Has anyone heard of it? It's the package that will be fully implemented in 2014 (a list of what Medicare will and will not pay for beneficiaries). I can tell you one item that has not been included in this package --- nonemergency ambulance transport! So, this mean these transports will not be covered/paid by Medicare when HealthCare Reform is fully implemented. What this means for Medicare beneficiaries---if you have a medically necessary reason for a nonemergency ambulance transport (for example if you are bed confined and in a nursing home and need transport for treatment), you're on your own! How will you get there; who knows? There is no impact on Medicaid beneficiaries (their transports will still be covered). We've already contacted our Congressman regarding this and several other items regarding Health Care Reform.