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1 (December 21, 2017)

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                    115TH CONGRESS 1                                  1 REPT. 115-481
                       1st Session    HOUSE OF REPRESENTATIVES             Part 1







                       COMPREHENSIVE OPERATIONS, SUSTAINABILITY, AND
                                       TRANSPORT ACT OF 2017



                    DECEMBER 21, 2017.-Committed to the Committee of the Whole House on the State
                                      of the Union and ordered to be printed



                      Mr. BRADY of Texas, from the Committee on Ways and Means,
                                         submitted the following


                                             REPORT

                                           [To accompany H.R. 3729]

                              [Including cost estimate of the Congressional Budget Office]

                      The Committee on Ways and Means, to whom was referred the
                    bill (H.R. 3729) to amend titles XI and XVIII of the Social Security
                    Act to facilitate provider and supplier cost reporting of ambulance
                    services under the Medicare program, and for other purposes, hav-
                    ing considered the same, report favorably thereon with an amend-
                    ment and recommend that the bill as amended do pass.

                                                CONTENTS
                                                                                   Page
                      I. SUMMARY AND BACKGROUND ...............................................................  4
                            A. Purpose  and  Sum m ary  ....................................................................  4
                            B. Background and Need for Legislation ............................................  4
                            C. Legislative  H istory  ...........................................................................  5
                      II.  EXPLANATION    OF  THE  BILL  ...................................................................  5
                            A. Comprehensive Operations, Sustainability and Transport Act
                                of  20 17  .............................................................................................  5
                     III. VOTES OF THE COMMITTEE      ....................................................................  7
                     IV. BUDGET EFFECTS OF THE BILL ..........................................................  7
                            A. Committee Estimate of Budgetary Effects ......................................  7
                            B. Statement Regarding New Budget Authority and Tax Expendi-
                                tures  Budget Authority  ..................................................................  7
                            C. Cost Estimate Prepared by the Congressional Budget Office .......   7
                      V. OTHER MATTERS TO BE DISCUSSED UNDER THE RULES OF
                          TH E H O U SE  ..............................................................................................  13
                            A. Committee Oversight Findings and Recommendations .................  13
                            B. Statement of General Performance Goals and Objectives .............  13
                            C. Information Relating to Unfunded Mandates ................................  13
                            D. Congressional Earmarks, Limited Tax Benefits, and Limited
                                Tariff  Benefits  .................................................................................  13
                            E. Duplication  of Federal Program s  .....................................................  13
                       79-006

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