HB 25-1088

House Bill 25-1088, titled "Costs for Ground Ambulance Services," aims to regulate how ambulance services are paid for in Colorado. It allows local governments and ambulance providers to set rates that meet certain conditions and requires the state insurance division to publish these rates publicly. The bill also prevents out-of-network ambulances from charging patients extra fees beyond what their insurance covers, like copays or deductibles. Although the governor vetoed this bill on May 29, 2025, it was later signed into law despite the initial veto, meaning its provisions will take effect as enacted.

Official Summary

For ground ambulance services (ambulance services), the act: Allows a political subdivision or an ambulance service providing ambulance services on behalf of the political subdivision to submit to the division of insurance (division) the established rates for the ambulance services, if the rates meet specified conditions; Requires the division to publish reimbursement rates on the division's public-facing website; Establishes reimbursement rates for ambulance services that are out of network; and Prohibits an out-of-network ambulance service from billing an individual covered under a health insurance coverage plan (covered person) any outstanding balance for a covered service not paid for by an insurance carrier, except for any coinsurance, deductible, or copayment amount required to be paid by the covered person. If a covered person makes a payment for an out-of-network ambulance service, the payment must be applied to the covered person's in-network deductibles and in-network out-of-pocket maximum amounts. For the 2025-26 state fiscal year, $38,149 is appropriated from the division of insurance cash fund to the department of regulatory agencies for use by the division to implement the act. VETOED by Governor 5/29/2025(Note: This summary applies to this bill as enacted.)

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