Congress approves ambulance Medicare add-ons

A five-year extension was added as part of a two-year budget deal, including a requirement of obtaining data while not burdening EMS agencies

By EMS1 Staff

WASHINGTON —Congress passed a five-year extension of Medicare ambulance add-ons as part of a two-year budget deal.

According to, the provisions in the final deal passed by Congress differ from the provisions passed earlier in the week – they now include the collection of ambulance cost data.

The final package includes:

  • A cost data collection process that gives the Secretary of HHS flexibility in developing the system and requires industry consultation so that a balance is struck between obtaining data and not causing the EMS agencies to be burdened.
  • The extension, retroactive to Jan. 1, 2018, is effective through Dec. 31, 2022
  • If the required data is not reported, a payment reduction of up to 10 percent will be issued for the following year, unless there is a hardship case.
  • A “pay-for” for the extension with a 13 percent cut to non-emergent dialysis transport


  1. Tags
  2. Medicare

Recommended for you

Join the discussion

Get Paramedic Chief in your inbox

Thanks! You've been successfully signed up for the Paramedic Chief Newsletter!

Copyright © 2019 All rights reserved.