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HB 4156Modifies the requirements for Medicaid supplemental reimbursements paid to emergency medical services providers.

Congress · introduced 2026-01-19

Digest: The Act makes changes to the program for paying for GEMT services. (Flesch Readability Score: 81.8). Modifies the requirements for Medicaid supplemental reimbursements paid to emergency medical services providers. Declares an emergency, effective on passage.

Latest action: Chapter Number Assigned

Sponsors

Action timeline

  1. · state_lower First reading. Referred to Speaker's desk.
  2. · state_lower Referred to Health Care with subsequent referral to Ways and Means.
  3. · state_lower Public Hearing held.
  4. · state_lower Work Session held.
  5. · state_lower Recommendation: Do pass with amendments, be printed A-Engrossed, and subsequent referral to Ways and Means be rescinded.
  6. · state_lower Subsequent referral to Ways and Means rescinded by order of the Speaker.
  7. · state_lower Second reading.
  8. · state_lower Rules suspended. Carried over to February 19, 2026 Calendar.
  9. · state_lower Rules suspended. Carried over to February 20, 2026 Calendar.
  10. · state_lower Third reading. Carried by Smith G. Passed.
  11. · state_upper First reading. Referred to President's desk.
  12. · state_upper Referred to Health Care.
  13. · state_upper Public Hearing and Work Session held.
  14. · state_upper Recommendation: Do pass the A-Eng. bill.
  15. · state_upper Second reading.
  16. · state_upper Carried over to 03-03 by unanimous consent.
  17. · state_upper Third reading. Carried by Patterson. Passed.
  18. · state_lower Speaker signed.
  19. · state_upper President signed.
  20. · state_lower Governor signed.
  21. · state_lower Chapter 70, (2026 Laws): Effective date March 31, 2026.

Text versions

No text versions on file yet — same ingest as the action timeline populates these. Each version has direct links to the XML / HTML / PDF at govinfo.gov.

Who matters

Members ranked by combined influence on this bill: role (sponsor 5 / cosponsor 1), capped speech count from the Congressional Record, and recorded-vote engagement.

#MemberRoleSpeechesVotedScore
1Breese-Iverson, Vikki (R, state_lower OR-59)sponsor05
2Frederick, Lew (D, state_upper OR-22)sponsor05
3Grayber, Dacia (D, state_lower OR-28)sponsor05
4Smith, Gregory (R, state_lower OR-57)sponsor05
5Broadman, Anthony (D, state_upper OR-27)cosponsor01
6Cate, Jami (R, state_lower OR-11)cosponsor01
7Muñoz, Lesly (D, state_lower OR-22)cosponsor01
8Pham, Hai (D, state_lower OR-36)cosponsor01
9Rieke Smith, Sue (D, state_lower OR-26)cosponsor01
10Sollman, Janeen (D, state_upper OR-15)cosponsor01

Predicted vote

Aggregated from: actual roll-call votes (when present) → sponsor → cosponsor → party median (predicts YES when ≥25% of the caucus sponsored/cosponsored). Each row labels its confidence tier so you can see why a position was predicted.

0 predicted yes (0%) · 543 predicted no (100%) · 0 unknown (0%)

By party: · R: 0 yes / 277 no · D: 0 yes / 263 no · I: 0 yes / 3 no

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