The bill, H.B. No. 2025-2026, proposes the enactment of section 5164.97 of the Revised Code, which establishes Medicaid coverage for treatment in place services provided by emergency medical service (EMS) organizations. The new section defines key terms related to emergency medical services and outlines the conditions under which Medicaid will cover services rendered by emergency medical technicians (EMTs) when the individual does not require transport to a hospital. Specifically, coverage is contingent upon the initiation of services through an emergency call, proper evaluation and treatment in accordance with state rules, and either a determination by the technician that transport is unnecessary or a refusal of transport by the individual.

Additionally, the bill stipulates that EMS organizations must hold a valid Medicaid provider agreement and demonstrate medical necessity for the services rendered to be eligible for payment. The Medicaid payment rate for these services is set at $150 per service. The bill also includes appropriations totaling $2,000,000 from the General Revenue Fund to support the payment rate for these in-place medical services, with specific allocations for state and federal contributions. This funding is intended to cover the novel expenses arising from the implementation of the new payment provisions.