H.R. 3729 would impose new reporting requirements on entities that furnish ambulance services to Medicare beneficiaries. The bill would also extend Medicare payments for ambulance services that would otherwise expire under current law and reduce the payment rate for certain ambulance services. CBO estimates that enacting H.R. 3729 would reduce net direct spending by about $895 million over the 2018-2027 period.
Pay-as-you-go procedures apply because enacting the legislation would affect direct spending. The legislation would not affect revenues.
CBO estimates that enacting the legislation would not increase net direct spending or on-budget deficits in any of the four consecutive 10-year periods beginning in 2028.
H.R. 3729 contains no private-sector or intergovernmental mandates as defined in the Unfunded Mandates Reform Act.