,,ii  #aafth ,,congress  #ast ,session  
,s4 #bhdf  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,november #ac1 
#bjai,mr4 ,isakson 7for himself and ,mr4
 ,brown7 introduced the following bill2 
which was read twice and referred to the
 ,committee on ,finance  ,a ,,bill  ,to 
amend title ,,xix of the ,social        
,security ,act to provide for the       
continuing requirement of ,medicaid     
coverage of nonemergency transportation 
to medically necessary items and        
services1 and for other purposes4  #a4  
,short title ,this ,act may be cited as 
the ,protecting ,patients               
,transportation to ,care ,act4  #b4     
,continuing requirement of medicaid     
coverage of nonemergency transportation 
to medically necessary items and        
services  7a7 ,requirement ,section     
#aijb7;a77#aj7 of the ,social ,security 
,act 7#db ,u4,s4,c4 #acif;a7a77#aj77 is 
amended--  7#a7 in subparagraph 7,a71 in
 the matter preceding clause 7i71 by    
striking and 7#bi7 and inserting 1      

7#bi71 and 7#cj72 and  7#b7 in          
subparagraph 7,c77iv71 by striking and  
7#ag7 and inserting 1 7#ag71 and 7#cj74 
7b7 ,description of items and services  
,section #aije of such ,act 7#db        
,u4,s4,c4 #acif;d7 is amended-- 7#a7 in 
subsection 7a7--  7,a7 in paragraph     
7#bi71 by striking and at the end2  7,b7
 by redesignating paragraph 7#cj7 as    
paragraph 7#ca72 and  7,c7 by inserting 
after paragraph 7#bi7 the following new 
paragraph3  7#cj7 subject to subsection 
7gg71 nonemergency transportation to    
medically necessary items and services1 
consistent with the requirement of      
section #dca4ec of title #db1 ,code of  
,federal ,regulations1 as in effect as  
of ,june #a1 #bjai2 and  2 and  7#b7 by 
adding at the end the following new     
subsection3  7gg7 ,nonemergency         
transportation to medically necessary   
items and services  7#a7 ,limitation on 
,federal financial participation        
,notwithstanding any other provision of 
this title1 to be eligible for federal  

financial participation under this title
 for expenses incurred as medical       
assistance or as an administrative      
expense for nonemergency transportation 
to medically necessary items and        
services described in subsection        
7a77#cj71 the ,state ,medicaid agency of
 such ,state must have in place a       
transportation coordination plan and    
utilization management guidelines for   
the design and delivery of nonemergency 
transportation to medically necessary   
items and services4  7#b7               
,transportation coordination plan ,for  
purposes of paragraph 7#a71 the term    
transportation coordination plan means a
 process that provides and improves--   
7,a7 access to non-emergency            
transportation to medically necessary   
items and services to improve--  7i7    
attendance at appointments for the      
furnishing of items and services for    
which medical assistance is available   
under this title2 and  7ii7 health      
outcomes2 and  7,b7 coordination in the 

planning of transportation services     
provided with ,federal assistance1      
including coordination with             
transportation providers receiving      
assistance under this title or from     
other ,federal sources4  4  7c7         
,interagency ,transportation            
,coordinating ,council on ,access and   
,mobility ,the ,administrator of the    
,centers for ,medicare  ,medicaid       
,services shall be a member of the      
,interagency ,transportation            
,coordinating ,council on ,access and   
,mobility established under ,executive  
,order ,no4 #acccj 7#di ,u4,s4,c4 #aja  
note7 and shall participate fully in the
 activities of the ,council4  7d7       
,effective date ,the amendments made by 
this section shall take effect on the   
date of the enactment of this ,act and  
shall apply to transportation on or     
after such date4