; (bb) whether the individual has a medical condition that, regardless of bed confinement, is such that transport by ambulance is medically necessary; or (cc) whether the individual meets other criteria as determined appropriate by the Secretary. . II Reduce Administrative Burdens To Expand Patient Care 201. Elimination of duplicative paperwork requirements in the Medicare ambulance benefit Section 1834(l) of the Social Security Act ( 42 U.S.C. 1395m(l) ), as amended by section 101, is further amended by adding the following new paragraph: (20) Reducing administrative burden No later than July 1, 2020— (A) The Secretary shall through notice and comment rulemaking eliminate the following requirements to reduce the burden on ambulance services providers and suppliers: (i) The vehicle section and the extra practice locations for emergency medical services section of the 855B Ambulance Enrollment Form required under section 424.505 of title 42, Code of Federal Regulations (or successor regulations). (ii) The requirement that individuals sign ambulance service claims under section 424.36 of title 42, Code of Federal Regulations (or successor regulations), when other documentation establishing that the individual received the ambulance services is available. (B) Not later than July 1, 2020, the Secretary shall through notice and comment rulemaking— (i) require ambulance providers and suppliers to update the 855B Ambulance Enrollment Form required under section 424.505 of title 42, Code of Federal Regulations (or successor regulations), no more than once a calendar year