An Act amending Title 35 (Health and Safety) of the Pennsylvania Consolidated Statutes, in emergency medical services system, further providing for support of emergency medical services.

HB 2238 requires Pennsylvania's Department of Health to submit an annual financial report by October 1st detailing all expenditures from the Emergency Medical Services Operating Fund, including payments to local EMS agencies, compliance documentation, and corrective actions for noncompliant recipients. If the report is late, administrative funds for the department are withheld, but funding for local EMS providers (like ambulance services and fire departments) remains protected. The Auditor General must verify the report's accuracy, and false certifications carry penalties. The bill aims to increase transparency and accountability in how EMS funds are managed, directly affecting the Department of Health and local emergency medical services providers.