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Starting July 1, 2026, this bill raises the base rates ground ambulance providers can charge — for example, increasing the paramedic transport rate from $2,383.73 to $2,426.64 — and folds the cost of medications directly into that base rate rather than billing it separately, while also authorizing the Bureau of Emergency Medical Services to adjust rates annually beginning in 2027 using a medical inflation index. The bill also requires Medicaid to reimburse ambulance providers at the highest rate allowed under the program's funding structure, and removes previously scheduled expiration dates on these ambulance billing rules, making them permanent.