# 119-hr-4792: Protecting Air Ambulance Services for Americans Act of 2025

119-hr-4792, Protecting Air Ambulance Services for Americans Act of 2025, is a 119th Congress bill sponsored by Rep. Estes, Ron [R-KS-4] (R-KS); status introduced; PRIA reads it as touching household money (as of 2026-10-08).

- Canonical: https://policyrisk.com/legislation/119-hr-4792
- As of: 2026-10-08
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-4792
- Congress: 119
- Title: Protecting Air Ambulance Services for Americans Act of 2025
- Status: introduced
- Introduced: 2025-07-29
- Sponsor: Rep. Estes, Ron [R-KS-4] (R-KS)
- Cosponsors: 20
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-08

## Summary

**This bill would revise Medicare payment for air ambulance services** and require regular, provider-submitted cost and utilization data to guide those payment updates. - Medicare enrollees would have air ambulance fees set using more detailed cost and utilization data, not older payment rules. - Air ambulance providers would need to submit data every three years on base operating costs, utilization, revenue, and any other information the Secretary requires. - The Secretary of Health and Human Services would be authorized to revise the air ambulance fee schedule using that data and must consider stakeholder input in a transparent process. The Secretary would also have to finalize and publish the data-collection rule within six months of enactment. - The Comptroller General would have to report to congressional finance and health committees within one year after data collection starts on costs per base, cost per transport, payor mix, Medicare payment adequacy, geographic cost differences, and recommendations to improve the fee schedule.

## Cosponsors (20)

- Rep. Bilirakis, Gus M. [R-FL-12] (R-FL), 2026-10-06T00:00:00.000Z
- Rep. DelBene, Suzan K. [D-WA-1] (D-WA), 2025-07-29T00:00:00.000Z
- Rep. Panetta, Jimmy [D-CA-19] (D-CA), 2025-10-17T00:00:00.000Z
- Rep. Steube, W. Gregory [R-FL-17] (R-FL), 2025-10-17T00:00:00.000Z
- Rep. Crow, Jason [D-CO-6] (D-CO), 2025-10-17T00:00:00.000Z
- Rep. Mann, Tracey [R-KS-1] (R-KS), 2025-10-17T00:00:00.000Z
- Rep. Sewell, Terri A. [D-AL-7] (D-AL), 2025-11-18T00:00:00.000Z
- Rep. Van Duyne, Beth [R-TX-24] (R-TX), 2025-11-18T00:00:00.000Z
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA), 2025-11-18T00:00:00.000Z
- Rep. Tenney, Claudia [R-NY-24] (R-NY), 2025-12-03T00:00:00.000Z
- Rep. Pettersen, Brittany [D-CO-7] (D-CO), 2025-12-03T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2026-01-15T00:00:00.000Z
- Rep. Obernolte, Jay [R-CA-23] (R-CA), 2026-01-15T00:00:00.000Z
- Rep. Ruiz, Raul [D-CA-25] (D-CA), 2026-02-03T00:00:00.000Z
- Rep. Yakym, Rudy [R-IN-2] (R-IN), 2026-02-03T00:00:00.000Z
- Rep. Miller, Carol D. [R-WV-1] (R-WV), 2026-03-18T00:00:00.000Z
- Rep. Dunn, Neal P. [R-FL-2] (R-FL), 2026-05-12T00:00:00.000Z
- Rep. Schrier, Kim [D-WA-8] (D-WA), 2026-05-12T00:00:00.000Z
- Rep. Langworthy, Nicholas A. [R-NY-23] (R-NY), 2026-06-25T00:00:00.000Z
- Rep. Joyce, John [R-PA-13] (R-PA), 2026-09-01T00:00:00.000Z

## Provisions PRIA read

- Government study on air ambulance costs: benefit, medium. If enacted, a federal watchdog would report to Congress one year after data collection starts. The report would show costs per base and per flight, and who pays. It would review Medicare payment adequacy and regional differences. The study would not change payments by itself but could guide later p…
- New reporting rules for air ambulance providers: cost, medium. If enacted, air ambulance providers would report data to HHS every three years. They would submit costs per base, Medicare revenue, and use of services. HHS would have six months to publish the data rule. This would add compliance work and costs for providers. The data could support later Medicare…
- Possible changes to Medicare air ambulance rates: mixed, medium. If enacted, HHS could change Medicare payment rates for air ambulance rides. Changes would be based on 2021 law data and new reports. HHS would take stakeholder input in a transparent process. Rates could rise or fall, changing provider pay and patient out-of-pocket costs.

## Related bills

- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-879: Medicare Patient Access and Practice Stabilization Act of 2025
- 119-hr-1628: 761st Tank Battalion Congressional Gold Medal Act
- 119-hr-452: Miracle on Ice Congressional Gold Medal Act

## Sources
- [119-hr-4792 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4792)

## Related
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-879: Medicare Patient Access and Practice Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-879)
- [119-hr-1628: 761st Tank Battalion Congressional Gold Medal Act](https://policyrisk.com/legislation/119-hr-1628)
- [119-hr-452: Miracle on Ice Congressional Gold Medal Act](https://policyrisk.com/legislation/119-hr-452)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4792 (as of 2026-10-08).