I

106TH CONGRESS

2D SESSION H. R. 4952

To amend title XVIII of the Social Security Act to provide for coverage

under part B of the Medicare Program of paramedic intercept services

provided in support of public, volunteer, or non-profit providers of ambulance services.

IN THE HOUSE OF REPRESENTATIVES

JULY 25, 2000

Mr. HINCHEY introduced the following bill; which was referred to the Committee on 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

A BILL

To amend title XVIII of the Social Security Act to provide

for coverage under part B of the Medicare Program

of paramedic intercept services provided in support of

public, volunteer, or non-profit providers of ambulance

services.

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 ‘‘Community Ambulance

5 Support Act of 2000’’.
2

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1 SEC. 2. MEDICARE COVERAGE OF CERTAIN PARAMEDIC

2 INTERCEPT SERVICES.

3 (a) COVERAGE.—

4 (1) IN GENERAL.—Section 1861(s)(7) of the

5 Social Security Act (42 U.S.C. 1395x(s)(7)) is

6 amended by striking ‘‘regulations;’’ and inserting

7 ‘‘regulations, including paramedic intercept services

8 (as described in subsection (uu));’’.

9 (2) SERVICES DESCRIBED.—Section 1861 of

10 the Social Security Act (42 U.S.C. 1395x) is amend11 ed by adding at the end the following new sub12 section:

13 ‘‘Paramedic Intercept Services

14 ‘‘(uu)(1) The term ‘paramedic intercept services’

15 means ambulance services consisting of advanced life sup16 port services provided by a qualified provider of ambulance

17 services under this title in support of an entity that is a

18 qualified public, volunteer, or non-profit provider of ambu19 lance services (as defined in paragraph (2)).

20 ‘‘(2) In paragraph (1), the term ‘qualified public, vol21 unteer, or non-profit provider of ambulance services’

22 means a public, volunteer, or non-profit provider of ambu23 lance services that is licensed, certified, or approved by

24 a State to provide such services (including basic life sup25 port services and transportation services) with or without

26 charge to individuals receiving such services.’’.
3

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1 (3) LIMITATION ON AMOUNT OF PAYMENT.—

2 Section 1833(a)(1) of the Social Security Act (42

3 U.S.C. 1395l(a)(1)) is amended—

4 (A) by striking ‘‘and’’ before ‘‘(S)’’; and

5 (B) by inserting before the semicolon at

6 the end the following: ‘‘, and (T) with respect

7 to expenses for paramedic intercept services (as

8 defined in section 1861(uu)), the amounts paid

9 may not exceed any applicable limits established

10 on payments for such services by the State in

11 which the services are provided’’.

12 (4) CONFORMING REPEAL.—Section 4531 of

13 the Balanced Budget Act of 1997 (42 U.S.C. 1395x

14 note), as amended by section 412(a) of the Medi15 care, Medicaid, and SCHIP Balanced Budget Re16 finement Act of 1999 (113 Stat. 1501A–377), as en17 acted into law by section 1000(a)(6) of Public Law

18 106–113, is amended by striking subsection (c).

19 (b) EFFECTIVE DATE.—The amendments made by

20 subsection (a) shall apply to paramedic intercept services

21 provided on or after January 1, 2001.

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