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H.R. 2232
U.S. House•In House Committee
Summary
H.R. 2232, the Protecting Access to Ground Ambulance Medical Services Act of 2025, was introduced in the House on Mar 18, 2025 by Rep. Claudia Tenney (R) with 54 co-sponsors. It was referred to Energy And Commerce, and last saw action on Mar 18, 2025: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Record
Text
H.R. 2232 has 54 co-sponsors.
hb2232/introduced-in-house.txt119 HR 2232 IH: Protecting Access to Ground Ambulance Medical Services Act of 2025U.S. House of Representatives2025-03-18text/xmlENPursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.I 119th CONGRESS 1st Session H. R. 2232 IN THE HOUSE OF REPRESENTATIVES March 18, 2025 Ms. Tenney (for herself, Ms. Sewell , Mr. Bentz , Mr. Tonko , Mr. Carey , Mr. Davis of Illinois , Mrs. Miller of West Virginia , and Ms. Perez ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committee on Ways and Means , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILLTo amend title XVIII to protect patient access to ground ambulance services under part B of the Medicare program.1.Short titleThis Act may be cited as the Protecting Access to Ground Ambulance Medical Services Act of 2025 .2.Protecting patient access to ground ambulance servicesSection 1834(l) of the Social Security Act ( 42 U.S.C. 1395m(l) ) is amended—(1)in paragraph (12)(A), by striking 2025 and inserting 2028 ; and(2)in paragraph (13)(A), by striking 2025 each place it appears and inserting 2028 in each such place.
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-03-18
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
CRS Summary
The summaries are the Congressional Research Service’s, one per stage. Read them in full.
Introduced in House Mar 18, 2025
hb2232/introduced-in-house.mdShown Here:
Introduced in House (03/18/2025)
Protecting Access to Ground Ambulance Medical Services Act of 2025
This bill extends the specialized rate increase for Medicare payment of ground ambulance services in rural areas for an additional three years (until January 1, 2028).
Sponsors
Rep. Claudia Tenney (R) sponsors H.R. 2232, and 54 members have co-sponsored it, 7 of them from the day it was introduced.

Rep. · R–NY-24 · Sponsor
Introduced Mar 18, 2025

Rep. · R–OR-2 · Co-sponsor
Joined Mar 18, 2025 · Original

Rep. · R–OH-15 · Co-sponsor
Joined Mar 18, 2025 · Original

Rep. · D–IL-7 · Co-sponsor
Joined Mar 18, 2025 · Original

Rep. · R–WV-1 · Co-sponsor
Joined Mar 18, 2025 · Original

Rep. · D–WA-3 · Co-sponsor
Joined Mar 18, 2025 · Original

Rep. · D–AL-7 · Co-sponsor
Joined Mar 18, 2025 · Original

Rep. · D–NY-20 · Co-sponsor
Joined Mar 18, 2025 · Original

Rep. · R–IL-16 · Co-sponsor
Joined Apr 7, 2025

Rep. · R–NY-21 · Co-sponsor
Joined Apr 7, 2025
Committees
H.R. 2232 went before 2 committees: Ways and Means and Energy and Commerce.
Actions
H.R. 2232 has taken 2 actions since Mar 18, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Mar 18, 2025 | House | Introduced in House | ||
Mar 18, 2025 | House | Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.Energy and Commerce Committee |
Votes
H.R. 2232 has not gone to a roll call.
Titles
H.R. 2232 goes by 3 titles, 1 of them short titles.
- Protecting Access to Ground Ambulance Medical Services Act of 2025 — Short Title(s) as Introduced
- Protecting Access to Ground Ambulance Medical Services Act of 2025 — Display Title
- To amend title XVIII to protect patient access to ground ambulance services under part B of the Medicare program. — Official Title as Introduced
Lobbying
11 clients hired 13 firms and 68 registered lobbyists who named H.R. 2232 in 64 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Medicare/Medicaid, Health Issues, Labor Issues/Antitrust/Workplace, Budget/Appropriations, Taxation/Internal Revenue Code, Disaster Planning/Emergencies, Homeland Security, Veterans.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| AMERICAN AMBULANCE ASSOCIATION | Trade Association representing ground ambulance and emergency medical services. | Virginia | 3 | 14 | $511K |
| SUPERIOR AIR-GROUND AMBULANCE SERVICE, INC. | Provides ambulance services in Illinois, Indiana, Ohio, Michigan and Wisconsin | Illinois | 2 | 7 | $140K |
| NATIONAL ASSOCIATION OF EMERGENCY MEDICAL TECHNICIANS (NAEMT) | An organization dedicated to representing the interests of all EMS practitioners. | Mississippi | 1 | 6 | $186K |
| FALCK USA | ambulance service provider | California | 1 | 6 | $120K |
| SUPERIOR AIR GROUND AMBULANCE SERVICE, INC. | ambulance services | Illinois | 1 | 6 | $110K |
| INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS | — | District of Columbia | 1 | 6 | — |
| SARNOVA, LLC | A nationwide distributor of emergency medical equipment, supplies and pharmaceuticals. | Ohio | 1 | 5 | $150K |
| INTERNATIONAL ASSOCIATION OF FIRE CHIEFS | — | Virginia | 1 | 5 | — |
| GLOBAL MEDICAL RESPONSE INC | — | Missouri | 1 | 4 | — |
| NATIONAL VOLUNTEER FIRE COUNCIL | — | District of Columbia | 1 | 4 | — |
| AMERICAN HOSPITAL ASSOCIATION | — | District of Columbia | 1 | 1 | — |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| OGR | 2 | 12 | $240K |
| AMERICAN AMBULANCE ASSOCIATION | 1 | 6 | — |
| BARNES & THORNBURG, LLP | 1 | 6 | $110K |
| INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS | 1 | 6 | — |
| KIM KRENIK | 1 | 6 | $186K |
| INTERNATIONAL ASSOCIATION OF FIRE CHIEFS | 1 | 5 | — |
| WHITMER & WORRALL, LLC | 1 | 5 | $150K |
| ALSTON & BIRD LLP | 1 | 4 | $280K |
| GLOBAL MEDICAL RESPONSE, INC. | 1 | 4 | — |
| LESTER HEALTH LAW PLLC | 1 | 4 | $231K |
| NATIONAL VOLUNTEER FIRE COUNCIL | 1 | 4 | — |
| AMERICAN HOSPITAL ASSOCIATION | 1 | 1 | — |
| MCGUIREWOODS CONSULTING (A SUBSIDIARY OF MCGUIREWOODS LLP) | 1 | 1 | $20K |
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 68.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| ALISSA CLEES | 1 | 2 | 12 |
| GORDON TAYLOR | 1 | 2 | 12 |
| BRANDT HERSHMAN | 1 | 1 | 6 |
| BRIAN BURDICK | 1 | 1 | 6 |
| CHRIS GIBLIN | 1 | 2 | 6 |
| EDWARD AYOOB | 1 | 1 | 6 |
| EVAN DAVIS | 1 | 1 | 6 |
| KEVIN O'CONNOR | 1 | 1 | 6 |
| KIMBERLY KRENIK | 1 | 1 | 6 |
| MATTHEW MORGAN | 1 | 1 | 6 |
| MATTHEW ZIEGMAN | 1 | 1 | 6 |
| SAMANTHA GAINES | 1 | 1 | 6 |
| TRISTAN NORTH | 1 | 1 | 6 |
| EDWARD HERZIG | 1 | 1 | 5 |
| ERIK KOMENDANT | 1 | 1 | 5 |
| KENNETH LASALA | 1 | 1 | 5 |
| SCOTT ROBINSON | 1 | 1 | 5 |
| STEVEN ALONZO | 1 | 1 | 5 |
| THOMAS WORRALL | 1 | 1 | 5 |
| ANDRES DHOKAI | 1 | 1 | 4 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AMERICAN HOSPITAL ASSOCIATION | AMERICAN HOSPITAL ASSOCIATION | 2025 second_quarter | $6.2M | 2nd Quarter - Report |
| GLOBAL MEDICAL RESPONSE INC | GLOBAL MEDICAL RESPONSE, INC. | 2026 second_quarter | $540K | 2nd Quarter - Report |
| GLOBAL MEDICAL RESPONSE INC | GLOBAL MEDICAL RESPONSE, INC. | 2026 first_quarter | $540K | 1st Quarter - Report |
| GLOBAL MEDICAL RESPONSE INC | GLOBAL MEDICAL RESPONSE, INC. | 2025 fourth_quarter | $540K | 4th Quarter - Report |
| GLOBAL MEDICAL RESPONSE INC | GLOBAL MEDICAL RESPONSE, INC. | 2025 third_quarter | $500K | 3rd Quarter - Report |
| AMERICAN AMBULANCE ASSOCIATION | AMERICAN AMBULANCE ASSOCIATION | 2026 second_quarter | $350K | 2nd Quarter - Report |
| AMERICAN AMBULANCE ASSOCIATION | AMERICAN AMBULANCE ASSOCIATION | 2026 first_quarter | $350K | 1st Quarter - Report |
| AMERICAN AMBULANCE ASSOCIATION | AMERICAN AMBULANCE ASSOCIATION | 2025 fourth_quarter | $300K | 4th Quarter - Report |
| AMERICAN AMBULANCE ASSOCIATION | AMERICAN AMBULANCE ASSOCIATION | 2025 third_quarter | $300K | 3rd Quarter - Report |
| AMERICAN AMBULANCE ASSOCIATION | AMERICAN AMBULANCE ASSOCIATION | 2025 second_quarter | $300K | 2nd Quarter - Report |
| AMERICAN AMBULANCE ASSOCIATION | AMERICAN AMBULANCE ASSOCIATION | 2025 first_quarter | $300K | 1st Quarter - Report |
| INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS | INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS | 2025 second_quarter | $261.5K | 2nd Quarter - Report |
| INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS | INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS | 2026 second_quarter | $196K | 2nd Quarter - Report |
| INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS | INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS | 2025 third_quarter | $192.3K | 3rd Quarter - Report |
| INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS | INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS | 2025 fourth_quarter | $184.3K | 4th Quarter - Report |
| INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS | INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS | 2025 first_quarter | $170.2K | 1st Quarter - Report |
| INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS | INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS | 2026 first_quarter | $165K | 1st Quarter - Report |
| AMERICAN AMBULANCE ASSOCIATION | ALSTON & BIRD LLP | 2026 second_quarter | $70K | 2nd Quarter - Report |
| AMERICAN AMBULANCE ASSOCIATION | ALSTON & BIRD LLP | 2026 first_quarter | $70K | 1st Quarter - Report |
| AMERICAN AMBULANCE ASSOCIATION | ALSTON & BIRD LLP | 2025 fourth_quarter | $70K | 4th Quarter - Report |
Classification
The Congressional Research Service files H.R. 2232 under Health, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 2232’s is Health.
hr2232/policy-areas.txtConstitutional authority
The clause the sponsor cites as Congress’s power to enact H.R. 2232, as entered in the Congressional Record.
[Congressional Record Volume 171, Number 50 (Tuesday, March 18, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Ms. TENNEY:H.R. 2232.Congress has the power to enact this legislation pursuantto the following:Article I[Page H1173]
Source: congress.gov · legiscan.com