The Alabama Legislature

2026 Regular Session
Find My Legislator|Bills|

  • Session Information
    • Legislative Day
      • House Virtual Chamber
      • Senate Virtual Chamber
      • Virtual Chamber
      • Livestreams
      • Today’s Schedule
    • Resources
      • House Special Order Calendar
      • Proposed House Special Order Calendar
      • Senate Special Order Calendar
      • Status Sheet Reports
    • Session Reports
      • House Session Reports
      • Senate Session Reports
      • House Special Order Calendars
      • Senate Special Order Calendars
    Use arrow keys to navigate
  • Legislation & Laws
    • Current Session
      • Bills
      • Resolutions
      • Confirmations
      • Acts
      • Companions
      • Prefiled
    • All Sessions
      • Bills
      • Resolutions
      • Confirmations
      • Acts
      • Companions
      • Prefiled
      • Executive Amendments
    • Laws
      • Constitution
      • Code of Alabama
      • Administrative Code
      • Act Dispositions
    Use arrow keys to navigate
  • House of Representatives
    • House Leaders & Members
      • House Leaders
      • House Members
      • House Members List
      • Past Speakers
      • Find My Legislator
    • Committees and Livestreams
      • House Standing Committees
      • Joint Committees
      • Livestreams
    • House Rules
      • General Rules of Order & Procedure
      • Rules Relating to Members
      • Rules Relating to the Presiding Officer
      • Rules Relating to Committees
      • Rules Relating to the Clerk & Journal
      • Joint Rules of the Two Houses
    • Additional Resources
      • House Staff
      • House District Map 2021
      • House Session Reports
      • Proposed House Special Order Calendar
      • Proposed Consent Calendar
      • House Job Postings
      • House Special Order Calendar
    Use arrow keys to navigate
  • Senate
    • Senate Leaders & Members
      • Senate Leaders
      • Senate Members
      • Seating Chart
    • Committees and Livestreams
      • Senate Standing Committees
      • Joint Committees
      • Livestreams
    • Senate Rules
      • General Rules of Order
      • Rules Relating to Senators
      • Rules Relating to the Presiding Officer
      • Rules Relating to Committees
      • Rules Relating to the Secretary & the Journal
      • Joint Rules of the Two Houses
      • Rules Indexed
    • Additional Resources
      • Senate Staff Directory
      • Senate District Map 2021
      • Senate Session Reports
      • Senate Special Order Calendar
    Use arrow keys to navigate
  • Joint Resources
    • Resources
      • Legislative Process
      • Legislative Glossary
      • Legislative Council Decisions
      • Joint Committees
      • Joint Rules of the Two Houses
      • Contract Review Agenda
    • Reapportionment
      • 2021 Reapportionment Information
      • Committee on Reapportionment
      • Education Map 2021
      • Redistricting Maps
    Use arrow keys to navigate
  • Legislative Services Agency
    • Fiscal Division
      • About
      • Fiscal Dashboard
      • Budget Spreadsheets
      • Appropriation Summaries
      • Infographics & Primers
      • Tax Guide
      • Appropriation Acts and Spreadsheets
    • Law Institute
      • About
      • Projects
      • Services
      • Probate Judge Resources
    • Legal Division
      • Drafting Style Manual
      • Publications
    • Additional Resources
      • File Directory
      • Proposed Alabama Constitution of 2022
      • Values
      • Contact Us
      • Legislative Internship Program
      • Agency News
      • Legislative Council Decisions
    Use arrow keys to navigate
  • Examiners of Public Accounts
    • About Us
      • History
      • Staff Directory
      • Peer Review
      • Audit Reports
      • Purchasing Co-ops
      • Contract Review
    • Sunsets
      • Sunset Reports
      • Sunset Members
      • Sunset Schedule
      • Special Reports
    • Other Services
      • Emergency Info
      • Repository Audits
    • Resources
      • Rules of the Department
      • Publications and Info
      • Audit Manual
      • Constitution
      • Administrative Code
      • Code of Alabama
      • Reporting and Training
    • Career Opportunities
      • Accounts Examiner I
      • Compliance Examiner I
      • Accounting Technician
      • Accounting Clerk
      • Accounts Examiner Intern
      • Employee Incentives
      • Report Fraud
      • Contact Us
    Use arrow keys to navigate
HomeLegislationSB269 - 2026RS

Senate Bill 269

2026 Regular Session
Enacted

Bill Info and Details

Sponsor

Sen. Bobby D. Singleton
Senate District 24

Act Link

Act No. 2026-349

Bill Documents

Enrolled3/31/2026

Past versions

Engrossed3/3/2026Introduced2/5/2026

Recent Fiscal Note

Enacted

Bill Details

SubjectInsurance
TitleGround ambulance services; to prohibit balance billing and set minimum reimbursement rates by health care insurers to emergency medical service providers
StatusEnacted
Last Action4/6/2026 - Senate Enacted - 2026-349
Committees
House InsuranceSenate Banking and Insurance
First Read2/5/2026
CompanionHB400 - Oliver
DateBodyMatterAmd/SubCommitteeVoteLegislative Day
4/6/2026
Senate
Enacted
3/31/2026
Senate
Delivered to Governor
25
3/31/2026
House
Signature Requested
25
3/31/2026
Senate
Enrolled
25
3/31/2026
Senate
Ready to Enroll
25
3/31/2026
House
Motion to Read a Third Time and Pass - Adopted Roll Call 1066
R 1066
25
3/31/2026
House
Third Reading in Second House
R 1065
25
3/17/2026
House
Read for the Second Time and placed on the Calendar
Insurance
23
3/17/2026
House
Reported Out of Committee Second House
23
3/5/2026
House
Pending Committee Action in Second House
Insurance
19
3/5/2026
House
Read for the first time and referred to the House Committee on Insurance
19
3/3/2026
Senate
Engrossed
18
3/3/2026
Senate
Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 683
R 683
18
3/3/2026
Senate
Singleton motion to Adopt - Adopted Roll Call 682
XD1P9Z7-1
R 682
18
3/3/2026
Senate
Banking and Insurance 1st Substitute Offered
XD1P9Z7-1
Banking and Insurance
18
3/3/2026
Senate
Third Reading in House of Origin
R 681
18
2/26/2026
Senate
Read for the Second Time and placed on the Calendar
Banking and Insurance
17
2/26/2026
Senate
Reported Out of Committee House of Origin
17
2/26/2026
Senate
Banking and Insurance 1st Substitute
XD1P9Z7-1
Banking and Insurance
17
2/5/2026
Senate
Pending Committee Action in House of Origin
Banking and Insurance
10
2/5/2026
Senate
Read for the first time and referred to the Senate Committee on Banking and Insurance
10
Date
4/6/2026
Body
Senate
Matter
Enacted
Amd/Sub
Committee
Vote
Legislative Day
Date
3/31/2026
Body
Senate
Matter
Delivered to Governor
Amd/Sub
Committee
Vote
Legislative Day
25
Date
3/31/2026
Body
House
Matter
Signature Requested
Amd/Sub
Committee
Vote
Legislative Day
25
Date
3/31/2026
Body
Senate
Matter
Enrolled
Amd/Sub
Committee
Vote
Legislative Day
25
Date
3/31/2026
Body
Senate
Matter
Ready to Enroll
Amd/Sub
Committee
Vote
Legislative Day
25
Date
3/31/2026
Body
House
Matter
Motion to Read a Third Time and Pass - Adopted Roll Call 1066
Amd/Sub
Committee
Vote
R 1066
Legislative Day
25
Date
3/31/2026
Body
House
Matter
Third Reading in Second House
Amd/Sub
Committee
Vote
R 1065
Legislative Day
25
Date
3/17/2026
Body
House
Matter
Read for the Second Time and placed on the Calendar
Amd/Sub
Committee
Insurance
Vote
Legislative Day
23
Date
3/17/2026
Body
House
Matter
Reported Out of Committee Second House
Amd/Sub
Committee
Vote
Legislative Day
23
Date
3/5/2026
Body
House
Matter
Pending Committee Action in Second House
Amd/Sub
Committee
Insurance
Vote
Legislative Day
19
Date
3/5/2026
Body
House
Matter
Read for the first time and referred to the House Committee on Insurance
Amd/Sub
Committee
Vote
Legislative Day
19
Date
3/3/2026
Body
Senate
Matter
Engrossed
Amd/Sub
Committee
Vote
Legislative Day
18
Date
3/3/2026
Body
Senate
Matter
Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 683
Amd/Sub
Committee
Vote
R 683
Legislative Day
18
Date
3/3/2026
Body
Senate
Matter
Singleton motion to Adopt - Adopted Roll Call 682
Amd/Sub
XD1P9Z7-1
Committee
Vote
R 682
Legislative Day
18
Date
3/3/2026
Body
Senate
Matter
Banking and Insurance 1st Substitute Offered
Amd/Sub
XD1P9Z7-1
Committee
Banking and Insurance
Vote
Legislative Day
18
Date
3/3/2026
Body
Senate
Matter
Third Reading in House of Origin
Amd/Sub
Committee
Vote
R 681
Legislative Day
18
Date
2/26/2026
Body
Senate
Matter
Read for the Second Time and placed on the Calendar
Amd/Sub
Committee
Banking and Insurance
Vote
Legislative Day
17
Date
2/26/2026
Body
Senate
Matter
Reported Out of Committee House of Origin
Amd/Sub
Committee
Vote
Legislative Day
17
Date
2/26/2026
Body
Senate
Matter
Banking and Insurance 1st Substitute
Amd/Sub
XD1P9Z7-1
Committee
Banking and Insurance
Vote
Legislative Day
17
Date
2/5/2026
Body
Senate
Matter
Pending Committee Action in House of Origin
Amd/Sub
Committee
Banking and Insurance
Vote
Legislative Day
10
Date
2/5/2026
Body
Senate
Matter
Read for the first time and referred to the Senate Committee on Banking and Insurance
Amd/Sub
Committee
Vote
Legislative Day
10
Act No.
2026-349
Effective Date Certain
Thursday, October 1, 2026
This act, until June 1, 2029: (1) requires health care insurers to reimburse in-network and out-of-network emergency medical service (EMS) providers for responding to emergency calls at minimum rates according to Medicare reimbursement rates; (2) prohibits EMS providers from billing patients for outstanding ambulance fees in excess of the amount reimbursed by insurance; (3) imposes dispute resolution guidelines when insurers and EMS providers disagree regarding reimbursement; (4) requires EMS providers and insurers to annually report to the Alabama Department of Public Health certain data concerning emergency ambulance response and emergency ambulance-related claims; and (5) requires the Alabama Association of Ambulance Services to contract with a consultant with expertise in risk management and insurance to submit a report on the impacts of this act's requirements to the Legislature by December 1, 2028. This act also amends Sections 10A-20-6.16 and 27-21A-23, Code of Alabama 1975, to subject health care service plan corporations and health maintenance organizations to this act.

Fiscal Notes

Description
Enacted
Passed First Chamber
Reported by First Chamber Committee
Introduced

Budget Isolation Resolutions

BIRBodyDateMatterVote
BIR783
House
3/31/2026
Passed by Second House
R 1065
BIR783
Senate
3/3/2026
Passed by House of Origin
R 681
BIR
BIR783
Body
House
Date
3/31/2026
Matter
Passed by Second House
Vote
R 1065
BIR
BIR783
Body
Senate
Date
3/3/2026
Matter
Passed by House of Origin
Vote
R 681

The Alabama Legislature

Alabama State House 11 South Union Street, Montgomery, AL 36130

    • Website Resources
    • Support
    • Find My Legislator
    • Privacy Statement
    • Fair Ballot Commission
    • Lobbyists
    • Legislative Internship Program
    • Accessibility Statement
    • Visitors
    • Session Information
    • Legislative Day
    • Resources
    • Session Reports
    • Legislation & Laws
    • Current Session
    • All Sessions
    • Laws
    • House of Representatives
    • House Leaders & Members
    • Committees and Livestreams
    • House Rules
    • Additional Resources
    • Senate
    • Senate Leaders & Members
    • Committees and Livestreams
    • Senate Rules
    • Additional Resources
    • Joint Resources
    • Resources
    • Reapportionment
    • Legislative Services Agency
    • Fiscal Division
    • Law Institute
    • Legal Division
    • Additional Resources
    • Examiners
    • About Us
    • Audit Reports
    • Purchasing Co-ops
    • Contract Review
    • Sunsets
    • Special Reports
    • Other Services
    • Resources
    • Reporting and Training
    • Career Opportunities
    • Report Fraud
    • Contact Us
Use arrow keys to navigate

Copyright © 2026 The Alabama Legislature. All rights reserved.