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Bill

Bill

HB 1864

Transporting patients by ambulance to facilities other than emergency departments.

2025-2026 Regular Session Introduced by Beth Doglio and 20 co-sponsors

Allows ambulances to transport patients to urgent care and crisis centers instead of ERs when clinically appropriate, reducing ER overcrowding and costs through expanded destination flexibility.

Public hearing in the House Committee on Health Care & Wellness at 8:00 AM.
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Bill Summary · HB 1864

Legislative bill overview

HB 1864 would authorize ambulance transportation of patients to medical facilities other than traditional emergency departments, such as urgent care centers, behavioral health crisis centers, or other appropriate care settings. The bill appears designed to create flexibility in where paramedics and ambulances can direct patients based on their clinical needs rather than defaulting all transport to hospital ERs.

Why is this important

Emergency departments are frequently overcrowded, and many patients with non-life-threatening conditions could receive appropriate care at lower-cost alternative facilities. This policy could reduce ER congestion, lower healthcare costs for patients and the system, and potentially improve outcomes by matching patients to the right level of care. However, implementation raises questions about safety protocols, liability, and ensuring paramedics have adequate training and protocols to make appropriate triage decisions.

Potential points of contention

  • Safety and liability concerns: Who is responsible if a patient is transported to a non-ED facility and their condition deteriorates? What clinical standards determine which patients can go to alternatives?
  • Paramedic training and protocols: Ambulance personnel would need clear, evidence-based guidelines for determining appropriate destination facilities, raising training and certification questions
  • Rural/access disparities: Alternative facilities may not exist in all areas, potentially creating inequitable access depending on geography and local infrastructure

Compiled from official sources — confirm details with the bill’s official record.

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