IB Union Calendar No. 804 118th CONGRESS 2d Session H. R. 7931 [Report No. 118–955, Part I] 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 A BILL To amend title XVIII of the Social Security Act to update the fee schedule for ambulance services provided by critical access hospitals.

1. Short title This Act may be cited as the Preserving Emergency Access in Key Sites Act or the PEAKS Act . 2. Update to fee schedule for ambulance services provided by critical access hospitals Section 1834(l)(8) of the Social Security Act ( 42 U.S.C. 1395m(l)(8) ) is amended in the flush left text following subparagraph (B) by inserting (or, in the case of mountainous terrain or in areas with only secondary roads available, with respect to services furnished on or after January 1, 2026, a 15-mile drive) after 35-mile drive . 3. Treatment of hospitals that met mountainous terrain or secondary roads distance requirement for designation as critical access hospital Section 1820(h) of the Social Security Act ( 42 U.S.C. 1395i–4(h) ) is amended by adding at the end the following new paragraph: (4) Treatment of hospitals that met mountainous terrain or secondary roads distance requirements for designation (A) In general Beginning January 1, 2025, in the case of a hospital described in subparagraph (B), such hospital shall be deemed to meet the 15-mile distance requirement for mountainous terrain or secondary roads described in subsection (c)(2)(B)(i)(I). (B) Hospital described A hospital described in this subparagraph is a hospital that— (i) as of the date of enactment of this paragraph, is designated as a critical access hospital; (ii) demonstrates (in a manner determined by the Secretary) that the hospital met the 15-mile distance requirement for mountainous terrain or secondary roads described in subsection (c)(2)(B)(i)(I) as of the hospital’s last certification as a critical access hospital; and (iii) after such date of enactment, has a new hospital or other facility described in this subsection that is located not less than 10, but no more than 15, miles from the hospital. (C) Regulations Not later than 1 year after the date of enactment of this paragraph, the Secretary shall promulgate regulations to carry out this paragraph. .

December 27, 2024 Reported from the Committee on Ways and Means with an amendment 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