Congress·In Committee·H.R. 4792

Protecting Air Ambulance Services for Americans Act of 2025

Air Ambulance: Updating Medicare Payment Rules

Jul 29, 2025·View on Congress.gov·Read full text

This bill is one vehicle in a longer effort. See the full story across every version.View effort →

Next up: A house committeeNo action in 11 months

This bill is currently sitting in the House Energy and Commerce and Ways and Means committees. It has not moved forward since July 2025, which means nothing has happened with this proposal for about 11 months. It is considered stalled because it has not received a committee vote.

Legislative Progress

House

Senate

President

Law

Could go either way

The bill has support from both parties and addresses a clear need for better data on medical costs. It still needs to move through two different committees before it can be voted on by the full House.

How we got here

This bill’s path across every version that has carried it.

Reintroduced
Reintroduced from H.R. 3691 (118th), which died when its Congress ended.
H.R. 3691 (118th) →

Key Points

This bill changes how Medicare pays for emergency medical flights. It gives the government the power to update payment rates based on the actual costs of running these services. This helps ensure that air ambulance companies are paid fairly for the life saving work they do.
Air ambulance companies will be required to report their costs and earnings to the government every three years. This includes information on fuel, staff, and equipment costs. Officials will use this data to make sure Medicare payments are keeping up with the real world expenses of flying patients in emergencies.
A government watchdog group will conduct a major study on the cost of emergency flights. They will look at the average cost per transport and how those costs change depending on where a person lives. This report will help Congress understand if current payments are enough to keep these services running in rural areas.
The government must finish and publish new rules for collecting air ambulance data within six months. This is meant to speed up a process that was started by a previous law but has not been completed yet. Having this data sooner will help officials make better decisions about healthcare spending.

Impact Analysis

Govbase has not yet run an impact analysis on this legislation.

Milestones

2 milestones2 actions

Jul 29, 2025House

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.

Sent to a congressional committee for expert review. The committee decides whether this bill moves forward.

Jul 29, 2025

Introduced in House

The bill was officially filed and given a number. It now enters the legislative queue.

No votes or news coverage recorded for this bill yet.

Source Information

Document Type

Congressional Bill

Official Title

Protecting Air Ambulance Services for Americans Act of 2025

Bill NumberHR 4792

Congress119th Congress

ChamberHouse of Representatives

Latest ActionReferred 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.