NEMSAC | Draft Letters Regarding DOT Efforts in Post-Crash Care
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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
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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/ |
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>
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.
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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.
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
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SAMHSA anticipates 988 will continue to grow and evolve over the years. In 2021, the Lifeline received 3.6 million calls, chats, and texts. That number is expected to at least double within the first full year after the 988 transition.
SAMHSA continues to hold convenings with state, territorial, and tribal leaders – as well as crisis contact centers, public safety answering points, and behavioral health providers – to prepare for 988. One of the most urgent needs involves staffing at crisis centers. Anyone interested in serving in these critical positions is encouraged to visit the 988 jobs web page. |
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Media inquiries and interview requests, contact:
Tammy Chatman, Public Information Officer
414-791-6655
tchatman@nemems@gmail.com
FOR IMMEDIATE RELEASE
Special events open to the public and media include:
National EMS Memorial Service & National EMS Memorial Bike Ride
Washington, D.C. (July 8) – The National EMS Memorial Service and the National EMS Memorial
Bike Ride will pay tribute to our fallen EMS and air medical providers from throughout the
United States during the 2022 National EMS Weekend of Honor, scheduled July 22-24 at the
Hyatt Regency Crystal City at Reagan National Airport, 2799 Jefferson Davis Highway in
Arlington, Va. This year there will be 72 honorees recognized from 26 states. The 2022 list of
honorees can be found via the following link: 2022 NEMSMS Honorees
In addition to this marquee weekend, a multi-state procession of this year’s temporary National
EMS Memorial, known as the Tree of Life, occurs beforehand. The procession of this year’s
installment commences in Dallas, TX on July 11, making various stops over 10 days as it
progresses to Arlington, VA. Additional information about that experience dubbed “Moving
Honors,” including a route map, planned stops and viewing opportunities will be posted at
www.national-ems-memorial.org. It is expected that the Moving Honors will be met by the
National EMS Memorial Bike’s special Ride of Honor riders just outside of Arlington, VA.
Together they will parade into the Hyatt to launch the EMS Weekend of Honor and unveil the
EMS Tree of Life memorial to the honoree families on Friday July 22.
There are many activities and events during the three-days including two events that the public
and media are invited and encouraged to attend. Joining the Weekend of Honor will be various
therapy and comfort dogs onsite to support families and attendees as well as specially trained
grief support groups.
FRIDAY, July 22, 2022
Arrival & Ceremony of the National EMS Memorial Ride of Honor
• The National EMS Memorial Bike Ride celebrates the lives of those who have made the
ultimate sacrifice as well as those EMS legacy personnel who have died of natural or non-
employment-related causes. This year the organization is once again hosting a special
one-day ride to recognize the 72 line-of-duty-death honorees for the Service.
• A procession of more bike riders, support personnel, and EMS vehicles, leading the
special Moving Honors ambulance carrying the EMS Tree of Life, will arrive at the Hyatt
Regency Crystal City at approximately 4:00 p.m. (EDT), kicking off the 2022 Weekend of
Honor.
• Riders are predominantly EMS professionals from across the U.S. Each of the riders wear
dog tags bearing an honoree’s name, agency and date of their loss.
Upon arrival at the Hyatt Regency Crystal City, a ceremony will unveil the 2022 EMS Tree of
Life, followed by reading of the honoree names and presentation of dog tags to the families.
Each rider will meet the family in front of the honoree’s biography to present one of their two
dog tags worn during the ride – an emotionally powerful part of the Weekend of Honor. The
rider will keep the other dog tag as a lifetime reminder of the honoree’s sacrifice.
SATURDAY, July 23, 2022
National EMS Memorial Service
• The National EMS Memorial Service, a formal ceremony to honor fallen EMS
professionals who have died in the line of duty, will be held at the Hyatt Regency
Crystal City.
• The entire memorial service can be viewed via live streaming. Will add link
• Hundreds of EMS personnel from across the country will travel to the Washington,
D.C. area to participate in the service, along with families, friends, co-workers of
current and past honorees, dignitaries, EMS and business leaders, and government
officials.
• All participants in the service will be in dress uniform, flight suits, or similar
appropriate attire.
• Honor Guards, along with bagpipe and drum corps will volunteer their time and
services throughout the weekend.
• An American flag, flown over the nation’s capitol, will be presented to each
honoree’s family along with the National EMS Memorial Service medallion.
• During the service, a National Moment of Silence will be called at 6:00 p.m. (EDT),
so that EMS agencies across the U.S. can pause simultaneously for several seconds
of radio silence to pay respect and remember the fallen—together.
• The year’s honorees are highlighted in pictures during the ceremony and a special
video collage of the Moving Honors is played, followed by an uplifting Candlelight
Ceremony that concludes the service.
• The National EMS Memorial “Tree of Life” will be on display. Individual bronze oak
leaves are engraved with the name of the fallen honorees. The Tree of Life is a
temporary memorial until a permanent memorial is established.
Jana Williams, president of the National EMS Memorial Service shared her thoughts on the
upcoming events, “The past few years have been especially challenging for EMS providers, but
it has also underscored our collective resolve. We continue to salute the dedication of all EMS
first responders. We are especially honored to pause and commemorate 72 EMS personnel
who have made the ultimate sacrifice in service to others and to support the loved ones they
left behind. As we prepare for this year’s National EMS Memorial Service and Weekend of
Honor, we remain steadfast in our commitment to ‘Always Remember’.”
About National EMS Memorial Bike Ride
The mission is to honor EMS personnel by organizing and implementing long distance cycling
events that memorialize and celebrate the lives of those who serve every day, those who have
become sick or injured while performing their duties, and those who have died in the line of
duty. Vist us at www.NEMSMBR.org.
About National EMS Memorial Service
The organization’s mission is to honor those in EMS from air and ground who have made the
ultimate sacrifice having died in the line of duty and it is the organization congressionally
sanctioned to conduct the annual service. Visit us at www.national-ems-memorial.org.
# # #
Editor’s Note: High-res images can be downloaded from Dropbox at:
Image #1:
https://www.dropbox.com/s/gt15yyil8jw1quj/NEMSMBR%20Arrival%20of%20the%20riders_11.JPG?dl=0
Image #2:
https://www.dropbox.com/s/zt06xpizgjoc7xa/NEMSMS%20_42.JPG?dl=0
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2022 SESSION
Wednesday, June 8, 2022 1:00 p.m. – 3:45 p.m. Virtual Meeting Washington, DC
General Meeting1:00-1:05 Welcome, Introductions, Opening Remarks Jonathan Greene, Deputy Asst. Secretary for Preparedness & Response Director, Office of Emergency Management & Medical Operations FICEMS Chairperson Gam Wijetunge, Director, NHTSA OEMS Director of the Office of EMS, NHTSA Elizabeth Fudge Supervisory Program Analyst, Health Readiness Policy & Oversight Theresa “Tee” Morrison-Quinata EMS for Children Branch Chief, Maternal & Child Health Bureau Division of Child, Adolescent, & Family Health 1:20 Assistant Secretary for Preparedness & Response Jonathan Greene Deputy Assistant Secretary & Director, Office of Emergency Management & Medical Operations
1:25 Indian Health Services Darrell LaRoche Director, Office of Clinical & Preventive Services
1:30 Centers for Disease Control & Prevention Christine “Chris” Kosmos Director, Division of State & Local Readiness Center for Emergency Preparedness & Response
1:35 Centers for Medicare & Medicaid Services CAPT. Skip Payne Director, Emergency Preparedness & Response Operations 1:40 Countering Weapons of Mass Destruction Office Pritesh Gandhi, M.D. Chief Medical Officer, EMS Program
1:45 United States Fire Administration Richard Patrick Director, National Fire Programs Directorate 1:50 National Highway Traffic Safety Administration Nanda Srinivasan Associate Administrator, Research & Program Development 1:55 Public Safety & Homeland Security Bureau David Furth, J.D. Deputy Chief, Office of the Bureau Chief 2:00 State EMS Directors Update Steve McCoy EMS Bureau Florida Department of Public Health Kate Elkins EMS Specialist, NHTSA OEMS 2:10 COVID-19 First Responder Deaths Dave Bryson EMS Specialist, NHTSA OEMS 2:15 National 911 Program Update Brian Tegtmeyer National 911 Program Coordinator 2:20 NEMSIS Update Eric Chaney EMS Specialist, NHTSA OEMS 2:25 National Roadway Safety Strategy – Post Crash Care Gam Wijetunge Director, NHTSA OEMS
Diane Pilkey, DHHS HRSA | Max Sevareid, NHTSA OEMS
2:35 EMS Data Standards & Exchange Subgroup Rachel Abbey, DHHS ONC | David Millstein, DHS USFA 2:40 EMS Systems Integration & Preparedness Subgroup Tee Morrison-Quinata, DHHS HRSA | Gam Wijetunge, NHTSA OEMS 2:45 Workforce & Safety Subgroup Greg Williams, DHS USFA | Dave Bryson, NHTSA OEMS 2:50 Education & Training Subgroup Michael Stern, DHS USFA | Clary Mole, NHTSA OEMS
3:25-3:30 Public Comment |
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FOR IMMEDIATE RELEASE
Contact: Rhonda Stitman
Phone: 888-364-9995 ext. 450
Email: Rhonda@ninthbrain.com
Website: www.ninthbrain.com
Ninth Brain, a software company that streamlines compliance, training, and
communication in the healthcare sector, celebrates twenty years of success this Spring.
FRANKENMUTH, Mich., April 28, 2022 – With a modest history begun as notes on a napkin by two nurses, the company now known as Ninth Brain sought a simple
yet rigorous solution for the complicated compliance requirements faced by healthcare and first responder organizations. This spring, Ninth Brain will celebrate its 20th anniversary. Lisa Tedford, uniquely titled “Captain Grey Matter,” and Holly Taylor, “Chief Hat Holder,” run Ninth Brain with a passion for helping clients and having a little fun along the way. Tedford says, “I was the first developer to bring the napkin idea to life over 20 years ago. The best part of this journey has been hearing the feedback from the users of our system and how it has helped them with their day-to-day. I enjoy seeing where the next big ideas from our team and clients will take us.”
When asked about their overall business philosophy, Taylor says, “We focus on caring about our employees and our clients, the rest just falls into place. Focusing our efforts on being consultative partners to our clients, in turn, creates advocates in the industry which naturally grows our business. We look forward to celebrating continued success with our amazing team of devoted brainiacs and loyal clients.”
Using crowdsourced suggestions from clients and industry partners alike, Ninth Brain has grown from Employee Health tracking into an expansive platform known for consultative training and onboarding, workforce scheduling, risk assessments, and quality improvement. These tools have become especially important during this time when Healthcare and First Responder industries are experiencing unprecedented change, staffing turnover, compliance demands, and vaccine-mandate management.
“Ninth Brain has changed how we provide education within our organization, taking us to the digital era by reducing the amount of time used to track and document competencies, required education and credentials,” said Lindsey Castle, Director of Education & Clinical Services at MedFlight.
ee“PatientCare EMS Solutions has been using many of the features provided by NBS to enhance our performance and maintain CAAS and CAMTS accreditations for several years. They listen to our “bright ideas” for improvement and adopt many in their evolving version releases. They are truly customer focused which is not something you get with every vendor. We know our customer support team by name, and we can count on them to be available when we need them.” Stated Debbie Vass, Corporate VP of Quality at PatientCare EMS Solutions.
In the spirit of collaboration Ninth Brain is known for, Ninth Brain will celebrate its 20th birthday with nine birthday parties with select clients, provide opportunities to sign up for birthday box surprises and celebrate nominated Ninth Brain super users. You can check out what they are up to here https://www.ninthbrain.com.
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About Ninth Brain Suite, LLC: Ninth Brain is a team of diverse, talented, energetic collection of brains, skill sets, and hearts. Our system started with an idea to design a better, quicker, safer, and more accurate way to manage compliance and meet regulatory requirements for the healthcare industry. Ninth Brain Suite is recognized as one of the premier solutions for managing data, providing continuing education, and tracking regulatory requirements. Our healthcare knowledge, friendliness and superb support is how we build long lasting relationships with our clients.