HB287 Alabama 2022 Session

Updated Feb 26, 2026

Notable

Summary

Primary Sponsor: Steve ClouseRepresentative
Republican
Session: Regular Session 2022
Title: Emergency medical transport providers, assessment imposed for the maintenance and expansion of emergency medical transport services through additional Medicaid enhancement payments, methodology for calculation of assessment and rate provided, and effective period for assessment provided, Secs 40-26B-90 to 40-26B-99, inclusive, added.
Summary: HB287 creates a new funding mechanism by imposing a quarterly assessment on emergency medical transport providers to fund added Medicaid payments and improvements to emergency medical transport services.
What This Bill Does
It imposes a quarterly assessment on emergency medical transport providers based on transports from the previous quarter, with the rate determined by projected gross receipts and total annual transports and subject to a federal cap. The collected funds go to the Alabama Health Care Trust Fund to cover administrative costs and to fund emergency medical transport enhancements. The Alabama Medicaid Agency would pay quarterly enhancements to providers based on prior-quarter transports, using a rate tied to the assessment pool and prior-quarter transports. The program requires federal approvals and may be adjusted or delayed if approvals are not obtained, with provisions for exemptions and possible refunds if conditions aren’t met.

Who It Affects
Emergency medical transport providers: must pay the quarterly assessment (based on transports) and file required reports; may receive Medicaid enhancements; face penalties for late payment and potential withholding of payments if the assessment is not paid.
Alabama Medicaid Agency and related state bodies (including Department of Revenue and the Alabama Health Care Trust Fund): administer the assessment and enhancements, calculate and pay enhancements, manage federal approvals, and ensure funds are spent on admin costs and EMS enhancements.

Key Provisions
Adds Sections 40-26B-90 through 40-26B-99 to establish the EMS transport assessment and enhancement framework.
Defines terms such as Assessment Pool, Assessment Rate, Emergency Medical Transport Enhancement, and Transport Enhancement Rate.
Imposes a quarterly EMS transport assessment from April 1, 2023 through July 1, 2024, based on prior quarter transports; sets rate using projected gross receipts (5.3%) divided by projected annual transports, with a cap related to federal law.
Funds go to the Alabama Health Care Trust Fund and are dedicated to administrative costs and to emergency medical transport enhancements (and a minimum quarterly admin amount of $175,000).
Medicaid enhancements are paid quarterly to providers, calculated as prior-quarter transports reimbursed by Medicaid times the transport enhancement rate; the rate is set by the assessment pool and prior-quarter transports.
Requires federal approvals; allows modifications to comply with federal law; permits exemptions for provider categories if needed; and permits refunds if conditions for operation aren’t met.
Includes reporting and recordkeeping requirements for providers, confidentiality of information, penalties for late payments, and possible withholding of Medicaid funds to recover unpaid assessments.

AI-generated summary using openai/gpt-5-nano on Feb 22, 2026. May contain errors — refer to the official bill text for accuracy.
Subjects: Emergency Medical Transport Providers