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NASEMSO Fall 2017 Meeting

Oct. 9-12, 2017
Oklahoma City, OK


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Legislative and Regulatory Issues

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Legislative and Regulatory Issues

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See bill sponsors, summary, text, status and more.

  • S.967 — 115th Congress (2017-2018) Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2017. Sen. Debbie Stabenow (D-MI) introduced S. 967 on 04/27/2017. The bill would make permanent the urban and rural Medicare add-ons and super-rural bonus payments that have been temporarily added in past years but otherwise expire on Dec. 31, 2017. The bill also would recognize ambulance services as providers of medical services rather than mere suppliers of transportation. This is important for setting the stage for future changes to the Medicare ambulance fee schedule, e.g., treatment and referral of a patient not requiring transport, etc. The bill also would require ambulance service providers to submit cost data to assist in determining appropriate reimbursement rates.
  • S. 471 – Isla Rose Life Flight Act. This bill, introduced by Sen Jon Tester (D-MT) in the 115th Session of Congress on Feb. 28, 2017, seeks to preserve state authority "relating to network participation, reimbursement and balance billing, or transparency for an air carrier that provides air ambulance service."
  • H.R. 817: End Surprise Billing Act of 2017. A bill introduced in the 115thCongress by Rep Lloyd Doggett (D-TX) with 34 Democratic co-sponsors on Feb. 2, 2017, seeks to end practices of balanced billing of health benefits for patients from out-of-network providers. While the bill does not specifically mention EMS as a source of concern, advocates for the bill are hoping for a successful “first step” to support state insurance laws that are currently preempted by the Airline Deregulation Act (ADA.)

See archives for previous legislative and regulary issues of interest.