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OregonHB 32432025 Regular SessionHouseWALLET

Relating to billing for ground ambulance services.

Sponsored By: Rob Nosse (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

Patients protected from extra ambulance bills

For covered ground ambulance care, patients cannot face extra bills after paying their plan’s in-network cost share. This includes emergency care at the scene or during transport, plus medically necessary transfers between health care facilities. The rules apply to health plans issued, renewed, or extended on or after the law’s effective date. Self-funded group plans must opt in by notifying Oregon’s Department of Consumer and Business Services. Public Employees’ Benefit Board and Oregon Educators Benefit Board coverage is excluded unless those boards opt in. The department can impose civil penalties, with a $1,000 cap for repeated violations.

Health plans face ambulance payment rules

Participating health plans must pay ground ambulance providers the established local rate for covered services. Without a local rate, plans must pay at least 325% of Medicare’s rate. The local rate comes from a public cost review where the service began, through local government operations or contracts. Providers must submit local rates annually and within five calendar days of changes; the state must publish a public database. Oregon’s Department of Consumer and Business Services must set rules to carry out these requirements. By September 15, 2026, it must report to interim health committees on billing complaints before and after implementation. The report also covers contracts signed on or after January 1, 2026, and premium effects after that date. The reporting requirement ends January 2, 2027—not the billing protections. The law caps implementation spending at $502,113 for the Division of Financial Regulation in 2025–27, from fees and other revenues, excluding lottery and federal funds.

Sponsors & Cosponsors

Sponsor

  • Rob Nosse

    Democratic • House

Cosponsors

  • Cyrus Javadi

    Democratic • House

  • Deb Patterson

    Democratic • Senate

  • Hai Pham

    Democratic • House

  • Hoa Nguyen

    Affiliation unavailable

  • Mark Gamba

    Democratic • House

  • Nathan Sosa

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 91 • No: 13

Senate vote • 6/24/2025

Rules suspended. Third reading. Carried by Patterson. Passed.

Yes: 25 • No: 4

House vote • 6/23/2025

Third reading. Carried by Nosse. Passed.

Yes: 38 • No: 5

legislature vote • 6/17/2025

Ways and Means: Heard and Reported Out with Amendments

Yes: 20 • No: 3

House vote • 4/8/2025

Behavioral Health and Health Care: Heard and Reported Out with Amendments

Yes: 8 • No: 1

Actions Timeline

  1. Chapter 614, (2025 Laws): Effective date January 1, 2026.

    8/13/2025House

  2. Governor signed.

    7/31/2025House

  3. President signed.

    6/26/2025Senate

  4. Speaker signed.

    6/26/2025House

  5. Rules suspended. Third reading. Carried by Patterson. Passed.

    6/24/2025Senate

  6. Second reading.

    6/24/2025Senate

  7. Recommendation: Do pass the B-Eng. bill.

    6/24/2025Senate

  8. Referred to Ways and Means.

    6/23/2025Senate

  9. First reading. Referred to President's desk.

    6/23/2025Senate

  10. Third reading. Carried by Nosse. Passed.

    6/23/2025House

  11. Second reading.

    6/20/2025House

  12. Recommendation: Do pass with amendments and be printed B-Engrossed.

    6/19/2025House

  13. Work Session held.

    6/17/2025House

  14. Returned to Full Committee.

    6/11/2025House

  15. Work Session held.

    6/11/2025House

  16. Assigned to Subcommittee On Human Services.

    6/6/2025House

  17. Referred to Ways and Means by order of Speaker.

    4/16/2025House

  18. Recommendation: Do pass with amendments, be printed A-Engrossed, and be referred to Ways and Means.

    4/16/2025House

  19. Work Session held.

    4/8/2025House

  20. Public Hearing held.

    2/27/2025House

  21. Public Hearing cancelled.

    2/13/2025House

  22. Referred to Behavioral Health and Health Care.

    1/17/2025House

  23. First reading. Referred to Speaker's desk.

    1/13/2025House

Bill Text

  • JWM Amendment -A4 (Adopted)

    6/17/2025

    PDF

  • JWMHS Amendment -A4 (Proposed)

    6/11/2025

    PDF

  • HBHHC Amendment -3 (Adopted)

    4/8/2025

    PDF

  • A-Engrossed

    PDF

  • B-Engrossed

    PDF

  • Enrolled

    PDF

  • House Amendments to A-Engrossed

    PDF

  • House Amendments to Introduced

    PDF

  • Introduced

    PDF

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