An Act To Improve The Sustainability Of Emergency Medical Services In Maine

LD 1530 requires Maine insurance companies to pay ambulance and nontransporting emergency medical services (EMS) providers specific reimbursement rates, including 200% of Medicare rates for in-network providers and 180% for out-of-network providers, with extra payments for rural areas. It prohibits insurers from requiring prior authorization for most ambulance transports to hospitals or facilities (like nursing homes) and ensures on-scene care - such as administering naloxone for opioid overdoses without transport - is reimbursed. The bill also limits annual rate increases for providers with rates below 200% of Medicare to 5% and clarifies that community paramedicine services may still require prior authorization. This directly affects EMS providers, rural communities, and patients receiving emergency care in Maine.