How HR 4792 changes current law

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.