Protecting Air Ambulance Services for Americans Act of 2025

This bill changes how Medicare pays for air ambulance rides. It lets Medicare update its payment rates using real cost and use data that air ambulance companies must report every three years, including operating costs, how often services are used, and revenue from Medicare patients. The update process must include input from stakeholders and use existing data already collected under a 2021 law.

It also requires federal health officials to finish and publish the air ambulance data collection rule within six months after the bill becomes law. In addition, an independent review will study costs, payer mix, how well Medicare payments cover costs, and regional differences, and then recommend ways to improve the payment system after data collection begins.

• Who is affected: Medicare patients who may need air ambulance transport, and air ambulance providers and suppliers.
• What changes: Medicare may adjust payment rates based on new data reported every three years; the data collection rule must be finalized; and a federal study will review costs and recommend improvements .
• When: The data rule must be finished within six months after enactment; the federal study report is due within one year after data collection starts.