Bill > S2685

This bill mandates that individual and group health insurance plans provide coverage and reimbursement for ground ambulance services at rates equivalent to Medicare for similar services, effective January 1, 2027. It also requires reimbursement for emergency medical services practitioners, including those providing mobile integrated healthcare community paramedicine programs, at the level of care provided, regardless of whether the patient is transported. The bill establishes a "mobile integrated healthcare community paramedicine program" to be administered by the department of health in collaboration with the ambulance service coordinating advisory board, which will offer patient-centered, mobile healthcare services in out-of-hospital settings, utilizing licensed emergency medical service practitioners working with other healthcare professionals to address unmet health needs. This program will encompass both in-network (INN) and out-of-network (OON) ground ambulance services, as well as community-based healthcare services and approved mobile integrated health community paramedicine programs, with out-of-network ground ambulance services participating in the program being subject to state and federal prohibitions on surprise medical billing.

Health and Social Services

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