republic-os/legislation/us/states/or/2025r1/hb-3243.md

---
type: "Bill"
title: "Relating to billing for ground ambulance services."
description: "Prohibits balance billing for ambulance ground transportation services in certain circumstances and creates rules for health benefit plan reimbursement of ambulance services. Requires ground ambulance services to submit established local rates to the Department of Consumer and Business Services. Establishes a database of local rates for ambulance services and allows for penalties to be imposed for violations. Requires the department to submit a report on the implementation of this Act."
jurisdiction: "us/states/or"
legislature: "Oregon Legislative Assembly"
session: "2025R1"
identifier: "HB 3243"
citation: "Oregon HB 3243 (2025R1)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Rob Nosse"]
version_count: 8
action_count: 23
vote_count: 4
first_action: "2025-01-13T16:01:32+00:00"
last_action: "2025-08-13T20:54:04+00:00"
source: "openstates"
source_identifier: "ocd-bill/7d0afaa3-f406-41a4-a8ac-a7abba75c220"
source_url: "https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/HB3243"
source_hash: "352ec57a338ffb625f4a8c36bc07c023365de773ca6baf7feacc7e496373fbc5"
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-or"]
---

# Oregon HB 3243 (2025R1) — Relating to billing for ground ambulance services.

Prohibits balance billing for ambulance ground transportation services in certain circumstances and creates rules for health benefit plan reimbursement of ambulance services. Requires ground ambulance services to submit established local rates to the Department of Consumer and Business Services. Establishes a database of local rates for ambulance services and allows for penalties to be imposed for violations. Requires the department to submit a report on the implementation of this Act.

## Version chain

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

1. **House Amendments to Introduced** (filed) — [source](https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureDocument/HB3243/House%20Amendments%20to%20Introduced)
2. **Introduced** (filed) — [source](https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureDocument/HB3243/Introduced)
3. **A-Engrossed** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureDocument/HB3243/A-Engrossed)
4. **B-Engrossed** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureDocument/HB3243/B-Engrossed)
5. **HBHHC Amendment -3** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2025R1/Downloads/ProposedAmendment/28252)
6. **House Amendments to A-Engrossed** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureDocument/HB3243/House%20Amendments%20to%20A-Engrossed)
7. **JWM Amendment -A4** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2025R1/Downloads/ProposedAmendment/29648)
8. **Enrolled** (enrolled) — [source](https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureDocument/HB3243/Enrolled)

## Votes

- Heard and Reported Out with Amendments — **8–1** (pass) · lower
- Heard and Reported Out with Amendments — **40–6** (pass) · legislature
- Third reading. Carried by Nosse. Passed. — **38–5** (pass) · lower
- Rules suspended. Third reading. Carried by Patterson. Passed. — **25–4** (pass) · upper

## Sponsors

- Rob Nosse — primary (person)
- Cyrus Javadi — cosponsor (person)
- Deb Patterson — cosponsor (person)
- Hai Pham — cosponsor (person)
- Hoa Nguyen — cosponsor (person)
- Mark Gamba — cosponsor (person)
- Nathan Sosa — cosponsor (person)

## Timeline

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

- **2025-01-13T16:01:32+00:00** First reading. Referred to Speaker's desk. `introduction, reading-1, referral-committee`
- **2025-01-17T20:47:46+00:00** Referred to Behavioral Health and Health Care. `referral-committee`
- **2025-02-13T23:01:00+00:00** Public Hearing cancelled.
- **2025-02-27T23:01:00+00:00** Public Hearing held.
- **2025-04-08T22:02:00+00:00** Work Session held.
- **2025-04-16T16:18:06+00:00** Recommendation: Do pass with amendments, be printed A-Engrossed, and be referred to Ways and Means. `committee-passage-favorable`
- **2025-04-16T16:18:07+00:00** Referred to Ways and Means by order of Speaker. `referral-committee`
- **2025-06-06T15:44:00+00:00** Assigned to Subcommittee On Human Services. `referral-committee`
- **2025-06-11T20:03:00+00:00** Returned to Full Committee.
- **2025-06-11T20:02:00+00:00** Work Session held.
- **2025-06-17T15:02:00+00:00** Work Session held.
- **2025-06-19T22:38:08+00:00** Recommendation: Do pass with amendments and be printed B-Engrossed. `committee-passage-favorable`
- **2025-06-20T18:45:56+00:00** Second reading. `reading-2`
- **2025-06-23T21:56:25+00:00** Third reading. Carried by Nosse. Passed. `passage, reading-3`
- **2025-06-23T22:13:01+00:00** First reading. Referred to President's desk. `introduction, reading-1, referral-committee`
- **2025-06-23T23:04:28+00:00** Referred to Ways and Means. `referral-committee`
- **2025-06-24T20:42:52+00:00** Recommendation: Do pass the B-Eng. bill. `committee-passage-favorable`
- **2025-06-24T22:16:12+00:00** Second reading. `reading-2`
- **2025-06-25T01:28:23+00:00** Rules suspended. Third reading. Carried by Patterson. Passed. `passage, reading-3`
- **2025-06-26T18:14:38+00:00** Speaker signed. `passage`
- **2025-06-26T22:38:22+00:00** President signed. `passage`
- **2025-08-01T01:00:00+00:00** Governor signed. `executive-signature`
- **2025-08-13T20:54:04+00:00** Chapter 614, (2025 Laws): Effective date January 1, 2026.

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/7d0afaa3-f406-41a4-a8ac-a7abba75c220`. Confidence: reported (aggregated from official Oregon legislature records).