,,ii  #aaith ,,congress  #ast ,session  
,s4 #afdc  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #g1 #bjbe 
,ms4 ,cortez ,masto 7for herself1 ,ms4  
,collins1 ,mr4 ,cassidy1 ,mr4 ,welch1   
,mrs4 ,capito1 and ,mr4 ,merkley7       
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,finance  ,a ,,bill  ,to  
amend title ,,xviii of the ,social      
,security ,act to protect patient access
 to ground ambulance services under the 
,medicare program4  #a4  ,short title   
,this ,act may be cited as the          
,protecting ,access to ,ground          
,ambulance ,medical ,services ,act of   
#bjbe4  #b4  ,protecting patient access 
to ,medicare ground ambulance services  
7a7  ,super rural ambulance  ,section   
#ahcd7l77#ab77;,a7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#aciem7l77#ab77;,a77 is amended--  7#a7 
in the first sentence1 by striking      
,october #a1 #bjbe and inserting        
,january #a1 #bjbh2 and  7#b7 by adding 

at the end the following new sentence3  
,in the case of services furnished on or
 after ,october #a1 #bjbe1 and before   
,january #a1 #bjbh1 such percent        
increase shall be #bf4g percent44  7b7  
,ground ambulance  ,section             
#ahcd7l77#ac77;,a7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#aciem7l77#ac77;,a77 is amended--  7#a7 
in the matter preceding clause 7i71 by  
striking ,october #a1 #bjbe and         
inserting ,january #a1 #bjbh2  7#b7 in  
clause 7i71 by inserting 1 or #d4c      
percent if such service is furnished on 
or after ,october #a1 #bjbe1 and before 
,january #a1 #bjbh after #bjbe2 and     
7#c7 in clause 7ii71 by inserting 1 or  
#c4d percent if such service is         
furnished on or after ,october #a1      
#bjbe1 and before ,january #a1 #bjbh    
after #bjbe4