---
type: "Bill"
title: "Ground ambulance services; to prohibit balance billing and set minimum reimbursement rates by health care insurers to emergency medical service providers"
description: "Insurance"
jurisdiction: "us/states/al"
legislature: "Alabama Legislature"
session: "2026rs"
identifier: "SB 269"
citation: "Alabama SB 269 (2026rs)"
classification: ["bill"]
subjects: ["Insurance"]
status: "enacted"
primary_sponsors: ["Singleton"]
version_count: 4
action_count: 21
vote_count: 0
first_action: "2026-02-05T05:00:00+00:00"
last_action: "2026-04-06T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/197e0691-3881-420c-81a2-190b14508478"
source_url: "https://alison.legislature.state.al.us/bill-search"
source_hash: "f9000404023b4ee8ac4aff0ff85c9ab5bd73367701cf93d464607f984eb23a8b"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-al"]
---

# Alabama SB 269 (2026rs) — Ground ambulance services; to prohibit balance billing and set minimum reimbursement rates by health care insurers to emergency medical service providers

Insurance

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://alison.legislature.state.al.us/files/pdf/SearchableInstruments/2026RS/SB269-int.pdf)
2. **Engrossed** (committee substitute) — [source](https://alison.legislature.state.al.us/files/pdf/SearchableInstruments/2026RS/SB269-eng.pdf)
3. **Singleton motion to Adopt - Adopted Roll Call 682** (committee substitute) — [source](https://alison.legislature.state.al.us/files/pdf/SearchableInstruments/2026RS/XD1P9Z7-1.pdf)
4. **Enrolled** (enrolled) — [source](https://alison.legislature.state.al.us/files/pdf/SearchableInstruments/2026RS/SB269-enr.pdf)

## Sponsors

- Singleton — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2026-04-06T04:00:00+00:00** Enacted `became-law`
- **2026-03-31T04:00:00+00:00** Delivered to Governor `executive-receipt`
- **2026-03-31T04:00:00+00:00** Signature Requested
- **2026-03-31T04:00:00+00:00** Enrolled
- **2026-03-31T04:00:00+00:00** Ready to Enroll
- **2026-03-31T04:00:00+00:00** Motion to Read a Third Time and Pass - Adopted Roll Call 1066 `passage`
- **2026-03-31T04:00:00+00:00** Third Reading in Second House
- **2026-03-17T04:00:00+00:00** Read for the Second Time and placed on the Calendar (Insurance)
- **2026-03-17T04:00:00+00:00** Reported Out of Committee Second House
- **2026-03-05T05:00:00+00:00** Pending Committee Action in Second House (Insurance)
- **2026-03-05T05:00:00+00:00** Read for the first time and referred to the House Committee on Insurance `reading-1, referral-committee`
- **2026-03-03T05:00:00+00:00** Engrossed
- **2026-03-03T05:00:00+00:00** Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 683 `passage`
- **2026-03-03T05:00:00+00:00** Singleton motion to Adopt - Adopted Roll Call 682
- **2026-03-03T05:00:00+00:00** Banking and Insurance 1st Substitute Offered (Banking and Insurance) `amendment-introduction`
- **2026-03-03T05:00:00+00:00** Third Reading in House of Origin
- **2026-02-26T05:00:00+00:00** Read for the Second Time and placed on the Calendar (Banking and Insurance)
- **2026-02-26T05:00:00+00:00** Reported Out of Committee House of Origin
- **2026-02-26T05:00:00+00:00** Banking and Insurance 1st Substitute (Banking and Insurance)
- **2026-02-05T05:00:00+00:00** Pending Committee Action in House of Origin (Banking and Insurance)
- **2026-02-05T05:00:00+00:00** Read for the first time and referred to the Senate Committee on Banking and Insurance `reading-1, referral-committee`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/197e0691-3881-420c-81a2-190b14508478`. Confidence: reported (aggregated from official Alabama legislature records).