Overview

Last week the U.S. House of Representatives passed: the “Blue Water Navy Vietnam Veterans Act” (H.R. 299); the “Cooperate with Law Enforcement Agencies and Watch Act of 2018” (H.R. 5783); the “Prevention of Private Information Dissemination Act of 2017” (H.R. 4294); the “Endangered Salmon and Fisheries Predation Prevention Act” (H.R. 2083); the “Foreign Investment Risk Review Modernization Act” (H.R. 5841); and the “Department of Defense Appropriations Act, 2019” (H.R. 6157).

The Senate passed the “Energy and Water, Legislative Branch, and Military Construction and Veterans Affairs Appropriations Act, 2019” (H.R. 5895); the “Authenticating Local Emergencies and Real Threats (ALERT) Act of 2018” (S. 2385); and the “Agriculture Improvement Act of 2018” (H.R. 2).

On June 27, Associate Justice Anthony Kennedy announced his retirement after 30 years on the Supreme Court. President Trump has indicated that he will announce a nominee to replace Kennedy on Monday, July 9. The nomination will initiate the confirmation process in the Senate, with hearings in the Judiciary Committee followed by a debate and vote on the Senate floor.

The House and Senate are in recess this week for the Fourth of July and will reconvene next week.

Member Reminder

AAMS opposes the “Air Ambulance Consumer Protection Act” (S. 2812), which was introduced on May 10, 2018. AAMS also opposes Section 412 of the House-passed “FAA Reauthorization Act of 2018” (H.R. 4). AAMS encourages members to contact their Senators and Members of Congress to ask them to oppose these proposals.

Both S. 2812 and Section 412 of H.R. 4 would exempt air medical services from the Airline Deregulation Act (ADA), allowing states to establish a patchwork of regulatory barriers to transporting patients from the scene of a life-threatening illness or accident to the closest appropriate care facility. It is critical to ensure that interstate air medical flights remain unencumbered by regulatory barriers as over 30% of all air ambulance transports cross state lines. Allowing conflicting state regulations could ultimately result in air medical base closures in the rural areas where they are needed the most. Congress must preserve the current framework of the ADA, which allows air medical providers to deliver life-saving services and make decisions based on what is in the best interest of the patient, rather than on arbitrary state, county, or municipal boundaries.

AAMS fully supports the “Ensuring Access to Air Ambulance Services Act” (H.R. 3378 and S. 2121), bipartisan legislation that would address the shortfall in Medicare reimbursements for air medical services. AAMS encourages members to contact their Senators and Members of Congress to ask them to cosponsor the legislation.

The bills would reform the Medicare fee schedule for air ambulance services, starting with a cost reporting and analysis program conducted by the Centers for Medicare and Medicaid Services (CMS), followed by: rebasing of air medical reimbursements in 2021; and implementation of a Value-Based Purchasing (VBP) Program beginning in 2024. The bill would enhance transparency by establishing cost and quality reporting requirements, as well as solve for a growing gap between Medicare payments and costs.

Representatives Jackie Walorski (R-IN), Suzan DelBene (D-WA), Bill Johnson (R-OH), Raul Ruiz (D-CA), and Pete Sessions (R-TX) introduced H.R. 3378.

The following Members of Congress have cosponsored the bill since its introduction, bringing the total number of cosponsors to 44:

  • Tom Cole (R-OK);
  • Jason Smith (R-MO);
  • Blaine Luetkemeyer (R-MO);
  • David Loebsack (D-IA);
  • Mike Kelly (R-PA);
  • Kenny Marchant (R-TX);
  • Terri Sewell (D-AL);
  • Ed Perlmutter (D-CO);
  • Julia Brownley (D-CA);
  • Jacky Rosen (D-NV);
  • Ami Bera (D-CA);
  • Scott Tipton (R-CO);
  • Mike Coffman (R-CO);
  • Luke Messer (R-IN);
  • Filemon Vela (D-TX);
  • Tom O’Halleran (D-AZ);
  • Anna Eshoo (D-CA);
  • Martha McSally (R-AZ);
  • Jared Polis (D-CO);
  • Roger Williams (R-TX);
  • Doug LaMalfa (R-CA);
  • David Young (R-IA);
  • Tom Marino (R-PA);
  • Rodney Davis (R-IL);
  • Tom Reed (R-NY);
  • Elise Stefanik (R-NY);
  • Mark Takano (D-CA);
  • Vincente Gonzalez (D-TX);
  • Dina Titus (D-NV);
  • Diane Black (R-TN);
  • Jim Banks (R-IN);
  • Kyrsten Sinema (D-AZ);
  • John Faso (R-NY);
  • Pete Aguilar (D-CA);
  • Steven Palazzo (R-MS);
  • John Garamendi (D-CA);
  • Sam Graves (R-MO);
  • Steve King (R-IA);
  • Ralph Abraham (R-LA); and
  • Ruben Kihuen (D-NV).

Senators Dean Heller (R-NV), Michael Bennet (D-CO), and Cory Gardner (R-CO), introduced the Senate version of the bill. Senators Catherine Cortez Masto (D-NV), Tim Scott (R-SC), Shelley Moore Capito (R-WV), and Todd Young (R-IN) are also cosponsors.

Additional information on these issues, as well as on how to contact your Member of Congress and Senators: