Texas House Bill HB4410

Texas 2025 - 89th Regular

• Filed: 3/11/25

Caption

Relating to Medicaid reimbursement rates for certain ground ambulance services.

Impact

If enacted, this bill would alter the operations of Medicaid managed care organizations by requiring them to adhere to the new reimbursement standards. The law stipulates that the reimbursement rates must not only match Medicare rates but also include an annual increment of three percent. This provision is crucial for the sustainability of ground ambulance services, which often struggle with the costs of operation, particularly in rural and less populated regions where services are essential for public safety.

Summary

House Bill 4410 focuses on the provision of Medicaid reimbursement rates specifically for ground ambulance services, aiming to improve financial support for these critical services in rural areas. The bill mandatorily increases the base rates set for ground ambulance services to at least 40 percent of the Medicare rate for similar services originating in rural settings. Proponents assert that this adjustment is necessary to ensure that ground ambulance providers can maintain operations and provide timely emergency response in underserved areas.

Contention

While HB4410 has garnered significant support from healthcare advocates and emergency service providers, there are concerns from some managed care organizations regarding the potential increase in costs and its implications on their operational budgets. The requirement for higher reimbursement rates could lead to debates about the funding mechanisms within the Medicaid system, potentially affecting other healthcare provisions as funds are redistributed to meet these new requirements.

Texas Constitutional Statutes Affected

Human Resources Code

• Chapter 32. Medical Assistance Program
  • Section: New Section

Government Code

• Chapter 540. Medicaid Managed Care Program
  • Section: New Section