,,ii  #aafth ,,congress  #ast ,session  
,s4 #bcib  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,july #ca1     
#bjai,mr4 ,cramer 7for himself and ,ms4 
,rosen7 introduced the following bill2  
which was read twice and referred to the
 ,committee on ,veterans' ,affairs  ,a  
,,bill  ,to amend title #ch1 ,united    
,states ,code1 to provide for the       
circumstances under which the ,secretary
 of ,veterans ,affairs shall provide    
reimbursement for emergency ambulance   
services4  #a4 ,short title ,this ,act  
may be cited as the ,veterans           
,reimbursement for ,emergency ,ambulance
 ,services ,act or the ,,vreasa4  #b4   
,reimbursement by ,department of        
,veterans ,affairs for emergency        
ambulance services  7a7 ,in general     
,section #agbe7;c7 of title #ch1 ,united
 ,states ,code1 is amended by adding at 
the end the following new paragraph3    
7#e7 ,in delineating under paragraph    
7#a77;,b7 the circumstances under which 
reimbursement may be made under this    

section for ambulance services for an   
individual1 the ,secretary shall treat  
such services as emergency services for 
which reimbursement may be made under   
this section if the ,secretary          
determines that the request for         
ambulance services was made as a result 
of the sudden onset of a medical        
condition of such a nature that a       
prudent layperson who possesses an      
average knowledge of health and         
medicine--  7,a7 would have reasonably  
expected that a delay in seeking        
immediate medical attention would have  
been hazardous to the life or health of 
the individual2 or  7,b7 could          
reasonably expect the absence of        
immediate medical attention to result in
 placing the health of the individual in
 serious jeopardy1 the serious          
impairment of bodily functions1 or the  
serious dysfunction of any bodily organ 
or part4  4  7b7 ,effective date ,the   
amendment made by subsection 7a7 shall  
apply with respect to ambulance services

 provided on or after the date of the   
enactment of this ,act4