The Legislature directed us to work with the Department of Health and the Health Care Authority to study how to prevent balance billing from ground ambulance services and recommend if these services should be subject to Washington's Balance Billing Protection Act.

Our advisory group on this issue sent its recommendations to the legislature in October 2023. Legislation banning ground ambulance balance billing was enacted in 2024. 

Advisory group and report

Comments on draft report, policy options, findings rankings
Organization Submitted by
Aetna/ Association of Washington Healthcare Plan policy options and findings rankings (PDF 340.46KB) Christine Dolly
Association of Washington Cities letter (PDF 332.69KB) Candice Bock
Cascade Medical/ Washington State Hospital Association policy options and findings rankings (PDF 128.10KB) Pat Songer
Department of Health comments on draft (PDF 1.06MB) Catie Holstein 
Health Care Authority comments on draft (PDF 968.31KB) Andrea Philhower
KV Health/ Washington State Hospital Association comments on draft report (PDF 2.84MB) Rhonda Holden
Northwest Health Law Advocates comments on draft and findings rankings (PDF 1.80MB) Emily Brice
Olympic Ambulance policy options and findings rankings (PDF 359.83KB) Shawn Baird
Patient Coalition Washington policy options and findings rankings (PDF 186.71KB) Alex Hamasaki
Premera/ Association of Washington Healthcare Plans letter and findings rankings (PDF 440.96KB) Samuel Wilcoxson
Washington Ambulance Association policy options and findings rankings (PDF 137.52KB) Aya Samman

Advisory Group meetings

August 10 meeting materials

Comments on policy options 

July 26 meeting materials

June 15 meeting materials

May 4 meeting materials

March 31 meeting materials

February 27 meeting materials

January 20 meeting materials