AN ACT CONCERNING MEDICAID REIMBURSEMENT FOR EMERGENCY MEDICAL TRANSPORTATION.
This legislation modifies how Medicaid reimburses for emergency medical transportation. It aims to improve access to these vital services for those covered by Medicaid.
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SB 429 — AN ACT CONCERNING MEDICAID REIMBURSEMENT FOR EMERGENCY MEDICAL TRANSPORTATION.
Last action — SIGNED BY GOVERNOR
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed House
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced March 05, 2026. Enacted.
Signed by Governor Ned Lamont (Democratic) on June 02, 2026.
Prognosis
Where this bill stands today.
Odds of enactment
HighHow often bills like it became law.
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Enacted
Current position in the legislative process.
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3 sponsors
3 primary, 0 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (2 R · 1 D) — cross-party backing.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
In plain language
The bill updates Medicaid reimbursement policies for emergency medical transportation services.
This legislation modifies how Medicaid reimburses for emergency medical transportation. It aims to improve access to these vital services for those covered by Medicaid.
What this means for you
- Healthcare: This means healthcare providers may receive better reimbursements for emergency medical transport services.
Bill Text
What changed in the latest version
36 added · 90 removedPlain-language change summary
Senate Bill No. 429 has updated the reimbursement structure for ambulance services covered by the state's medical assistance program. The bill introduces a relative value unit system that adjusts payments based on the type of ambulance service, which aims to align with how Medicare reimburses similar services. Additionally, starting July 1, 2026, the calculation for out-of-district mileage will be based on the actual distance traveled with the patient in the ambulance, ensuring that reimbursements are fair and reflect the true cost of service. This change is significant because it seeks to improve compensation for ambulance providers while ensuring that patient care remains a priority.
Senate GeneralBill Assembly File No.
311429 FebruaryPublic Session,Act 2026 Senate Bill No.
42926-88 Senate,AN AprilACT 1,CONCERNING 2026MEDICAID TheREIMBURSEMENT CommitteeFOR onEMERGENCY HumanMEDICAL ServicesTRANSPORTATION. reported through SEN.
LESSER of the 9th Dist., Chairperson of the Committee on the part of the Senate, that the bill ought to pass.
AN ACT CONCERNING MEDICAID REIMBURSEMENT FOR EMERGENCY MEDICAL TRANSPORTATION.
The basic life support nonemergency transport shall be designated as the base rate with the relative value unit system applied to basic life support nonemergency transports, basic life support emergency transports, advanced life support nonemergency transports, advanced life support emergency transports and paramedic SB429intercept /services. File No.
311 1 SB429 File No.
311 intercept services.
(b)Senate OnBill andNo. after July 1, 2026, the Commissioner of Social Services shall base the out-of-district mileage calculation for ambulance services reimbursed under the state medical assistance program on the distance traveled by an ambulance with the patient onboard from the point of patient pickup to the destination, rounded to the nearest one-tenth of a mile.
429 (b) On and after July 1, 2026, the Commissioner of Social Services shall base the out-of-district mileage calculation for ambulance services reimbursed under the state medical assistance program on the distance traveled by an ambulance with the patient onboard from the point of patient pickup to the destination, rounded to the nearest one-tenth of a mile.
ThisGovernor's actAction: shall take effect as follows and shall amend the following sections:
SectionApproved 1June July2, 1, 2026 17b-273Public HSAct Joint Favorable SB429 / File No.
31126-88 2 SB429of File2 No.
311 The following Fiscal Impact Statement and Bill Analysis are prepared for the benefit of the members of the General Assembly, solely for purposes of information, summarization and explanation and do not represent the intent of the General Assembly or either chamber thereof for any purpose.
In general, fiscal impacts are based upon a variety of informational sources, including the analyst’s professional knowledge.
Whenever applicable, agency data is consulted as part of the analysis, however final products do not necessarily reflect an assessment from any specific department.
OFA Fiscal Note State Impact:
None Municipal Impact:
None Explanation The bill changes the basis for calculating out-of-district mileage for ambulance services reimbursed under the state medical assistance program, which is not anticipated to result in a net impact to the Department of Social Services.
1 The Out Years State Impact:
None Municipal Impact:
None 1Based on a sample of 4,750 trips that were reimbursed on a “town to town” payment structure versus paying for actual mileage SB429 / File No.
311 3 SB429 File No.
311 OLR Bill Analysis SB 429 AN ACT CONCERNING MEDICAID REIMBURSEMENT FOR EMERGENCY MEDICAL TRANSPORTATION.
SUMMARY This bill sets requirements for how the Department of Social Services (DSS) calculates mileage to reimburse ambulance services under the state medical assistance program (which includes Medicaid).
Specifically, the bill requires the DSS commissioner to calculate out-of- district mileage for these services based on an ambulance’s distance traveled with the patient onboard from the point of patient pickup to the destination, rounded to the nearest one-tenth of a mile.
The bill allows an ambulance service to use any reasonable and verifiable method to document mileage, including global positioning system (GPS) data, navigation or dispatch computer systems, or commercially available mapping routing programs.
Under the bill, the DSS commissioner must require ambulance service providers to maintain mileage documentation in the patient care record, including a trip report with the patient’s name, street address, pickup point, and destination.
EFFECTIVE DATE:
July 1, 2026 COMMITTEE ACTION Human Services Committee Joint Favorable Yea 23 Nay 0 (03/19/2026) SB429 / File No.
311 4
View plain text versions (4)
- Chaptered Public Act No. 26-88 Current pdf
- File No. 311 View text pdf
- HS Joint Favorable View text pdf
- Raised Bill View text pdf
AI-generated reading aid from the bill's amendatory text — verify against the official bill.
The bill repeals and replaces Section 17b-273 to update Medicaid reimbursement regulations for ambulance services, including payment methodologies and mileage calculations effective July 1, 2026.
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Section 17b-273
Section 17b-273 of the general statutes is repealed and the following is substituted in lieu thereofSection 17b-273 is entirely replaced by new provisions.
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Section 17b-273
On and after April 1, 1983, the Commissioner of Social Services shall increase the payment rate for ambulance rides eligible under the state medical assistance program. Subject to federal approval, beginning with the fiscal year commencing July 1, 2015, the Commissioner of Social Services shall, within available appropriations, revise the payment methodology for ambulance services under the Medicaid program to apply a relative value unit system similar to the payment methodology used in the Medicare program. The basic life support nonemergency transport shall be designated as the base rate with the relative value unit system applied to basic life support nonemergency transports, basic life support emergency transports, advanced life support nonemergency transports, advanced life support emergency transports and paramedic intercept services. For purposes of this section, "relative value unit" means a numeric value for ambulance services relative to the value of a base level ambulance service.→ On and after April 1, 1983, the Commissioner of Social Services shall increase the payment rate for ambulance rides eligible under the state medical assistance program. Subject to federal approval, beginning with the fiscal year commencing July 1, 2015, the Commissioner of Social Services shall, within available appropriations, revise the payment methodology for ambulance services under the Medicaid program to apply a relative value unit system similar to the payment methodology used in the Medicare program. The basic life support nonemergency transport shall be designated as the base rate with the relative value unit system applied to basic life support nonemergency transports, basic life support emergency transports, advanced life support nonemergency transports, advanced life support emergency transports and paramedic intercept services. For purposes of this section, "relative value unit" means a numeric value for ambulance services relative to the value of a base level ambulance service.The existing reimbursement structure for ambulance services is modified to include the use of a relative value unit system.
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Section 17b-273
On and after July 1, 2026, the Commissioner of Social Services shall base the out-of-district mileage calculation for ambulance services reimbursed under the state medical assistance program on the distance traveled by an ambulance with the patient onboard from the point of patient pickup to the destination, rounded to the nearest one-tenth of a mile. An ambulance service may use any reasonable and verifiable method to document such mileage, including, but not limited to, global positioning system data, navigation or dispatch computer systems or commercially available mapping routing programs. The commissioner shall require an ambulance service provider to maintain documentation of such mileage as part of the patient care record, including, but not limited to, a trip report with the name of the patient and street address of the patient pickup point and destination.
New provisions for mileage calculations and documentation for ambulance services are established.
Action History
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SIGNED BY GOVERNOR
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TRANSMITTED BY SECRETARY OF THE STATE TO GOVERNOR
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TRANSMITTED TO SECRETARY OF THE STATE
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PUBLIC ACT 26-88
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IN CONCURRENCE
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HOUSE PASSED
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HOUSE CALENDAR NUMBER 385
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FAV. RPT., TABLED FOR HOUSE CALENDAR
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SENATE PASSED
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FILE NO. 311
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SENATE CALENDAR NUMBER 221
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FAV. RPT., TAB. FOR CAL., SEN.
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RPTD. OUT OF LCO
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REFERRED TO Office of Legislative Research AND Office of Fiscal Analysis 03/31/26
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FILED WITH LCO
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Joint Favorable
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PUBLIC HEARING 0310
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REF. TO JOINT COMM. ON Human Services
Sponsors
- Tom Delnicki · Primary
- Kenneth Gucker · Primary
- Jeff Gordon · Primary
Sponsorship breakdown
Export CSV (upgrade) →3 sponsors · 0 co-sponsors · 184 not signed on
Sponsors (3)
- Tom Delnicki Republican
- Kenneth Gucker Democratic
- Jeff Gordon Republican
Co-sponsors (0)
None.
Not signed on (184)
184 members have not signed on to this bill.
Show all 184 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Subjects
Frequently asked questions
- Who sponsors SB 429?
- SB 429 is sponsored by Tom Delnicki (Republican), Kenneth Gucker (Democratic), and Jeff Gordon (Republican).
- What is the current status of SB 429?
- This bill has been enacted into law. Introduced March 05, 2026. Enacted.
- Where can I track SB 429?
- Track SB 429 free on One Click Politics — get push/email alerts when it moves.
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