Protecting Air Ambulance Services Act

Full Title:
Protecting Air Ambulance Services for Americans Act of 2025

Summary#

This bill would change how Medicare pays for air ambulance services. It adds a new rule to the Social Security Act (section 1834(l)). The Health and Human Services (HHS) Secretary could revise the Medicare fee schedule for air ambulance services using specific data. That data includes information collected under section 106 of division BB of the Consolidated Appropriations Act, 2021 (Public Law 116-260).

The bill also requires HHS to collect more data every 3 years from air ambulance providers. Providers must report fixed and operating costs per air ambulance base, how often services are used, revenue received from Medicare for those services, and other information the Secretary asks for. If the Secretary changes payments, the Secretary must consider stakeholder input in a transparent process.

The bill directs HHS to finalize a rule implementing the air ambulance data collection required by the 2021 law within 6 months of the bill becoming law. It also requires the Government Accountability Office (GAO) to report to congressional committees within 1 year after data collection begins. The GAO report must include average operating costs per base, average cost per transport, payer mix, whether Medicare payments are adequate, geographic cost differences, and recommendations to improve the Medicare fee schedule for air ambulance services.

What it means for you#

  • Medicare beneficiaries: Medicare payments for air ambulance rides could be revised based on new data and GAO findings. The bill does not state specific payment changes.
  • Air ambulance providers and suppliers: They would need to submit cost, utilization, and revenue data to HHS every 3 years and may be affected by any fee schedule revisions the Secretary makes.
  • Policymakers and stakeholders: The bill requires a transparent consultation process and a GAO study to inform possible changes to payments.

Expenses#

No publicly available information on estimated costs or savings is included in the bill text or metadata.

Proponents' View#

No publicly available information.

Opponents' View#

No publicly available information.