Medicare Ambulance Payment Reform and Rural Equity Act of 2005

Read twice and referred to the Committee on Finance.

S.1109 through Congress

S.1109 keeps its number as it moves between the House and Senate.

SenateMay 24, 2005IntroducedOfficial record

Major milestones in the imported record. See all actions.

No House action is available in our imported record yet.

Separate related House measures (1)

These are different measures identified as related by Congress.gov. Their text and outcomes may differ; they are not the House stage of S.1109.

Related House bill: H.R.2014 Medicare Ambulance Payment Reform and Rural Equity Act of 2005

Congressional Research Service

Official summary

Version 00 · Introduced in Senate · May 24, 2005

Medicare Ambulance Payment Reform and Rural Equity Act of 2005 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) revise ambulance payment rates; and (2) provide additional payments for providers furnishing ambulance services in rural areas.

Directs the Secretary of Health and Human Services to review the system for adjusting payments for rural ambulance services to determine their adequacy and appropriateness.

Amends SSA title XVIII with respect to a Secretary-specified uniform coding system identifying furnished ambulance services for purposes of a fee schedule. Directs the Secretary to establish a system or systems for the coding of claims for ambulance services for which payment is made, including a code set specifying the medical condition of the individual who is transported and the level of service that is appropriate for the transportation of an individual with that medical condition. Requires the code set to take into account the list of medical conditions developed in the course of the negotiated rulemaking process. (Current law authorizes the Secretary to require the claim for any ambulance services to include a code (or codes) under a uniform coding system specified by the Secretary, but does not require the establishment of such a coding system.)

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People & committees

Who introduced it

Sen. Lott, Trent [R-MS] · R–MS

Committees

Finance Committee

12 cosponsorship records, including any withdrawals

Legislative record

Actions

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May 24, 2005
Read twice and referred to the Committee on Finance.
May 24, 2005
Introduced in Senate

Primary sources

Bill text & related measures

Text links open the official source. We currently store references to these documents.

Introduced in Senate · May 24, 2005 Formatted Text PDF

Related bills identified by Congress.gov

HR 2014 · Medicare Ambulance Payment Reform and Rural Equity Act of 2005

Source last updated: Aug 15, 2025. Consult Congress.gov for the current record.

AI Conversation Starters

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Neutral evidence review

Objective

Analyze S.1109 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

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Discuss S.1109, 109th Congress: Medicare Ambulance Payment Reform and Rural Equity Act of 2005

Official record: https://www.congress.gov/bill/109th-congress/senate-bill/1109

Text version to examine: Introduced in Senate · 2005-05-24.

Official full text: https://www.congress.gov/109/bills/s1109/BILLS-109s1109is.htm

Imported record last updated by the source: 2025-08-15T18:02:48Z. Verify current status and distinguish any later version from the version above.

Read the official text before answering. If you cannot access it, say so and ask me to provide it; do not assume a link means you have read the document. Distinguish proposals from enacted law, cite sources, and separate facts, interpretation, and uncertain predictions. Include counterarguments even when using a particular perspective.

Analyze S.1109 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

Fairness and public impact

Progressive lens

Examine S.1109 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.

View full prompt & sources

Discuss S.1109, 109th Congress: Medicare Ambulance Payment Reform and Rural Equity Act of 2005

Official record: https://www.congress.gov/bill/109th-congress/senate-bill/1109

Text version to examine: Introduced in Senate · 2005-05-24.

Official full text: https://www.congress.gov/109/bills/s1109/BILLS-109s1109is.htm

Imported record last updated by the source: 2025-08-15T18:02:48Z. Verify current status and distinguish any later version from the version above.

Read the official text before answering. If you cannot access it, say so and ask me to provide it; do not assume a link means you have read the document. Distinguish proposals from enacted law, cite sources, and separate facts, interpretation, and uncertain predictions. Include counterarguments even when using a particular perspective.

Examine S.1109 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.

Institutions and government scope

Conservative lens

Examine S.1109 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.

View full prompt & sources

Discuss S.1109, 109th Congress: Medicare Ambulance Payment Reform and Rural Equity Act of 2005

Official record: https://www.congress.gov/bill/109th-congress/senate-bill/1109

Text version to examine: Introduced in Senate · 2005-05-24.

Official full text: https://www.congress.gov/109/bills/s1109/BILLS-109s1109is.htm

Imported record last updated by the source: 2025-08-15T18:02:48Z. Verify current status and distinguish any later version from the version above.

Read the official text before answering. If you cannot access it, say so and ask me to provide it; do not assume a link means you have read the document. Distinguish proposals from enacted law, cite sources, and separate facts, interpretation, and uncertain predictions. Include counterarguments even when using a particular perspective.

Examine S.1109 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.

Individual rights and government power

Liberty lens

Examine S.1109 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.

View full prompt & sources

Discuss S.1109, 109th Congress: Medicare Ambulance Payment Reform and Rural Equity Act of 2005

Official record: https://www.congress.gov/bill/109th-congress/senate-bill/1109

Text version to examine: Introduced in Senate · 2005-05-24.

Official full text: https://www.congress.gov/109/bills/s1109/BILLS-109s1109is.htm

Imported record last updated by the source: 2025-08-15T18:02:48Z. Verify current status and distinguish any later version from the version above.

Read the official text before answering. If you cannot access it, say so and ask me to provide it; do not assume a link means you have read the document. Distinguish proposals from enacted law, cite sources, and separate facts, interpretation, and uncertain predictions. Include counterarguments even when using a particular perspective.

Examine S.1109 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.