HR 2538 United States House · 119th Congress

CARE Act of 2025

This bill creates a new Medicare payment model (the "Comprehensive Alternative Response for Emergencies Model") that allows Medicare Part B to cover ground ambulance services provided in response to emergency medical calls *without* a full transport. It directly affects Medicare beneficiaries receiving emergency ambulance care and ambulance providers, ensuring they are paid for services like dispatch and initial response that don't include transport. The model requires payment rates to align with standard transport payments, mandates compliance with state protocols, and operates for a 5-year test period. A report by the Comptroller General will evaluate the model's impact on beneficiary access, outcomes, and regional differences after 4 years.
Bill status in committee 1 of 4 stages cleared
Introduction
Apr 2025
Committee Review
Floor Vote
President
Introduced Apr 1, 2025 Last action Apr 1, 2025
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Full legislative history

Actions timeline

Total actions
2
Key actions
0
Committee
1
Apr 1, 2025
Committee
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.
lower
Apr 1, 2025
Introduced
Introduced in House
lower
1 primary · 48 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Mike Carey
Mike Carey
RRepublican
OH
15
Co
Photo of Adrian Smith
Adrian Smith
RRepublican
NE
3
Co
Photo of Alma S. Adams
Alma S. Adams
DDemocratic
NC
12
Co
Photo of Analilia Mejia
Analilia Mejia
DDemocratic
NJ
11
Co
Photo of Andrea Salinas
Andrea Salinas
DDemocratic
OR
6
Co
Photo of April McClain Delaney
April McClain Delaney
DDemocratic
MD
6
Co
Photo of August Pfluger
August Pfluger
RRepublican
TX
11
Co
Photo of Brittany Pettersen
Brittany Pettersen
DDemocratic
CO
7
Co
Photo of Bruce Westerman
Bruce Westerman
RRepublican
AR
4
Co
Photo of Carol D. Miller
Carol D. Miller
RRepublican
WV
1
Co
Photo of Chellie Pingree
Chellie Pingree
DDemocratic
ME
1