On June 23, 2026, the Oregon Department of Consumer and Business Services (DCBS) issued Permanent Administrative Order ID 7-2026 on ground ambulance balance billing. The order replaces the temporary administrative order issued in December 2025, which was discussed in our January 13, 2026, Compliance Corner article, Oregon Issues Order on Ground Ambulance Reimbursements.
The permanent administrative order reconfirms the previously implemented requirements of Oregon House Bill 3243, codified in Oregon Revised Statutes section 743B.292. The law prohibits ground ambulance service organizations from balance billing health benefit plan enrollees if the enrollee has paid the in-network cost-sharing amount specified in the enrollee's health benefit plan. The statute also requires health benefit plans to pay ground ambulance service providers certain rates.
Like the temporary administrative order, the permanent administrative order applies to health benefit plans issued, renewed, or extended on or after January 1, 2026.
Employer Takeaway
Employer plan sponsors with fully insured plans can contact their medical insurance carriers for additional information. Self-insured employers in Oregon and outside the state, as well as certain Oregon governmental health plans, may voluntarily opt into Oregon’s ground ambulance balance billing law provisions.
For more information, please see the official text of the Permanent Administrative Order ID 7-2026 and review the Self-Funded Opt-in Information.