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Miller, Caraveo, Manchin, and Capito Introduce the Preserving Emergency Access in Key Sites Act

April 10, 2024

Washington D.C. – Today, Congresswoman Carol Miller (R-WV) and Congresswoman Yadira Caraveo (D-CO), and Senators Joe Manchin (D-WV) and Shelley Moore Capito (R-WV), introduced the Preserving Emergency Access in Key Sites Act (PEAKS) Act. The PEAKS Act would ensure Critical Access Hospitals in mountainous areas receive fair compensation for ambulatory services and modify distance requirements.  


“Everyone, regardless of where they live, should have access to quality and affordable health care. My home state of West Virginia has more Critical Access Hospitals in mountainous areas than any other state in the country, and I know how hard it can be for those who live in rural, mountainous regions to receive treatment in a timely manner. The Preserving Emergency Access in Key Sites Act (PEAKS Act) is life-saving legislation that will ensure Critical Access Hospitals in mountainous areas are compensated fairly for the ambulatory services they provide to patients and positively impact rural communities across the nation. It’s imperative that all patients, especially those that live in unforgiving terrain, can access emergency medical care,” said Congresswoman Miller.

“Every Coloradan deserves access to emergency medical services regardless of where they live, and hospitals deserve proper compensation for their risky and often life-saving care. It’s high time for us to pass the PEAKS Act, which would ensure that the cost of ambulance services is covered all across Colorado," said Congresswoman Caraveo. 


“The Appalachian region, which West Virginia lies completely within, has one of the highest shares of people living in ambulance deserts than any other region in the country. I’m proud to introduce the bipartisan, bicameral PEAKS Act to ensure every West Virginian and American living in mountainous areas are able to reliably depend on ambulance services during an emergency. Our legislation would also allow rural hospitals to receive the reimbursements they deserve for providing life-saving services to their communities and protect them from losing their unique status. I encourage my colleagues on both sides of the aisle to support this important, commonsense bill and I will do everything I can to get it across the finish line and signed into law," said Senator Manchin.

“As residents of the Mountain State, we are proud of our beautiful peaks. At the same time, we are also aware of the challenges our mountainous topography can cause for transportation, including ambulances. The PEAKS Act addresses this challenge and will ensure even our most rural residents can depend on ambulance services and our critical access hospitals are able to provide the care these residents need and deserve," said Senator Capito.

Click HERE for bill text. 

Background: 

  • Critical Access Hospitals are hospitals that serve residents in rural areas. 
  • The PEAKS Act would allow for Critical Access Hospitals located in mountainous areas to be reimbursed for their emergency medical transportation services.
  • The Act would also make certain that Critical Access Hospitals would not lose their designation despite any new hospital that is built within 15 miles. 
Issues:Health