The act removes the ability of most firefighter employers to select accident insurance, self-insurance, or a self-insurance pool as options to provide statutorily required monetary benefits to a firefighter who has experienced a heart and circulatory malfunction. As a result, all firefighter employers except for those exempted by the act must participate in a multiple employer health trust in order to provide such benefits. The act exempts firefighter employers that are cities and counties or municipalities that, as of July 2022, have a population of 400,000 or more and, as of April 30, 2024, have enacted an ordinance to provide the required monetary benefits that remains in effect. APPROVED by Governor May 24, 2024 EFFECTIVE May 24, 2024(Note: This summary applies to this bill as enacted.)