S3730119th CongressWALLET

Emergency Medical Services Reimbursement for On-Scene Care and Support Act

Sponsored By: Senator Peter Welch

Introduced

Summary

Expands Medicare reimbursement to on-scene ambulance care that does not transport patients. It would add non-transport on-scene services to the Medicare definition of ambulance service and make them eligible for reimbursement at rates comparable to transport, effective January 1, 2027.

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  • Seniors and other Medicare enrollees would be able to get ambulance treatment at the scene covered by Medicare even if they are not transported.
  • Ambulance providers and suppliers would be able to bill Medicare for non-transport on-scene services and receive payment comparable to transport reimbursement.
  • The change amends the Social Security Act under Title XVIII to broaden the statutory definition of "ambulance service" so these on-scene services fall under Medicare Part B.

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Bill Overview

Analyzed Economic Effects

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

Medicare pays for on-scene ambulance care

If enacted, this bill would expand Medicare to cover ambulance services given on scene that do not include transportation. The change would apply to services furnished on or after January 1, 2027. Medicare would reimburse those non-transport on-scene services at rates comparable to regular ambulance transport. This would reduce out-of-pocket ambulance bills for beneficiaries who receive on-scene care and let ambulance providers bill Medicare for on-scene care even if they do not transport you.

Sponsors & CoSponsors

Sponsor

Peter Welch

VT • D

Cosponsors

  • Sen. Sanders, Bernard [I-VT]

    VT • I

    Sponsored 1/29/2026

  • Sen. Smith, Tina [D-MN]

    MN • D

    Sponsored 1/29/2026

  • Amy Klobuchar

    MN • D

    Sponsored 1/29/2026

  • Sen. Fetterman, John [D-PA]

    PA • D

    Sponsored 1/29/2026

  • Sen. Bennet, Michael F. [D-CO]

    CO • D

    Sponsored 1/29/2026

Roll Call Votes

No roll call votes available for this bill.

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