The bill amends several sections of the General Laws related to accident and sickness insurance policies, nonprofit hospital service corporations, nonprofit medical service corporations, and health maintenance organizations. It establishes that no health insurance contract issued or renewed in Rhode Island on or after January 1, 2009, can impose a co-payment for ground ambulance services exceeding fifty dollars ($50.00). The term "ground ambulance services" is defined as services provided by licensed ambulance services in Rhode Island, excluding air and water ambulance services. Additionally, the bill clarifies that certain types of insurance coverage, such as hospital confinement indemnity and long-term care, are exempt from these provisions.

Furthermore, starting January 1, 2026, the bill mandates that individual and group health insurance contracts, as well as Medicaid reimbursement rates for ambulance services, must be equal to the reimbursement rates provided by Medicare for the same medical services. The definition of "ambulance" is also included, specifying it as any vehicle designed for emergency medical treatment and transportation of sick or injured persons. This legislation aims to enhance the financial support for ambulance services and ensure that reimbursement rates are aligned with Medicare standards.