The bill amends Chapter 23-4.1 of the General Laws to establish a mobile integrated healthcare community paramedicine program, which will be administered by the Department of Health in collaboration with the ambulance service coordinating advisory board. This program aims to enhance emergency medical services by incorporating both in-network and out-of-network ground ambulance services, as well as community-based healthcare services. Emergency medical services agencies must apply for and receive approval from the Department of Health to participate in the program, ensuring compliance with state and federal regulations regarding surprise medical billing.

Additionally, the bill modifies definitions and provisions related to ground ambulance services in Chapters 27-18, 27-19, 27-20, and 27-41. It specifies that individual and group health insurance contracts, plans, and policies issued for delivery or renewed in this state on or after January 1, 2027, must provide coverage and reimbursement for ground ambulance services equal to coverage and reimbursement rates provided by Medicare for the same medical services. The bill also clarifies that this coverage and reimbursement shall extend to ambulance services that are in-network (INN) and out-of-network (OON), as well as community-based healthcare services and mobile integrated health community paramedicine programs approved by the Department of Health.

The bill further defines key terms related to ambulance services and excludes certain insurance policies from the new coverage requirements. Overall, the legislation aims to improve access to emergency medical care and ensure fair reimbursement practices for ambulance service providers.