Kentucky Ambulance

Providers Association



Handout Support Documents for HB 447

HB 447 Bill Summary Sheet

KY Ambulance Crisis Data Sheet


  • 02/05/2026 12:51 PM | Michael Reynolds (Administrator)

    Title:

    AN ACT relating to coverage for emergency ground ambulance services.

    Sponsor(s):

    Raymer , Rebecca
    Freeland , Chris
    Lewis , Scott
    Upchurch , Ken
    Riley , Steve
    Flannery , Patrick
    Hart , Mark
    White , Richard
    Bivens , Ryan
    Williams , Wade
    Neighbors , Amy
    Wesley , Bill
    Duvall , Robert
    Fleming , Ken
    Whitaker , Mitch
    Fugate , Chris
    Blanton , John
    Thomas , Walker
    McCool , Bobby
    Dotson , Ryan
    Imes , Mary Beth
    Fister , Daniel
    Lewis , Derek
    Gordon , Deanna
    Truett , Timmy

    Current Status:

    to Banking & Insurance (H)
    In House

    Summary:

    Create a new section of Subtitle 17A of KRS Chapter 304 to require coverage for emergency ground ambulance services; establish minimum allowable reimbursement for out-of-network emergency ground ambulance services; establish requirements for reimbursement of out-of-network ground ambulance providers; prohibit balance billing by out-of-network ground ambulance providers; establish construction clause in the event of conflicts; amend KRS 18A.225 to require the state employee health plan to comply with emergency ground ambulance coverage and payment requirements; provide that Act applies to health benefit plans issued or renewed on or after January 1, 2027; EFFECTIVE January 1, 2027.


  • 02/05/2026 12:50 PM | Michael Reynolds (Administrator)

    Title:

    AN ACT relating to emergency medical services.

    Sponsor(s):

    Hart , Mark
    Wesley , Bill

    Current Status:

    to Local Government (H)
    In House

    Summary:

    Create new sections of KRS Chapter 311A to create the EMS Professionals Foundation Program fund; specify the ambulance services and EMS professionals that are eligible to share in the distribution of the fund; provide that the Board of Emergency Medical Services shall administer the fund and may promulgate administrative regulations to facilitate its administration; authorize reimbursement for an EMS professional's out-of-pocket costs for mental health treatment for a diagnosed post-traumatic stress injury or post-traumatic stress disorder; provide for annual supplements to ambulance providers for each EMS professional it employs; amend KRS 42.190 and 136.392 to include the EMS Professionals Foundation Program fund to the premium surcharge; amend KRS 61.315 to include eligibility for in the line of duty death benefits to specified ambulance service providers.


  • 02/05/2026 12:49 PM | Michael Reynolds (Administrator)

    Title:

    AN ACT relating to emergency management services.

    Sponsor(s):

    Bauman , Jared
    Hart , Mark
    Wesley , Bill

    Current Status:

    to Postsecondary Education (H)
    In House

    Summary:

    Amend KRS 165A.310 to exclude institutions licensed or approved by the Kentucky Board of Emergency Medical Services from the definition of "proprietary school" under the Kentucky Commission for Proprietary Education; amend KRS 311A.020 to specify that the Kentucky Board of Emergency Medical Services has authority to oversee the licensure and relicensure of emergency medical services training or educational institutions; amend KRS 311A.015, 311A.024, 311A.025, 311A.030, and 164.945 to conform.


  • 02/05/2026 12:44 PM | Michael Reynolds (Administrator)

    Title:

    AN ACT relating to certificate of need.

    Sponsor(s):

    Proctor , Marianne
    Lockett , Matt
    Banta , Kim
    Callaway , Emily
    Calloway , Josh
    Doan , Steven
    Hodgson , John
    Holloway , Kim
    Maddox , Savannah
    Massaroni , Candy
    Nemes , Jason
    Rabourn , Felicia
    Roberts , T.J.
    Tate , Nancy

    Current Status:

    to Health Services (H)
    In House

    Summary:

    Amend KRS 216B.040 to require that the Cabinet for Health and Family Services conduct public hearings on certificate of need applications as requested by applicants and by holders of certificates of need and licenses; amend KRS 216B.062 to require a final decision within 90 days; amend KRS 216B.085 to require that only the applicant may request a public hearing; require that notice of the public hearing be given only to the applicant; require that only the applicant have the right to be represented by counsel and to present evidence and arguments at the public hearing; require that the cabinet notify only the applicant of the decision and that the decision is final unless a request for reconsideration is filed by only the applicant; amend KRS 216B.090 to permit only the applicant to request a hearing for purposes of reconsideration of the cabinet; amend KRS 216B.095 to delete notice of a cabinet decision regarding a request for a nonsubstantive review to any affected party; amend KRS 216B.115 to permit an appeal to the Franklin Circuit Court by the applicant of any final decision of the cabinet regarding an application to be made.


  • 02/05/2026 12:43 PM | Michael Reynolds (Administrator)

    Title:

    AN ACT relating to appropriations measures providing funding and establishing conditions for the operations, maintenance, support, and functioning of the government of the Commonwealth of Kentucky and its various officers, cabinets, departments, boards, commissions, institutions, subdivisions, agencies, and other state-supported activities.

    Sponsor(s):

    Petrie , Jason
    Bowling , Adam
    Bray , Josh
    Banta , Kim

    Current Status:

    to Appropriations & Revenue (H)
    In House

    Summary:

    The State/Executive Branch Budget: Details Part I, Operating Budget; details Part II, Capital Projects Budget; details Part III, General Provisions; details Part IV, State Salary/Compensation, Benefit, and Employment Policy; details Part V, Funds Transfer; details Part VI, General Fund Budget Reduction Plan; details Part VII, General Fund Surplus Expenditure Plan; details Part VIII, Road Fund Budget Reduction Plan; details Part IX, Road Fund Surplus Expenditure Plan; details Part X, Phase I Tobacco Settlement; and details Part XI, Executive Branch Budget Summary; APPROPRIATION.


  • 02/03/2026 7:30 AM | Anonymous

    EMS on the Hill — February 3rd Agenda
    Frankfort, Kentucky
    Coordinator: David Webb 270-584-4304

    7:30 AM EST — Kickoff Meeting
    Location: Capitol Annex Cafeteria
    • Welcome, updates, and distribution of leave‑behind brochures.
    • Review scheduled legislator meetings and talking points for the day.
    • Light networking and coordination before heading into the Capitol.

    8:00 AM – 14:00 PM — Legislative Meetings Begin
    • Visit your assigned legislators or drop in to speak with your local representatives.
    • Discuss key EMS legislation, including:
    • HB 447 — Emergency ground ambulance coverage & reimbursement
    • HB 236 — EMS education and KBEMS oversight modernization
    • HB 106 — EMS workforce incentives and mental‑health support
    • Support colleagues in their meetings and help guide providers who are new to advocacy.
    • Share your experiences, discuss EMS needs, and leave behind brochures.
    • It is important to call now to get your meeting scheduled. You can call (502) 564‑8100 and ask to speak with the administrative assistant for your legislators to schedule a meeting.
    • If you have already scheduled a meeting with your legislator, please contact David Webb at 270‑584‑4304so we can coordinate and track attendance.

    Press Conference — Time TBD (Afternoon)
    Hosted by Representative Raymer
    • Rep. Raymer will hold a press conference to discuss HB 447, legislation addressing fair coverage and reimbursement for emergency ground ambulance services.
    • We want as many EMS providers as possible standing behind her to show strong, unified support.
    • Final time will be shared as soon as confirmation is received.
     
    5:00 PM — Legislative Reception
    Location: The Foundry on Broadway
    411 W Broadway St
    Frankfort, KY 40601

    • Join EMS leaders, legislators, and partners for an evening reception.
    • Light refreshments, networking, and continued advocacy conversations.
    • A great opportunity to thank legislators for their time and reinforce the importance of EMS legislation.

    Important Parking Note
    Parking in the Capitol garage is limited due to ongoing construction. Please allow extra time for parking and walking to the Annex.

    Dress Code
    To present a unified and professional EMS presence:
    • Class A uniform or agency uniform is strongly encouraged.
    • If possible, arrive in an ambulance or marked EMS vehicle to demonstrate the statewide strength and visibility of EMS 




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The Kentucky Ambulance Providers Association has been representing our Commonwealth's Providers at the local, state, and national level since 1982


- President: James Hacker

- Vice President: Jim Duke

- Secretary: Michael Reynolds

- Treasurer: Ashley Powell


Kentucky Ambulance Providers Association

P.O. Box 42

Stanford, KY 40484



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