LA SB221

Requires Louisiana Medicaid to cover "treatment-in-place services" where ambulance providers respond to 911 calls, assess or treat patients, but do not transport them to a hospital

Defines treatment-in-place services as encounters that may include real-time audio/video telecommunication with a physician, nurse practitioner, or physician's assistant, though such telecommunication is not required for reimbursement

Reimbursement will be at the basic life support emergency base rate or advanced life support Level 1 emergency base rate from the Medicaid fee schedule, based on the level of response and services provided

Excludes air ambulance providers from the treatment-in-place service coverage

Effective August 1, 2026, with the Louisiana Department of Health required to promulgate implementing rules