WV HB2106

Emergency medical services agencies may triage and transport patients to alternative destinations (urgent care centers, federally qualified health centers, physician offices, behavioral health facilities) or treat patients in place when coordinating care through medical command or telehealth services

Alternative destinations explicitly exclude hospitals, critical access hospitals, dialysis centers, skilled nursing facilities, and private residences

Health insurers must provide coverage for EMS agencies that treat enrollees in place, transport to alternative destinations, or respond to calls where the patient declines transport against medical advice, when care is coordinated via telehealth

Reimbursement rates for alternative destination transport or treat-in-place services must equal the rate for traditional emergency room transport

The commissioner must submit a proposed legislative rule to the Emergency Medical Services Advisory Council by May 28, 2025, and file with the Secretary of State by June 30, 2025