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, will make payments to these 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 their qualifying EMS responses.

Additionally, the bill outlines the payment calculation process, where points are awarded based on the number of eligible EMS responses, with a total point amount determining the payment for each licensee. The director is responsible for certifying and distributing the payments by May 30, 2026. To fund this initiative, the bill appropriates $3,000,000 from the general fund for fiscal year 2026 specifically for the Rural EMS Uncompensated Care Pool Payment Program.