[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3691 Introduced in House (IH)]

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118th CONGRESS
  1st Session
                                H. R. 3691

 To amend title XVIII of the Social Security Act to revise payment for 
           air ambulance services under the Medicare program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 25, 2023

Mr. Estes (for himself and Ms. DelBene) introduced the following bill; 
  which was 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

_______________________________________________________________________

                                 A BILL


 
 To amend title XVIII of the Social Security Act to revise payment for 
           air ambulance services under the Medicare program.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Protecting Air Ambulance Services 
for Americans Act of 2023''.

SEC. 2. IMPROVEMENTS TO MEDICARE PAYMENT SYSTEM FOR AIR AMBULANCE 
              SERVICES.

    Section 1834(l) of the Social Security Act (42 U.S.C. 1395m(l)) is 
amended by adding at the end the following new paragraph:
            ``(18) Improvements to medicare payment system for air 
        ambulance services.--
                    ``(A) In general.--The Secretary may revise the fee 
                schedule otherwise established under this subsection 
                for air ambulance services based on data described in 
                subparagraph (B) and data collected under subparagraph 
                (C).
                    ``(B) Data described.--For purposes of subparagraph 
                (A), the data described in this subparagraph is data 
                collected pursuant to the provisions of, and amendments 
                made by, section 106 of division BB of the Consolidated 
                Appropriations Act, 2021 (Public Law 116-260).
                    ``(C) Additional data collection.--The Secretary 
                shall require, once every 3 years, providers of 
                services and suppliers furnishing air ambulance 
                services to submit to the Secretary--
                            ``(i) data relating to the fixed and 
                        operating costs per air ambulance base 
                        attributable to furnishing air ambulance 
                        services to individuals enrolled under this 
                        part and data relating to the utilization of 
                        such services by such individuals;
                            ``(ii) data relating to the revenue 
                        obtained by such providers and suppliers under 
                        this part attributable to the furnishing of 
                        such services; and
                            ``(iii) any other information determined 
                        appropriate by the Secretary.
                    ``(D) Consultation.--In the case that the Secretary 
                elects to revise the fee schedule for air ambulance 
                services under subparagraph (A), the Secretary shall 
                consider stakeholder input in a process that is 
                transparent and appropriately considers data described 
                in subparagraph (B) and data collected under 
                subparagraph (C).''.

SEC. 3. GAO STUDY ON EMERGENCY AIR AMBULANCE COSTS.

    Not later than 1 year after the date on which data begins to be 
collected pursuant to the provisions of, and amendments made by, 
section 106 of division BB of the Consolidated Appropriations Act, 2021 
(Public Law 116-260), the Comptroller General of the United States 
shall submit to the Committee on Finance of the Senate and the 
Committee on Ways and Means and the Committee on Energy and Commerce of 
the House of Representatives, a report detailing--
            (1) the average annual operating costs per air ambulance 
        base;
            (2) the average cost per transport by air ambulance;
            (3) the payor mix for air ambulance services;
            (4) the adequacy of Medicare payments for such services;
            (5) geographic variations in the cost of furnishing such 
        services; and
            (6) recommendations on improving the fee schedule under 
        section 1834(l) of the Social Security Act (42 U.S.C. 1395m(l)) 
        for air ambulance services.
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