IB 

Union Calendar No. 804 

118TH CONGRESS 

2D SESSION H. R. 7931 

[Report No. 118–955, Part I] 

To amend title XVIII of the Social Security Act to update the fee schedule 

for ambulance services provided by critical access hospitals. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 10, 2024 

Mrs. MILLER of West Virginia (for herself and Ms. CARAVEO) introduced the 

following bill; which was referred to the Committee on Ways and Means, 

and in addition to the Committee on Energy and Commerce, 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 

DECEMBER 27, 2024 

Additional sponsors: Mr. MOONEY and Ms. LOFGREN

DECEMBER 27, 2024 

Reported from the Committee on Ways and Means with an amendment 

[Strike out all after the enacting clause and insert the part printed in italic] 

DECEMBER 27, 2024 

Committee on Energy and Commerce discharged; committed to the Committee 

of the Whole House on the State of the Union and ordered to be printed 

[For text of introduced bill, see copy of bill as introduced on April 10, 2024] 


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•HR 7931 RH

A BILL 

To amend title XVIII of the Social Security Act to update 

the fee schedule for ambulance services provided by critical access hospitals. 


kjohnson on DSK7ZCZBW3PROD with $$_JOB
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•HR 7931 RH

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Preserving Emergency 

5 Access in Key Sites Act’’ or the ‘‘PEAKS Act’’. 

6 SEC. 2. UPDATE TO FEE SCHEDULE FOR AMBULANCE SERV7 ICES PROVIDED BY CRITICAL ACCESS HOS8 PITALS. 

9 Section 1834(l)(8) of the Social Security Act (42 

10 U.S.C. 1395m(l)(8)) is amended in the flush left text fol11 lowing subparagraph (B) by inserting ‘‘(or, in the case of 

12 mountainous terrain or in areas with only secondary roads 

13 available, with respect to services furnished on or after Jan14 uary 1, 2026, a 15-mile drive)’’ after ‘‘35-mile drive’’. 

15 SEC. 3. TREATMENT OF HOSPITALS THAT MET MOUN16 TAINOUS TERRAIN OR SECONDARY ROADS 

17 DISTANCE REQUIREMENT FOR DESIGNATION 

18 AS CRITICAL ACCESS HOSPITAL. 

19 Section 1820(h) of the Social Security Act (42 U.S.C. 

20 1395i–4(h)) is amended by adding at the end the following 

21 new paragraph: 

22 ‘‘(4) TREATMENT OF HOSPITALS THAT MET

23 MOUNTAINOUS TERRAIN OR SECONDARY ROADS DIS24 TANCE REQUIREMENTS FOR DESIGNATION.— 


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•HR 7931 RH

1 ‘‘(A) IN GENERAL.—Beginning January 1, 

2 2025, in the case of a hospital described in sub3 paragraph (B), such hospital shall be deemed to 

4 meet the 15-mile distance requirement for moun5 tainous terrain or secondary roads described in 

6 subsection (c)(2)(B)(i)(I). 

7 ‘‘(B) HOSPITAL DESCRIBED.—A hospital 

8 described in this subparagraph is a hospital 

9 that— 

10 ‘‘(i) as of the date of enactment of this 

11 paragraph, is designated as a critical access 

12 hospital; 

13 ‘‘(ii) demonstrates (in a manner deter14 mined by the Secretary) that the hospital 

15 met the 15-mile distance requirement for 

16 mountainous terrain or secondary roads de17 scribed in subsection (c)(2)(B)(i)(I) as of 

18 the hospital’s last certification as a critical 

19 access hospital; and 

20 ‘‘(iii) after such date of enactment, has 

21 a new hospital or other facility described in 

22 this subsection that is located not less than 

23 10, but no more than 15, miles from the 

24 hospital. 


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•HR 7931 RH

1 ‘‘(C) REGULATIONS.—Not later than 1 year 

2 after the date of enactment of this paragraph, the 

3 Secretary shall promulgate regulations to carry 

4 out this paragraph.’’. 


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Union Calendar No. 804 

118TH CONGRESS 

2D SESSION H. R. 7931 

[Report No. 118–955, Part I] 

A BILL 

To amend title XVIII of the Social Security Act to 

provided by critical access hospitals. update the fee schedule for ambulance services 

DECEMBER 27, 2024 

Reported from the Committee on Ways and Means with 

an amendment 

DECEMBER 27, 2024 

Committee on Energy and Commerce discharged; comState of the Union and ordered to be printed mitted to the Committee of the Whole House on the 


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