State Medical Rescue (Polish: Państwowe Ratownictwo Medyczne, PRM) in Poland is a system of free public emergency healthcare established by Ustawa o Państwowym Ratownictwie Medycznym (State Medical Rescue Act), including ambulance service and Emergency Departments (EDs). While in Polish public hospitals and clinics NFZ common public insurance is required, PRM medical services in ambulances and EDs are completely free for everyone. Since 2018 emergency ambulances that operates in PRM, that is Polish 112 and 999 emergency numbers, are operated by public entities only (mostly voivodeships and cities dependent organisations).