ME LD1530

Requires insurance carriers to reimburse ambulance services and nontransporting emergency medical services for on-scene care regardless of whether the patient is transported to another facility

Extends existing reimbursement rate requirements to nontransporting emergency medical service providers: 200% of Medicare rate for in-network providers and 180% for out-of-network providers, or the provider's rate, whichever is less

Makes administration of naloxone hydrochloride or other opioid overdose-reversing medications by EMS providers reimbursable care, even without patient transport

Removes prior exemption for community paramedicine services from reimbursement requirements, now requiring carriers to cover these services at standard rates while still allowing prior authorization requirements

Effective date of October 1, 2025 for nontransporting emergency medical service providers, with a 5% annual cap on rate increases for providers currently charging below 200% of Medicare rates