Illinois 2025-2026 Regular Session

Illinois Senate Bill SB3517

Introduced
2/5/26  
Refer
2/5/26  
Refer
2/17/26  
Report Pass
3/11/26  
Engrossed
4/14/26  
Refer
4/14/26  
Refer
4/27/26  
Report Pass
5/12/26  

Caption

INS-GROUND AMBULANCE SERVICE

Impact

The implementation of SB3517 means that health insurance issuers will have to adjust their reimbursement models to accommodate nonparticipating providers, particularly in emergency situations. The legislation will require health insurers to establish clear communication with both providers and insured individuals regarding expected reimbursements. This change will likely affect various state laws related to health insurance and emergency medical services, as insurers may need to broaden their networks to include more ground ambulance providers in order to avoid potential arbitration cases regarding payment disputes.

Summary

SB3517 aims to regulate the provision of emergency and urgent ground ambulance services, particularly concerning the reimbursement processes involving nonparticipating ground ambulance service providers. The bill mandates that health insurance policies issued on or after January 1, 2027, must ensure coverage for both emergency and urgent ground ambulance services. Importantly, policyholders must not incur out-of-pocket costs greater than they would have if they had used a participating provider, thereby introducing parity in cost-sharing for users of nonparticipating services.

Sentiment

The sentiment around SB3517 seems to be favorable among public health advocates and consumer groups who view it as a necessary step toward ensuring equitable access to emergency medical services without excessive financial burden on patients. However, some health insurers and providers have expressed concern about the potential increased costs of compliance and the implications for reimbursement rates, suggesting that the bill could create financial strains on nonparticipating service providers who may not have the same rate agreements as participating ones.

Contention

Notable points of contention regarding SB3517 arise from the provisions for arbitration in the case of payment disputes between insurers and nonparticipating providers. Opponents worry that binding arbitration could favor insurers and may limit the ability of providers to secure fair compensation for their services. Additionally, the bill raises questions about how effectively it will ensure that patients receive timely and adequate ambulance services from nonparticipating providers, without adversely impacting the availability of these critical services.

Companion Bills

No companion bills found.

Previously Filed As

IL HB2457

MEDICAID-AIR AMBULANCES RATES

IL SB1480

INS-BEHAVIORIAL HLTH SERVICES

IL SB2762

INS-SEIZURE DETECTION DEVICE

IL HB5328

SERVICEMEMBERS-SERVE ACT

IL SB3737

SERVICEMEMBERS-SERVE ACT

IL SB2921

INS-EYE MEDICATION COVERAGE

IL SB1358

INS CD-PET SCAN COVERAGE

IL SB2838

INS-HEARING CARE PLAN

IL HB4207

INS-HEALTH/CORONARY SCAN

IL SB3295

INS-DURABLE MEDICAL EQUIPMENT

Similar Bills

IL HJR0064

FY27 HOUSE REVENUE ESTIMATE

IL HB5425

NATURAL ORG REDUCE REG-ACT

IL SB2704

PROBATE-SMALL ESTATES

IL SB4006

CLIMATE RISK & STRENGTHEN HOME

IL SB2910

INS-FAIR PLAN ASSOCIATION

IL HJR0012

ED HEALTH INSURANCE TASK FORCE

IL HR0746

HFS REIMBURSEMENT PARITY

IL HR0713

PREVENTION WEEK