HR7277-119

In Committee

Emergency Medical Services Reimbursement for On-Scene and Support Act

119th Congress Introduced Jan 30, 2026

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

This bill amends Title XVIII of the Social Security Act to allow Medicare to cover ambulance services that do not include transportation to a hospital. Currently, Medicare only pays for ambulance services when patients are transported. This would enable payment for "treat in place" or community paramedicine services.

Who Benefits and How

  • Medicare beneficiaries (seniors and disabled): Can receive emergency medical care without being forced to go to a hospital when not necessary, reducing disruption and potentially better health outcomes.
  • Emergency medical services (EMS) providers: Can be reimbursed for providing appropriate care on-scene without transporting, aligning incentives with patient needs.
  • Hospitals and emergency rooms: Reduced unnecessary ER visits could free up capacity for true emergencies.
  • Healthcare system overall: Could reduce costs by avoiding expensive emergency room visits when in-place treatment is sufficient.

Who Bears the Burden and How

  • Federal government/taxpayers: Medicare costs may increase from covering these additional services (though offset by reduced ER visits).
  • Some hospital systems: May see reduced ER revenue from avoided unnecessary transports.

Key Provisions

  • Authorizes Medicare reimbursement for ambulance services without transportation
  • Enables "treat-in-place" and community paramedicine models
  • Amends the Social Security Act Title XVIII (Medicare)

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for primary purpose and policy domains.

At a Glance

What This Bill Does

Expands Medicare coverage to include ambulance services that do not include transportation (treatment-in-place or community paramedicine)

Key Policy Areas

Healthcare, Medicare, Emergency Medical Services

Primary Purpose

Expands Medicare coverage to include ambulance services that do not include transportation (treatment-in-place or community paramedicine)

Policy Domains

Healthcare Medicare Emergency Medical Services

Legislative Progress

In Committee
Introduced Committee Passed
Jan 30, 2026

Referred to the Committee on Energy and Commerce, and in …

Jan 30, 2026

Introduced in House

Jan 30, 2026

Ms. Balint (for herself, Mrs. Watson Coleman, Mr. Doggett, Ms. …

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology