The proposed bill seeks to amend Contract No. CW92057 with American Medical Response Mid-Atlantic, Inc. (AMR) by increasing the not-to-exceed amount for the fourth option year from $15,681,693.18 to $17,390,214.37, reflecting an increase of $1,708,521.19. This modification is essential for AMR to continue providing critical pre-hospital medical assistance, including Basic Life Support (BLS) services and related dispatch services, as well as coordinating non-emergency medical transportation for 911 callers. The contract is set to run from October 11, 2025, through October 10, 2026, and aims to address the rising demand for emergency medical services in the District. Additionally, the Wage Determination section of the contract will be updated to reflect Wage Determination No. 2015-4281, rev. 35, dated December 3, 2025.

The bill also outlines the responsibilities of the contractor, which include providing BLS emergency ambulance services for 18 hours a day, managing dispatch services, and conducting secondary telephonic triage by an Emergency Care Nurse during 911 call intakes. It establishes performance standards for response times and mandates compliance with the District's Department of Health regulations. Furthermore, the bill emphasizes the importance of a Nurse Triage Line program to improve the management of low-acuity 911 calls, ensuring that patients are directed to appropriate care options. Overall, the bill aims to enhance the efficiency and effectiveness of emergency medical services in the District of Columbia while ensuring compliance with various regulatory and operational standards.