An Act amending the act of June 13, 1967 (P.L.31, No.21), known as the Human Services Code, in public assistance, further providing for emergency transportation services.

SB 1147 amends Pennsylvania's Human Services Code to update reimbursement rates for emergency ambulance services under Medicaid programs (Fee-for-Service, Capitation, and Community HealthChoices). It requires reimbursement for every loaded mile based on the higher of 2023 Medicare ambulance rates or current Medicaid fees, effective January 1, 2024. For cases where patients refused transport, it sets new rates starting July 1, 2025, using 2025 Medicare rates or updated Medicaid fees. The bill applies retroactively to July 1, 2025, directly affecting licensed ambulance providers serving Medicaid enrollees.