Protecting Air Ambulance Services for Americans Act of 2023

Cost and committee reports

Official records Congress.gov attaches to H.R. 3691.

• Constitutional authority statementThe sponsor’s statement of where the Constitution gives Congress the power to pass this bill. Statement by Mr. ESTES, as printed in the Congressional Record (Vol. 169, No. 89, May 25, 2023, Page H2640):
  Article 1, Section 8 of the United States Constitution. The single subject of this legislation is: This legislation provides CMS the statutory authority to revise the Medicare fee schedule for Emergency Air Ambulance Services based on the cost data and requires additional data collection to occur every three years, on the fixed and operating costs of providing services, the revenue collected based on transports, and any other data the Secretary wishes collected.
  Source: Congress.gov, Congressional Record May 25, 2023 ↗

  Evidence

  Field in the Congress.gov record

  constitutionalAuthorityStatementText

  Statement length

  466 characters

  Congress.gov bill record

  H.R. 3691, 118th Congress

  Congress.gov API record

  https://api.congress.gov/v3/bill/118/hr/3691

  Record last updated by Congress.gov

  December 5, 2025

  PORKER copy retrieved

  September 14, 2026

  Stored copy, SHA-256 of the file

  93fb894872ae3b522b423f58c2c92a46e72add6d957a895223a9bcc34c50fe84

  PORKER shows the statement exactly as printed, with the page markup removed. It is the sponsor’s claim; it is not a legal finding.

Congress.gov’s record for this bill does not list a CBO cost estimate or a committee report (as of December 5, 2025). Not every bill gets one.

From the Congress.gov bill record for H.R. 3691, last updated December 5, 2025. PORKER’s copy was retrieved September 14, 2026 and is refreshed nightly. Open “Evidence” on any line for the record, field and file fingerprint.