S. 3730, the Emergency Medical Services Reimbursement for On-Scene Care and Support Act, would expand Medicare coverage to include ambulance services that do not involve transporting patients. Currently, Medicare only covers ambulance services when they include transportation, but this bill would allow Medicare to reimburse emergency medical services (EMS) providers for on-scene care and support even if the patient is not transported to a hospital or facility. The change takes effect on January 1, 2027, and would reimburse these services at rates comparable to transport services. This legislation primarily affects Medicare beneficiaries who receive EMS care and the ambulance service providers and EMS agencies that treat them, potentially improving access to emergency medical care for seniors and disabled individuals while ensuring EMS providers receive payment for the care they deliver.
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