I 
116TH CONGRESS 
1ST SESSION H. R. 3935 
To amend title XIX of the Social Security Act to provide for the continuing 
requirement of Medicaid coverage of nonemergency transportation to 
medically necessary services. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 24, 2019 
Mr. CARTER of Georgia (for himself, Mr. CA´RDENAS, Mr. GRAVES of Georgia, 
and Mr. BISHOP of Georgia) introduced the following bill; which was re-
ferred to the Committee on Energy and Commerce 
A BILL 
To amend title XIX of the Social Security Act to provide 
for the continuing requirement of Medicaid coverage of 
nonemergency transportation to medically necessary serv-
ices. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Protecting Patients 
Transportation to Care Act’’. 
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SEC. 2. CONTINUING REQUIREMENT OF MEDICAID COV-
ERAGE 
OF 
NONEMERGENCY 
TRANSPOR-
TATION TO MEDICALLY NECESSARY SERV-
ICES. 
(a) REQUIREMENT.—Section 1902(a)(10) of the So-
cial Security Act (42 U.S.C. 1396a(a)(10)) is amended— 
(1) in subparagraph (A), in the matter pre-
ceding clause (i), by striking ‘‘and (21)’’ and insert-
ing ‘‘, (21), and (30)’’; and 
(2) in subparagraph (C)(iv), by striking ‘‘and 
(17)’’ and inserting ‘‘, (17), and (30)’’. 
(b) DESCRIPTION OF SERVICES.—Section 1905 of 
such Act (42 U.S.C. 1396d) is amended— 
(1) in subsection (a)— 
(A) in paragraph (29), by striking ‘‘and’’ 
at the end; 
(B) by redesignating paragraph (30) as 
paragraph (31) and by striking the comma at 
the end and inserting a semicolon; and 
(C) by inserting after paragraph (29) the 
following new paragraph: 
‘‘(30) subject to subsection (ff), nonemergency 
transportation to medically necessary services, con-
sistent with the requirement of section 431.53 of 
title 42, Code of Federal Regulations, as in effect as 
of June 1, 2019; and’’; and 
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(2) by adding at the end the following new sub-
section: 
‘‘(ff) NONEMERGENCY TRANSPORTATION TO MEDI-
CALLY NECESSARY SERVICES.— 
‘‘(1) LIMITATION ON FEDERAL FINANCIAL PAR-
TICIPATION.—Notwithstanding any other provision 
of this title, to be eligible for federal financial par-
ticipation under this title for expenses incurred as 
medical assistance or as an administrative expense 
for nonemergency transportation to medically nec-
essary services described in subsection (a)(30), the 
State Medicaid agency of such State must have in 
place a prior authorization or utilization manage-
ment requirement for such services. 
‘‘(2) PRIOR
AUTHORIZATION
DEFINED.—For 
purposes of paragraph (1), the term ‘prior author-
ization’ means a process through which a request for 
provisional affirmation of coverage is submitted for 
review before the service involved is furnished and 
before a claim is submitted for payment for such 
service.’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on the date of the enactment 
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of this Act and shall apply to transportation on or after 
such date. 
Æ 
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