Emergency medical transport providers assessment, sunset clause removed

SB 144 removes the expiration date for a quarterly fee paid by emergency medical transport providers (like ambulance services) in Alabama. Currently, this assessment - calculated based on providers' revenue from emergency transports and capped at 5.3% - funds Medicaid enhancements for ambulance services and expires July 1, 2028. The bill makes this fee permanent, ensuring ongoing funding for ambulance service maintenance and expansion without a set end date. It affects all Alabama emergency medical transport providers who must report quarterly data to the state. The bill takes effect October 1, 2026.