FN-HGKGZ33-2 Page 1 FISCAL NOTE House Bill 469 Committee: Insurance Sponsor: Representative Ed Oliver Analyst: Tiffany Weaver Date: 04/09/2025 House Bill 469 as reported by the Committee on Insurance could increase, decrease, or maintain the obligations of the Public Education Employees' Health Insurance Board and State Employees' Insurance Board by an estimated $1.9 million annually and an undetermined amount, respectively, due to the minimum reimbursement rate set by this bill for health insurers to pay in-network and out-of-network ground ambulance providers. Further, this bill would increase the obligations of the Alabama Department of Public Health by an undetermined amount to adopt rules and obtain annual reports from emergency medical service providers due to the provisions of this bill.