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Congress·In Committee·H.R. 7277

Emergency Medical Services Reimbursement for On-Scene and Support Act

House Committee Reviews Bill to Pay Ambulance Crews for On-Scene Care Without Hospital Transport

Legislative Progress

House
Senate
President
Law

Key Points

  • This bill would change Medicare rules so ambulance crews get paid for the medical care they provide on the scene, even if they do not drive the patient to a hospital. Right now, Medicare usually only pays if the patient is actually transported to a medical facility.
  • The change would apply to services provided starting January 1, 2026. It aims to make sure paramedics and EMTs are fairly paid for the life-saving work they do at someone's home or at the site of an accident, regardless of the final destination.
  • This policy helps patients who need emergency care but might not need a hospital stay. It also helps ambulance companies stay in business by covering the costs of their staff and equipment when they treat people on-site.
  • The payment for these services would be similar to what ambulance companies receive when they do transport a patient. This encourages medical teams to provide the right care for the situation rather than just rushing everyone to the emergency room to ensure they get paid.
Healthcare

Impact Analysis

Personal Impact

Life & Work

Many ambulance services, especially in rural areas, are run by small companies or volunteer organizations that struggle financially. Right now they lose money every time they respond to a call but don't transport the patient. This bill would let them bill Medicare for on-scene care, helping them stay financially viable and continue serving their communities.

3
2
2
5
+3
ImpactCertaintyScopeDurationSentiment

Programs

Disabilities

Broader Impacts

Score
Scores: -5 (harmful) to +5 (beneficial)Short-term: 0-2 yearsLong-term: 10-30 years

Milestones

2 milestones2 actions
Jan 30, 2026House

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.

Jan 30, 2026

Introduced in House

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

Votes

No votes have been recorded for this legislation yet.

Source Information

Document Type

Congressional Bill

Official Title

Emergency Medical Services Reimbursement for On-Scene and Support Act

Bill NumberHR 7277
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.

Sponsor

Cosponsors

(7)
D: 7

Analysis generated by AI. Always verify with official sources.