The bill establishes a Rural EMS Uncompensated Care Pool Payment Program aimed at providing financial support to eligible ambulance service licensees operating outside metropolitan areas in Minnesota. The program, administered by the director of the Office of Emergency Medical Services, will make payments to these eligible licensees based on specific criteria related to their emergency medical service (EMS) responses. Eligible responses must meet several conditions, including being initiated by a public safety answering point and not resulting in any payment from other sources. The application process requires eligible licensees to submit their requests by March 31, 2026, detailing the number of qualifying EMS responses.

Additionally, the bill appropriates $3,000,000 from the general fund for fiscal year 2026 to support the program. Payments to eligible licensees will be calculated based on a point system that awards points for the number of eligible EMS responses, with a per-point amount determined by the total appropriated funds. The director is required to certify and distribute the payment amounts to each eligible licensee by May 30, 2026.