# 119-hr-3778: PEAKS Act

119-hr-3778, PEAKS Act, is a 119th Congress bill sponsored by Rep. Miller, Carol D. [R-WV-1] (R-WV); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-3778
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-3778
- Congress: 119
- Title: PEAKS Act
- Status: introduced
- Introduced: 2025-06-05
- Sponsor: Rep. Miller, Carol D. [R-WV-1] (R-WV)
- Cosponsors: 3
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Eases distance rules to help rural hospitals keep Critical Access Hospital status and maintain ambulance fee protections.** The bill would add a 15-mile drive option for mountainous terrain or areas with only secondary roads and create a pathway for certain hospitals to be treated as meeting that distance starting January 1, 2026. - Critical Access Hospitals: Would add a 15-mile alternative to the ambulance fee schedule safe harbor for mountainous terrain or areas with only secondary roads. This changes the distance test used in ambulance fee schedule rules for affected hospitals. - Hospitals with new facilities: Would create a pathway so hospitals that were CAHs on enactment and can demonstrate they met the 15-mile test at their last certification would be deemed to meet the 15-mile requirement beginning January 1, 2026. The new facility must be located at least 10 but no more than 15 miles from the hospital. - Rules and timing: Would require the Secretary to issue regulations to implement this pathway within one year of enactment.

## Cosponsors (3)

- Rep. Lofgren, Zoe [D-CA-18] (D-CA), 2025-06-05T00:00:00.000Z
- Rep. Moore, Riley M. [R-WV-2] (R-WV), 2025-06-06T00:00:00.000Z
- Rep. Harder, Josh [D-CA-9] (D-CA), 2025-10-28T00:00:00.000Z

## Provisions PRIA read

- Medicare ambulance rule eased in rural areas: benefit, low. If enacted, Medicare would let some ambulance trips count at 15 miles. This would apply when a critical access hospital (a small rural hospital) sends the ambulance in mountains or where only secondary roads exist. It would be an alternative to the usual 35-mile rule. This could help more trips qua…
- Protect rural hospital status near new facilities: benefit, low. Starting January 1, 2026, some small rural hospitals could be treated as meeting the 15-mile rural rule. To qualify, the hospital must already be a critical access hospital on the enactment date and show it met the 15-mile mountain/secondary-road standard at its last certification. After enactment,…

## Related bills

- 119-hr-4669: FEMA Act of 2025
- 119-hr-2102: Major Richard Star Act
- 119-hr-4382: America’s Olympic and Paralympic Games Commemorative Coins Act
- 119-hr-1521: DOC Access Act of 2025
- 119-hr-4206: CONNECT for Health Act of 2025
- 119-hr-3151: SHIPS for America Act of 2025

## Sources
- [119-hr-3778 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/3778)

## Related
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hr-4382: America’s Olympic and Paralympic Games Commemorative Coins Act](https://policyrisk.com/legislation/119-hr-4382)
- [119-hr-1521: DOC Access Act of 2025](https://policyrisk.com/legislation/119-hr-1521)
- [119-hr-4206: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-hr-4206)
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-3778 (as of 2026-04-21).