This bill amends the Social Security Act to expand Medicare coverage for ambulance services, specifically addressing situations where emergency medical services are provided but do not involve patient transportation. It ensures that Medicare will reimburse ambulance service providers for critical on-scene medical care, even if the patient is not transported to a medical facility. Effective January 1, 2026, Medicare will cover these on-scene services without transport , recognizing the value of interventions provided at the scene. A key provision mandates that the reimbursement for these non-transport services will be comparable to the reimbursement for services that do include transportation . This aims to fairly compensate emergency medical service providers for their valuable interventions, regardless of whether a transport occurs.