Insurance, Health, Accident - As introduced, prohibits an out-of-network ambulance service provider from balance billing an enrollee in a health benefit plan for emergency ambulance services; establishes allowable billable costs for such services. - Amends TCA Title 56, Chapter 7 and Title 68, Chapter 140.
HB 1061 prohibits out-of-network ambulance providers from charging patients extra fees (balance billing) for emergency ambulance services covered under their health insurance plan. It directly affects patients using emergency ambulance services who are enrolled in health benefit plans, ensuring they pay no more than the lesser of their in-network copay, the ambulance bill, or 325% of the Medicare rate for similar services in their area. The bill requires health insurers to count patient payments toward their deductibles and out-of-pocket limits, and bans providers from asking patients to waive these protections. The law takes effect July 1, 2025, for health plans issued or renewed on or after that date.
Bill status
passed
3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Mar 2026
House Passage
Apr 2026
Senate Passage
Governor
Introduced Feb 6, 2025
Last action Apr 6, 2026
Floor votes
How they voted
This bill passed the House by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
26
Key actions
12
Committee
13
Amendments
1
Apr 6, 2026
Introduced
Received from House, Passed on First Consideration
lower
Apr 2, 2026
Lower · Passed
H. adopted am. (Amendment 1 - HA0827)
lower
Apr 2, 2026
Lower · Passed
Passed H., as am., Ayes 94, Nays 0, PNV 0
lower
Mar 25, 2026
Lower · Passed
Placed on cal. Calendar & Rules Committee for 3/26/2026
lower
Mar 24, 2026
Lower · Passed
Rec. for pass. if am., ref. to Calendar & Rules Committee
lower
Mar 18, 2026
Lower · Passed
Placed on cal. Insurance Committee for 3/24/2026
lower
Mar 17, 2026
Lower · Passed
Action def. in Insurance Committee to 3/24/2026
lower
Mar 11, 2026
Lower · Passed
Placed on cal. Insurance Committee for 3/17/2026
lower
Mar 10, 2026
Lower · Passed
Action def. in Insurance Committee to 3/17/2026
lower
Mar 4, 2026
Committee
Rec for pass if am by s/c ref. to Insurance Committee
lower
Mar 4, 2026
Lower · Passed
Placed on cal. Insurance Committee for 3/10/2026
lower
Feb 25, 2026
Lower · Passed
Placed on s/c cal Insurance Subcommittee for 3/4/2026
lower
Feb 18, 2026
Lower · Passed
Action Def. in s/c Insurance Subcommittee to 3/4/2026
lower
Feb 11, 2026
Lower · Passed
Placed on s/c cal Insurance Subcommittee for 2/18/2026
lower
Feb 11, 2025
Committee
Assigned to s/c Insurance Subcommittee
lower
Feb 10, 2025
Committee
P2C, ref. to Insurance Committee
lower
Feb 6, 2025
Introduced
Intro., P1C.
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Greg Vital
RRepublican
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