SB645Introduced in the Senate
Prohibiting surprise billing of ground emergency medical services by nonparticipating providers
Introduced by Vince Deeds, District 10
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 purpose of this bill is to prohibit out-of-network emergency medical services agencies from balance billing a covered enrollee in a health insurance plan for ground ambulance services. The bill establishes the minimum payment to be made by an insurer to an out-of-network emergency medical services agency for ambulance services. The bill requires payment by the insurer directly to the out-of-network emergency medical services agency and the prompt payment of clean claims.
Where it stands
Approved by Governor 4/1/2026 - House Journal
March 14, 2026
How did lawmakers vote?
House of Delegates votes
4 recorded votes · each counted separately
Senate votes
2 recorded votes · each counted separately
SenateStage: Senate concurred in House amendments and passed bill (Roll No. 601) · March 13, 2026
29
Yes
4
No
1
Absent or Not Voting
34 senators recorded in this Senate vote. Colors show vote categories only, not whether a vote was good or bad.
See how each senator voted
| Senator | District | Vote |
|---|---|---|
| Trenton Barnhart | 9 | Yes |
| Ryan Weld | 1 | Yes |
| Laura Wakim Chapman | 1 | Yes |
| Charles Clements | 2 | Yes |
| Chris Rose | 2 | Yes |
| Mike Azinger | 3 | No |
| Eric Tarr | 4 | Yes |
| Amy Nichole Grady | 4 | Yes |
| Mike Woelfel | 5 | Yes |
| Scott Fuller | 5 | Yes |
Bill history
Filed for introduction
To Health and Human Resources
Introduced in Senate
To Health and Human Resources
Reported do pass
On 1st reading
Read 1st time
On 2nd reading
Read 2nd time
On 3rd reading
Read 3rd time
Passed Senate (Roll No. 67)
Ordered to House
House received Senate message
Introduced in House
To Health and Human Resources
To House Health and Human Resources
Markup Discussion
With amendment, do pass
Immediate consideration
Read 1st time
On 2nd reading, Special Calendar
Read 2nd time
Amendment reported by the Clerk
Committee amendment rejected (Voice vote)
On 3rd reading, Special Calendar
Reported by the Clerk
Motion to reconsider
Motion to table motion to reconsider amendment rejected (Roll No. 432)
Motion for previous question adopted (Roll No. 433)
Motion to reconsider amendment (Roll No. 434)
Amendment reported by the Clerk
Amendment adopted (Voice vote)
Amendment adopted (Voice vote)
Amended on 3rd reading
Amendment reported by the Clerk
Amendment adopted (Voice vote)
Amendment reported by the Clerk
Amendment rejected (Voice vote)
Read 3rd time
Passed House (Roll No. 435)
Title amendment adopted (Voice vote)
Communicated to Senate
House Message received
Senate concurred in House amendments and passed bill (Roll No. 601)
Communicated to House
Completed legislative action
To Governor 3/18/2026
To Governor 3/18/2026 - Senate Journal
Approved by Governor 4/1/2026
Approved by Governor 4/1/2026 - Senate Journal
Approved by Governor 4/1/2026 - House Journal
Verify the information
- Official page on the West Virginia Legislature website
- sb645 h hhr am _1 (amendment)
- sb645 h hhr am _1 rejected (amendment)
- sb645 hfat worrell 3-12 _1 (amendment)
- sb645 hfat worrell 3-12 _1 adopted (amendment)
- sb645 hfa statler am 3-11 _3 (amendment)
- sb645 hfa statler am 3-11 _3 adopted adopted (amendment)
- sb645 hfa statler 3-12 _2 (amendment)
- sb645 hfa statler 3-12 _2 adopted (amendment)
- sb645 hfa linville 3-12 _1 (amendment)
- sb645 hfa linville 3-12 _1 rejected (amendment)
- sb645 hfa statler am 3-11 _1 (amendment)
- sb645 h hhr am _1 adopted (amendment)
- Introduced (text)
- Enrolled (text)
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