✕Surprise billing · 50 states
↗ Collapse
Oct 5, 2026, 12:00 pm
AI Agent
State & approachBill
GeorgiaGA
Local rate, else up to 325% of Medicare
HB 506Starts Jan 2027
AlabamaAL
200% Medicare floor, then IDR contractor
SB 269In force Oct 1
UtahUT
State-set base rates plus mileage
HB 269In force Jul 1
PennsylvaniaPA
Flat 350% of Medicare, paid in 45 days
HB 1152Dies Nov 30
Where each bill stands
Signed this year
Utah Jul 1, Alabama Oct 1, Georgia 2027
UTALGA
Still pending
Pennsylvania by Nov 30, NC in the Senate
PANC
Died with the session
Passed the House 94-0, stalled in the Senate
TN
SignedPendingDied
Personal AI analysis Based on your priorities
Alabama’s 200% floor applies to in-network contracts from Oct 1, so ambulance contracts there need repricing now. Texas protections expire Sep 1, 2027 unless renewed in the session that opens Jan 12.
12 sec ago
Ask a follow-up… e.g., “alert me when Texas files a bill to extend its ambulance rules”
Skills /
Tips ⌘ ?
Detailed bill comparison
Build live dashboard