119th Congress · introduced in the Senate · May 7, 2025
Protecting Access to Ground Ambulance Medical Services Act of 2025
Official title from Congress.gov
Latest action (May 7, 2025): Read twice and referred to the Committee on Finance.
View on Congress.govPolicy area: Health
Congressional Research Service summary, version: Introduced in Senate (May 7, 2025)
Protecting Access to Ground Ambulance Medical Services Act of 2025
This bill extends a specialized rate increase for Medicare payment of ground ambulance services in rural areas until January 1, 2028, and provides for a higher rate increase for services furnished between October 1, 2025, and January 1, 2028.
Includes amendment, cloture, and procedural votes. Each is labeled with its exact question; only a passage question is a vote to pass the bill.
No recorded roll calls on this bill in coverage.
Read twice and referred to the Committee on Finance.
Introduced in Senate
Actions from Congress.gov, newest first.
LD-2 reports whose issue descriptions explicitly cite this bill (bill type and number validated against Congress.gov records). A citation does not establish the client's position or any contact with a member.
Loading lobbying reportsCoverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 24, 2026.
79 citations; showing the 25 most recently posted.
AMERICAN AMBULANCE ASSOCIATION · lobbying firm or registrant: LESTER HEALTH LAW PLLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
H.R. 2232 and S. 1643 - Extension of the ground ambulance add-ons; Medicare update of the ambulance fee schedule definitions of urban, rural, and super-rural; treatment in place; Me…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
SARNOVA, LLC · lobbying firm or registrant: WHITMER & WORRALL, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Health Issues
$30,000
Paid to lobbying firm
…ne Act of 2025. Issues related to the Supporting Our First Responders Act. Issues related to H.R. 2220, the PARA-EMT Act of 2025. Issues related to H.R. 2232 & S. 1643, Protecting Access to Ground Ambulance Medical Services Act of 2025.
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
GLOBAL MEDICAL RESPONSE INC · lobbying firm or registrant: GLOBAL MEDICAL RESPONSE, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$570,000
Spent on own lobbying
…imbursement policy for air and ground ambulance services; Intergovernmental Transfers (IGTs)/State Plan Amendments related to Medicaid reimbursement. H.R. 2232/S. 1643, Protecting Access to Ground Ambulance Medical Services Act of 2025; New York Medicaid State Plan Amendment on Treat in Place. H.R. 9970 - the RESCUE ACT, Reim…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL VOLUNTEER FIRE COUNCIL · lobbying firm or registrant: NATIONAL VOLUNTEER FIRE COUNCIL
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$10,000
Spent on own lobbying
H.R. 2232/S. 1643, Protecting Access to Ground Ambulance Medical Services Act H.R. 2538/S. 3145, Comprehensive Alternative Response for Emergencies (CARE) Act Issues regarding t…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL VOLUNTEER FIRE COUNCIL · lobbying firm or registrant: NATIONAL VOLUNTEER FIRE COUNCIL
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$10,000
Spent on own lobbying
…ational Personal Protective Technology Laboratory, the Respirator Approval Program, Emergency Response Support, and Health Hazard Evaluation Program. H.R. 2232/S. 1643, Protecting Access to Ground Ambulance Medical Services Act H.R. 2538/S. 3145, Comprehensive Alternative Response for Emergencies (CARE) Act H.R. 10116/S. 4819…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
SUPERIOR AIR GROUND AMBULANCE SERVICE, INC. · lobbying firm or registrant: BARNES & THORNBURG, LLP
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$20,000
Paid to lobbying firm
H.R.2232 and S.1643, Protecting Access to Ground Ambulance Medical Services Act of 2025, Medicare and Medicaid policies relating to ground and air ambulance services, including su…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
SUPERIOR AIR GROUND AMBULANCE SERVICE, INC. · lobbying firm or registrant: BARNES & THORNBURG, LLP
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Budget/Appropriations
$20,000
Paid to lobbying firm
H.R.2232 and S.1643, Protecting Access to Ground Ambulance Medical Services Act of 2025, Medicare and Medicaid policies relating to ground and air ambulance services, including su…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN AMBULANCE ASSOCIATION · lobbying firm or registrant: ALSTON & BIRD LLP
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$70,000
Paid to lobbying firm
…itle XVIII to protect patient access to ground ambulance services under part B of the Medicare program through stabilized and increased reimbursement (H.R.2232/S.1643). The Preserve Access to Rapid Ambulance Medical Treatment Act (H.R.2220) and the PARA-EMT Act; The Comprehensive Alternative Response for Emergencies (CARE) A…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN AMBULANCE ASSOCIATION · lobbying firm or registrant: ALSTON & BIRD LLP
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$70,000
Paid to lobbying firm
…ans on workforce issues. Legislation to amend title XVIII to protect patient access to ground ambulance services under part B of the Medicare program (H.R.2232/S.1643); Appropriations requests for grant funding under the ASPR; NDAA - military to civilian workforce transition; Relief for private ground ambulance providers fro…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
INTERNATIONAL ASSOCIATION OF FIRE CHIEFS · lobbying firm or registrant: INTERNATIONAL ASSOCIATION OF FIRE CHIEFS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Health Issues
$30,000
Spent on own lobbying
…afety in home oxygen systems and reimbursement for the installation of thermal fuses. The Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232/S. 1643), provisions to extend the add-on payments for ambulance transport of Medicare patients. Issues relating to the staffing reductions at the National Firefighter…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
INTERNATIONAL ASSOCIATION OF FIRE CHIEFS · lobbying firm or registrant: INTERNATIONAL ASSOCIATION OF FIRE CHIEFS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$30,000
Spent on own lobbying
…to reimbursement of fire and EMS departments for treating Medicare patients in place. The Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232/S. 1643), provisions to extend the add-on payments for ambulance transport of Medicare patients. Issues relating to state participation in the Ground Emergency Medical…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
SUPERIOR AIR-GROUND AMBULANCE SERVICE, INC. · lobbying firm or registrant: OGR
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 17, 2026 · issue area: Medicare/Medicaid
$20,000
Paid to lobbying firm
…Medicaid policies relating to ground and air ambulance services, including workforce shortage issues, and supplemental relief for ambulance providers; H.R.2232/S.1643, Protecting Access to Ground Ambulance Medical Services Act of 2025.
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
FALCK USA · lobbying firm or registrant: OGR
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 17, 2026 · issue area: Medicare/Medicaid
$20,000
Paid to lobbying firm
…Medicaid policies relating to ground and air ambulance services, including workforce shortage issues, and supplemental relief for ambulance providers; H.R.2232/S.1643, Protecting Access to Ground Ambulance Medical Services Act of 2025; H.R.9970, RESCUE Act of 2026.
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN AMBULANCE ASSOCIATION · lobbying firm or registrant: LESTER HEALTH LAW PLLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Aug 10, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
H.R. 2232 and S. 1643 - Extension of the ground ambulance add-ons; Medicare update of the ambulance fee schedule definitions of urban, rural, and super-rural; treatment in place; Me…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
SARNOVA, LLC · lobbying firm or registrant: WHITMER & WORRALL, LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 22, 2026 · issue area: Health Issues
$30,000
Paid to lobbying firm
…ne Act of 2025. Issues related to the Supporting Our First Responders Act. Issues related to H.R. 2220, the PARA-EMT Act of 2025. Issues related to H.R. 2232 & S. 1643, Protecting Access to Ground Ambulance Medical Services Act of 2025.
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL VOLUNTEER FIRE COUNCIL · lobbying firm or registrant: NATIONAL VOLUNTEER FIRE COUNCIL
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 21, 2026 · issue area: Medicare/Medicaid
$10,000
Spent on own lobbying
H.R. 2232/S. 1643, Protecting Access to Ground Ambulance Medical Services Act H.R. 2538/S. 3145, Comprehensive Alternative Response for Emergencies (CARE) Act Issues regarding t…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL VOLUNTEER FIRE COUNCIL · lobbying firm or registrant: NATIONAL VOLUNTEER FIRE COUNCIL
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 21, 2026 · issue area: Health Issues
$10,000
Spent on own lobbying
…ational Personal Protective Technology Laboratory, the Respirator Approval Program, Emergency Response Support, and Health Hazard Evaluation Program. H.R. 2232/S. 1643, Protecting Access to Ground Ambulance Medical Services Act H.R. 2538/S. 3145, Comprehensive Alternative Response for Emergencies (CARE) Act Issues relating to…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
GLOBAL MEDICAL RESPONSE INC · lobbying firm or registrant: GLOBAL MEDICAL RESPONSE, INC.
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 21, 2026 · issue area: Medicare/Medicaid
$540,000
Spent on own lobbying
…imbursement policy for air and ground ambulance services; Intergovernmental Transfers (IGTs)/State Plan Amendments related to Medicaid reimbursement. H.R. 2232/S. 1643, Protecting Access to Ground Ambulance Medical Services Act of 2025; New York Medicaid State Plan Amendment on Treat in Place.
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL ASSOCIATION OF EMERGENCY MEDICAL TECHNICIANS (NAEMT) · lobbying firm or registrant: KIM KRENIK
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 21, 2026 · issue area: Health Issues
$31,000
Paid to lobbying firm
…nce Services Congressional Gold Medal Act; Support H.R. 2220, the PARA-EMT Act; Support language in the FY27 NDAA on the transition of military medics; Support S. 1643/H.R. 2232, the Protecting Access to Ground Ambulance Medical Services Act; Support participation of the Congressional EMS Caucus; Support S.315/H.R. 979, the A…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN AMBULANCE ASSOCIATION · lobbying firm or registrant: ALSTON & BIRD LLP
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Health Issues
$70,000
Paid to lobbying firm
…itle XVIII to protect patient access to ground ambulance services under part B of the Medicare program through stabilized and increased reimbursement (H.R.2232/S.1643). The Preserve Access to Rapid Ambulance Medical Treatment Act (H.R.2220) and the PARA-EMT Act; The Comprehensive Alternative Response for Emergencies (CARE) A…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN AMBULANCE ASSOCIATION · lobbying firm or registrant: ALSTON & BIRD LLP
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$70,000
Paid to lobbying firm
…ans on workforce issues. Legislation to amend title XVIII to protect patient access to ground ambulance services under part B of the Medicare program (H.R.2232/S.1643); Appropriations requests for grant funding under the ASPR; NDAA - military to civilian workforce transition; Relief for private ground ambulance providers fro…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
SUPERIOR AIR-GROUND AMBULANCE SERVICE, INC. · lobbying firm or registrant: OGR
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 18, 2026 · issue area: Medicare/Medicaid
$20,000
Paid to lobbying firm
…Medicaid policies relating to ground and air ambulance services, including workforce shortage issues, and supplemental relief for ambulance providers; H.R.2232/S.1643, Protecting Access to Ground Ambulance Medical Services Act of 2025.
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
FALCK USA · lobbying firm or registrant: OGR
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 18, 2026 · issue area: Medicare/Medicaid
$20,000
Paid to lobbying firm
…Medicaid policies relating to ground and air ambulance services, including workforce shortage issues, and supplemental relief for ambulance providers; H.R.2232/S.1643, Protecting Access to Ground Ambulance Medical Services Act of 2025.
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
INTERNATIONAL ASSOCIATION OF FIRE CHIEFS · lobbying firm or registrant: INTERNATIONAL ASSOCIATION OF FIRE CHIEFS
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 17, 2026 · issue area: Health Issues
$30,000
Spent on own lobbying
…afety in home oxygen systems and reimbursement for the installation of thermal fuses. The Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232/S. 1643), provisions to extend the add-on payments for ambulance transport of Medicare patients. Issues relating to the staffing reductions at the National Firefighter…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
INTERNATIONAL ASSOCIATION OF FIRE CHIEFS · lobbying firm or registrant: INTERNATIONAL ASSOCIATION OF FIRE CHIEFS
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 17, 2026 · issue area: Medicare/Medicaid
$30,000
Spent on own lobbying
…to reimbursement of fire and EMS departments for treating Medicare patients in place. The Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232/S. 1643), provisions to extend the add-on payments for ambulance transport of Medicare patients. Issues relating to state participation in the Ground Emergency Medical…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing