; and (3) by adding at the end the following new paragraphs: (17) Air Ambulance Data Reporting Program (A) Submission of cost data With respect to 2019 and each subsequent year, each supplier or provider of air ambulance services shall submit to the Secretary data specified under subparagraph (B) for air ambulance services furnished by such provider or supplier during such year. Such data shall be submitted in a form and manner, and on an annual basis, as specified by the Secretary for purposes of this subparagraph. (B) Cost data For purposes of reporting data for air ambulance services furnished during a year, the data described in this subparagraph are cost data on the following: (i) Maintenance of aircrafts. (ii) Medical supplies and equipment. (iii) Fuel. (iv) Employee expenses. (v) Recurring training relating to aviation, maintenance, communication, and clinical. (vi) Rent and utilities. (vii) Communications. (viii) Travel. (ix) Hull and aviation liability insurance, life insurance, and professional malpractice insurance. (x) Marketing. (xi) Supplies and equipment. (xii) Overhead support. (xiii) Aircraft ownership expenses. (xiv) Depreciation. (xv) Safety enhancement capital costs. (xvi) Safety enhancement recurring costs. (C) Consultation relating to cost reports For purposes of this paragraph, the Secretary shall consult with suppliers and providers of air ambulance services to develop a cost reporting instrument and further define the data specified under subparagraph (B) through instructions. (D) Submission of quality data With respect to 2020 and each subsequent year, each supplier or provider of air ambulance services shall submit to the Secretary data specified under subparagraph (E) for air ambulance services furnished by such supplier or provider during such year. Such data shall be submitted in a form and manner, and on an annual basis, as specified by the Secretary for purposes of this subparagraph. (E) Quality data For purposes of reporting data for air ambulance services furnished during a year,