Sec. 203. Medicare ambulance services
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/bill/113/s/2110/pcs/section-203·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Section 1834(l)(13)(A) of the Social Security Act (42 U.S.C. 1395m(l)(13)(A)) is amended by striking April 1, 2014 and inserting January 1, 2019 each place it appears. Section 1834(l)(12)(A) of the Social Security Act ( 42 U.S.C. 1395m(l)(12)(A) ) is amended, in the first sentence, by striking April 1, 2014 and inserting January 1, 2019 . Section 1834(l) of the Social Security Act ( 42 U.S.C. 1395m(l) ) is amended by adding at the end the following new paragraph: The Secretary shall develop a data collection system (which may include use of a cost survey and standardized definitions) for providers and suppliers of ambulance services to collect cost, revenue, utilization, and other information determined appropriate by the Secretary.
Such system shall be designed to submit information— needed to evaluate the appropriateness of payment rates under this subsection; on the utilization of capital equipment and ambulance capacity; and on different types of ambulance services furnished in different geographic locations, including rural areas and low population density areas described in paragraph (12). Not later than July 1, 2015, the Secretary shall— specify the data collection system under subparagraph
(A)and the time period during which such data is required to be submitted; and identify the providers and suppliers of ambulance services who would be required to submit the information under such data collection system. Subject to subparagraph (D)(ii), the Secretary shall determine an appropriate sample of providers and suppliers of ambulance services to submit information under the data collection system for each period for which reporting of data is required. Beginning on July 1, 2016, a 5 percent reduction to payments under this part shall be made for a 1-year prospective period specified by the Secretary to a provider or supplier of ambulance services who— is identified under subparagraph (B)(i)(II) as being required to submit the information under the data collection system; and does not submit such information during the period specified under subparagraph (B)(i)(I). The Secretary may, as determined appropriate, periodically revise the data collection system. In order to continue to evaluate the appropriateness of payment rates under this subsection, the Secretary shall, for years after 2016 (but not less often than once every 3 years), require providers and suppliers of ambulance services to submit information for a period the Secretary determines appropriate. The penalty described in subparagraph
(C)shall apply to such subsequent data collection periods. The Secretary shall consult with stakeholders in carrying out the development of the system and collection of information under this paragraph, including the activities described in subparagraphs
(A)and (D). Such consultation shall include the use of requests for information and other mechanisms determined appropriate by the Secretary. Chapter 35 of title 44, United States Code, shall not apply to the collection of information required under this subsection. There shall be no administrative or judicial review under section 1869, section 1878, or otherwise of the data collection system or identification of respondents under this paragraph. For purposes of carrying out subparagraph (A), the Secretary shall provide for the transfer, from the Federal Supplementary Medical Insurance Trust Fund under section 1841, of $1,000,000 to the Centers for Medicare & Medicaid Services Program Management Account for fiscal year 2014. Amounts transferred under this subparagraph shall remain available until expended. .
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Sec. 203
Medicare ambulance services
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