,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #hbah  ,,in ,,the ,,house ,,of  
,,representatives  ,september #aa1      
#bjbj,mr4 ,gianforte introduced the     
following bill2 which was referred to   
the ,committee on ,energy and ,commerce1
 and in addition to the ,committee on   
,ways and ,means1 for a period to be    
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to amend title ,,xviii of   
the ,social ,security ,act to provide   
for increased ,medicare payment for     
certain rural providers of ambulance    
services4  #a4 ,short title ,this ,act  
may be cited as the ,rural ,ambulance   
,reimbursement ,fairness ,act4  #b4     
,medicare payment for certain rural     
providers of ambulance services  7a7 ,in
 general ,paragraph 7#h7 of section     
#ahcd7l7 of the ,social ,security ,act  
7#db ,u4,s4,c4 #aciem7l77 is amended in 
the matter following subparagraph 7,b71 

by inserting 7or1 in the case of        
mountainous terrain or in areas with    
only secondary roads available1 a       
#ae-mile drive7 after within a #ce-mile 
drive4  7b7 ,effective date ,the        
amendment made by subsection 7a7 shall  
apply with respect to ambulance services
 furnished on or after ,january #a1     
#bjba4