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HB4156Introduced in the House

Relating to medical assistance reimbursement of emergency medical services; and declaring an emergency.

Passed

Introduced by Gregory Smith, District 57

What does this bill do?

Plain-English breakdown

Writing a plain-English summary of this bill… this can take a few seconds the first time.

Official description

The Act makes changes to the program for paying for GEMT services. (Flesch Readability Score: 81.8). Modifies the requirements for Medicaid supplemental reimbursements paid to emergency medical services providers. Declares an emergency, effective on passage.

Where it stands

Chapter 70, (2026 Laws): Effective date March 31, 2026.

April 6, 2026

How did lawmakers vote?

House votes

2 recorded votes · each counted separately

Senate votes

2 recorded votes · each counted separately

SenateStage: Senate Third Reading · March 3, 2026

29

Yes

0

No

1

Absent or Not Voting

30 senators recorded in this Senate vote. Colors show vote categories only, not whether a vote was good or bad.

See how each senator voted

Bill history

  1. First reading. Referred to Speaker's desk.

  2. Referred to Health Care with subsequent referral to Ways and Means.

  3. Public Hearing held.

  4. Work Session held.

  5. Recommendation: Do pass with amendments, be printed A-Engrossed, and subsequent referral to Ways and Means be rescinded.

  6. Subsequent referral to Ways and Means rescinded by order of the Speaker.

  7. Second reading.

  8. Rules suspended. Carried over to February 19, 2026 Calendar.

  9. Rules suspended. Carried over to February 20, 2026 Calendar.

  10. Third reading. Carried by Smith G. Passed. Ayes, 42; Excused, 18--Boice, Boshart Davis, Breese-Iverson, Diehl, Hartman, Helfrich, Levy B, Lewis, Lively, Nelson, Osborne, Skarlatos, Tran, Valderrama, Wallan, Watanabe, Wright, Yunker.

  11. First reading. Referred to President's desk.

  12. Referred to Health Care.

  13. Public Hearing and Work Session held.

  14. Recommendation: Do pass the A-Eng. bill.

  15. Second reading.

  16. Carried over to 03-03 by unanimous consent.

  17. Third reading. Carried by Patterson. Passed. Ayes, 29; Excused, 1--Linthicum.

  18. Speaker signed.

  19. President signed.

  20. Governor signed.

  21. Chapter 70, (2026 Laws): Effective date March 31, 2026.

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