United States 119th Congress Status: In Committee Bipartisan · 10 R · 9 D cosponsors

HR 4792 — Protecting Air Ambulance Services for Americans 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.

  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 July 29, 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.

  • 19 sponsors

    1 primary, 18 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (10 R · 9 D) — 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 Air Ambulance Services for Americans Act of 2025This bill authorizes payment changes under Medicare for air ambulance services based on certain collected data and requires additional reporting from providers of these services.Current law requires providers of air ambulance services to report certain information regarding general costs and utilization to the Department of Health and Human Services; private health insurers are also required to report information relating to coverage of these services. The bill authorizes the Centers for Medicare & Medicaid Services to revise payment rates under Medicare for air ambulance services based on this data, and it requires providers of air ambulance services to specifically report information relating to costs and utilization under Medicare.The bill also requires the Government Accountability Office to report on the data that is collected under current law requirements and to recommend changes to Medicare payment rates accordingly.

Bill Text

How this bill changes current law

4 changes Share ↗

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

The bill adds provisions for revising the Medicare payment system for air ambulance services under 42 U.S.C. § 1395m.

  • 42 U.S.C. 1395m(l)

    (18) Improvements to medicare payment system for air ambulance services.--(A) In general.--The Secretary may revise the fee schedule otherwise established under this subsection for air ambulance services based on data described in subparagraph (B) and data collected under subparagraph (C).

    This new provision allows the Secretary to revise the fee schedule for air ambulance services based on specific data.

  • 42 U.S.C. 1395m(l)

    (B) Data described.--For purposes of subparagraph (A), the data described in this subparagraph is data collected pursuant to the provisions of, and amendments made by, section 106 of division BB of the Consolidated Appropriations Act, 2021 (Public Law 116-260).

    Defines the data that the Secretary will use to revise the air ambulance fee schedule.

  • 42 U.S.C. 1395m(l)

    (C) Additional data collection.--The Secretary shall require, once every 3 years, providers of services and suppliers furnishing air ambulance services to submit to the Secretary--(i) data relating to the fixed and operated costs per air ambulance base attributable to furnishing air ambulance services to individuals enrolled under this part and data relating to the utilization of such services by such individuals; (ii) data relating to the revenue obtained by such providers and suppliers under this part attributable to the furnishing of such services; and (iii) any other information determined appropriate by the Secretary.

    Mandates data collection from air ambulance service providers every three years to inform payment revisions.

  • 42 U.S.C. 1395m(l)

    (D) Consultation.--In the case that the Secretary elects to revise the fee schedule for air ambulance services under subparagraph (A), the Secretary shall consider stakeholder input in a process that is transparent and appropriately considers data described in subparagraph (B) and data collected under subparagraph (C).

    Requires stakeholder consultation when revising the air ambulance fee schedule.

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 · 18 co-sponsors · 528 not signed on

Sponsors (1)

Co-sponsors (18)

Not signed on (528)

528 members have not signed on to this bill.

Show all 528 →

"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

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 4792 do?
Protecting Air Ambulance Services for Americans Act of 2025This bill authorizes payment changes under Medicare for air ambulance services based on certain collected data and requires additional reporting from providers of these services.Current law requires providers of air ambulance services to report certain information regarding general costs and utilization to the Department of Health and Human Services; private health insurers are also required to report information relating to coverage of these services. The bill authorizes the Centers for Medicare & Medicaid Services to revise payment rates under Medicare for air ambulance services based on this data, and it requires providers of air ambulance services to specifically report information relating to costs and utilization under Medicare.The bill also requires the Government Accountability Office to report on the data that is collected under current law requirements and to recommend changes to Medicare payment rates accordingly.
Who sponsors HR 4792?
HR 4792 is sponsored by Estes, Ron (Republican), DelBene, Suzan K. (Democratic), Panetta, Jimmy (Democratic), Steube, W. Gregory (Republican), Crow, Jason (Democratic), Mann, Tracey (Republican), Sewell, Terri A. (Democratic), Van Duyne, Beth (Republican), Vindman, Eugene Simon (Democratic), Tenney, Claudia (Republican), Pettersen, Brittany (Democratic), Norton, Eleanor Holmes (Democratic), Obernolte, Jay (Republican), Ruiz, Raul (Democratic), Yakym, Rudy (Republican), Miller, Carol D. (Republican), Dunn, Neal P. (Republican), Schrier, Kim (Democratic), and Langworthy, Nicholas A. (Republican).
What is the current status of HR 4792?
This bill is in committee in the House. Introduced July 29, 2025. It must pass committee before a floor vote.
Where can I track HR 4792?
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