HB287 Summary

• Imposes a quarterly assessment on emergency medical transport providers from April 1, 2023, through July 1, 2024, calculated by multiplying the assessment rate by total emergency medical transports rendered in the previous quarter.

• Assessment rate calculated by multiplying projected annual gross receipts by 5.3 percent and dividing by projected total annual transports, with the collected assessment capped at half a percent below federal limits on net patient revenue.

• Assessment revenues deposited to the Alabama Health Care Trust Fund and used for state administrative costs ($175,000 per quarter) and Medicaid enhancement payments to emergency medical transport providers.

• Alabama Medicaid Agency pays quarterly transport enhancements to providers based on the assessment pool divided by total Medicaid-reimbursed emergency medical transports, with no reduction of existing state funding.

• Assessment automatically ceases if federal financial participation becomes unavailable or the state fails to maintain required funding levels; if conditions are met by December 1, 2023, remaining assessment funds are refunded to providers proportionally.