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    <number>3145</number>
    <updateDate>2026-07-24T22:19:46Z</updateDate>
    <updateDateIncludingText>2026-07-24T22:19:46Z</updateDateIncludingText>
    <originChamber>Senate</originChamber>
    <originChamberCode>S</originChamberCode>
    <type>S</type>
    <introducedDate>2025-11-06</introducedDate>
    <congress>119</congress>
    <legislationUrl>https://www.congress.gov/bill/119th-congress/senate-bill/3145</legislationUrl>
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        <name>Finance Committee</name>
        <chamber>Senate</chamber>
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            <name>Referred To</name>
            <date>2025-11-06T22:10:06Z</date>
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            <name>Referred To</name>
            <date>2025-11-06T22:10:06Z</date>
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    <relatedBills>
      <item>
        <title>CARE Act of 2025</title>
        <congress>119</congress>
        <number>2538</number>
        <type>HR</type>
        <latestAction>
          <actionDate>2025-04-01</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>
        </latestAction>
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        <actionDate>2025-11-06</actionDate>
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            <name>Finance Committee</name>
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        <text>Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S7964)</text>
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        <actionDate>2025-11-06</actionDate>
        <text>Introduced in Senate</text>
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        <sourceSystem>
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          <name>Library of Congress</name>
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    <sponsors>
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        <bioguideId>C001035</bioguideId>
        <fullName>Sen. Collins, Susan M. [R-ME]</fullName>
        <firstName>Susan</firstName>
        <lastName>Collins</lastName>
        <party>R</party>
        <state>ME</state>
        <middleName>M.</middleName>
        <isByRequest>N</isByRequest>
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    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>W000800</bioguideId>
        <fullName>Sen. Welch, Peter [D-VT]</fullName>
        <firstName>Peter</firstName>
        <lastName>Welch</lastName>
        <party>D</party>
        <state>VT</state>
        <sponsorshipDate>2025-11-06</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000367</bioguideId>
        <fullName>Sen. Klobuchar, Amy [D-MN]</fullName>
        <firstName>Amy</firstName>
        <lastName>Klobuchar</lastName>
        <party>D</party>
        <state>MN</state>
        <sponsorshipDate>2025-12-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001075</bioguideId>
        <fullName>Sen. Cassidy, Bill [R-LA]</fullName>
        <firstName>Bill</firstName>
        <lastName>Cassidy</lastName>
        <party>R</party>
        <state>LA</state>
        <sponsorshipDate>2025-12-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>J000312</bioguideId>
        <fullName>Sen. Justice, James C. [R-WV]</fullName>
        <firstName>James</firstName>
        <lastName>Justice</lastName>
        <party>R</party>
        <state>WV</state>
        <middleName>C.</middleName>
        <sponsorshipDate>2025-12-18</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000802</bioguideId>
        <fullName>Sen. Whitehouse, Sheldon [D-RI]</fullName>
        <firstName>Sheldon</firstName>
        <lastName>Whitehouse</lastName>
        <party>D</party>
        <state>RI</state>
        <sponsorshipDate>2025-12-18</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000394</bioguideId>
        <fullName>Sen. Kim, Andy [D-NJ]</fullName>
        <firstName>Andy</firstName>
        <lastName>Kim</lastName>
        <party>D</party>
        <state>NJ</state>
        <sponsorshipDate>2026-01-05</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001047</bioguideId>
        <fullName>Sen. Capito, Shelley Moore [R-WV]</fullName>
        <firstName>Shelley</firstName>
        <lastName>Capito</lastName>
        <party>R</party>
        <state>WV</state>
        <middleName>Moore</middleName>
        <sponsorshipDate>2026-01-05</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001088</bioguideId>
        <fullName>Sen. Coons, Christopher A. [D-DE]</fullName>
        <firstName>Christopher</firstName>
        <lastName>Coons</lastName>
        <party>D</party>
        <state>DE</state>
        <middleName>A.</middleName>
        <sponsorshipDate>2026-04-29</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001079</bioguideId>
        <fullName>Sen. Hyde-Smith, Cindy [R-MS]</fullName>
        <firstName>Cindy</firstName>
        <lastName>Hyde-Smith</lastName>
        <party>R</party>
        <state>MS</state>
        <sponsorshipDate>2026-04-29</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects/>
      <policyArea>
        <name>Health</name>
        <updateDate>2025-11-19T15:17:23Z</updateDate>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2025-11-06</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2026-07-24T22:19:11Z</updateDate>
        <text><![CDATA[<p><strong>Comprehensive Alternative Response for Emergencies Act of 2025 or the CARE Act of 2025</strong></p><p>This bill requires the Center for Medicare and Medicaid Innovation (CMMI) to test a five-year model that provides for Medicare payment for ground ambulance services that do not result in the transport of the patient.&nbsp;</p><p>Under the model, Medicare payment may be furnished for ground ambulance services when an ambulance is dispatched in response to an emergency medical call but the ambulance does not end up transporting the patient. Payment rates under the model must generally align with the payment rates that apply when there is an actual transport.&nbsp;</p><p>The Government Accountability Office must report on the general access of Medicare beneficiaries to emergency medical services, including the impact of the model on beneficiary access and outcomes.</p>]]></text>
      </summary>
    </summaries>
    <title>CARE Act of 2025</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <titleTypeCode>45</titleTypeCode>
        <title>CARE Act of 2025</title>
        <updateDate>2026-04-30T11:03:20Z</updateDate>
      </item>
      <item>
        <titleType>Short Title(s) as Introduced</titleType>
        <titleTypeCode>101</titleTypeCode>
        <title>CARE Act of 2025</title>
        <updateDate>2025-11-13T12:08:14Z</updateDate>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Title(s) as Introduced</titleType>
        <titleTypeCode>101</titleTypeCode>
        <title>Comprehensive Alternative Response for Emergencies Act of 2025</title>
        <updateDate>2025-11-13T12:08:14Z</updateDate>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <titleTypeCode>6</titleTypeCode>
        <title>A bill to amend title XI of the Social Security Act to require the Center for Medicare and Medicaid Innovation to test a comprehensive alternative response for emergencies model under the Medicare program.</title>
        <updateDate>2025-11-13T12:03:23Z</updateDate>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
    </titles>
    <textVersions>
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        <type>Introduced in Senate</type>
        <date>2025-11-06T05:00:00Z</date>
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          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-119s3145is/xml/BILLS-119s3145is.xml</url>
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        </formats>
      </item>
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    <latestAction>
      <actionDate>2025-11-06</actionDate>
      <text>Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S7964)</text>
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    <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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