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hb883_00_IN
As Introduced
136th
General Assembly
Regular
Session
H. B. No. 883
2025-2026
Representative Glassburn
Cosponsors: Representatives Brennan,
Rader, Thomas, D., McNally, Piccolantonio, Brewer, Upchurch
To
enact section 5164.97 of the Revised Code
regarding
Medicaid coverage for treatment in place services provided by EMS
organizations, and to make an appropriation.
BE
IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
Section
1.
That
section 5164.97 of the Revised Code be enacted to read as follows:
Sec.
5164.97.
(A)
As used in this section, "emergency medical service
organization," "emergency medical technician-basic,"
"emergency medical technician-intermediate," and "emergency
medical technician-paramedic" have the same meanings as in
section 4765.01 of the Revised Code.
(B)
The medicaid program shall cover medical services provided by an
emergency medical technician-basic, emergency medical
technician-intermediate, or emergency medical technician-paramedic
that the technician is authorized by law to perform when the
individual receiving the services is not subsequently transported to
a hospital or other location, as long as all of the following are
satisfied:
(1)
The request for services was initiated by an emergency call.
(2)
The individual receiving services was evaluated and treated in
accordance with rules adopted by the state board of emergency
medical, fire, and transportation services.
(3)
Either of the following occurs:
(a)
The technician, in consultation with the technician's medical
director or cooperating physician advisory board, determines that the
individual does not require transport to a hospital or other
location.
(b)
The individual declines transport to a hospital or other location.
(C)
To be eligible to submit claims for payment for services provided
under this section, an emergency medical service organization shall
satisfy both of the following:
(1)
The emergency medical service organization holds a valid medicaid
provider agreement.
(2)
The services for which payment is sought were medically necessary,
and the emergency medical service organization has properly
documented medical necessity.
(D)
The medicaid payment rate for medical services provided under this
section shall be one hundred fifty dollars per service.
Section
2.
All
items in this act are hereby appropriated as designated out of any
moneys in the state treasury to the credit of the designated fund.
For all operating appropriations made in this act, those in the first
column are for fiscal year 2026 and those in the second column are
for fiscal year 2027. The operating appropriations made in this act
are in addition to any other operating appropriations made for these
fiscal years.
Section
3.
1
2
3
4
5
A
MCD
DEPARTMENT OF MEDICAID
B
General
Revenue Fund
C
GRF
651525
Medicaid
Health Care Services - Total
$0
$2,000,000
D
Medicaid
Health Care Services - State
$0
$551,800
E
Medicaid
Health Care Services - Federal
$0
$1,448,200
F
General
Revenue Fund Total
$0
$2,000,000
G
TOTAL
ALL BUDGET FUND GROUPS
$0
$2,000,000
The
foregoing supplemental appropriations in appropriation item 651525,
Medicaid Health Care Services, shall be used only to support the
payment rate for in-place medical services provided by emergency
medical technicians established by section 5164.97 of the Revised
Code. The foregoing supplemental appropriations are intended to
provide only for novel expenses directly resulting from the
implementation of the payment rate provisions established by section
5164.97 of the Revised Code.
Section
4.
Within
the limits set forth in this act, the Director of Budget and
Management shall establish accounts indicating the source and amount
of funds for each appropriation made in this act, and shall determine
the manner in which appropriation accounts shall be maintained.
Expenditures from operating appropriations contained in this act
shall be accounted for as though made in, and are subject to all
applicable provisions of, H.B. 96 of the 136th General Assembly.