,,ii  #aai? ,,congress  #a/ ,session    
,s4 #cade  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #f1 #bjbe ,ms4
 ,coll9s 7= h]self & ,mr4 ,wel*7        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title ,,xi 
( ! ,social ,security ,act to require ! 
,c5t] = ,m$ic>e & ,m$icaid ,innovation  
to te/ a compreh5sive alt]native        
response = em]g5cies model "u ! ,m$ic>e 
program4  #a4  ,%ort title  ,?is ,act   
may be cit$ z ! ,compreh5sive           
,alt]native ,response = ,em]g5cies ,act 
( #bjbe or ! ,,c>e ,act ( #bjbe4  #b4   
,requir+ ! ,c5t] = ,m$ic>e & ,m$icaid   
,innovation to te/ a compreh5sive       
alt]native response = em]g5cies 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 7b7-- 7,a7 9 p>agraph 
7#b77;,a71 9 ! ?ird s5t5ce1 by ins]t+ 1 
&1 beg9n+ n lat] ?an ! date t is #b ye>s
 aft] ! date ( ! enactm5t ( ! ,,c>e ,act

 ( #bjbe1 %all include ! ,compreh5sive  
,alt]native ,response = ,em]g5cies      
,model describ$ 9 subsection 7h7 be=e ! 
p]iod at ! end2 &  7,b7 9 p>agraph      
7#c77;,b71 by /rik+ ,! ,secret>y &      
ins]t+ ,except 9 ! case ( ! model       
describ$ 9 subsection 7h71 ! ,secret>y2 
&  7#b7 by add+ at ! end ! foll[+ new   
subsection3  7h7 ,compreh5sive          
alt]native response = em]g5cies model   
7#a7 ,9 g5]al ,= purposes ( subsection  
7b77#b77;,a71 ! ,compreh5sive           
,alt]native ,response = ,em]g5cies      
,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 
#ahcd7l771 or by an entity "u arrangem5t
 ) su* a provid]1 :5 su* s]vices--  7,a7
 include ! dispat* ( a gr\nd ambulance  
vehicle b d n include 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 lic5sure requirem5ts & protocols
 7:i* may include onl9e m$ical direction
 ?r\gh ! use ( audiovisual              
telecommunications te*nology74  7#b7    
,paym5t  7,a7  ,9 g5]al  ,! ,secret>y   
%all set paym5t rates = s]vices furni%$ 
"u ! model describ$ 9 p>agraph 7#a7 9 a 
mann] t g5]ally 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,b7      
,orig9at+ site fee  ,9 ! case ( a       
teleheal? s]vice payable "u section     
#ahcd7m7 t is furni%$ 9 conjunction )   
treatm5t s]vices furni%$ "u ! model     
describ$ 9 p>agraph 7#a71 ! site :]e !  
individual receiv+ su* teleheal? s]vice 
is locat$ %all be treat$ z an orig9at+  
site t is describ$ 9 p>agraph           
7#d77;,c77ii77,v7 ( su* section =       
purposes ( apply+ p>agraph 7#b77;,b7 (  
su* section4  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* ! ,compreh5sive ,alt]native     
,response = ,em]g5cies ,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 & to ! ext5t data is available--  
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 outcomes
 & res\rce utilization2  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 ! availability ( 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