,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #bded  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #ab1 #bjba,ms4 
,sewell 7= h]self1 ,mr4 ,nunes1 ,mr4    
,wel*1 & ,mr4 ,mull97 introduc$ ! foll[+
 bill2 :i* 0 ref]r$ to ! ,committee on  
,en]gy & ,comm]ce1 & 9 addition to !    
,committee on ,ways & ,means1 = a p]iod 
to be subsequ5tly det]m9$ by ! ,speak]1 
9 ea* case = consid]ation ( su*         
provisions z fall )9 ! jurisdiction ( ! 
committee conc]n$  ,a ,,bill  ,to am5d  
title ,,xviii to /r5g!n ambulance       
s]vices furni%$ "u "p ,b ( ! ,m$ic>e    
program4  #a4 ,%ort title2 table (      
cont5ts  7a7 ,%ort title ,?is ,act may  
be cit$ z ! ,protect+ ,access to ,gr\nd 
,ambulance ,m$ical ,s]vices ,act (      
#bjba4  7b7 ,table ( cont5ts ,! table ( 
cont5ts = ?is ,act is z foll[s3 ,sec4   
#a4 ,%ort title2 table ( cont5ts4,title 
,i--,protect ,access to ,high-,quality  
,ambulance ,care,sec4 #aja4 ,protect+   
pati5t access to gr\nd ambulance        
s]vices4,title ,,ii--,protect ,access to

 ,gr\nd ,ambulance ,s]vices 9 ,rural    
,america,sec4 #bja4 ,protect+ access to 
ambulance s]vices 9 rural & l[          
population d5sity areas4  ,i ,protect   
,access to ,high-,quality ,ambulance    
,c>e  #aja4 ,protect+ pati5t access to  
gr\nd ambulance s]vices ,section        
#ahcd7l7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #aciem7l77 is am5d$-- 7#a7 9 
p>agraph 7#ab77;,a71 by /rik+ #bjbc &   
ins]t+ #bjbh2 &  7#b7 9 p>agraph        
7#ac77;,a71 by /rik+ #bjbc ea* place x  
appe>s & ins]t+ #bjbh 9 ea* su* place4  
,,ii ,protect ,access to ,gr\nd         
,ambulance ,s]vices 9 ,rural ,am]ica    
#bja4 ,protect+ access to ambulance     
s]vices 9 rural & l[ population d5sity  
areas ,section #ahcd7l77#ab7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#aciem7l77#ab77 is am5d$ by add+ at !   
end ! foll[+ new subp>agraphs3  7,c7    
,exception = rural & qualifi$ rural     
areas ,! ,secret>y %all deem an area    
designat$ z a rural or qualifi$ rural   
area "u ?is p>agraph t w\ld o!rwise no  

long] receive su* designation to reta9  
its previ\s designat$ /atus if !re are  
#a1jjj or few] individuals p] squ>e mile
 9 ! area4  7,d7 ,"r to appeal rural    
areas & qualifi$ rural areas ,!         
,secret>y %all e/abli% an adm9i/rative  
appeals process to all[ ambulance       
s]vices provid]s & suppli]s to seek     
reconsid]ation ( a *ange 9 a ,,zip      
code's /atus z a rural or qualifi$ rural
 area dur+ ! fir/ #ab mon?s aft] !      
,secret>y f9alizes a *ange 9 !          
designation made "u ?is p>agraph4  4