these services, which could lead to unexpected bills for patients after receiving emergency transportation. This proposal aims to protect consumers from surprise medical bills and ensure fair payment to ambulance providers. If enacted, it would affect both health care insurers and the individuals who use ground ambulance services.

Published April 6, 2026
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