United States 119th Congress Status: In Committee Bipartisan · 31 D · 23 R cosponsors

HR 2232 — Protecting Access to Ground Ambulance Medical Services Act of 2025

Last action — Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

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  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced March 18, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Prognosis

Advancing 42% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 54 sponsors

    1 primary, 53 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (31 D · 23 R) — cross-party backing.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

Protecting Access to Ground Ambulance Medical Services Act of 2025This bill extends the specialized rate increase for Medicare payment of ground ambulance services in rural areas for an additional three years (until January 1, 2028).

Bill Text

Sections of law this bill changes

1 section in 1 law

From the bill's own amending language, matched to the official United States Code (current through Public Law 119-124).

Social security · 42 U.S.C. ch. 7 1 section
  • § 1395m Special payment rules for particular items and services Amends

    42 U.S.C. § 1395m — at 1395m(l)

    The law today

    (a) Payment for durable medical equipment (1) General rule for payment (A) In general With respect to a covered item (as defined in paragraph (13)) for which payment is determined under this subsection, payment shall be made in the frequency specified in paragraphs (2) through (7) and in an amount equal to 80 percent of the payment basis described in subparagraph (B). (B) Payment basis Subject to subparagraph (F)(i), the payment basis described in this subparagraph is the lesser of— (i) the actual charge for the item, or (ii) the payment amount recognized under paragraphs (2) through (7) of this subsection for the item; except that clause (i) shall not apply if the covered item is furnished by a public home health agency (or by another home health agency which demonstrates to the satisfaction of the Secretary that a significant portion of its patients are low income) free of charge or at nominal charges to the public. (C) Exclusive payment rule Subject to subparagraph (F)(ii), this subsection shall constitute the exclusive provision of this subchapter for payment for covered items under this part or under part A to a home health agency. (D) Reduction in fee schedules for certain items With respect to a seat-lift chair or transcutaneous electrical nerve stimulator furnished on or after April 1, 1990, the Secretary shall reduce the payment amount applied under subparagraph (B)(ii) for such an item by 15 percent, and, in the case of a transcutaneous electrical nerve stimulator furnished on or after January 1, 1991, the Secretary shall further reduce such payment amount (as previously reduced) by 45 percent. (E) Clinical conditions for coverage (i) In general The Secretary shall establish standards for clinical conditions for payment for covered items under this subsection. (ii) Requirements The standards established under clause (i) shall include the specification of types or classes of covered items that require, as a condition of payment under this subsection, a face-to-face examination of the individual by a physician (as defined in section 1395x(r) of this title), a physician assistant, nurse practitioner, or a clinical nurse specialist (as those terms are defined in section 1395x(aa)(5) of this title) and a prescription for the item. (iii) Priority of establishment of standards In establishing the standards under this subparagraph, the Secretary shall first establish standards for those covered items for which the Secretary determines there has been a proliferation of use, consistent findings of charges for covered items that are not delivered, or consistent findings of falsification of documentation to provide for payment of such covered items under this part. (iv) Standards for power wheelchairs Effective on December 8, 2003, in the case of a covered item consisting of a motorized or power wheelchair for an individual, payment may not be made for such covered item unless a physician (as defined in section 1395x(r)(1) of this title), a physician assistant, nurse practitioner, or a clinical nurse specialist (as those terms are defined in section 1395x(aa)(5) of this title) has conducted a face-to-face examination of the individual and written a prescription for the item. (v) Limitation on payment for covered items Payment may not be made for a covered item under this subsection unless the item meets any standards established under this subparagraph for clinical condition of coverage. (F) Application of competitive acquisition; limitation of inherent reasonableness authority In the case of covered items furnished on or after January 1, 2011, subject to subparagraphs (G) and (H), that are included in a competitive acquisition program in a competitive acquisition area under section 1395w–3(a) of this title— (i) the payment basis under this subsection for such items and services furnished in such area shall be the payment basis determined under such competitive acquisition program; (ii) the Secretary may (and, in the case of ...

    391 other bills also change this section · Follow it → Official text at uscode.house.gov ↗

How this bill changes current law

2 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill extends certain deadlines related to ground ambulance services from 2025 to 2028 under Medicare.

  • 42 U.S.C. 1395m(l)(12)(A)

    2025 → 2028

    The deadline for provisions in this paragraph is extended to 2028.

  • 42 U.S.C. 1395m(l)(13)(A)

    2025 → 2028

    All occurrences of the deadline in this paragraph are extended to 2028.

Action History

  1. Introduced in House

  2. Introduced in House

  3. Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  4. Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Sponsors

Sponsorship breakdown

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1 sponsors · 53 co-sponsors · 493 not signed on

Sponsors (1)

Co-sponsors (53)

Not signed on (493)

493 members have not signed on to this bill.

Show all 493 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

public-safety healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HR 2232 do?
Protecting Access to Ground Ambulance Medical Services Act of 2025This bill extends the specialized rate increase for Medicare payment of ground ambulance services in rural areas for an additional three years (until January 1, 2028).
Who sponsors HR 2232?
HR 2232 is sponsored by Tenney, Claudia (Republican), Sewell, Terri A. (Democratic), Bentz, Cliff (Republican), Tonko, Paul (Democratic), Carey, Mike (Republican), Davis, Danny K. (Democratic), Miller, Carol D. (Republican), Perez, Marie Gluesenkamp (Democratic), LaHood, Darin (Republican), Stefanik, Elise M. (Republican), Steil, Bryan (Republican), Thompson, Glenn (Republican), Mann, Tracey (Republican), Bynum, Janelle S. (Democratic), Salinas, Andrea (Democratic), Smith, Adrian (Republican), Golden, Jared F. (Democratic), Bonamici, Suzanne (Democratic), Figures, Shomari (Democratic), Trahan, Lori (Democratic), Houlahan, Chrissy (Democratic), Vasquez, Gabe (Democratic), Carter, Earl L. "Buddy" (Republican), Dexter, Maxine (Democratic), Craig, Angie (Democratic), Schakowsky, Janice D. (Democratic), Norton, Eleanor Holmes (Democratic), Finstad, Brad (Republican), Dingell, Debbie (Democratic), Tlaib, Rashida (Democratic), Van Orden, Derrick (Republican), Vindman, Eugene Simon (Democratic), Grothman, Glenn (Republican), Lee, Susie (Democratic), Malliotakis, Nicole (Republican), Stauber, Pete (Republican), Jackson, Jonathan L. (Democratic), Thompson, Mike (Democratic), Joyce, David P. (Republican), Lawler, Michael (Republican), Thanedar, Shri (Democratic), Swalwell, Eric (Democratic), Shreve, Jefferson (Republican), Deluzio, Christopher R. (Democratic), Westerman, Bruce (Republican), Balint, Becca (Democratic), Guest, Michael (Republican), Pingree, Chellie (Democratic), Gonzales, Tony (Republican), Riley, Josh (Democratic), Neguse, Joe (Democratic), Matsui, Doris O. (Democratic), Lee, Summer L. (Democratic), and Crawford, Eric A. "Rick" (Republican).
What is the current status of HR 2232?
This bill is in committee in the House. Introduced March 18, 2025. It must pass committee before a floor vote.
Where can I track HR 2232?
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