This bill proposes to increase the reimbursement rate for ambulance service providers from 67.5% to 110% of the allowable charges set by the federal Medicare program. It also aims to remove the existing Ground Ambulance Service Provider Assessment Act from state law. Essentially, it seeks to provide more financial support to ambulance services in Tennessee.
TN SB1805 is a senate bill in the Tennessee 114th General Assembly, sponsored by Paul Bailey (R), currently “Introduced” since January 20, 2026.
We track 9,160 Tennessee bills this session, 196 of them sponsored by Paul Bailey.
Supporters of the bill argue that increasing reimbursement rates will help ensure that ambulance services remain financially viable, allowing them to continue providing essential emergency care to communities. They believe this change will improve patient access to necessary medical transport and support the sustainability of local healthcare services.
Critics of the bill may argue that increasing reimbursement rates could put additional strain on the state's budget and divert funds from other important health programs. They might also express concern that eliminating the Ground Ambulance Service Provider Assessment Act could undermine accountability and oversight of ambulance services in Tennessee.
The analysis of SB1805, which amends reimbursement rates for ambulance service providers under TennCare, reveals no direct conflicts of interest between the sponsor, Paul Bailey, and the bill's subject matter. While Bailey is a businessman and owner of multiple trucking-related companies, none of these interests appear to directly intersect with the ambulance service industry or the specific provisions of the bill. The increase in reimbursement rates primarily affects healthcare providers rather than transportation or trucking services, which are Bailey's primary business interests.
Unlike federal analysis based on campaign donations, state analysis examines legislators' personal financial interests — their jobs, businesses, and investments.
| Type | Description | Industry | Source |
|---|---|---|---|
| Occupation | Businessman | — | AI-researched |
| Employer | Owner of Bailey Company, a trucking business | — | TN Legislature bio |
| Business Owner | Owner of Bailey Company | — | TN Legislature bio |
| Board Member | Board member of the Tennessee Trucking Association | — | TN Legislature bio |
| Employer | CB TRUCKING INC | — | TN Ethics Commission |
| Employer | CB TRANSPORTATION, INC | — | TN Ethics Commission |
| Employer | A & P LEASING, LLC | — | TN Ethics Commission |
| Employer | BAILEY TIRE COMPANY, LLC | — | TN Ethics Commission |
| Employer | BAILEY INVESTMENTS | — | TN Ethics Commission |
| Employer | CB LEASING, LLC | — | TN Ethics Commission |
| Employer | WAREHOUSE SERVICES, LLC | — | TN Ethics Commission |
| Employer | COWBOY TRUCK LEASING LLC | — | TN Ethics Commission |
| Business Owner | NATIONAL REINED COW HORSE ASSOCIATION PRESIDENT from Feb 2012 to current | — | TN Ethics Commission |
| Business Owner | AMERICAN QUARTER HORSE ASSOCIATION DIRECTOR from Mar 2004 to current | — | TN Ethics Commission |
| Business Owner | TN QUARTER HORSE ASSOCIATION DIRECTOR from Jan 1998 to current | — | TN Ethics Commission |
| Asset | BUILTWELL BANK, Spouse, and Minor Child | — | TN Ethics Commission |
| Asset | DEKALB COUNTY BANKand Minor Child | — | TN Ethics Commission |
| Asset | CITIZENS BANK | Commercial Banks | TN Ethics Commission |
| Asset | BAILEY INVESTMENTS LLCand Minor Child | — | TN Ethics Commission |
| Asset | SAFE TRUCKING | — | TN Ethics Commission |
| Asset | THROUGHBRED FINANCIAL, Spouse, and Minor Child | — | TN Ethics Commission |
| Asset | Leadership PAC: PB PAC | — | TN Ethics Commission |
Items marked "AI-researched" are generated from public sources but have not been independently verified. Verified data is sourced from official legislature websites and disclosure filings.
About This Analysis
This summary was generated using AI from the bill's official text and metadata. Data sourced from LegiScan and the Tennessee General Assembly. Conflict analysis examines the sponsor's personal financial interests for potential overlaps with the bill's subject matter.
What does TN SB1805 do?
This bill proposes to increase the reimbursement rate for ambulance service providers from 67.5% to 110% of the allowable charges set by the federal Medicare program. It also aims to remove the existing Ground Ambulance Service Provider Assessment Act from state law. Essentially, it seeks to provide more financial support to ambulance services in Tennessee.
What is the status of TN SB1805?
TN SB1805 is currently “Introduced” in the Tennessee legislature.
Who sponsored TN SB1805?
Paul Bailey (R) sponsored TN SB1805.
TN SB1805