warranted to assess and secure recommendations about payment adequacy for air ambulance providers and suppliers and the realistic costs of providing this life-saving transport services. (9) Mandatory cost reporting is necessary for air ambulance services providers receiving Medicare reimbursement to ensure fair and adequate reimbursement and allow appropriate access. (10) Such reporting should also capture essential data with regard to access, cost, utilization, quality and variation of such services to enable more specifically narrowly tailoring payments commensurate with higher costs actually incurred such as those treating the most critically ill and injured, investing in higher cost aviation safety and airframes, and serving patients in the most geographically isolated areas. 3. Standards for air ambulance providers and suppliers (a) Minimum standards Section 1834(l) of the Social Security Act ( 42 U.S.C. 1395m(l) ) is amended by adding at the end the following new paragraph: (17) Minimum standards for air ambulance providers and suppliers (A) In general Not later than 2 years after the date of the enactment of this paragraph, the Secretary shall, in consultation with relevant stakeholders, establish minimum standards which air ambulance suppliers and providers would be required to satisfy as a condition of participation under this title. (B) Air ambulance minimum standards In establishing the minimum standards under subparagraph (A), the Secretary shall include at least minimum standards with respect to the following: (i) Scope of practice, training and clinical capability of medical personnel relevant to medical condition of patients transported. (ii) Medical equipment (such as patient monitoring, respiratory and hemodynamic and other relevant patient 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