HB 2597 Missouri House · 2026 Regular Session

Creates provisions relating to payments to ambulance providers

HB 2597 sets minimum payment rates for out-of-network ambulance providers treating patients covered by health insurance plans. It requires insurance companies to pay these providers either the local government rate for ambulance services in that area or 325% of the Medicare rate for the same service (whichever is lower), but not more than the ambulance provider's billed charge. The bill mandates that payments be made directly to the ambulance provider within 30 days for complete claims, prohibits billing patients for additional amounts after payment, and limits patient cost-sharing to the same level as in-network services. This directly affects ambulance services (excluding air ambulances) and health insurance companies operating in the state.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
Governor
Introduced Dec 29, 2025 Last action May 15, 2026
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Full legislative history

Actions timeline

Total actions
4
Key actions
0
Committee
1
May 15, 2026
Committee
Referred: Emerging Issues(H)
lower
Dec 29, 2025
Introduced
Prefiled (H)
lower
1 primary · 2 co-sponsors

Sponsors