H.F. 5399 Summary

• Provides $120,000,000 in onetime aid from the general fund in fiscal year 2025 to the Emergency Medical Services Regulatory Board for eligible ambulance services.

• Limits eligibility to licensed ambulance services with a response density of 30 or fewer EMS responses per square mile, based on 2023 reported data.

• Distributes aid using a three-part formula: 20 percent divided equally among eligible applicants, 40 percent based on each applicant's share of total service area square mileage (capped at 1,200 square miles), and 40 percent based on a tiered points system for EMS responses.

• Requires recipients to spend funds only on licensed ambulance service expenses within their service area by December 31, 2027, or return unspent amounts by March 1, 2028.

• Mandates recipients submit annual reports by December 31, 2025, 2026, and 2027 on fund usage, with the board submitting summary reports to legislative committees beginning March 31, 2026.