Ambulance Services NAICS 621910

Mar 5, 2026 - ACA Proposal Could Shift Costs To Enrollees

• The Trump administration’s proposed new rules for Affordable Care Act (ACA) plans would shift more health care costs to Americans in 2027, according to The New York Times. Any transportation by ambulance must be covered under the ACA, but ambulance services may be negatively impacted if patients refuse services because they cancelled their insurance policies due to affordability issues. The plans would have much higher deductibles that could lead to larger medical bills. People who rely on the Affordable Care Act for their health insurance coverage could choose plans with much lower monthly premiums under the proposal but that could leave them exposed to medical expenses totaling thousands of dollars more than current ACA plans do before their insurance would kick in, according to The New York Times. The proposal would allow one kind of health plan to raise the annual deductible to more than $15,000 for an individual and $31,000 for a family. The individual deductible would be eight times the average for someone with employer-provided insurance.
• Seventeen US states had an ambulance provider tax in place in 2024, up from 15 in 2023, according to health policy research organization KFF. An ambulance provider tax is a tax levied by a state on ambulance services to help fund the state’s Medicaid program. Ambulance provider taxes enable states to draw down additional federal matching funds for Medicaid services, which may result in higher reimbursement rates for ambulance services. The higher reimbursements may partially or fully offset the tax on the ambulance services.

• President Trump has signed into law the $3.4 trillion One Big Beautiful Bill that is estimated by Healio to include $930 billion in Medicaid cuts over 10 years. Medicaid covers emergency ambulance services when provided by providers licensed by the state, according to the US Department of Health and Human Services. Nearly 12 million more people may be uninsured by 2034, with many losing coverage because of the Medicaid provisions in the bill, according to a US Congressional Budget Office analysis. For the first time in the Medicaid program’s nearly 60-year history, certain able-bodied adults aged 19 years to 64 years will be required to work, participate in job training, volunteer, or enroll in school at least 80 hours a month to maintain their Medicaid benefits. This will also be required for parents of children aged 14 years and older.
• Ambulance service industry employment increased moderately and average wages for nonsupervisory employees increased slightly during the first eight months of 2025, according to the US Bureau of Labor Statistics. Ambulance service industry sales are forecast to increase at a 5.76% compounded annual rate from 2025 to 2029, faster than the growth of the overall economy, according to Inforum and the Interindustry Economic Research Fund, Inc.