1. Short title This Act may be cited as the Air Ambulance Quality and Accountability Act . 2. Findings Congress finds as follows: (1) Patient access to high quality and essential air ambulance services can mean the difference between life and death and quality of survival for patients. (2) Medicare should assure beneficiaries of high quality air ambulance services and patient safety. (3) Medicare has no requirements related to quality measurement and reporting, adherence to relevant standards as a condition of participating in Medicare, and robust cost reporting. (4) Medicare currently reimburses all suppliers and providers of air ambulance services the same, regardless of clinical capability or investment in aviation safety that exceeds requirements of the Federal Aviation Administration. (5) A subset of patients requiring air transport are so critically ill or injured as to require an advanced level of clinical capability to address unstable and life-threatening medical conditions that may develop or deteriorate during transport. The costs of providing care to such patients should be reported to enable the Congress to assess the sufficiency and appropriateness of reimbursement for these most vulnerable patients. (6) There remain many geographic areas of the nation with limited access to air ambulance services due to low volume of patients in geographically isolated and very rural areas. (7) Medicare and Medicaid payment should be adequate to protect and promote access to air ambulance services that are capable of meeting the clinical needs of the most critically ill and injured patients, allow necessary investments in transport safety, and enable transport to the appropriate medical center to receive them. (8) An evaluation of Medicare payment policy is 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