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42 U.S.C.

U.S. CodeFederal
About This Law
pg_id_64742::119-84
Title
42 — The Public Health and Welfare
Chapter
CH7
Release
119-84
Release Date
2026-04-17

Section Text

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“In promulgating regulations to carry out section 1861(s)(7) of the Social Security Act (42 U.S.C. 1395x(s)(7)) with respect to the coverage of ambulance service, the Secretary of Health and Human Services may include coverage of advanced life support services (in this subsection referred to as ‘ALS intercept services’) provided by a paramedic intercept service provider in a rural area if the following conditions are met:“(1) The ALS intercept services are provided under a contract with one or more volunteer ambulance services and are medically necessary based on the health condition of the individual being transported. “(2) The volunteer ambulance service involved—“(A) is certified as qualified to provide ambulance service for purposes of such section, “(B) provides only basic life support services at the time of the intercept, and “(C) is prohibited by State law from billing for any services. “(3) The entity supplying the ALS intercept services—“(A) is certified as qualified to provide such services under the medicare program under title XVIII of the Social Security Act [42 U.S.C. 1395 et seq.], and “(B) bills all recipients who receive ALS intercept services from the entity, regardless of whether or not such recipients are medicare beneficiaries. For purposes of this subsection, an area shall be treated as a rural area if it is designated as a rural area by any law or regulation of the State or if it is located in a rural census tract of a metropolitan statistical area (as determined under the most recent Goldsmith Modification, originally published in the Federal Register on February 27, 1992 (57 Fed. Reg. 6725)).”

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