The secretary of the executive office of health and human services shall conduct a study to recommend and implement a revision of the non-public ambulance trust fund and its fee assessment and payment models. The study shall include:

(i) Review of the payment models, uniform assessment and nonpublic emergency ambulance assessed charges set for nonpublic ambulance service in section 67A of chapter 118E of the General laws.

(ii) The uniform assessment and payment models’ fiscal effect on regionalized emergency-only, non-profit ambulance services with no Medicaid patients.

(iii) The uniform assessment’s compliance with federal law that requires the assessments set forth in said section 67A be imposed in a manner consistent with applicable federal statutes and regulations

(iv) Efforts by the office to avoid a reduction in the state’s Medicaid expenditures eligible for federal financial participation in relation to the assessments and payment models forth in said section 67A.

(v) A review of enforcement mechanisms regarding each nonpublic ambulance service's liability to the fund in the event that a nonpublic ambulance service does not make a scheduled payment to the fund.

The study shall be conducted in consultation with interested parties. The secretary shall file a report with the clerk of the house of representatives on or before June 30, 2024 describing the findings of this study, and shall recommend to the general court revisions or amendments to the fund and its assessment and payment models, including whether these revisions would serve to promote regionalized emergency-only, non-profit ambulance services. The clerk shall forward such report to the joint committee on health care and the joint committee on health care financing of the general court.