Aligning the quality assurance fee for the ambulance transport fund with federal regulations.

HB 2531 adjusts how ambulance transport providers in Washington pay a quality assurance fee to align with federal Medicaid reimbursement rules. It replaces the previous 5.5% fee calculation with a new method based on federal reimbursement rates and actual emergency transport data, requiring annual adjustments. The fee funds emergency ambulance services through Medicaid reimbursements without reducing existing state funding, and providers must pay quarterly based on their prior-quarter transports. This directly affects all ambulance transport providers in Washington who serve Medicaid patients.