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H.R. 4938 · 116th Congress

Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2019

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IntroducedPassed one chamberPassed both chambersBecame law (gold)Resolution agreed to (full, dark)Failed or vetoed (gray)

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Never voted on. It didn't reach a floor vote before the 116th Congress ended, so it expired. A bill has to be introduced again to be considered in a new Congress.

4 cosponsors · 2 D, 2 R

4 signed on when it was introduced; the rest joined later. Cosponsors who withdrew aren't shown.

Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2019

What it does: CRS summary · Introduced in House · Oct 31, 2019

Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2019

This bill establishes a series of requirements relating to coverage of ground ambulance services under Medicare.

Specifically, the Centers for Medicare & Medicaid Services (CMS) must continue to designate an area as a rural or qualified rural area that is eligible for increased payment under Medicare, even if the area would otherwise no longer qualify for such designation, if the area has a specified population density. The CMS must also establish an administrative process to allow ambulance service providers to appeal a change in an area's designation.

The bill also requires the CMS to (1) expand to all states a prior authorization model for repetitive scheduled nonemergent ambulance transport, in accordance with specified limitations, if such an expansion has not already occurred by a certain date; (2) increase payment rates for ground ambulance services; and (3) eliminate certain administrative requirements for such services.

Written by the nonpartisan Congressional Research Service. All summary versions on Congress.gov

About this bill and sources

Official title: Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2019

Latest action (Nov 1, 2019): Referred to the Subcommittee on Health.

Policy area: Health · Origin: House · Introduced: Oct 31, 2019

Official page on Congress.gov · Bill text (GovInfo) · Status record (XML)

No recorded floor vote found.