HB 241 Louisiana House · 2025 Regular Session

LOCAL GOVERNMENT: Provides relative to regulation by local governing authorities of ambulance services (EN +$24,310 SG EX See Note)

HB 241 requires Louisiana municipalities and ambulance service providers operating under local contracts to submit their ground ambulance service rates to the Department of Insurance for public posting. Local authorities must certify rate accuracy and notify the department of any changes, with the department maintaining a publicly accessible online database of these rates. The bill also grants local governments authority to establish exclusive ambulance services within their jurisdictions, extending state antitrust immunity to such operations. This directly affects local governing bodies, ambulance providers, and insurers relying on the published rates for coverage decisions.

Bill status signed all 5 stages cleared

Introduction

Apr 2025

Committee Review

May 2025

House Passage

May 2025

Senate Passage

May 2025

Signed into Law

Jul 2025

Introduced Apr 1, 2025 Signed Jul 1, 2025

Maddy AI version diff · 3 comparisons

What changed between versions

HB241 Original → HB241 Act 489 · 4 edits

MODERATE

This bill formalizes a process for local governments to submit ambulance rates to the state Department of Insurance and requires the department to maintain a public database of these rates. Insurers are now authorized to rely on this database in good faith, creating a standardized reference for reimbursement. The bill also clarifies that local governments can regulate ambulance services on their own property without violating state antitrust laws, effectively granting them immunity from liability when acting in this capacity.

Scope change

The bill expands the regulatory framework by adding a specific requirement for rate submission to the state and establishing a public database, while simultaneously reinforcing the legal authority of local governments to regulate ambulance services on their property without fear of antitrust lawsuits.

REQUIREMENT

Local governing authorities and ambulance providers must now submit established rates to the Department of Insurance for certification.

The Department of Insurance is required to create and maintain a publicly accessible online database of ambulance service rates.

ENFORCEMENT

Insurance companies are legally permitted to rely in good faith on the rates listed in the state database for reimbursement purposes.

DEFINITION

Clarified that local governments acting to regulate ambulance services on their own property are protected from state antitrust liability.

Floor votes · Senate May 29, 2025 · House May 5, 2025

How they voted

33–0

Passed · 4 other

Total votes 37

May 29, 2025

D Democratic11

10 Yea 1

90% Yea

R Republican26

23 Yea 3

88% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

May 29, 2025

Upper · Passed

Rules suspended. Read by title, passed by a vote of 35 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled.

upper

May 27, 2025

Committee

Read by title and referred to the Legislative Bureau.

upper

May 21, 2025

Upper · Passed

Rules suspended. Reported favorably.

upper

May 5, 2025

Lower · Passed

Read third time by title, roll called on final passage, yeas 95, nays 0. Finally passed, title adopted, ordered to the Senate.

lower

Apr 24, 2025

Lower · Passed

Reported favorably (16-0).

lower

Apr 14, 2025

Committee

Read by title, under the rules, referred to the Committee on Municipal, Parochial and Cultural Affairs.

lower

Apr 1, 2025

Committee

Under the rules, provisionally referred to the Committee on Municipal, Parochial and Cultural Affairs.

lower

1 primary · 0 co-sponsors