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

SB 6102 adjusts how ambulance transport providers in Washington pay a quality assurance fee to align with federal requirements. It changes the fee calculation method to annually reflect projected revenue and emergency transport volumes, ensuring the fee amount matches federal funding rules. Ambulance providers directly pay this quarterly fee based on their emergency transports, and the collected funds supplement (not replace) Medicaid payments for emergency ambulance services. The bill specifies that fees must stay within 1% of projected amounts, with adjustments if discrepancies exceed this threshold. This ensures state ambulance funding remains compliant with federal regulations for Medicaid reimbursement.