1. Short title; table of contents (a) Short title This Act may be cited as the Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2019 . (b) Table of contents The table of contents for this Act is as follows: Sec. 1. Short title; table of contents. Title I—Protect Access to High Quality Ambulance Care Sec. 101. Reform to the Medicare ambulance fee schedule. Sec. 102. National expansion of prior authorization model for repetitive scheduled non-emergent ambulance transport. Title II—Reduce Administrative Burdens To Expand Patient Care Sec. 201. Elimination of duplicative paperwork requirements in the Medicare ambulance benefit. Title III—Leverage Ambulance Services To Protect Access to Care in Rural America Sec. 301. Protecting access to ambulance services in rural and low population density areas. I Protect Access to High Quality Ambulance Care 101. Reform to the Medicare ambulance fee schedule (a) In general 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: (18) Increase in conversion factor for ground ambulance services In the case of ground ambulance services furnished on or after January 1, 2020, for purposes of determining the fee schedule amount for such services under this subsection, the conversion factor otherwise applicable to such services shall be increased by— (A) with respect to ground ambulance services for which the transportation originates in a qualified rural area, as identified using the methodology described in paragraph (12)(B)(iii), 25.6 percent; (B) with respect to ground ambulance services not described in subparagraph (A) and for which the transportation originates in a rural area described under paragraph (9) or in a rural census tract described in such paragraph, 3 percent