We have received text from H.R. 9970: Reimbursing Emergency Services for Critical Urgent Encounters Act of 2026. This bill was received on 2026-07-27, and currently has 7 cosponsors.

Here is a short summary of the bill:

This bill would change how Medicare pays for ambulance services, including both ground ambulances and air ambulances .

What the bill does

Starting in 2028, Medicare would be required to update its ambulance payment rates using more recent cost and service data. The goal is to better match payments with the actual costs of providing ambulance care, including:

• labor costs
• uncompensated care
• other expenses and resources used to provide services

The bill also says that Medicare should review and adjust the fee schedule on a regular basis instead of leaving rates unchanged for long periods.

How payment updates would work

• 2028: Medicare would make an initial update to ambulance payment amounts based on the most recently available data.
• 2029 and later: In years that are not designated as special review years, payment amounts would increase based on inflation, using the Consumer Price Index for urban consumers.
• 2031 and every third year after that: Medicare would conduct a deeper, data-based review and make broader adjustments to the payment formula.

The bill directs the Secretary of Health and Human Services to review things like:

• relative value units
• conversion factors
• air ambulance base rates
• mileage rates

These are the pieces used to calculate Medicare ambulance payments.

Air ambulance reporting changes

The bill would also expand data-reporting requirements to include air ambulance providers and suppliers. It would:

• require air ambulance providers to submit certain information periodically, at least once every three years
• allow Medicare to use a single reporting system for both ground and air ambulance data if appropriate
• align reporting years for air and ground ambulance providers as much as practicable

If an air ambulance provider is required to report but does not submit enough information, Medicare could apply certain payment consequences or make related determinations under the reporting rules.

Further review and recommendations

By the end of 2028, the Secretary would need to convene experts and stakeholders to review the ambulance fee schedule and payment adequacy. By July 1, 2029, that group would submit recommendations to the Secretary and Congress on possible changes to improve how ambulance services are valued and paid under Medicare.

Relevant Companies

• ACHC — Acadia Healthcare? Not directly relevant here.

None found

Representative August Pfluger Bill Proposals

Here are some bills which have recently been proposed by Representative August Pfluger:

• H.R.9970: RESCUE Act of 2026
• H.R.9616: EMRTAI Authorization Act of 2026
• H.R.9397: Premium Transparency Act
• H.R.9106: Robert Lodge Medal of Honor Act
• H.R.8990: Protect Domestic Oil and Gas Small Business Act of 2026
• H.R.8022: DETECT Nitazenes Act of 2026

You can track bills proposed by Representative August Pfluger on Quiver Quantitative's politician page for Pfluger.

Representative August Pfluger Net Worth

Quiver Quantitative estimates that Representative August Pfluger is worth $1.6M, as of July 31st, 2026. This is the 285th highest net worth in Congress, per our live estimates.

Pfluger has approximately $384.4K invested in publicly traded assets which Quiver is able to track live.

You can track Representative August Pfluger's net worth on Quiver Quantitative's politician page for Pfluger.

Representative August Pfluger Stock Trading

We have data on up to $755.0K of trades from Representative August Pfluger, which we parsed from STOCK Act filings. Some of the largest trades include:

• A April 12th, 2022 sale of up to $50K of $MSFT. The stock has risen 59.93% since then.
• A March 13th, 2026 purchase of up to $50K of $KRP. The stock has risen 0.2% since then.
• A March 13th, 2026 purchase of up to $50K of $VNOM. The stock has fallen 1.79% since then.
• A March 13th, 2026 purchase of up to $50K of $EPD. The stock has risen 3.05% since then.
• A March 13th, 2026 purchase of up to $50K of $BRK.B. The stock has risen 4.01% since then.

You can track Representative August Pfluger's stock trading on Quiver Quantitative's politician page for Pfluger.

2026 Texas's 11th Congressional District Election

There has been approximately $3,933,899 of spending in Texas's 11th congressional district elections over the last two years, per our estimates.

The rating for this race is currently "Solid R".

You can track this election on our matchup page for the 2026 Texas's 11th congressional district election.

This article is not financial advice. See Quiver Quantitative's disclaimers for more information.

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