I am familiar with NYC/FDNY EMS. Started out under the Health and Hospitals Corporation [city agency] and then got moved to FDNY in 1995. Mix of hospital based and FDNY units under a City run dispatch system.
How does 911 work in MA? Private ambulances? Municipal? Are they considering a state wide system?
But, that does not relinquish the ability for a state agency to have a live ambulance tracking map.
There are plenty of times that private ambulance companies have units floating through any given area. If the state tracks and coordinates with ALL the 911 systems, IMO, it's technically possible to have a unit respond from just a few minutes away vs. the assigned 911 ambulance.
This tracking and immediate response from ANY of the closest ambulance has been possible for many years.
At this point [afaik] there are no private ambulances in the NYC 911 system. AMR has been lobbying for decades but never managed it.
The glaring problem is that most law makers have no idea how EMS works. In an ideal world they'd sit some senior medics down with the tech people and figure out the best way to handle it, and then have the law makers write it up. Like that will ever happen.