For Consumers

Implementation of SSB 5986 and updates to the Balance Billing Protection Act (BBPA) (R 2024-01)

SSB 5986 (PDF, 171 KB) adds ground ambulance balance billing protections to the Balance Billing Protection Act (BBPA). Rulemaking is necessary to revise Chapter 284-43B WAC to include ground ambulance services. This process will also help ensure that affected entities will understand their rights and obligations under the new law.

This rulemaking is also necessary to update the rules for the BBPA, including but not limited to consideration of arbitrator fees and revisions to the arbitration process for arbitration authorized under RCW 48.49.135.

Public hearing is scheduled for Nov. 26, 2024 

Proposed rulemaking filed Oct. 22, 2024

Comments on prepublication draft 

  • The comment period for the second prepublication draft period ended on Sept. 11, 2024

  • The comment period for the first prepublication draft ended July 31, 2024. 

  • View previously submitted comments

Second prepublication draft released Aug. 27, 2024

First prepublication draft released July 17, 2024

Notice to start rulemaking filed May 21, 2024

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