PA HB1965

Certified EMS providers who complete additional community paramedicine training can deliver non-emergency services including health assessments, chronic disease monitoring, medication compliance, and hospital discharge follow-up care to patients who don't require emergency transport.

Health insurance policies issued or renewed in Pennsylvania must cover community paramedicine services when ordered as part of a care plan by an EMS medical director, primary care provider, or health insurer, subject to standard copays and deductibles.

Department of Health must promulgate regulations within one year establishing certification, practice, and disciplinary standards for community paramedicine providers.

Secretary of Human Services must establish Medicaid coverage and payment rates for community paramedicine services, considering potential reductions in hospital admissions and emergency room utilization.

Insurance mandate excludes limited benefit, credit, dental, vision, and long-term care/disability income policies; act takes effect in 60 days.