Protecting Access to Ground Ambulance Medical Services Act

Summary:
The legislation extends certain reimbursements received by ground ambulance services for transporting patients.
Background:
  • When the Centers for Medicare and Medicaid Services (CMS) provides payments for transporting patients, one portion is based on the zip code where the transport started.
  • These payments, called “Ground Ambulance Extenders,” have existed for nearly 20 years and provide an additional 2%, 3%, or 22.6% payment depending on whether the transport originated in an area designated as urban, rural, or super-rural.
  • These payments are vital to ensuring that departments can recoup costs for services.
  • These add-on payments have been extended several times, including the most recent two-year extension in the FY2023 appropriations package.
  • The bill would extend the payments to 2028 and increase the 2% urban rate to 3.4%; the 3% rural rate to 4.3%; and the super rural 22.6% rate to 26.7%.
Status:
The bills are awaiting reintroduction in the 118th Congress.

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