Emergency Medical Services Reimbursement for On-Scene and Support Act

Representative Balint introduced HR7277 on January 30, 2026, a bill that would amend the Social Security Act to expand Medicare coverage to include ambulance services where a provider or supplier treats a patient on-site without transporting them to a facility. The bill has been referred to the House Committee on Energy and Commerce and the Committee on Ways and Means—both standard initial steps. It currently has 8 cosponsors, all Democrats, indicating limited bipartisan momentum. A companion bill, S3730, exists in the Senate. The bill text includes no explicit funding authorization or appropriation; any future reimbursement rates would need to be set by the Centers for Medicare & Medicaid Services (CMS) rulemaking, and actual Medicare outlays would require separate appropriations. The legislative journey is in its earliest phase: committee hearings, markups, floor votes in both chambers, and potential conference remain. Given that ambulance services are predominantly provided by municipal fire departments, private non-profit services, and small regional operators rather than large publicly traded corporations, the direct market impact is minimal. No specific publicly traded company has a business model whose revenue would be materially affected by this change in the near term. The bill does not name or target any specific corporate entities.