The bill amends the General Laws to introduce a mobile integrated healthcare/community paramedicine program, allowing approved emergency medical services (EMS) agencies to divert non-emergency basic life support (BLS) calls from emergency departments to alternative facilities such as primary care providers, community health clinics, urgent care facilities, emergency room diversion facilities, and community-based behavioral health facilities. It defines relevant terms like "Basic life support," "Emergency medical services," and "Emergency medical services practitioner." The bill mandates that from January 1, 2024, health insurance contracts must cover transport to these alternative facilities and reimburse EMS at the same rate as for a BLS transport to an emergency department. Licensed providers are also allowed to evaluate and treat mental health and substance use disorders in the community, with insurance coverage required for such services at rates not lower than those for services delivered in a traditional office setting.

Furthermore, the bill requires that treatment and coverage for mental health and substance use disorders comply with chapter 38.2 of title 27. The Department of Health, in collaboration with the ambulance service coordinating advisory board, is responsible for administering the program and establishing necessary rules, regulations, and procedures. The office of the health insurance commissioner is empowered to promulgate rules and regulations to ensure the efficient administration and enforcement of this section. The bill also outlines the eligibility criteria for EMS agencies to participate in the program and authorizes them to transport patients to designated facilities. The executive office of health and human services is tasked with setting reimbursement rates for the services described in the bill, which would take effect upon passage.