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117TH CONGRESS
1ST SESSION H. R. 2454
To amend title XVIII to strengthen ambulance services furnished under
part B of the Medicare program.
IN THE HOUSE OF REPRESENTATIVES
APRIL 12, 2021
Ms. SEWELL (for herself, Mr. NUNES, Mr. WELCH, and Mr. MULLIN) intro-
duced 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 to strengthen ambulance services
furnished under part B of the Medicare program.
Be it enacted by the Senate and House of Representa-
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tives of the United States of America in Congress assembled,
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SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
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(a) SHORT TITLE.—This Act may be cited as the
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‘‘Protecting Access to Ground Ambulance Medical Serv-
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ices Act of 2021’’.
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(b) TABLE OF CONTENTS.—The table of contents for
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this Act is as follows:
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•HR 2454 IH
Sec. 1. Short title; table of contents.
TITLE I—PROTECT ACCESS TO HIGH-QUALITY AMBULANCE CARE
Sec. 101. Protecting patient access to ground ambulance services.
TITLE II—PROTECT ACCESS TO GROUND AMBULANCE SERVICES
IN RURAL AMERICA
Sec. 201. Protecting access to ambulance services in rural and low population
density areas.
TITLE I—PROTECT ACCESS TO
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HIGH-QUALITY
AMBULANCE
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CARE
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SEC. 101. PROTECTING PATIENT ACCESS TO GROUND AM-
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BULANCE SERVICES.
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Section 1834(l) of the Social Security Act (42 U.S.C.
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1395m(l)) is amended—
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(1) in paragraph (12)(A), by striking ‘‘2023’’
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and inserting ‘‘2028’’; and
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(2) in paragraph (13)(A), by striking ‘‘2023’’
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each place it appears and inserting ‘‘2028’’ in each
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such place.
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•HR 2454 IH
TITLE II—PROTECT ACCESS TO
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GROUND AMBULANCE SERV-
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ICES IN RURAL AMERICA
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SEC. 201. PROTECTING ACCESS TO AMBULANCE SERVICES
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IN RURAL AND LOW POPULATION DENSITY
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AREAS.
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Section 1834(l)(12) of the Social Security Act (42
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U.S.C. 1395m(l)(12)) is amended by adding at the end
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the following new subparagraphs:
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‘‘(C) EXCEPTION FOR RURAL AND QUALI-
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FIED RURAL AREAS.—The Secretary shall deem
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an area designated as a rural or qualified rural
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area under this paragraph that would otherwise
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no longer receive such designation to retain its
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previous designated status if there are 1,000 or
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fewer individuals per square mile in the area.
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‘‘(D) RIGHT
TO
APPEAL
RURAL
AREAS
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AND QUALIFIED RURAL AREAS.—The Secretary
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shall establish an administrative appeals proc-
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ess to allow ambulance services providers and
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suppliers to seek reconsideration of a change in
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a ZIP code’s status as a rural or qualified rural
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area during the first 12 months after the Sec-
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•HR 2454 IH
retary finalizes a change in the designation
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made under this paragraph.’’.
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Æ
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