AB 199

Medical Assistance reimbursement for nontransport ambulance services

Under current law, the Department of Health Services uses a standardized coding system, which is known as the Healthcare Common Procedure Coding System (HCPCS) and produced by the federal Centers for Medicare and Medicaid Services, to describe certain products, supplies, and services for those submitting claims for reimbursement under the Medical Assistance program. The Medical Assistance program is a joint state and federal program that provides health services to individuals who have limited financial resources. This bill directs DHS to change, for dates of service beginning with January 1, 2027, the current maximum reimbursement allowed under the Medical Assistance program for services provided under HCPCS code A0998, often referenced as “ambulance response and treatment, no transport,” from the current maximum allowable fee to a rate that matches the maximum allowable rate for reimbursement of services provided under HCPCS code A0429, often referenced with a description of “ambulance service, basic life support, emergency transport (bls-emergency).”

Report on scope of practice changes

The bill requires the Emergency Medical Services Board, in consultation with DHS and the Technical College System Board, to annually submit a report to the legislature on state and national changes to the scope of practice of emergency medical responders, emergency medical services practitioners, or any equivalent practitioners in other jurisdictions and how those scope of practice changes may affect training for emergency medical responders and emergency medical services practitioners in this state.

Expenditure restraint incentive program

The bill also excludes expenditures of amounts levied for fees apportioned to each municipality operating a joint fire department or joint emergency medical services district that are exempt from local levy limits from being considered in determining eligibility for an expenditure restraint incentive program payment. Under current law, a municipality is eligible to receive an expenditure restraint incentive program payment if its property tax levy is greater than 5 mills and if the annual increase in its municipal budget, subject to certain exceptions, is less than the sum of factors based on inflation and the increased value of property in the municipality as a result of new construction.