S. 3145 119th Congress Senate

CARE Act of 2025

Official title: A bill to amend title XI of the Social Security Act to require the Center for Medicare and Medicaid Innovation to test a comprehensive alternative response for… Show full official titleShow less

Official title: A bill to amend title XI of the Social Security Act to require the Center for Medicare and Medicaid Innovation to test a comprehensive alternative response for emergencies model under the Medicare program.

Introduced: November 6, 2025 Introduced by: Susan M. Collins Republican · Maine See on congress.gov

Health

Everywhere this bill has been 2 steps

Introduced

In committee

Reported out

Passed House

Passed Senate

To President

Became law

Nov 6, 2025

Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S7964)

Nov 6, 2025

Introduced in Senate

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What's happening now November 6, 2025

Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S7964)

Plain-English summary Congressional Research Service

Comprehensive Alternative Response for Emergencies Act of 2025 or the CARE Act of 2025

This bill requires the Center for Medicare and Medicaid Innovation (CMMI) to test a five-year model that provides for Medicare payment for ground ambulance services that do not result in the transport of the patient.

Under the model, Medicare payment may be furnished for ground ambulance services when an ambulance is dispatched in response to an emergency medical call but the ambulance does not end up transporting the patient. Payment rates under the model must generally align with the payment rates that apply when there is an actual transport.

The Government Accountability Office must report on the general access of Medicare beneficiaries to emergency medical services, including the impact of the model on beneficiary access and outcomes.

Related & companion bills 1

Bill text 1 version

Introduced in Senate Formatted Text PDF Formatted XML

Source documents hosted by congress.gov.

Committees of jurisdiction 1

Finance Committee
Senate

Lobbying activity 20

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS
for INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)
WHITMER & WORRALL, LLC
for SARNOVA, LLC · Ohio · 3rd Quarter 2026 (July 1 - Sep 30)
NATIONAL VOLUNTEER FIRE COUNCIL
for NATIONAL VOLUNTEER FIRE COUNCIL · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)
ALSTON & BIRD LLP
for AMERICAN AMBULANCE ASSOCIATION · Virginia · 3rd Quarter 2026 (July 1 - Sep 30)
INTERNATIONAL ASSOCIATION OF FIRE CHIEFS
for INTERNATIONAL ASSOCIATION OF FIRE CHIEFS · Virginia · 3rd Quarter 2026 (July 1 - Sep 30)
WHITMER & WORRALL, LLC
for SARNOVA, LLC · Ohio · 2nd Quarter 2026 (Apr 1 - June 30)

Bodies those filers lobbied

HOUSE OF REPRESENTATIVES
20 filings
SENATE
20 filings
Health & Human Services, Dept of (HHS)
16 filings
Centers For Medicare and Medicaid Services (CMS)
13 filings
Agriculture, Dept of (USDA)
10 filings
Bureau of Justice Assistance
10 filings
Centers For Disease Control & Prevention (CDC)
10 filings
Consumer Product Safety Commission (CPSC)
10 filings

A filing lists the bills it worked on and the parts of government it contacted in separate sections, so these are the bodies those filers named anywhere in the filing, not a per-bill breakdown.

See all 20 filings →

Cosponsors 9