# Montana HB 56: Establish ambulance provider assessment fee program Montana HB 56, Establish ambulance provider assessment fee program, is a 69th Legislature, Regular Session (2025) House bill sponsored by Ed Buttrey (Republican); status signed, last action 2025-05-08 (Chapter Number Assigned) (as of 2026-10-19). - Canonical: https://policyrisk.com/state-bill/MT-HB56-2025 - As of: 2026-10-19 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Montana HB 56 - State: Montana - Session: 69th Legislature, Regular Session (2025) - Title: Establish ambulance provider assessment fee program - Status: signed - Chamber: House - Introduced: 2024-12-11 - Last action: 2025-05-08, Chapter Number Assigned - Sponsor: Ed Buttrey (Republican) - Cosponsors: 0 - Subjects: Emergency Services, Health Care Services, Revenue, State, Appropriations - Touches household money: no - Roll calls: 6 (332 yes, 114 no in all) - Economic provisions PRIA read: 2 ## Summary No summary available. ## Bill overview: provisions PRIA read - Higher Medicaid pay for ambulance care: benefit, medium. 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 Septemb… - New fee and rules for ambulance services: mixed, medium. 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… ## Sponsors and cosponsors - Sponsor: Ed Buttrey (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-04-15 | Senate | Do Concur | pass | 29 | 20 | | | 2025-04-04 | Senate | Do Concur | pass | 29 | 21 | | | 2025-04-03 | Senate | Take HB 56 from Comm-Neumann | pass | 27 | 22 | | | 2025-02-21 | House | Do Pass | pass | 83 | 15 | | | 2025-02-20 | House | Do Pass | pass | 87 | 13 | | | 2025-01-24 | House | Do Pass | pass | 77 | 23 | | ## Actions (49) - 2025-05-08: Chapter Number Assigned (House) - 2025-05-05: Signed by Governor (House) - 2025-04-25: Transmitted to Governor (House) - 2025-04-25: Signed by President (Senate) - 2025-04-24: Signed by Speaker (House) - 2025-04-24: 1st Reading (Senate) - 2025-04-17: Returned from Enrolling (House) - 2025-04-15: Sent to Enrolling (House) - 2025-04-15: 3rd Reading (Senate) - 2025-04-14: Committee Report (Senate) - 2025-04-14: Committee Executive Action (Senate) - 2025-04-12: Hearing (Senate) - 2025-04-11: Hearing (Senate) - 2025-04-05: Rereferred to Committee (Senate) - 2025-04-04: 2nd Reading (Senate) - 2025-04-03: Take from Committee; Place on 2nd Reading (Senate) - 2025-03-20: Hearing (Senate) - 2025-03-18: Revised Fiscal Note Printed (House) - 2025-03-17: Revised Fiscal Note Signed (House) - 2025-03-17: Revised Fiscal Note Received (House) - 2025-03-03: Referred to Committee (Senate) - 2025-02-24: 1st Reading (Senate) - 2025-02-21: Transmitted to Senate (House) - 2025-02-21: 3rd Reading (House) - 2025-02-20: 2nd Reading (House) - 2025-02-20: Revised Fiscal Note Printed (House) - 2025-02-20: Fiscal Note Unsigned (House) - 2025-02-18: Revised Fiscal Note Received (House) - 2025-02-13: Revised Fiscal Note Requested (House) - 2025-02-12: Committee Report (House) - 2025-02-11: Committee Executive Action (House) - 2025-02-06: Revised Fiscal Note Printed (House) - 2025-02-05: Revised Fiscal Note Signed (House) - 2025-02-04: Revised Fiscal Note Received (House) - 2025-01-28: Revised Fiscal Note Requested (House) - 2025-01-26: Hearing (House) - 2025-01-24: Hearing (House) - 2025-01-24: Rereferred to Committee (House) - 2025-01-24: 2nd Reading (House) - 2025-01-21: Committee Report (House) - 2025-01-20: Committee Executive Action (House) - 2025-01-20: Committee Executive Action (House) - 2025-01-16: Fiscal Note Printed (House) - 2025-01-16: Fiscal Note Unsigned (House) - 2025-01-07: Fiscal Note Received (House) - 2025-01-06: 1st Reading (House) - 2024-12-20: Referred to Committee (House) - 2024-12-18: Fiscal Note Requested (House) - 2024-12-11: Introduced (House) ## Bill text - Enrolled, 2025-04-16: [PDF](https://docs.legmt.gov/download-ticket?ticketId=db6d344b-3071-4b9d-b8fd-08eca2d3ece3) - As Amended (Version 3), 2025-02-13: [PDF](https://docs.legmt.gov/download-ticket?ticketId=89f8a016-1838-434c-9ed7-61255e127787) - As Amended (Version 2), 2025-01-21: [PDF](https://docs.legmt.gov/download-ticket?ticketId=f7d1ee9f-2f45-4d0c-bcc2-a6a1f65cb95d) - Introduced, 2024-12-11: [PDF](https://docs.legmt.gov/download-ticket?ticketId=2dab35e1-7228-4525-848a-422887409700) ## Related bills - SB 437: Revise definition of sex in Montana law (signed) - HB 831: Increase elderly homeowner and renter income tax credit (vetoed) - HB 628: Revise early literacy targeted intervention laws (vetoed) - SB 410: Provide for Montana genomic security act (vetoed) - SB 424: Revising the disabled veteran property tax assistance program (vetoed) - SB 422: Generally revise laws relating to insurance coverage relating to cancer (vetoed) ## Sources - [Enrolled (PDF)](https://docs.legmt.gov/download-ticket?ticketId=db6d344b-3071-4b9d-b8fd-08eca2d3ece3) - [As Amended (Version 3) (PDF)](https://docs.legmt.gov/download-ticket?ticketId=89f8a016-1838-434c-9ed7-61255e127787) - [As Amended (Version 2) (PDF)](https://docs.legmt.gov/download-ticket?ticketId=f7d1ee9f-2f45-4d0c-bcc2-a6a1f65cb95d) - [Introduced (PDF)](https://docs.legmt.gov/download-ticket?ticketId=2dab35e1-7228-4525-848a-422887409700) ## Related - [SB 437: Revise definition of sex in Montana law](https://policyrisk.com/state-bill/MT-SB437-2025) - [HB 831: Increase elderly homeowner and renter income tax credit](https://policyrisk.com/state-bill/MT-HB831-2025) - [HB 628: Revise early literacy targeted intervention laws](https://policyrisk.com/state-bill/MT-HB628-2025) - [SB 410: Provide for Montana genomic security act](https://policyrisk.com/state-bill/MT-SB410-2025) - [SB 424: Revising the disabled veteran property tax assistance program](https://policyrisk.com/state-bill/MT-SB424-2025) - [SB 422: Generally revise laws relating to insurance coverage relating to cancer](https://policyrisk.com/state-bill/MT-SB422-2025) - [Montana bills](https://policyrisk.com/states/montana/bills) - [Montana state hub](https://policyrisk.com/states/montana) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/MT-HB56-2025 (as of 2026-10-19).