HR 4938 · 116th Congress · Health

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

Introduced 2019-10-31· Sponsored by Rep. Sewell, Terri A. [D-AL-7]· House

Bill Progress

Introduced
2
Committee
3
House Vote
4
Senate
5
Enacted
Latest: Referred to the Subcommittee on Health.(2019-11-01)

Plain Language Summary

[AI summary unavailable — showing source text] Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2019 This bill 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.…

Summarized by Claude AI · Non-partisan · For informational purposes only

Cosponsors (4)

2 Democrats2 Republicans