1. Short title This Act may be cited as the Non-Emergency Ambulance Transportation Sustainability and Accountability Act of 2018 or the NEATSA Act . 2. Restructure of Medicare payment adjustment for non-emergency ESRD ambulance transports (a) In general Section 1834(l)(15) of the Social Security Act ( 42 U.S.C. 1395m(l)(15) ) is amended to read as follows: (15) Restructure of payment adjustment for non-emergency ambulance transports for ESRD beneficiaries (A) In general In the case of applicable ambulance services, the fee schedule amount otherwise applicable under the preceding provisions of this subsection shall be reduced as follows: (i) In the case of applicable ambulance services furnished during the period beginning on October 1, 2013, and ending on December 31, 2018, reduced by 10 percent. (ii) In the case of applicable ambulance services furnished during 2019, reduced by 15.5 percent. (iii) In the case of applicable ambulance services furnished during 2020 or a subsequent year— (I) by a provider or supplier of ambulance services that the Secretary has designated under subparagraph (C) for the year and for which such transport originates in an area not described in paragraph (13)(A)(i), reduced by 29.5 percent