,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #higg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #aj1 #bjbd,mr4  
,c>ey 7= himself1 ,mr4 ,doggett1 ,mrs4  
,mill] ( ,we/ ,virg9ia1 ,mrs4 ,d+ell1 & 
,mr4 ,ryan7 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 ,,xi 
( ! ,social ,security ,act to require ! 
,c5t] = ,m$ic>e & ,m$icaid ,innovation  
to te/ an em]g5cy m$ical s]vices        
treatm5t-9-place model "u ! ,m$ic>e     
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,improv+ ,access to ,em]g5cy
 ,m$ical ,s]vices ,act ( #bjbd4  #b4    
,requir+ ! ,c5t] = ,m$ic>e & ,m$icaid   
,innovation to te/ an em]g5cy m$ical    
s]vices treatm5t-9-place model "u !     
,m$ic>e program  7a7 ,9 g5]al ,section  
#aaae;,a ( ! ,social ,security ,act 7#db

 ,u4,s4,c4 #acae;a7 is am5d$-- 7#a7 9   
subsection 7b77#b7-- 7,a7 9 subp>agraph 
7,a71 9 ! ?ird s5t5ce1 by ins]t+ 1 &    
%all include ! model describ$ 9         
subp>agraph 7,b77xxviii7 be=e ! p]iod at
 ! end2 &  7,b7 9 subp>agraph 7,b71 by  
add+ at ! end ! foll[+ new clause3      
7xxviii7 ,! ,em]g5cy ,m$ical ,s]vices   
,treatm5t-9-,place ,model describ$ 9    
subsection 7h74  2 &  7#b7 by add+ at ! 
end ! foll[+ new subsection3  7h7       
,em]g5cy ,m$ical ,s]vices               
,treatm5t-9-,place ,model  7#a7 ,9 g5]al
 ,= purposes ( subsection               
7b77#b77;,b77xxviii71 ! ,em]g5cy ,m$ical
 ,s]vices ,treatm5t-9-,place ,model     
describ$ 9 ?is subsection is a model "u 
:i* paym5t is made "u "p ,b ( title     
,,xviii = treatm5t s]vices furni%$ to an
 individual enroll$ "u su* "p by a      
provid] or suppli] ( gr\nd ambulance    
s]vices 7z describ$ 9 section #ahcd7l77 
:5 su* s]vices-- 7,a7 are n associat$ ) 
a correspond+ transport payable "u su*  
section2  7,b7 are s furni%$ 9 response 

to an em]g5cy m$ical call 7z specifi$ by
 ! ,secret>y7 made ) respect to su*     
individual2 &  7,c7 are s furni%$ 9     
accordance ) ,/ate & local protocols    
7:i* may include onl9e m$ical           
direction74  7#b7 ,paym5t ,! ,secret>y  
%all set paym5t rates = s]vices furni%$ 
"u ! model describ$ 9 p>agraph 7#a7 9 a 
mann] t aligns su* paym5ts ) ! paym5ts t
 w\ld h be5 made = su* s]vices _h su*   
s]vices result$ 9 a transport payable "u
 section #ahcd7l74  7#c7 ,duration ,!   
model describ$ 9 p>agraph 7#a7 %all be  
c>ri$ out = a p]iod ( #e ye>s4  4  7b7  
,report ,n lat] ?an #d ye>s aft] ! date 
on :i* ! ,em]g5cy ,m$ical ,s]vices      
,treatm5t-9-,place ,model 7z describ$ 9 
section #aaae;,a7h7 ( ! ,social         
,security ,act1 z add$ by subsection    
7a77 is implem5t$1 ! ,comptroll] ,g5]al 
( ! ,unit$ ,/ates %all submit to !      
,committee on ,ways & ,means ( ! ,h\se (
 ,repres5tatives & ! ,committee on      
,f9ance ( ! ,s5ate a report t1 tak+ into
 acc\nt /akehold] input-- 7#a7 analyzes 

v>i\s aspects ( ,m$ic>e b5efici>ies'    
access to em]g5cy m$ical s]vices1       
includ+ an evaluation ( ! impact ( su*  
model on b5efici>y outcomes1 res\rce    
utilization1 & ov]all heal? c>e sy/em   
effici5cy2  7#b7 comp>es b5efici>y      
outcomes "u su* model ) b5efici>y       
outcomes us+ traditional em]g5cy        
transportation2  7#c7 assesses ! impact 
( regional v>iations & demographics on  
b5efici>y access to em]g5cy m$ical      
s]vices2  7#d7 id5tifies be/ practices &
 pot5tial *all5ges 9 implem5t+ su*      
model2 &  7#e7 includes recomm5dations =
 improv+ em]g5cy m$ical s]vices4