On Feb. 9 passed the Bipartisan Budget Act of 2018 (H.R. 1892) which funds the federal government through March 22 and raises government spending limits. H.R. 1982 also contains several provisions which address challenges facing the fire and emergency service. H.R. 1892 contains some of the most significant EMS reimbursement reforms that Congress has enacted in several years. This legislation restores the Medicare Ambulance Add-On Payments which provides up to 22.6% additional payment for patient transports but had expired on December 31. This restoration of these additional payments is retroactive to January 1 and is authorized to continue for the next five years.