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RI H7485
Bill
Status
Introduced
2/4/2026
Primary Sponsor
Tina Spears
Click for details
AI Summary
- Individual and group health insurance policies issued or renewed on or after January 1, 2027, must provide coverage and reimbursement for ground ambulance services at rates equal to Medicare reimbursement rates for the same services
- EMS providers must be reimbursed at the level of care provided regardless of whether the patient is transported, and in-network providers must be reimbursed at the provider's contracted rate
- Establishes a mobile integrated healthcare community paramedicine program administered by the Department of Health in collaboration with the ambulance service coordinating advisory board, allowing approved EMS agencies to deliver patient-centered care in out-of-hospital settings using licensed EMS practitioners working with physicians, nurses, and other specialists
- Coverage and reimbursement requirements extend to both in-network and out-of-network ground ambulance services, community-based healthcare services, and mobile integrated health community paramedicine programs approved by the Department of Health
- Out-of-network ground ambulance services participating in the program must comply with all state and federal prohibitions on surprise medical billing; the act amends insurance law chapters covering accident/sickness policies, nonprofit hospital service corporations, nonprofit medical service corporations, and health maintenance organizations
Legislative Description
Provides coverage and increases individual and group insurance rates of reimbursement for ambulance services.
Health And Safety
Last Action
Committee recommended measure be held for further study
3/12/2026
Committee Referrals
Health & Human Services2/4/2026
Full Bill Text
No bill text available