The bill amends the Out-of-Network Ambulance Service Provider Act to enhance the reimbursement process for ambulance services. It allows local governmental entities or ambulance service providers to submit their approved rates to the Insurance Department, which is required to establish and maintain a public database of these rates by January 1, 2026. The minimum allowable reimbursement rate for out-of-network ambulance services will be based on the rates submitted by local entities as of May 1, 2025. If no rates are submitted, the reimbursement will default to either 325% of the current Medicare rate or the ambulance service provider's billed charges.

Additionally, the bill stipulates that payments made under this framework will be considered full payment for covered services, barring any copayments or deductibles required from the enrollee. It prohibits ambulance service providers from billing enrollees for any additional amounts beyond what the insurer pays. The Department is also tasked with reviewing the database data and submitting a report by January 1, 2027, with the rates set to expire unless modified by the legislature before December 31, 2027. The act is set to take effect on January 1, 2026.