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MontanaHB 5669th Legislature, Regular Session (2025)HouseWALLET

Establish ambulance provider assessment fee program

Sponsored By: Ed Buttrey (Republican)

Became Law

Emergency and Disaster ServicesHealth Care ServicesRevenue, StateAppropriations

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Bill Overview

Analyzed Economic Effects

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

Medicaid boosts for ambulance services

The law creates a special account to fund higher Medicaid payments to emergency ambulance services, up to the average commercial rate. After admin costs, fee proceeds, penalties, interest, and earnings go into this account. The account first repays start‑up and staffing costs at the Department of Revenue, then funds the payment increases each year. Collection does not start until the health department confirms federal approval, and the act takes effect only after those approvals. The state appropriates $637,828 for the 2025–2027 biennium and $131,000 for each of the fiscal years starting July 1, 2025 and July 1, 2026. The program ends June 30, 2033 and becomes void earlier if federal rules block the payments; fees already collected are not refunded.

Ambulance providers: new fee and filings

Ambulance providers must pay a 5.75% fee on net operating revenue. File a report by June 30 each year for the prior calendar year and pay with the filing. Include all emergency ambulance service revenue, regardless of payer. A new owner takes on any unpaid fee. Keep records for 5 years; the Department of Revenue can audit. Late payments owe penalty and interest, the Department can assess more within 5 years (with a 30‑day protest window), and it can use a warrant for distraint to collect unpaid fees.

Sponsors & Cosponsors

Sponsor

  • Ed Buttrey

    Republican • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 328 • No: 113

House vote • 4/15/2025

Do Concur

Yes: 29 • No: 20

House vote • 4/4/2025

Do Concur

Yes: 28 • No: 20

House 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: 86 • No: 13

House vote • 1/24/2025

Do Pass

Yes: 75 • 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. First Reading

    4/24/2025Senate

  7. Returned from Enrolling

    4/17/2025House

  8. Sent to Enrolling

    4/15/2025House

  9. 3rd Reading Concurred

    4/15/2025Senate

  10. Committee Report--Bill Concurred

    4/14/2025Senate

  11. Committee Executive Action--Bill Concurred

    4/14/2025Senate

  12. Hearing

    4/12/2025Senate

  13. Hearing

    4/11/2025Senate

  14. Rereferred to Committee

    4/5/2025Senate

  15. 2nd Reading Concurred

    4/4/2025Senate

  16. Taken from Committee; Placed 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. First Reading

    2/24/2025Senate

  23. Transmitted to Senate

    2/21/2025House

  24. 3rd Reading Passed

    2/21/2025House

  25. 2nd Reading Passed

    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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