All Roll Calls
Yes: 209 • No: 2
UtahH.B. 2692026 General SessionHouseWALLET
Ambulance Provider Payment Amendments
Sponsored By: A. Cory Maloy (Republican)
Signed by Governor
Health and Human ServicesHealth Care ProfessionalsLegislative OperationsAdministrative RulemakingAdministrative Rulemaking and ProceduresSunsets and RepealersNew Rulemaking AuthorityEmergency Medical Services
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Bill Overview
Analyzed Economic Effects
6 provisions identified: 3 benefits, 0 costs, 3 mixed.
Ambulance trip base prices set for 2026
Beginning July 1, 2026, the law sets per‑trip base rates: EMT $1,257.15; Advanced EMT $1,659.66; Paramedic $2,426.64; Paramedic‑on‑board $2,426.64. The higher paramedic‑on‑board rate applies only if a paramedic is dispatched, starts advanced life support, is told by online medical control to stay, and the providers have a payment agreement. These amounts may be adjusted by rule and this schedule ends July 1, 2027.
Higher Medicaid payments for ambulances
Beginning July 1, 2026, Utah Medicaid pays ground ambulance providers the highest rate allowed by the state assessment if CMS approves that assessment. This applies to fee-for-service ambulance claims.
Plans and workers’ comp must pay ambulances
From July 1, 2026 to July 1, 2027, private health plans and workers’ comp insurers must treat the state ambulance base rate and mileage rate as allowed costs when correctly charged. They must pay the ambulance provider directly, even if the provider is out of network. This applies only to claims filed under the state ambulance rate rule.
New limits on ambulance billing and fees
From July 1, 2026 to July 1, 2027, ambulance and paramedic providers cannot balance bill you for ambulance care. They also cannot charge above the state mileage cap or above the base rate for covered services, and they cannot bill a non‑transport fee (except in areas that include certain towns). The state sets a maximum mileage rate, and the base rate includes transport, supplies, procedures, and medication costs. Billing an uninsured person, or a service your plan denies, is not treated as balance billing. If your plan does not allow the full base plus mileage, you may be billed base + mileage − what the plan paid.
Yearly ambulance base rate updates
Starting July 1, 2027, the state updates ambulance base rates once each year. The new rate equals the current base rate times the medical care consumer price index. The bureau must publish the updated rates in rule and cannot change them more than once per year.
Ambulance payment rules kept after 2027
Beginning July 1, 2026, the state removes the 2027 repeal dates for three ambulance payment laws. Ground ambulance reimbursement rules for private plans and for workers’ compensation, and the state’s rate‑setting authority, stay in force past July 1, 2027. This keeps the payment framework in place.
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Sponsors & Cosponsors
Sponsor
A. Cory Maloy
Republican • House
Cosponsors
Evan J. Vickers
Republican • Senate
Roll Call Votes
Senate vote • 3/5/2026
Senate/ passed 2nd & 3rd readings/ suspension
Yes: 26 • No: 0
Senate vote • 3/5/2026
Senate/ substituted
Yes: 0 • No: 0
House vote • 3/5/2026
House/ concurs with Senate amendment
Yes: 66 • No: 1
Senate vote • 2/25/2026
Senate/ passed 2nd reading
Yes: 24 • No: 0
House vote • 2/19/2026
Senate Comm - Favorable Recommendation
Yes: 4 • No: 0
House vote • 2/13/2026
House/ passed 3rd reading
Yes: 67 • No: 1
House vote • 2/4/2026
House Comm - Substitute Recommendation
Yes: 11 • No: 0
House vote • 2/4/2026
House Comm - Favorable Recommendation
Yes: 11 • No: 0
Actions Timeline
Governor Signed
3/26/2026House/ to Governor
3/12/2026HouseHouse/ received enrolled bill from Printing
3/12/2026HouseHouse/ enrolled bill to Printing
3/11/2026HouseEnrolled Bill Returned to House or Senate
3/11/2026Draft of Enrolled Bill Prepared
3/6/2026Bill Received from House for Enrolling
3/6/2026House/ signed by Speaker/ sent for enrolling
3/6/2026HouseHouse/ received from Senate
3/6/2026HouseSenate/ to House
3/6/2026SenateSenate/ signed by President/ returned to House
3/6/2026SenateSenate/ received from House
3/6/2026SenateHouse/ to Senate
3/5/2026HouseHouse/ concurs with Senate amendment
3/5/2026HouseHouse/ placed on Concurrence Calendar
3/5/2026HouseHouse/ received from Senate
3/5/2026HouseSenate/ to House with amendments
3/5/2026SenateSenate/ passed 2nd & 3rd readings/ suspension
3/5/2026SenateSenate/ substituted
3/5/2026SenateSenate/ placed on 2nd Reading Calendar
3/5/2026SenateSenate/ Rules to 2nd Reading Calendar
3/5/2026SenateSenate/ placed back on 3rd Reading Calendar
3/4/2026SenateSenate/ placed on 3rd Reading Calendar table
2/25/2026SenateSenate/ 3rd reading
2/25/2026SenateSenate/ passed 2nd reading
2/25/2026Senate
Bill Text
Enrolled
3/11/2026
Substitute #4
3/4/2026
Substitute #3
3/3/2026
Substitute #2
2/4/2026
Substitute #1
1/29/2026
Introduced
1/15/2026
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