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Emergency Medical Services Reimbursement for On-Scene Care and Support Act
To amend title XVIII of the Social Security Act to provide Medicare coverage of ambulance services that do not include transportation.
Summary
This bill amends the Social Security Act to expand Medicare coverage of ambulance services. Beginning January 1, 2027, Medicare will cover ambulance services provided on-scene to patients even when the ambulance service provider does not transport the patient, provided the reimbursement rate is comparable to the rate for ambulance services that include transportation. Currently, Medicare covers ambulance services primarily when transportation is included. The change allows Medicare to reimburse ambulance services that provide emergency medical care at the scene without requiring patient transport.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
- Sen. Welch, Peter [D-VT] (D-VT)
5 cosponsors
- Sen. Bennet, Michael F. [D-CO] (D-CO)
- Sen. Fetterman, John [D-PA] (D-PA)
- Sen. Klobuchar, Amy [D-MN] (D-MN)
- Sen. Sanders, Bernard [I-VT] (I-VT)
- Sen. Smith, Tina [D-MN] (D-MN)
Money behind the sponsor
Top reported contributors to Peter Welch’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- NULL $8,600
- THE OLD MOUNTAIN COMPANY, INC. $3,300
- WEST FRONT STRATEGIES $2,500
- UCAR $2,300
- MINILEC SERVICE $2,000
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Peter Welch → · Outside spending →
Actions (2)
- Jan 29, 2026 Read twice and referred to the Committee on Finance. · senate
- Jan 29, 2026 Introduced in Senate
Similar bills (6)
Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.
Full text
IN THE SENATE OF THE UNITED STATES
January 29, 2026
Mr. Welch (for himself, Mr. Sanders, Ms. Smith, Ms. Klobuchar, Mr. Fetterman, and Mr. Bennet) introduced the following bill; which was read twice and referred to the Committee on Finance
A BILL
To amend title XVIII of the Social Security Act to provide Medicare coverage of ambulance services that do not include transportation.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the “Emergency Medical Services Reimbursement for On-Scene Care and Support Act”.
SEC. 2. COVERAGE OF AMBULANCE SERVICES THAT DO NOT INCLUDE TRANSPORTATION.
Section 1861(s)(7) of the Social Security Act (42 U.S.C. 1395x(s)(7)) is amended—
(1) by inserting “(A)” after “(7)”;
(2) in subparagraph (A), as added by paragraph (1), by inserting “and” after the semicolon; and
(3) by adding at the end the following new subparagraph:
“(B) notwithstanding subparagraph (A), ambulance service includes such services described in such subparagraph that are furnished on or after January 1, 2027, to an individual by a provider or supplier of ambulance services regardless of whether the provider or supplier provides the transport for the individual at a reimbursement comparable to the transport reimbursement;”. <all>
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