The bill introduces new protections for patients involved in motor vehicle accidents regarding ambulance service billing practices. Specifically, it prohibits ambulance services from selling or assigning medical debt related to these services to any licensed individual or entity until at least 120 days after the initial billing statement has been sent to the patient and any other responsible parties. The bill defines key terms such as "motor vehicle accident," which includes incidents involving pedestrians or bicyclists, and clarifies what constitutes an "initial billing statement."

Additionally, the bill establishes a mechanism for oversight by the commissioner of the department of health. If the commissioner suspects that an ambulance service has repeatedly violated the new billing regulations, they can refer the matter to the department of health for further action. The department is empowered to impose fines and take other disciplinary measures against ambulance services found to be in violation of the law. This framework aims to ensure compliance and protect patients from undue financial pressure following motor vehicle accidents.