HR2538119th CongressWALLET

CARE Act of 2025

Sponsored By: Representative Carey

Introduced

Summary

This bill would create a five-year Medicare demonstration that pays for emergency on-scene ambulance treatment when a patient is not transported. It sets payment rules, telehealth treatment standards, and a federal review of how non-transport emergency care affects access and outcomes.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Medicare would pay for on-scene ambulance care

If enacted, Medicare Part B would test paying for on‑scene emergency care when an ambulance is sent but you are not transported. Care would need to follow state and local rules, be tied to an emergency call, and may use online medical direction. HHS would set payments to roughly match what a transport would have paid. If telehealth is used with this care, your location would count as an eligible telehealth site. The model would start within 2 years, run 5 years, and operate under a special exception to some usual Innovation Center authority; GAO would report within 4 years of implementation.

Sponsors & CoSponsors

Sponsor

Carey

OH • R

Cosponsors

  • Doggett

    TX • D

    Sponsored 4/1/2025

  • Miller (WV)

    WV • R

    Sponsored 4/1/2025

  • Ryan

    NY • D

    Sponsored 4/1/2025

  • Westerman

    AR • R

    Sponsored 4/7/2025

  • Davis (NC)

    NC • D

    Sponsored 4/14/2025

  • Sewell

    AL • D

    Sponsored 4/17/2025

  • Pettersen

    CO • D

    Sponsored 4/17/2025

  • Dingell

    MI • D

    Sponsored 4/17/2025

  • Mann

    KS • R

    Sponsored 4/17/2025

  • Stansbury

    NM • D

    Sponsored 5/6/2025

  • Graves

    MO • R

    Sponsored 5/6/2025

  • Del. Norton, Eleanor Holmes [D-DC-At Large]

    DC • D

    Sponsored 5/19/2025

  • Thompson (PA)

    PA • R

    Sponsored 5/19/2025

  • Smucker

    PA • R

    Sponsored 5/20/2025

  • Bacon

    NE • R

    Sponsored 5/20/2025

  • Vasquez

    NM • D

    Sponsored 6/2/2025

  • Kelly (PA)

    PA • R

    Sponsored 6/10/2025

  • Adams

    NC • D

    Sponsored 7/14/2025

  • Tenney

    NY • R

    Sponsored 7/29/2025

  • Costa

    CA • D

    Sponsored 8/1/2025

  • Tonko

    NY • D

    Sponsored 8/8/2025

  • Bynum

    OR • D

    Sponsored 9/15/2025

  • Gottheimer

    NJ • D

    Sponsored 9/15/2025

  • Norcross

    NJ • D

    Sponsored 10/3/2025

  • Vindman

    VA • D

    Sponsored 10/8/2025

  • Harder (CA)

    CA • D

    Sponsored 10/14/2025

  • Smith (NE)

    NE • R

    Sponsored 11/25/2025

  • De La Cruz

    TX • R

    Sponsored 12/17/2025

  • Morelle

    NY • D

    Sponsored 12/18/2025

  • McClain Delaney

    MD • D

    Sponsored 1/30/2026

  • Pfluger

    TX • R

    Sponsored 3/27/2026

Roll Call Votes

No roll call votes available for this bill.

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