FN-HGKGZ33-1 Page 1 FISCAL NOTE House Bill 469 Committee: Insurance Sponsor: Representative Ed Oliver Analyst: Tiffany Weaver Date: 04/07/2025 House Bill 469 as introduced could increase the obligations of the Public Education Employees' Health Insurance Board and State Employees' Insurance Board by an estimated $2.5 million and $5.3 million annually, respectively, due to the minimum reimbursement rate set by this bill for health insurers to pay out-of-network ground ambulance providers.