Massachusetts 2025-2026 Regular Session

Massachusetts Senate Bill S1513 Compare Versions

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22 SENATE DOCKET, NO. 2532 FILED ON: 1/17/2025
33 SENATE . . . . . . . . . . . . . . No. 1513
44 The Commonwealth of Massachusetts
55 _________________
66 PRESENTED BY:
77 William J. Driscoll, Jr.
88 _________________
99 To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
1010 Court assembled:
1111 The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
1212 An Act establishing a task force to study the sustainability of emergency medical services.
1313 _______________
1414 PETITION OF:
1515 NAME:DISTRICT/ADDRESS :William J. Driscoll, Jr.Norfolk, Plymouth and BristolBarry R. FinegoldSecond Essex and Middlesex3/6/2025 1 of 3
1616 SENATE DOCKET, NO. 2532 FILED ON: 1/17/2025
1717 SENATE . . . . . . . . . . . . . . No. 1513
1818 By Mr. Driscoll, a petition (accompanied by bill, Senate, No. 1513) of William J. Driscoll, Jr.
1919 and Barry R. Finegold for legislation to establish a task force to study the sustainability of
2020 emergency medical services. Public Health.
2121 The Commonwealth of Massachusetts
2222 _______________
2323 In the One Hundred and Ninety-Fourth General Court
2424 (2025-2026)
2525 _______________
2626 An Act establishing a task force to study the sustainability of emergency medical services.
2727 Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
2828 of the same, as follows:
2929 1 (a) Notwithstanding the provisions of any general or special law to the contrary, the
3030 2executive office of health and human services, in collaboration with the department of public
3131 3health and the emergency medical care advisory board, shall establish a special task force to
3232 4issue a report and make recommendations on the structure, support and delivery of emergency
3333 5medical services in the commonwealth. The commission shall look at all aspects of emergency
3434 6medical services and impact on patient quality of care, including but not limited to: the ability to
3535 7designate emergency medical services as an essential service in the commonwealth; workforce
3636 8development initiatives; training; compensation; retention; costs versus expenses of care;
3737 9reimbursement rates; organization of EMS services; the feasibility of reorganizing the
3838 10emergency medical care advisory board within the executive office of public safety and security,
3939 11and; local and state support. The task force shall consist of the following members: the secretary
4040 12of health and human services or their designee, who shall serve as co-chair; the commissioner of
4141 13the department of public health or their designee, who shall service as co-chair; and one 2 of 3
4242 14representative from each of the following organizations: the Massachusetts Health & Hospital
4343 15Association; the Massachusetts Ambulance Association; the Professional Fire Fighters of
4444 16Massachusetts; Fire Chiefs Association of Massachusetts; the Massachusetts Association of
4545 17Behavioral Health Systems; the Association for Behavioral Health Care; the Massachusetts
4646 18College of Emergency Physicians, the Massachusetts Emergency Nurses Association, and; the
4747 19Massachusetts Senior Care Association.
4848 20 (b) The task force shall conduct an analysis and issue a report which shall include but not
4949 21be limited to: (i) a review of the methodologies used for determining reimbursement rates
5050 22affecting the availability of emergency and non-emergency ambulance transport, including a
5151 23review of a cost-based method for rate determination, and the potential need to reimburse certain
5252 24transports requiring longer transport-times or further geographical distances at a higher rate,
5353 25including but not limited to transports to and within the behavioral health system; (ii) an
5454 26assessment on the efficacy of the MassHealth non-emergency wheelchair van brokerage
5555 27program; (iii) industry-wide workforce initiatives including, but not limited to, strategies to
5656 28improve recruitment, training, including but not limited to, transitional training opportunities for
5757 29emergency medical services, and cost of training, certification, and licensure ; (iv) impact of
5858 30municipal ambulance service contracts being exempt from public bidding requirements; (v)
5959 31impact of administrative barriers on access and utilization of non-emergency ambulance
6060 32transport; (vi) An analysis of current EMS point of entry protocols in urban, suburban, and rural
6161 33settings, including but not limited to the assessment of resource allocation and capacity planning
6262 34related to EMS transport; (vii) the role of external economic factors on the development,
6363 35sustainability, and retention of the emergency medical service workforce such as the increases in
6464 36the minimum wage and competition from other industries; and (IX) recommendations on 3 of 3
6565 37coverage and reimbursement methodology for emerging models, including but not limited to
6666 38mobile integrated health and alternative behavioral health transportation.
6767 39 (c) The task force shall convene its first meeting within 30 days of the effective date of
6868 40this act. The task force shall submit its report, including recommendations to address any
6969 41statutory, regulatory, budgetary, or other barriers to implementing said recommendations, with
7070 42the clerks of the house of representatives and senate, the joint committee on health care
7171 43financing, the joint committee on labor and workforce development, joint committee on public
7272 44safety and homeland security, and the house and senate committees on ways and means within
7373 45six months of the effective date of this act.