support equipment), devices, technology and formularies. (iii) Vehicle attributes to support needed care, including configuration and conditions of medical environment, electrical supply in air ambulance and other related equipment. (iv) Documentation standards, such as patient care records, timeline of care and transport, history of present illness and assessments, and documentation specific to diagnostic and therapeutic procedures. (v) Medical direction and physician medical oversight, such as credentials of such physicians. (vi) Reporting of always events, such as care coordination and transition, pain management, preventing ventilator acquired pneumonia or invasive line or wound infections. (vii) Reporting of never events, such as loss of oxygen, delivery of a baby during transport, patient death or disability due to vehicle failure or crash, transport to unintended destination, dropping a patient or allowing a fall during movement of patient, failure to communicate time of arrival, hypoglycemia, and medication errors. (viii) Patient safety and infection control. (ix) Physician directed clinical quality management and clinical performance improvement programs including quality assurance, utilization review, outcomes, proficiency measures and patient safety. (x) Standards relevant to particular populations, such as those on balloon pumps or ECMO. (C) Deemed status Air ambulance providers and suppliers that are accredited by an accreditation organization approved by the Secretary as having standards that meet or exceed the Secretary’s standards for such providers shall be deemed to be in compliance with the minimum requirements required pursuant to this paragraph. . 4. Air ambulance cost reporting program Section 1834(l) of the Social Security Act ( 42 U.S.C. 1395m(l) ), as amended by section 3, is further amended by adding at the end the following new paragraph: (18) Air ambulance cost reporting program (A) In general For the first year beginning at least 12 months after the date of the enactment of this