II 118th CONGRESS 1st Session S. 3236 IN THE SENATE OF THE UNITED STATES November 7, 2023 Mr. Welch (for himself and Mr. Sanders ) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To amend title XVIII of the Social Security Act to provide Medicare coverage of ambulance services that do not include transportation.

1. Short title This Act may be cited as the Emergency Medical Services Reimbursement for On-Scene Care and Support Act . 2. Coverage of ambulance services that do not include transportation Section 1861(s)(7) of the Social Security Act ( 42 U.S.C. 1395x(s)(7) ) is amended— (1) by inserting (A) after (7); (2) in subparagraph (A), as added by paragraph (1), by inserting and after the semicolon; and (3) by adding at the end the following new subparagraph: (B) notwithstanding subparagraph (A), ambulance service includes such services described in such subparagraph that are furnished on or after January 1, 2025, to an individual by a provider or supplier of ambulance services regardless of whether the provider or supplier provides the transport for the individual at a reimbursement comparable to the transport reimbursement; .