The main purpose of this legislation is to ensure that patients have continued access to ground ambulance services under the Medicare program. It aims to address concerns about the availability and affordability of these essential services, particularly in rural areas. Key provisions of the legislation include changes to the reimbursement rates for ground ambulance services provided to Medicare beneficiaries. Specifically, the bill extends the timeline for certain payment increases, moving the effective date from October 1, 2025, to January 1, 2028.