The original instrument was prepared by Christine Arbo Peck. The following digest, which does not constitute a part of the legislative instrument, was prepared by Tammy Crain-Waldrop. DIGEST SB 414 Reengrossed 2018 Regular Session White Present law provides for laws governing emergency medical services provided by ambulance transport but is silent on whether an emergency medical services provider can determine to transport an individual to a location other than a hospital emergency department. Proposed law clarifies that protocols may be established to allow for alternative destination transportation if the individual's condition does not meet the definition of emergency medical condition pursuant to present law. Proposed law provides for rulemaking by the Department of Health to establish a reasonable and adequate reimbursement methodology for ground ambulance transfers. Effective August 1, 2018. (Amends R.S. 40:1131(4)(intro para); adds R.S. 33:4791.1(A)(6) and (B)(7), and R.S. 40:1131.3 and 1133:14(A)(1)(c)) Summary of Amendments Adopted by Senate Committee Amendments Proposed by Senate Committee on Health and Welfare to the original bill 1. Changes terminology from behavioral health clinic to acute psychiatric facility. 2. Clarifies that alternative transport is permissible when the individual's condition does not meet the definition of emergency medical condition in present law. Senate Floor Amendments to engrossed bill 1. Removes the language that the alternate or alternative destination may include an urgent care clinic, independent freestanding emergency center, or acute psychiatric facility.