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S. 1643
U.S. Senate•In Senate Committee
Summary
S. 1643, the Protecting Access to Ground Ambulance Medical Services Act of 2025, was introduced in the Senate on May 7, 2025 by Sen. Catherine Cortez Masto (D) with 18 co-sponsors. It was referred to Finance, and last saw action on May 7, 2025: Read twice and referred to the Committee on Finance.
Record
Text
S. 1643 has 18 co-sponsors.
sb1643/introduced-in-senate.txt119 S1643 IS: Protecting Access to Ground Ambulance Medical Services Act of 2025U.S. Senate2025-05-07text/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.II119th CONGRESS1st SessionS. 1643IN THE SENATE OF THE UNITED STATESMay 7, 2025Ms. Cortez Masto (for herself, Ms. Collins , Mr.Cassidy , Mr. Welch , Mrs. Capito , and Mr.Merkley ) introduced the following bill; which was read twice andreferred to the Committee onFinanceA BILLTo amend title XVIII of the Social Security Act to protect patient access toground ambulance services under 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 Medicare ground ambulance services(a)Super rural ambulanceSection 1834(l)(12)(A) of the Social Security Act ( 42 U.S.C. 1395m(l)(12)(A) ) is amended—(1)in the first sentence, by striking October 1, 2025 and inserting January 1, 2028 ; and(2)by adding at the end the following new sentence: In the case of services furnished on or after October 1, 2025, and before January 1, 2028, such percent increase shall be 26.7 percent. .(b)Ground ambulanceSection 1834(l)(13)(A) of the Social Security Act ( 42 U.S.C. 1395m(l)(13)(A) ) is amended—(1)in the matter preceding clause (i), by striking October 1, 2025 and inserting January 1, 2028 ;(2)in clause (i), by inserting , or 4.3 percent if such service is furnished on or after October 1, 2025, and before January 1, 2028 after 2025 ; and(3)in clause (ii), by inserting , or 3.4 percent if such service is furnished on or after October 1, 2025, and before January 1, 2028 after 2025 .
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-05-07
- Passed Senate
- Passed House
- Conference
- To President
- Became Law
CRS Summary
The summaries are the Congressional Research Service’s, one per stage. Read them in full.
Introduced in Senate May 7, 2025
sb1643/introduced-in-senate.mdShown Here:
Introduced in Senate (05/07/2025)
Sponsors
Sen. Catherine Cortez Masto (D) sponsors S. 1643, and 18 members have co-sponsored it, 5 of them from the day it was introduced.

Sen. · D–NV · Sponsor
Introduced May 7, 2025

Sen. · R–WV · Co-sponsor
Joined May 7, 2025 · Original

Sen. · R–LA · Co-sponsor
Joined May 7, 2025 · Original

Sen. · R–ME · Co-sponsor
Joined May 7, 2025 · Original

Sen. · D–OR · Co-sponsor
Joined May 7, 2025 · Original

Sen. · D–VT · Co-sponsor
Joined May 7, 2025 · Original

Sen. · D–MN · Co-sponsor
Joined May 12, 2025

Sen. · D–NH · Co-sponsor
Joined May 12, 2025

Sen. · R–TN · Co-sponsor
Joined May 22, 2025

Sen. · D–VA · Co-sponsor
Joined Jun 2, 2025
Committees
S. 1643 went before 1 committee: Finance.
Actions
S. 1643 has taken 2 actions since May 7, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
May 7, 2025 | Senate | Read twice and referred to the Committee on Finance.Finance Committee | ||
May 7, 2025 | — | Introduced in Senate |
Votes
S. 1643 has not gone to a roll call.
Titles
S. 1643 goes by 3 titles, 1 of them short titles.
- Protecting Access to Ground Ambulance Medical Services Act of 2025 — Display Title
- Protecting Access to Ground Ambulance Medical Services Act of 2025 — Short Title(s) as Introduced
- A bill to amend title XVIII of the Social Security Act to protect patient access to ground ambulance services under the Medicare program. — Official Title as Introduced
Lobbying
9 clients hired 11 firms and 33 registered lobbyists who named S. 1643 in 50 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, Veterans, Disaster Planning/Emergencies, Homeland Security.
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 | 13 | $511K |
| SUPERIOR AIR-GROUND AMBULANCE SERVICE, INC. | Provides ambulance services in Illinois, Indiana, Ohio, Michigan and Wisconsin | Illinois | 2 | 6 | $120K |
| NATIONAL ASSOCIATION OF EMERGENCY MEDICAL TECHNICIANS (NAEMT) | An organization dedicated to representing the interests of all EMS practitioners. | Mississippi | 1 | 5 | $155K |
| SARNOVA, LLC | A nationwide distributor of emergency medical equipment, supplies and pharmaceuticals. | Ohio | 1 | 5 | $150K |
| FALCK USA | ambulance service provider | California | 1 | 5 | $100K |
| INTERNATIONAL ASSOCIATION OF FIRE CHIEFS | — | Virginia | 1 | 5 | — |
| GLOBAL MEDICAL RESPONSE INC | — | Missouri | 1 | 4 | — |
| NATIONAL VOLUNTEER FIRE COUNCIL | — | District of Columbia | 1 | 4 | — |
| SUPERIOR AIR GROUND AMBULANCE SERVICE, INC. | ambulance services | Illinois | 1 | 3 | $60K |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| OGR | 2 | 10 | $200K |
| AMERICAN AMBULANCE ASSOCIATION | 1 | 5 | — |
| INTERNATIONAL ASSOCIATION OF FIRE CHIEFS | 1 | 5 | — |
| KIM KRENIK | 1 | 5 | $155K |
| 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 | — |
| BARNES & THORNBURG, LLP | 1 | 3 | $60K |
| 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 33.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| ALISSA CLEES | 1 | 2 | 10 |
| GORDON TAYLOR | 1 | 2 | 10 |
| CHRIS GIBLIN | 1 | 2 | 6 |
| EDWARD HERZIG | 1 | 1 | 5 |
| ERIK KOMENDANT | 1 | 1 | 5 |
| KENNETH LASALA | 1 | 1 | 5 |
| KIMBERLY KRENIK | 1 | 1 | 5 |
| STEVEN ALONZO | 1 | 1 | 5 |
| THOMAS WORRALL | 1 | 1 | 5 |
| TRISTAN NORTH | 1 | 1 | 5 |
| ANDRES DHOKAI | 1 | 1 | 4 |
| GRANT COUCH | 1 | 1 | 4 |
| JAMES PALUSKIEWICZ | 1 | 1 | 4 |
| KATHLEEN LESTER | 1 | 1 | 4 |
| MARTIN WHITMER | 1 | 1 | 4 |
| MONICA APONTE RODRIGUEZ | 1 | 1 | 4 |
| MOSES MERCADO | 1 | 1 | 4 |
| NELEEN EISINGER | 1 | 1 | 4 |
| RYAN WOODWARD | 1 | 1 | 4 |
| STEPHEN NORTHRUP | 1 | 1 | 4 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| 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 | 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 |
| AMERICAN AMBULANCE ASSOCIATION | ALSTON & BIRD LLP | 2025 third_quarter | $70K | 3rd Quarter - Report |
| AMERICAN AMBULANCE ASSOCIATION | LESTER HEALTH LAW PLLC | 2026 second_quarter | $60K | 2nd Quarter - Report |
| AMERICAN AMBULANCE ASSOCIATION | LESTER HEALTH LAW PLLC | 2026 first_quarter | $60K | 1st Quarter - Report |
| INTERNATIONAL ASSOCIATION OF FIRE CHIEFS | INTERNATIONAL ASSOCIATION OF FIRE CHIEFS | 2026 first_quarter | $60K | 1st Quarter - Report |
| AMERICAN AMBULANCE ASSOCIATION | LESTER HEALTH LAW PLLC | 2025 fourth_quarter | $60K | 4th Quarter - Report |
| AMERICAN AMBULANCE ASSOCIATION | LESTER HEALTH LAW PLLC | 2025 third_quarter | $51K | 3rd Quarter - Report |
| INTERNATIONAL ASSOCIATION OF FIRE CHIEFS | INTERNATIONAL ASSOCIATION OF FIRE CHIEFS | 2025 fourth_quarter | $40K | 4th Quarter - Report |
| NATIONAL ASSOCIATION OF EMERGENCY MEDICAL TECHNICIANS (NAEMT) | KIM KRENIK | 2026 second_quarter | $31K | 2nd Quarter - Report |
Classification
The Congressional Research Service files S. 1643 under Health, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; S. 1643’s is Health.
s1643/policy-areas.txtSource: congress.gov · legiscan.com