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The PEAKS Act amends Medicare's fee schedule for ambulance services provided by critical access hospitals to expand the distance threshold in mountainous terrain or areas with only secondary roads from 35 miles to 15 miles, effective January 1, 2026. The bill also deems certain existing critical access hospitals that previously met a 15-mile distance requirement under mountainous terrain or secondary roads criteria to continue meeting that requirement, even if a new facility is subsequently located 10–15 miles away. The Secretary of Health and Human Services is directed to issue regulations implementing these changes within one year.
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