For Consumers

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

SSB 5986 (PDF, 171 KB) added ground ambulance balance billing protections to the Balance Billing Protection Act (BBPA). Rulemaking was necessary to revise Chapter 284-43B WAC to include ground ambulance services. The rulemaking also updated the BBPA rules, including but not limited to arbitration fee and process revisions for arbitrations authorized under RCW 48.49.135. This process ensures that affected entities understand their rights and obligations under the new law.

Adopted rule filed Nov. 27, 2024

Public hearing on Nov. 26, 2024 

  • The public hearing was held on Nov. 26, 2024 at 9:00 a.m.

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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