The bill amends the General Laws in Chapter 39-13, "Motor Passenger Carriers," by redefining terms related to transportation services and introducing a new definition for "Coordinated paratransit services." It specifies that non-emergency medical transportation (NEMT) is not included under this term and adds a new chapter to Title 39, "NON-EMERGENCY MEDICAL TRANSPORTATION," which defines various terms related to NEMT. The bill requires those wishing to operate NEMT services to obtain a certificate of operating authority, with a $125 application fee and a $100 annual renewal fee, and exempts certain services from this requirement. It sets insurance requirements for NEMT vehicle owners, with a minimum indemnity of $1,500,000 for personal injury and $100,000 for property damage, and outlines penalties for violations, including fines and possible imprisonment.

Furthermore, the bill enhances EMS by allowing licensed providers to evaluate and treat mental health disorders, including substance use disorders, in the community. It mandates that from January 1, 2025, health insurance contracts must cover transport to alternative facilities at the same rate as transport to an emergency department and cover evaluation and treatment for mental health and substance use disorders at rates not lower than traditional office settings. The Department of Health, in collaboration with the ambulance service coordinating advisory board, will administer the program and establish necessary rules and regulations. The bill also amends other chapters of the General Laws to include definitions and provisions related to EMS and community paramedicine programs, setting the framework for EMS agencies to participate and requiring insurance coverage for these services. The act is set to take effect on August 1, 2024.

Statutes affected:
3127  SUB A as amended: 39-13-1
3127  SUB A: 39-13-1
3127: 39-13-1