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    <number>4938</number>
    <updateDate>2022-11-01T04:47:40Z</updateDate>
    <updateDateIncludingText>2022-11-01T04:47:40Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <type>HR</type>
    <introducedDate>2019-10-31</introducedDate>
    <congress>116</congress>
    <constitutionalAuthorityStatementText><![CDATA[<pre>[Congressional Record Volume 165, Number 173 (Thursday, October 31, 2019)][House]From the Congressional Record Online through the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]By Ms. SEWELL of Alabama:H.R. 4938.Congress has the power to enact this legislation pursuantto the following:Article I, Sec. 8, Clause 18[Page H8719]</pre>]]></constitutionalAuthorityStatementText>
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        <name>Energy and Commerce Committee</name>
        <chamber>House</chamber>
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            <name>Health Subcommittee</name>
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                <name>Referred to</name>
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        <name>Ways and Means Committee</name>
        <chamber>House</chamber>
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            <name>Referred to</name>
            <date>2019-10-31T13:02:45Z</date>
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        <actionDate>2019-11-01</actionDate>
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            <name>Health Subcommittee</name>
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        <text>Referred to the Subcommittee on Health.</text>
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        <actionDate>2019-10-31</actionDate>
        <text>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.</text>
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        <actionDate>2019-10-31</actionDate>
        <text>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.</text>
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    <sponsors>
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        <bioguideId>S001185</bioguideId>
        <fullName>Rep. Sewell, Terri A. [D-AL-7]</fullName>
        <firstName>Terri</firstName>
        <lastName>Sewell</lastName>
        <party>D</party>
        <state>AL</state>
        <middleName>A.</middleName>
        <district>7</district>
        <isByRequest>N</isByRequest>
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        <bioguideId>N000181</bioguideId>
        <fullName>Rep. Nunes, Devin [R-CA-22]</fullName>
        <firstName>Devin</firstName>
        <lastName>Nunes</lastName>
        <party>R</party>
        <state>CA</state>
        <district>22</district>
        <sponsorshipDate>2019-10-31</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
        <bioguideId>W000800</bioguideId>
        <fullName>Rep. Welch, Peter [D-VT-At Large]</fullName>
        <firstName>Peter</firstName>
        <lastName>Welch</lastName>
        <party>D</party>
        <state>VT</state>
        <district>0</district>
        <sponsorshipDate>2019-10-31</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001190</bioguideId>
        <fullName>Rep. Mullin, Markwayne [R-OK-2]</fullName>
        <firstName>Markwayne</firstName>
        <lastName>Mullin</lastName>
        <party>R</party>
        <state>OK</state>
        <district>2</district>
        <sponsorshipDate>2019-10-31</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B000574</bioguideId>
        <fullName>Rep. Blumenauer, Earl [D-OR-3]</fullName>
        <firstName>EARL</firstName>
        <lastName>BLUMENAUER</lastName>
        <party>D</party>
        <state>OR</state>
        <district>3</district>
        <sponsorshipDate>2019-10-31</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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    <policyArea>
      <name>Health</name>
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    <subjects>
      <legislativeSubjects>
        <item>
          <name>Administrative law and regulatory procedures</name>
        </item>
        <item>
          <name>Administrative remedies</name>
        </item>
        <item>
          <name>Congressional oversight</name>
        </item>
        <item>
          <name>Department of Health and Human Services</name>
        </item>
        <item>
          <name>Digestive and metabolic diseases</name>
        </item>
        <item>
          <name>Emergency medical services and trauma care</name>
        </item>
        <item>
          <name>Government information and archives</name>
        </item>
        <item>
          <name>Government studies and investigations</name>
        </item>
        <item>
          <name>Health care costs and insurance</name>
        </item>
        <item>
          <name>Health care coverage and access</name>
        </item>
        <item>
          <name>Health information and medical records</name>
        </item>
        <item>
          <name>Health programs administration and funding</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
        <item>
          <name>Motor vehicles</name>
        </item>
        <item>
          <name>Rural conditions and development</name>
        </item>
        <item>
          <name>Transportation costs</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2019-10-31</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2020-03-26T14:33:21Z</updateDate>
        <text><![CDATA[ <p><b>Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2019</b></p> <p>This bill establishes a series of requirements relating to coverage of ground ambulance services under Medicare. </p> <p>Specifically, the Centers for Medicare &amp; 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. </p> <p>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. </p>]]></text>
      </summary>
    </summaries>
    <title>Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2019</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2019</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To amend title XVIII to strengthen ambulance services furnished under part B of the Medicare program.</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
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      </item>
      <item>
        <titleType>Short Title(s) as Introduced</titleType>
        <title>Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2019</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
    </titles>
    <textVersions>
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        <type>Introduced in House</type>
        <date>2019-10-31T04:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-116hr4938ih/xml/BILLS-116hr4938ih.xml</url>
          </item>
        </formats>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2019-11-01</actionDate>
      <text>Referred to the Subcommittee on Health.</text>
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    <dc:language>EN</dc:language>
    <dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.</dc:description>
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