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119th Congress
Independent · Nonpartisan · Reader-supported
SENATES. 3145· 119th Congress

Bill would fund ground ambulance services that don't transport patients under Medicare pilot program

CARE Act of 2025

Sponsor
Susan Collins (R-ME)
Introduced
Nov 6, 2025
Last Action
Nov 6, 2025

Recorded legislative actions. Future votes are not implied.

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Introduced
Nov 6, 2025
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In Committee
Nov 6, 2025

AI-assisted analysis based on the official CRS summary. Source version: Jul 24, 2026. Analysis updated: Sep 15, 2026.

01 — The Text

What.

  • The bill requires the Center for Medicare and Medicaid Innovation (CMMI) to test a five-year model for Medicare payment of ground ambulance services
  • Under the model, Medicare would pay for ambulance dispatch and response to emergency calls even when the ambulance does not transport the patient
  • Payment rates under the model must generally align with rates for ambulances that do complete patient transport
  • The Government Accountability Office must report on Medicare beneficiary access to emergency medical services and the model's impact on access and outcomes
  • The bill was introduced in the Senate on November 6, 2025
02 — The Stakes

So what?

  • The official summary does not specify the financial cost of the pilot program or Medicare budget impact
  • The summary does not document whether the model would improve beneficiary outcomes or expand access to emergency services; GAO reporting is required to evaluate these effects
  • The summary does not state whether this payment expansion would affect ambulance service availability, provider participation, or beneficiary costs
  • The documented effect is limited to authorizing a test model; actual implementation and results depend on CMMI decisions and GAO findings
03 — The Path

Now what?

  • Bill was referred to the Senate Committee on Finance on November 6, 2025
  • No subsequent action is recorded
  • No vote or committee hearing date has been scheduled
Legislative History

Actions.

  • Nov 6, 2025 — Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S7964)
  • Nov 6, 2025 — Introduced in Senate