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> The new changes will take effect in 2022, and will apply to doctors, hospitals and air ambulances, though not ground ambulances.

From 2022 and no ambulances. This is a joke..

Optimists here would claim that this is slightly less of a joke than the status quo.

How come it covers air ambulances but not ground ambulances?

I know the answer is probably that the ambulance companies lobbied (bribed) the hell out of these laws, but with the ambulance costs this is comical.