US Congress House Bill 4938 (Prior Session Legislation)

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Spectrum: Bipartisan Bill
Status: Introduced on October 31 2019 - 25% progression, died in committee
Action: 2019-11-01 - Referred to the Subcommittee on Health.
Pending: House Subcommittee on Health Committee
Text: Latest bill text (Introduced) [PDF]

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.

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

Rep. Terri Sewell [D-AL]	Rep. Devin Nunes [R-CA]	Sen. Peter Welch [D-VT]	Sen. Markwayne Mullin [R-OK]
Rep. Earl Blumenauer [D-OR]

Date	Chamber	Action
2019-11-01	House	Referred to the Subcommittee on Health.
2019-10-31	House	Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
2019-10-31	House	Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
2019-10-31	House	Introduced in House

Type	Source
Summary	https://www.congress.gov/bill/116th-congress/house-bill/4938/all-info
Text	https://www.congress.gov/116/bills/hr4938/BILLS-116hr4938ih.pdf