l9n/ Oregon

2025 Regular Session

House Bill 3243

Prohibits balance billing for ambulance ground transportation services in certain circumstances and creates rules for health benefit plan reimbursement of ambulance services.

Became law as Chapter 614, Oregon Laws 2025, signed July 31, 2025, 199 days after it was filed. In force from January 1, 2026.

What it does

The synopsis the Legislative Assembly published with the bill.

Digest: Tells ambulance service providers not to balance bill some patients and makes them report local rates to DCBS. Makes some rules about health insurance for ambulance services. Tells DCBS to make a new database of local rates and allows for penalties. Tells DCBS to submit a report. (Flesch Readability Score: 63.5). Prohibits balance billing for ambulance ground transportation services in certain circumstances and creates rules for health benefit plan reimbursement of ambulance services. Requires ground ambulance services to submit established local rates to the Department of Consumer and Business Services. Establishes a database of local rates for ambulance services and allows for penalties to be imposed for violations. Requires the department to submit a report on the implementation of this Act.

Sponsors

Who carried the bill in each chamber, and who signed on. Each name leads to the member's page.

In the House of Representatives

5 co-sponsors

Cyrus Javadi, Hai Pham, Hoa Nguyen, Nathan Sosa, Mark Gamba

In the Senate

    1 co-sponsor

    Deb Patterson

    Its course

    January 13 to August 13, 2025, on one scale. In the top row each mark is a day something happened; taller marks are busier days.

    Each committee stop sits inside its chamber.

    Every action23 actions on 16 days

    In the House of RepresentativesJan 13 to Jun 23161 days

    Waiting for a committeeJan 13 to Jan 174 days

    Behavioral Health and Health CareJan 17 to Apr 1689 days

    Ways and MeansApr 16 to Jun 6 · moved on51 days

    Human ServicesJun 6 to Jun 11 · moved on5 days

    Ways and MeansJun 11 to Jun 198 days

    In the SenateJun 23 to Jun 241 day

    Waiting for a committeeJun 23 to Jun 230 days

    Ways and MeansJun 23 to Jun 241 day

    With the GovernorJun 24 to Jul 3137 days

    Votes

    Yeas to nays, as the Legislative Assembly recorded them. Committee votes are set in.

    • House of Representatives, third reading38–5

      Passed · Jun 23 · 17 present

    • Senate, third reading25–4

      Passed · Jun 24 · 1 present

    Amendments

    Each amendment offered, and what became of it.

    • House of Representatives committee amendmentAdopted

      Adopted Apr 16

    • House of Representatives committee amendmentAdopted

      Adopted Jun 19

    Text

    Each version as the Legislative Assembly printed it.

    l9n doesn't hold this bill's text yet.

    What happened

    In l9n's words, one line for each step. Every action as the Legislative Assembly published it is below.

    In the House of Representatives Jan 13 – Jun 23

    1. Jan 13Introduced
    2. Jan 17Sent to Behavioral Health and Health Care
    3. Feb 27Heard in Behavioral Health and Health Care
    4. Apr 8Heard in Behavioral Health and Health Care
    5. Apr 16Behavioral Health and Health Care recommended it as amended, and that it go to Ways and Means
    6. Sent to Ways and Means
    7. Jun 6Sent to Human Services Subcommittee
    8. Jun 11Heard in Human Services Subcommittee
    9. Returned to Ways and Means
    10. Jun 17Heard in Ways and Means
    11. Jun 19Ways and Means recommended it as amended
    12. Jun 20Read a second time
    13. Jun 23Passed the House of Representatives, 38 to 5

    In the Senate Jun 23 – Jun 24

    1. Jun 23Arrived in the Senate
    2. Sent to Ways and Means
    3. Jun 24Ways and Means recommended it
    4. Read a second time
    5. Passed the Senate, 25 to 4

    To the Governor Jun 26 – Aug 13

    1. Jun 26Signed in the House of Representatives
    2. Signed in the Senate
    3. Jul 31Signed by the Governor
    4. Aug 13Became chapter 614 of Oregon Laws 2025, in force from January 1, 2026
    All 23 actions, as published
    1. Jan 13First reading. Referred to Speaker's desk.House of Representatives
    2. Jan 17Referred to Behavioral Health and Health Care.House of Representatives
    3. Feb 13Public Hearing cancelled.House of Representatives
    4. Feb 27Public Hearing held.House of Representatives
    5. Apr 8Work Session held.House of Representatives
    6. Apr 16Recommendation: Do pass with amendments, be printed A-Engrossed, and be referred to Ways and Means.House of Representatives
    7. Apr 16Referred to Ways and Means by order of Speaker.House of Representatives
    8. Jun 6Assigned to Subcommittee On Human Services.House of Representatives
    9. Jun 11Work Session held.House of Representatives
    10. Jun 11Returned to Full Committee.House of Representatives
    11. Jun 17Work Session held.House of Representatives
    12. Jun 19Recommendation: Do pass with amendments and be printed B-Engrossed.House of Representatives
    13. Jun 20Second reading.House of Representatives
    14. Jun 23Third reading. Carried by Nosse. Passed.House of Representatives
    15. Jun 23First reading. Referred to President's desk.Senate
    16. Jun 23Referred to Ways and Means.Senate
    17. Jun 24Recommendation: Do pass the B-Eng. bill.Senate
    18. Jun 24Second reading.Senate
    19. Jun 24Rules suspended. Third reading. Carried by Patterson. Passed.Senate
    20. Jun 26Speaker signed.House of Representatives
    21. Jun 26President signed.Senate
    22. Jul 31Governor signed.House of Representatives
    23. Aug 13Chapter 614, (2025 Laws): Effective date January 1, 2026.House of Representatives