,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #dgib  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #bi1 #bjbe,mr4  
,e/es 7= himself & ,ms4 ,del,bene7      
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 ( !     
,social ,security ,act to revise paym5t 
= air ambulance s]vices "u ! ,m$ic>e    
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,protect+ ,air ,ambulance   
,s]vices = ,am]icans ,act ( #bjbe4  #b4 
,improvem5ts to ,m$ic>e paym5t sy/em =  
air ambulance s]vices ,section #ahcd7l7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #aciem7l77 is am5d$ by add+ at
 ! end ! foll[+ new p>agraph3  7#ah7    
,improvem5ts to ,m$ic>e paym5t sy/em =  
air ambulance s]vices  7,a7 ,9 g5]al ,! 
,secret>y may revise ! fee s*$ule       

o!rwise e/abli%$ "u ?is subsection = air
 ambulance s]vices bas$ on data describ$
 9 subp>agraph 7,b7 & data collect$ "u  
subp>agraph 7,c74  7,b7 ,data describ$  
,= purposes ( subp>agraph 7,a71 ! data  
describ$ 9 ?is subp>agraph is data      
collect$ pursuant to ! provisions (1 &  
am5dm5ts made by1 section #ajf (        
division ,,bb ( ! ,consolidat$          
,appropriations ,act1 #bjba 7,public    
,law #aaf-bfj74  7,c7 ,additional data  
collection ,! ,secret>y %all require1   
once e #c ye>s1 provid]s ( s]vices &    
suppli]s furni%+ air ambulance s]vices  
to submit to ! ,secret>y-- 7i7 data     
relat+ to ! fix$ & op]at$ co/s p] air   
ambulance base attributable to furni%+  
air ambulance s]vices to individuals    
enroll$ "u ?is "p & data relat+ to !    
utilization ( su* s]vices by su*        
individuals2  7ii7 data relat+ to !     
rev5ue obta9$ by su* provid]s & suppli]s
 "u ?is "p attributable to ! furni%+ (  
su* s]vices2 &  7iii7 any o!r in=mation 
det]m9$ appropriate by ! ,secret>y4     

7,d7 ,consultation ,9 ! case t !        
,secret>y elects to revise ! fee s*$ule 
= air ambulance s]vices "u subp>agraph  
7,a71 ! ,secret>y %all consid] /akehold]
 input 9 a process t is transp>5t &     
appropriately consid]s data describ$ 9  
subp>agraph 7,b7 & data collect$ "u     
subp>agraph 7,c74  4  #c4 ,timely       
f9alization ( air ambulance data        
collection rule ,n lat] ?an #f mon?s    
aft] ! date ( enactm5t ( ?is ,act1 !    
,secret>y ( ,heal? & ,human ,s]vices    
%all f9alize & publi% a f9al rule       
implem5t+ ! air ambulance data          
collection requirem5ts "u section #ajf (
 division ,,bb ( ! ,consolidat$         
,appropriations ,act1 #bjba 7,public    
,law #aaf-bfj74  #d4 ,,gao /udy on      
em]g5cy air ambulance co/s ,n lat] ?an  
#a ye> aft] ! date on :i* data beg9s to 
be collect$ pursuant to ! provisions (1 
& am5dm5ts made by1 section #ajf (      
division ,,bb ( ! ,consolidat$          
,appropriations ,act1 #bjba 7,public    
,law #aaf-bfj71 ! ,comptroll] ,g5]al ( !

 ,unit$ ,/ates %all submit to !         
,committee on ,f9ance ( ! ,s5ate & !    
,committee on ,ways & ,means & !        
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives1 a report       
detail+-- 7#a7 ! av]age annual op]at+   
co/s p] air ambulance base2  7#b7 !     
av]age co/ p] transport by air          
ambulance2  7#c7 ! payor mix = air      
ambulance s]vices2  7#d7 ! adequacy (   
,m$ic>e paym5ts = su* s]vices2  7#e7    
geographic v>iations 9 ! co/ ( furni%+  
su* s]vices2 &  7#f7 recomm5dations on  
improv+ ! fee s*$ule "u section #ahcd7l7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #aciem7l77 = air ambulance    
s]vices4