# Utah H.B. 269: Ambulance Provider Payment Amendments Utah H.B. 269, Ambulance Provider Payment Amendments, is a 2026 General Session House bill sponsored by A. Cory Maloy (Republican); status signed, last action 2026-03-26 (Governor Signed); PRIA reads it as touching household money (as of 2026-10-14). - Canonical: https://policyrisk.com/state-bill/UT-HB269-2026GS - As of: 2026-10-14 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Utah H.B. 269 - State: Utah - Session: 2026 General Session - Title: Ambulance Provider Payment Amendments - Status: signed - Chamber: House - Introduced: 2026-01-15 - Last action: 2026-03-26, Governor Signed - Sponsor: A. Cory Maloy (Republican) - Cosponsors: 1 - Subjects: Health and Human Services, Health Care Professionals, Legislative Operations, Administrative Rulemaking, Administrative Rulemaking and Procedures, Sunsets and Repealers, New Rulemaking Authority, Emergency Medical Services - Touches household money: yes - Roll calls: 8 (209 yes, 2 no in all) - Economic provisions PRIA read: 4 ## Summary No summary available. ## Bill overview: provisions PRIA read - Health plans must pay ambulances directly: benefit, medium. Beginning July 1, 2026, health plans must accept correctly charged ground ambulance base rates and bureau-set mileage rates as allowed expenses. Employers or their workers' compensation carriers must also accept these charges for covered ambulance claims. Medication costs are included in the base r… - Higher Medicaid payments for ambulance services: benefit, medium. Beginning July 1, 2026, Utah must pay the highest rate allowed by the assessment for covered fee-for-service Medicaid ambulance services. This payment requirement starts only after the Centers for Medicare and Medicaid Services approves the assessment. The change raises provider reimbursement, not… - Patients can owe unpaid ambulance charges: cost, high. Beginning July 1, 2026, an ambulance provider can bill patients when their insurance does not allow the full base and mileage rates. The bill can equal those rates minus what the health plan or another third party actually paid. Outside the stated exceptions, providers generally cannot bill insured… - New base charges for ambulance patients: mixed, high. Beginning July 1, 2026, ground ambulance base rates per ride are $1,257.15 for emergency medical technician transport, $1,659.66 for advanced technician transport, and $2,426.64 for paramedic transport. These rates include supplies, procedures, and medication up to the medication cost cap; mileage… ## Sponsors and cosponsors - Sponsor: A. Cory Maloy (Republican), House - Cosponsor: Evan J. Vickers (Republican), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-03-05 | Senate | Senate/ substituted | fail | 0 | 0 | | | 2026-03-05 | House | House/ concurs with Senate amendment | pass | 66 | 1 | | | 2026-03-05 | Senate | Senate/ passed 2nd & 3rd readings/ suspension | pass | 26 | 0 | | | 2026-02-25 | Senate | Senate/ passed 2nd reading | pass | 24 | 0 | | | 2026-02-19 | Senate | Senate Comm - Favorable Recommendation | pass | 4 | 0 | | | 2026-02-13 | House | House/ passed 3rd reading | pass | 67 | 1 | | | 2026-02-04 | House | House Comm - Substitute Recommendation | pass | 11 | 0 | | | 2026-02-04 | House | House Comm - Favorable Recommendation | pass | 11 | 0 | | ## Actions (45) - 2026-03-26: Governor Signed - 2026-03-12: House/ to Governor (House) - 2026-03-12: House/ received enrolled bill from Printing (House) - 2026-03-11: House/ enrolled bill to Printing (House) - 2026-03-11: Enrolled Bill Returned to House or Senate - 2026-03-06: Draft of Enrolled Bill Prepared - 2026-03-06: Bill Received from House for Enrolling - 2026-03-06: House/ signed by Speaker/ sent for enrolling (House) - 2026-03-06: House/ received from Senate (House) - 2026-03-06: Senate/ to House (Senate) - 2026-03-06: Senate/ signed by President/ returned to House (Senate) - 2026-03-06: Senate/ received from House (Senate) - 2026-03-05: House/ to Senate (House) - 2026-03-05: House/ concurs with Senate amendment (House) - 2026-03-05: House/ placed on Concurrence Calendar (House) - 2026-03-05: House/ received from Senate (House) - 2026-03-05: Senate/ to House with amendments (Senate) - 2026-03-05: Senate/ passed 2nd & 3rd readings/ suspension (Senate) - 2026-03-05: Senate/ substituted (Senate) - 2026-03-05: Senate/ placed on 2nd Reading Calendar (Senate) - 2026-03-05: Senate/ Rules to 2nd Reading Calendar (Senate) - 2026-03-04: Senate/ placed back on 3rd Reading Calendar (Senate) - 2026-02-25: Senate/ placed on 3rd Reading Calendar table (Senate) - 2026-02-25: Senate/ 3rd reading (Senate) - 2026-02-25: Senate/ passed 2nd reading (Senate) - 2026-02-25: Senate/ 2nd reading (Senate) - 2026-02-20: Senate/ placed on 2nd Reading Calendar (Senate) - 2026-02-20: Senate/ committee report favorable (Senate) - 2026-02-19: Senate Comm - Favorable Recommendation - 2026-02-18: Senate/ to standing committee (Senate) - 2026-02-17: Senate/ 1st reading (Introduced) (Senate) - 2026-02-13: Senate/ received from House (Senate) - 2026-02-13: House/ to Senate (House) - 2026-02-13: House/ passed 3rd reading (House) - 2026-02-13: House/ 3rd reading (House) - 2026-02-05: House/ 2nd reading (House) - 2026-02-05: House/ comm rpt/ substituted (House) - 2026-02-04: House Comm - Favorable Recommendation - 2026-02-04: House Comm - Substitute Recommendation - 2026-01-30: House Comm - Not Considered - 2026-01-26: House/ to standing committee (House) - 2026-01-21: House/ received fiscal note from Fiscal Analyst (House) - 2026-01-20: House/ 1st reading (Introduced) (House) - 2026-01-20: House/ received bill from Legislative Research (House) - 2026-01-15: Numbered Bill Publicly Distributed ## Bill text - Enrolled, 2026-03-11: [PDF](https://le.utah.gov/Session/2026/bills/enrolled/HB0269.pdf) - Substitute #4, 2026-03-04: [PDF](https://le.utah.gov/Session/2026/bills/introduced/HB0269S04.pdf) - Substitute #3, 2026-03-03: [PDF](https://le.utah.gov/Session/2026/bills/introduced/HB0269S03.pdf) - Substitute #2, 2026-02-04: [PDF](https://le.utah.gov/Session/2026/bills/introduced/HB0269S02.pdf) - Substitute #1, 2026-01-29: [PDF](https://le.utah.gov/Session/2026/bills/introduced/HB0269S01.pdf) - Introduced, 2026-01-15: [PDF](https://le.utah.gov/Session/2026/bills/introduced/HB0269.pdf) ## Related bills - H.B. 136: Unlicensed Driver Amendments (signed) - H.B. 101: Firearm Background Check Amendments (signed) - H.B. 94: Criminal Accounts Receivable Amendments (signed) - H.B. 178: School Zone Speeding Amendments (signed) - H.B. 134: Offender Transfer Amendments (signed) - H.B. 220: Public Safety Data Amendments (signed) ## Sources - [Enrolled (PDF)](https://le.utah.gov/Session/2026/bills/enrolled/HB0269.pdf) - [Substitute #4 (PDF)](https://le.utah.gov/Session/2026/bills/introduced/HB0269S04.pdf) - [Substitute #3 (PDF)](https://le.utah.gov/Session/2026/bills/introduced/HB0269S03.pdf) - [Substitute #2 (PDF)](https://le.utah.gov/Session/2026/bills/introduced/HB0269S02.pdf) - [Substitute #1 (PDF)](https://le.utah.gov/Session/2026/bills/introduced/HB0269S01.pdf) - [Introduced (PDF)](https://le.utah.gov/Session/2026/bills/introduced/HB0269.pdf) ## Related - [H.B. 136: Unlicensed Driver Amendments](https://policyrisk.com/state-bill/UT-HB136-2026GS) - [H.B. 101: Firearm Background Check Amendments](https://policyrisk.com/state-bill/UT-HB101-2026GS) - [H.B. 94: Criminal Accounts Receivable Amendments](https://policyrisk.com/state-bill/UT-HB94-2026GS) - [H.B. 178: School Zone Speeding Amendments](https://policyrisk.com/state-bill/UT-HB178-2026GS) - [H.B. 134: Offender Transfer Amendments](https://policyrisk.com/state-bill/UT-HB134-2026GS) - [H.B. 220: Public Safety Data Amendments](https://policyrisk.com/state-bill/UT-HB220-2026GS) - [Utah bills](https://policyrisk.com/states/utah/bills) - [Utah state hub](https://policyrisk.com/states/utah) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/UT-HB269-2026GS (as of 2026-10-14).