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MontanaHB 5669th Legislature, Regular Session (2025)House

Establish ambulance provider assessment fee program

Sponsored By: Ed Buttrey (Republican)

Signed by Governor

Emergency ServicesHealth Care ServicesRevenue, StateAppropriations

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 0 costs, 1 mixed.

Higher Medicaid pay for ambulance care

The law creates a special state account for ambulance assessment money. After paying back revenue department setup and staffing costs, the account raises Medicaid payments for emergency ambulance services up to the average commercial rate. The state must provide these increases each year by September 30 and cover related admin costs. Money in the account is statutorily appropriated and cannot be used for other purposes except as allowed by law.

New fee and rules for ambulance services

The law charges every ground ambulance provider a fee equal to 5.75% of net operating revenue from emergency ambulance services. Net operating revenue means gross receipts for those services minus bad debt, charity care, and payer discounts. Providers must file a report and pay by June 30 each year; a buyer assumes any unpaid fees if the business is sold. The Department of Revenue can audit; keep records for at least five years. Late payments owe state penalty and interest, and the department generally has five years from filing to assess extra fees. You have 30 days to protest a deficiency and can resolve liability with a binding closing agreement. Overpayments are credited or refunded, with interest in most cases; refunds are generally allowed within five years of the filing deadline or within one year of the overpayment, whichever is later.

Sponsors & Cosponsors

Sponsor

  • Ed Buttrey

    Republican • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 332 • No: 114

Senate vote • 4/15/2025

Do Concur

Yes: 29 • No: 20

Senate vote • 4/4/2025

Do Concur

Yes: 29 • No: 21

Senate vote • 4/3/2025

Take HB 56 from Comm-Neumann

Yes: 27 • No: 22

House vote • 2/21/2025

Do Pass

Yes: 83 • No: 15

House vote • 2/20/2025

Do Pass

Yes: 87 • No: 13

House vote • 1/24/2025

Do Pass

Yes: 77 • No: 23

Actions Timeline

  1. Chapter Number Assigned

    5/8/2025House

  2. Signed by Governor

    5/5/2025House

  3. Transmitted to Governor

    4/25/2025House

  4. Signed by President

    4/25/2025Senate

  5. Signed by Speaker

    4/24/2025House

  6. 1st Reading

    4/24/2025Senate

  7. Returned from Enrolling

    4/17/2025House

  8. Sent to Enrolling

    4/15/2025House

  9. 3rd Reading

    4/15/2025Senate

  10. Committee Report

    4/14/2025Senate

  11. Committee Executive Action

    4/14/2025Senate

  12. Hearing

    4/12/2025Senate

  13. Hearing

    4/11/2025Senate

  14. Rereferred to Committee

    4/5/2025Senate

  15. 2nd Reading

    4/4/2025Senate

  16. Take from Committee; Place on 2nd Reading

    4/3/2025Senate

  17. Hearing

    3/20/2025Senate

  18. Revised Fiscal Note Printed

    3/18/2025House

  19. Revised Fiscal Note Signed

    3/17/2025House

  20. Revised Fiscal Note Received

    3/17/2025House

  21. Referred to Committee

    3/3/2025Senate

  22. 1st Reading

    2/24/2025Senate

  23. Transmitted to Senate

    2/21/2025House

  24. 3rd Reading

    2/21/2025House

  25. 2nd Reading

    2/20/2025House

Bill Text

  • Enrolled

    4/16/2025

    PDF

  • As Amended (Version 3)

    2/13/2025

    PDF

  • As Amended (Version 2)

    1/21/2025

    PDF

  • Introduced

    12/11/2024

    PDF

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