EMS Coalition PAYGO Letter to Congressional Leadership
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Author: AAA Staff
CMS Announces Providers Selected for Year 3 & 4 Cost Data Collection
Centers for Medicare & Medicaid Services Announces Year 3 and Year 4 Medicare Ground Ambulance Data Collection System Selected Providers and Suppliers
The Centers for Medicare & Medicaid Services (CMS) has released the ground ambulance suppliers and providers selected for Years 3 and 4 of the Medicare ground ambulance data collection system. The list of the selected providers and suppliers is available on the CMS website. These providers and suppliers will be asked to collect data during their budget year starting in 2023 and to report the data within five months of the close of that year.
Providers and suppliers who are selected should respond to the notification letter sent by Medicare Administrative Contractors (MAC). Organizations may select a calendar year or fiscal year start date for the data collection period. Data will be submitted for a continuous 12-month period using the Medicare Ground Ambulance Data Collection Instrument: English (PDF).
The AAA continues to provide educational support for ground ambulance services to help them collect and report these data. In addition to in-person sessions, the AAA offers webinars on demand.
It is important that all ground ambulance providers and suppliers collect and report data through this program. The Congress intends to use the information to help reform Medicare ambulance fee schedule.
SAVVIK Foundation Study on Diversity in EMS
Diversity, equity, and inclusion in the emergency medical service community.
Delaware State University has teamed with the Savvik Foundation, a non-profit representing
emergency medical service (EMS) to assess equity within the EMS profession. We have created a tool to assess equity in the EMS profession.
Participants will be eligible to receive a $20 Amazon gift card upon completion of this survey. This information is confidential and anonymous. We will not be using your name in any publications regarding this process.
By responding to the questions, you are permitting us to use this information to guide
our recommendations and share our findings in articles.
If you have any questions regarding your participation in this study please contact the
principal investigator, Dr. Knolan Rawlins, at krawlins@desu.edu or Ms. Chanel Haman in
the Office of Sponsored Programs at 302.857.6834 or chaman@desu.edu.
Thank you,
Dr. Knolan Rawlins
NEMSAC Meeting November 1–2
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Savvik |Ford Vehicles – 3 Day Order Window
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Savvik Buying Group announces partnership with American Nitrile
Savvik Buying Group
Mickey Schulte
713-504-7737
mschulte@savvik.org
FOR IMMEDIATE RELEASE
October 5, 2022 – Savvik Buying Group announces partnership with American Nitrile
St. Cloud, Minnesota – Savvik Buying Group is proud to announce a national distributor partnership with American Nitrile for domestically made nitrile gloves. A focus of Savvik in 2022 is to find domestic sources of supply to avoid disruptions going forward with the supply chain. “As Savvik celebrates our 25th year serving our members, we are excited to partner with American Nitrile. Having domestic production with a top-of-the-line glove will position Savvik members to avoid supply chain disruptions on a vital product.” said Executive Director Mickey Schulte.
American Nitrile will be manufacturing at its new 530,000 sq ft. manufacturing plant in Grove City, Ohio beginning this fall. American Nitrile’s production facility will leverage best-in-class manufacturing processes and automation to reduce the impact of higher labor costs and displace volume sourced from Asia, while creating hundreds of new jobs for workers in Ohio. The facility includes a state-of-the-art water treatment and reclamation system that recycles 50% of the wastewater generated by the manufacturing process. This, coupled with the elimination of emissions from transpacific shipping, results in a substantially reduced carbon footprint for nitrile gloves manufactured by American Nitrile when compared to their Asian competitors. “We believe that American manufacturing deserves a comeback,” said Jacob Block, founder, and CEO of American Nitrile.
Please visit Savvik and American Nitrile at EMS World, booth 1002.
About Savvik
Savvik serves over 15,000 public safety services in the United States with a variety of product and public bids. Formed in 1997, our membership includes EMS, Fire, Law Enforcement, Hospitals, Education, and related agencies. For more information visit www.savvik.com
About American Nitrile
American Nitrile is a Columbus, Ohio based privately held company focused on manufacturing medical and non-medical for healthcare, government, and industrial use. The company will manufacture approximately 3.6 billion nitrile gloves per year when fully operational. For more information, visit www.AmericanNitrile.com.
EMS Grant Bill Introduced in House
EMS Grant Bill Introduced in House
All EMS Organizations Eligible with Limitations
On Wednesday evening, Representative Andy Kim (D-NJ) along with Representatives Markwayne Mullin (R-OK), Cynthia Axne (D-IA), Mike Carey (R-OH), Marc Veasey (D-TX), Al Larson (D-FL), and Bruce Westerman (R-AR) introduced the Supporting our First Responders Act (H.R. 8994). H.R. 8994 would establish the “EMS Grant Program” with funding at $50 million a year. Grants could be used for the training and retention of paramedics and EMTs, equipment, and facility modifications as well as additional purposes as seen fit by the HHS Secretary.
Of significant importance, private sector ambulance service organizations would be eligible for grants under the program. While the total amount available to private EMS would be capped at 2% or $1 million of the funding per year, H.R. 8994 is the first piece of legislation to explicitly state that private for-profit ambulance service organizations would be eligible to apply directly for such grant funding. The AAA worked closely with the sponsors of H.R. 8994 as well as Boundtree and the National Association of Emergency Medical Technicians (NAEMT) on the introduction of the bill.
NEMSAC | Draft Letters Regarding DOT Efforts in Post-Crash Care
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Administration Includes Ambulance Add-Ons Extension on CR List
The Biden Administration has issued a list of expiring programs and items that they would like to see or have no objection to being, extended as part of the FY2023 Continuing Resolution. The list includes “Medicare add-on payments for ground ambulance services”. The list also includes a “Suspension of Medicare Sequestration” on which the AAA has been advocating. Congress will need to pass a CR by September 30 to avoid a partial government shutdown.
No determination has been made by congressional decision-makers as to when Congress will address Medicare extenders that expire at the end of the year but most key congressional staff believe extenders will be addressed after the election. Even if extenders are not included in the CR, the list demonstrates the overall support and/or recognition of the Administration for the listed programs and items including the Medicare ambulance add-on payments and suspension of sequestration.
Authorization Issues
Note: The following list is provided for your information. In the event that authorizing
legislation is not enacted in a timely manner, these items will allow either for the
continuation of programs that will be funded in the continuing resolution (CR) or for other
legislative fixes.
Agriculture/Rural Development:
Necessary For Extension or Inclusion in the CR if Not Enacted First in Other Legislation
Agriculture, Livestock Mandatory Reporting
No Objection to Inclusion in a CR if Not Enacted First in Other Legislation
HHS, FDA User Fees
HHS, Exclusivity of Certain Drugs Containing Single Enantiomers
HHS, Medical device programs expiration: 1) Authority to accredit 3rd parties to review certain medical device applications; 2) Conformity Assessment Pilot Program for Devices; 3) Device Postmarket Pilot Projects; 4) Inspections by Accredited Persons; 5) Modification to Humanitarian Device Exemption
Commerce/Justice/Science:
Necessary For Extension or Inclusion in the CR if Not Enacted First in Other Legislation
Justice, Additional Special Assessment (Expires 9/11/22)
Justice, U.S. Parole Commission (NOTE: Extension for two years is recommended)
Justice, Protection of certain facilities and assets from unmanned aircraft (Also DHS)
Justice, Extending Temporary Emergency Scheduling of Fentanyl Analogues Act (Expires 12/31/22)
Defense:
Necessary For Extension or Inclusion in the CR if Not Enacted First in Other Legislation
Defense, North Atlantic Treaty Organization Security Investment Program (NSIP)
Defense, Authority to Provide Temporary Adjust in Rates of Basic Allowance for Housing (BAH) if the Actual Costs of Adequate Housing for Civilians in That Military Housing Area or Portion Thereof Differs from the Current BAH Rates by More than 20 Percent
Defense, Authority for reimbursement of certain coalition nations for support provided to United States military operations (Expires 12/31/22)
Defense, Authority to provide assistance to counter the Islamic State in Iraq and Syria (Expires 12/31/22)
Defense, Authority to provide assistance to the vetted Syrian groups and individuals. (Expires 12/31/22)
Defense, Authority to provide temporary increase in rates of Basic Allowance for Housing (BAH) under certain circumstances (Expires 12/31/22)
Defense, Authority to Support Operations and Activities of the Office of Security Cooperation In Iraq (Expires 12/31/22)
Defense, Authority to waive annual limitation on premium pay and aggregate limitation on pay for Federal civilian employees working overseas (Expires 12/31/22)
Defense, Extension of Certain Expiring Bonus and Special Pay Authorities (Expires 12/31/22)
Defense, Income Replacement Payments for Reserve Component Members Experiencing Extended and Frequent Mobilization for Active Duty Service (Expires 12/31/22)
No Objection to Inclusion in a CR if Not Enacted First in Other Legislation
Defense, Information Operations, and Engagement Technology Demonstrations
Defense, One-time Uniform Allowance for Officers Who Transfer to the Space Force
Defense, Increased Percentage of Sustainment Funds Authorized for Realignment to Restoration and Modernization at Each Installation
Defense, Pilot Program for the Temporary Exchange of Cyber and Information Technology Personnel
Defense, Reauthorization of Authority to Order Retired Members to Active Duty in Highdemand, Low-density Assignments
Financial Services/General Government:
Necessary For Extension or Inclusion in the CR if Not Enacted First in Other Legislation
FCC, FCC General, and Incentive Auction Authority Continuation (NOTE: Extension of auction authority through 9/30/2024 is recommended)
GSA, Pilot Programs for Authority to Acquire Innovative Commercial Items Using General Solicitation Competitive Procedure (NOTE: also covered by DHS)
SBA, Assistance for Administration, Oversight, and Contract Processing Costs
SBA, Commercialization Readiness Pilot Program for Civilian Agencies
SBA, Phase 0 Proof of Concept Partnership Pilot Program
SBA, Pilot Program to Accelerate DOD Awards
SBA, SBIR Commercialization Assistance Pilot Programs
SBA, SBIR Phase Flexibility
SBA, Small Business Innovation and Research (SBIR)
SBA, Small Business Technology Transfer (STTR)
Homeland Security:
Necessary For Extension or Inclusion in the CR if Not Enacted First in Other Legislation
Homeland Security, DHS Joint Task Forces
Homeland Security, E-Verify Program
Homeland Security, National Computer Forensics Institute
Homeland Security, National Flood Insurance Program
Homeland Security, Raising the H-2B Cap
Homeland Security, National Cybersecurity Protection System (NCPS) Authorization, including EINSTEIN
Homeland Security, Counter Threats Advisory Board
Homeland Security, Pilot Programs for Authority to Acquire Innovative Commercial Items Using General Solicitation Competitive Procedure (NOTE: also covered by GSA)
Homeland Security, Protection of certain facilities and assets from unmanned aircraft (Also DOJ)
No Objection to Inclusion in a CR if Not Enacted First in Other Legislation
Homeland Security, Authority to grant special immigrant status to religious workers other than ministers
Homeland Security, Waiver of Foreign Residence Requirements for Physicians Working in Underserved Areas (“Conrad State 30” Program)
Interior/Environment:
Necessary For Extension or Inclusion in the CR if Not Enacted First in Other Legislation
Interior, Omnibus Public Land Management Act of 2009
Labor/HHS/Education:
Necessary For Extension or Inclusion in the CR if Not Enacted First in Other Legislation
Labor, Trade Adjustment Assistance (TAA) for Workers Program (Expired 7/1/22)
HHS, TANF
HHS, Promoting Safe and Stable Families Program
HHS, Liability protections for health professional volunteers at community health centers (HRSA)
HHS, Medical Countermeasures Innovations Partner
HHS, Maternal, Infant, and Early Childhood Home Visiting Program
HHS, Interdepartmental Serious Mental Illness Coordinating Committee
HHS, Increase in Medicaid FMAP for territories
SSA, Demonstration Project Authority (Expires 12/31/22)
No Objection to Inclusion in a CR if Not Enacted First in Other Legislation
HHS, Additional support for Medicaid home and community-based services during the COVID-19 emergency (Expired 3/31/22)
HHS, Suspension of Medicare Sequestration (Expired 3/31/22)
HHS, Medicare IPPS adjustment for low-volume hospitals
HHS, Medicare-dependent hospital (MDH) program
HHS, Puerto Rico Medicaid Payment
HHS, Restriction on Alaska Native Regional Health Entities
HHS, Tick-Borne Diseases Working Group
HHS, Exception for eligible professionals based in ambulatory surgical centers with respect to incentives for meaningful use of certified EHR technology (Expires 12/31/22)
HHS, Incentives for Qualifying Alternative Payment Model Participants (Expires 12/31/22)
HHS, Medicare add-on payments for ground ambulance services (Expires 12/31/22)
HHS, Medicare add-on payments for rural home health services (Expires 12/31/22)
HHS, Temporary Increase in Medicare Physician and Non-physician Practitioners Payments (Expires 12/31/22)
Military Construction/VA:
Necessary For Extension or Inclusion in the CR if Not Enacted First in Other Legislation
VA, Adaptive Sports Assistance Program (formerly limited to Paralympics)
VA, Co-Pays for Hospital and Nursing Home Care
VA, Homeless and Seriously Mentally Ill Veterans- Additional Services at Certain Locations
VA, Homeless and Seriously Mentally Ill Veterans- Treatment/ Rehab
VA, Manila, Philippines Regional Office
VA, SAH – Assistive Technology Grants
VA, Transportation of Beneficiaries
VA, Advisory Committee on Minority Veterans
VA, Advisory Committee on Education (Expires 12/31/22)
VA, Advisory Committee on Homeless Veterans (Expires 12/31/22)
VA, SAH for Veterans Temporarily Residing with Family (Expires 12/31/22)
Transportation/HUD:
Necessary For Extension or Inclusion in the CR if Not Enacted First in Other Legislation
Transportation, Next Generation 9-1-1
Save on MME! Savvik Vendor Spotlight
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CY2023 Medicare Ambulance Fee Schedule Comment Letter
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CMS Medicare, Medicaid, and CHIP Enrollment
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Today, the Centers for Medicare & Medicaid Services (CMS) released the latest enrollment figures for Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). These programs serve as key connectors to care for more millions of Americans. Medicare As of May 2022, 64,553,288 people are enrolled in Medicare. This is an increase of 103,837 since the last report. 34,893,853 are enrolled in Original Medicare. 29,659,435 enrolled in Medicare Advantage or other health plans. This includes enrollment in Medicare Advantage plans with and without prescription drug coverage. 50,086,253 are enrolled in Medicare Part D. This includes enrollment in stand-alone prescription drug plans as well as Medicare Advantage plans that offer prescription drug coverage. About 12 million individuals are dually eligible for Medicare and Medicaid, so are counted in the enrollment figures for both programs. Detailed enrollment data can be viewed here: https://data.cms.gov/summary- Medicaid and Children’s Health Insurance Program (CHIP) As of May 2022, 88,978,791 of people are enrolled in Medicaid and CHIP. This is an increase of 677,711 since the last report. 81,904,569 are enrolled in Medicaid 7,074,222 are enrolled in CHIP For more information on Medicaid/CHIP enrollment, including enrollment trends, visit https://www.medicaid.gov/ Every day, CMS ensures that people across the U.S. have coverage that works. See the latest coverage totals across all CMS programs at https://www.cms.gov/pillar/ |
NREMT Board of Directors Rescinds Expanded Eligibility Resolution
The National Registry Board of Directors voted to rescind 22-Resolution-13 (the resolution on extending eligibility requirements) yesterday afternoon and will continue this conversation with national partners and key stakeholders to progress towards more inclusive solutions. Read more>
International Roundtable on Community Paramedicine (IRCP)
The International Roundtable on Community Paramedicine (IRCP) has returned and will be from September 15th – 17th in Orlando, FL.
The event will be a series of discussions, meetings and research focused on designing systems that will ensure patients’ needs continue to be met in environments and circumstances where health services are less available and the provision of care is increasingly challenging.
Book by August 18th for early bird pricing on the event and a discounted group rate on hotel rooms where the event is held.
For additional information and to register, please visit ircp.info.
Publicly Bid Medical Equipment Contracts
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Webinar 7/21 | How 988, Crisis Response, and EMS Can Improve Community Care
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EMSC | Pediatric emergency/disaster preparedness career development programs
The application deadline for three career development opportunities in the pediatric emergency and disaster preparedness space – the Emergency Medical Services for Children Scholars and Fellows Programs and the Pediatric Pandemic Network Scholars Program – has been extended to July 29 at 5 pm ET. The programs aim to develop leaders with a passion for improving care for children in everyday emergencies and disasters. The programs are open to participants across multiple disciplines and settings. Learn more.
AJ+ | No Hospitals, No Ambulances: Inside America’s 911 Crisis
Emergency Medical Services (EMS) like ambulances and hospitals are in crisis in rural America. EMS is not considered an essential service in the same way that fire and police departments are, and so they don’t receive the same funding. Paramedics and EMTs often make half the salary that nurses do.
Join us as we travel to the Mississippi River Delta to see how EMS crews are coping with a collapsing health care system.
Emergency Medical Services (EMS) like ambulances and hospitals are in crisis in rural America. EMS is not considered an essential service in the same way that fire and police departments are, and so they don’t receive the same funding. Paramedics and EMTs often make half the salary that nurses do. Join us as we travel to the Mississippi River Delta to see how EMS crews are coping with a collapsing health care system.
YT Chapters
- 00:00 – Pregnant And Dying, With No Hospital
- 03:22 – Paramedics Are Delivering Babies In Ambulances
- 06:04 – Why Is EMS Not Considered An Essential Service?
- 07:57 – Why EMS Workers Are Wearing Bulletproof Vests
- 10:05 – Why Hospitals Are Closing In Rural America
- 12:07 – What Needs To Change In Mississippi?