Ask Your Members of Congress to Cosponsor H.R. 2232 & S. 1643

On March 18 Representatives Claudia Tenney (R-NY), Terri Sewell (D-AL), Cliff Bentz (R-OR), Paul Tonko (D-NY), Mike Carey (R-OH), Danny Davis (D-IL), Carol Miller (R-WV), and Marie Gluesenkamp Perez (D-WA) introduced the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232). This legislation would extend the temporary ambulance Medicare add-on payments at their current levels of 2% urban, 3% rural and 22.6% super rural until January 1, 2028.  

On May 8 Senators Catherine Cortez Masto (D-NV), Susan Collins (R-ME), Bill Cassidy (R-LA), and Peter Welch (D-VT) introduced Senate Bill 1643, The Protecting Access to Ground Ambulance Medical Services Act of 2025. This legislation would not only extend the current temporary Medicare ambulance add-on payments through December 31, 2027, but starting October 1, 2025, also increase the payment percentages from 2% to 3.4% for urban, 3% to 4.3% for rural, and 22.6% to 26.7% for super rural. Senators Shelly Moore Capito (R-WV) and Jeff Merkley (D-OR) were also original cosponsors of the bill.

The last extension of the add-on payments was scheduled to end on March 31st, but our champions on Capitol Hill were able to secure a an extension through the end of the fiscal year, September 30th. The longer extension is critical to keep the add-on payments in place through ambulance data collection and provide time to Congress to then use the data to reform the Medicare ambulance fee schedule.

We must alert elected officials to the extreme hardship the loss of these funds would present to EMS access in our communities. 

Contact your members of Congress today urging them to cosponsor H.R. 2232 and S. 1643 using our pre-written call to action, then take a moment to share this request with your EMS colleagues via email, text, and social media.

Now, more than ever, we must speak with one voice to safeguard the financial future of mobile healthcare. 

Take Action Here