Emergency medical transport providers assessment, sunset clause removed

HB 231 removes the expiration date for a quarterly assessment paid by emergency medical transport providers in Alabama. Currently, this assessment (based on providers' revenue from emergency transports) funds Medicaid enhancements for emergency services and ends on July 1, 2028. The bill makes this assessment permanent, requiring providers to continue paying it indefinitely. It directly affects all emergency medical transport providers operating in Alabama who currently pay this fee. The key mechanism is the permanent quarterly calculation tied to providers' prior fiscal quarter revenue, without a set end date.