President’s Perspective January 2019

Dear Fellow AAA Members, Happy New Year from the American Ambulance Association! We enter this new year ready to rise together as an industry to face the mobile healthcare’s challenges and opportunities. Advocacy Update The AAA worked hard in the 115th Congress to achieve many legislative and regulatory wins for the industry. Thanks to the AAA Board, volunteer leaders, staff and consultants, and members alike, we were able to accomplish many of our goals to improve payment policies and overall regulations that will benefit AAA members and the industry as a whole. Last year, the AAA ensured the inclusion and passage of a 5-year extension of the ambulance Medicare add-on payments through December 31, 2022 as part of the Bipartisan Budget Act of 2018. The AAA also successfully pushed our preferred method for data cost collection using a survey which is the most likely to provide useful data for future payment reform as well as be the least burdensome on ambulance service providers. In coordination with particular AAA members, the AAA worked with Senator Collins to include report language to accompany the FY2019 Senate VA Appropriations bill which directs the VA to use the prudent layperson standard for determining emergency (more…)

2019 Annual Call for Presentations

The American Ambulance Association Annual Conference & Trade Show is continuously one of the largest inclusive gatherings of ambulance and pre-hospital care leaders, and features distinct tracks for Reimbursement and Policy, Human Resources and Operations, Government Affairs, and Executive Leadership. Our primary focus is to provide critical information that both new and established ambulance services may utilize to better serve their communities and operate their services more efficiently and profitably. The following are general topics areas to be addressed, but other subject areas are welcome: Recruitment, Retention, and Human Resources Operations, Risk Management and Safety Management and Supervision Leadership Development & Structure Improved Fleet Maintenance/Management Clinical/Quality Assurance Program Reimbursement/Patient Accounts Innovations, Technology, and Communications Emerging Healthcare Trends/Hot Topics Healthcare Reform/Public Health Format of Sessions Sessions will range from larger audience general sessions, to smaller breakout sessions within various topic tracks. Breakout sessions may be 20 minutes, 60 minutes, or 75 minutes in length. We are accepting single speaker as well as panel discussions. Sessions may be either classroom style or set for small work groups. Audience involvement is encouraged. Proposal Instructions Please be advised that participation as a presenter is strictly on a voluntary basis. AAA is unable to pay speaker fees or (more…)

Congress Passes SIREN Act

On December 12, 2018, Congress passed the 2018 Farm Bill (S. 3042) by a 386-47 vote in the House and 87 – 13 vote in the Senate. Included in the final Bill was language similar to the SIREN Act (S. 2830, H.R. 5429) to reauthorize the Rural EMS Grant program. In an effort to ensure the funding would go to the most needy, small, and rural EMS providers, the language of the amendment and SIREN Act would change the eligibility to just governmental and non-profit EMS agencies. Therefore, small rural for-profit ambulance service providers would no longer be eligible to apply for grants – which haven’t been funded for over a decade. These grants would now provide funds up to $200,000 for training, equipment, and personnel retention in rural areas. The grants also require a 10% contribution by the grant recipient. The Health Resources and Services Administration (HRSA) will issue a guidance with the details on how these grants will be administered. Since the program has been unfunded for so long, it is unclear at this time, how it will be rolled out. HRSA will most likely follow past protocol providing details through guidance including how to submit and deadlines. (more…)

Senate Introduces NEATSA Act Companion Bill (S. 3619)

Earlier this year, Congress included in the Bipartisan Budget Act of 2018 an offset to go along with the extension of the add-ons that will cut reimbursement for BLS nonemergency transports to and from dialysis centers by an additional 13%. This will be on top of the existing 10% reduction. Senators Bill Cassidy (R-LA) and Doug Jones (D-AL) just introduced S. 3619 which would restructure the offset so that a majority of the additional reduction would be focused on those ambulance service agencies in which 50% or more of their volume are repetitive BLS nonemergency transports to and from dialysis centers. S. 3619 will serve as a companion Bill to the House version, the NEATSA Act (H.R.6269) by Congressman LaHood (R-IL) and Congresswoman Sewell (D-AL) which was introduced in June 2018. The additional cut went into effect on October 1 and impacted AAA members and the AAA are working to get this legislation passed. The AAA will be sure to keep members updated as this legislation moves through Congress. Questions?: Contact Us If you have questions about the legislation or regulatory initiatives being undertaken by the AAA, please do not hesitate to contact a member of the AAA Government Affairs (more…)

 Mid-Term Election Analysis Webinar

Join AAA Government Affairs Committee Chair, Jamie Pafford-Gresham, AAA SVP of Government Affairs, Tristan North, AAA Senior Manager of Federal Affairs, Ruth Hazdovac, and Manager of State & Federal Government Affairs, Aidan Camas, as they provide a brief re-cap of the recent mid-term elections. This pre-recorded webinar provides an update on federal and state election results, and how they may impact our industry. We review possible leadership changes in the House & Senate as well as on key committees of jurisdiction over ambulance related legislation. The webinar also provides a brief look ahead into AAA legislative priorities for 2019. If you have any questions about material covered on the presentation, please email Aidan Camas at acamas@ambulance.org. ►Watch the video on Youtube here...

This content is available only to AAA members.
Log In or Register

Request for Proposals—SME/Project Director

American Ambulance Association Request for Proposals SME/ Project Director Ambulance Cost Data Collection November 2018 Overview The American Ambulance Association (AAA) invites proposals from qualified interested parties (individual and teams) for the purpose of directing the Ambulance Cost Data Project as a Subject Matter Expert (SME). Introduction As part of the extension of the Ambulance Medicare Add on payments, legislation passed on February 9, 2018, the Congress mandated that ambulance services provide cost data.  General requirements of the legislation include the following: Requires notice-and-comment rulemaking May use a cost survey Collect (1) cost; (2) revenue; (3) utilization; and (4) other information determined appropriate by the Secretary Include information: (1) needed to evaluate the extent to which costs are related to payment rates; (2) on the utilization of capital equipment and ambulance capacity; and (3) on different types of ground ambulance services furnished in different geographic locations and low population density areas May revise the system over time Select a representative sample of providers and suppliers from whom to collect data Determined based on the type of providers and suppliers and the geographic locations May not be request same provider or supplier to submit data in two consecutive years A selected...

This content is available only to AAA members.
Log In or Register

Mid-term Election Analysis

As a result of Tuesdays’ elections, Democrats will control the U.S. House of Representatives next Congress and Republicans will have a larger majority in the United States Senate. Presently, Democrats have gained a net of 30 seats in the House with Republicans netting two seats in the Senate. Democrats needed to capture 23 seats from Republicans to gain the majority. There are still several races in the House and Senate to be called which will likely add to those totals. Akin Gump, the lobbying firm for the AAA, has put together a synopsis of the election results as of this morning and a slide deck on historical trends and the outcome of races called so far. Key supporters of the industry who will not be returning next Congress include Representatives Peter Roskam (R-IL), Mike Coffman (R-CO) and Erik Paulsen (R-MN). All three members have been supportive of ambulance initiatives with Roskam in his position as Chair of the House Ways and Means Health Subcommittee and Paulsen as a member of the Subcommittee. Coffman sponsored legislation to apply the prudent layperson definition to emergency ambulance services provided to veterans. In late breaking news, the Senate race in Montana was called in favor for (more…)

Obituary for Steve Williamson

It is with deep sadness we share the passing of beloved family man, friend, colleague, and former AAA President Steve Williamson. H. Stephen Williamson Obituary H. Stephen Williamson, 68, of Hope, Arkansas, formerly of Tulsa, Oklahoma, beloved husband, father, grandfather, brother, and uncle passed away suddenly on November 3, 2018 at his home. Preceded in death by his mother, Evelyn Williamson, father, Hershel Williamson, and first wife, Pat Williamson, Steve is survived by his best friend and wife Rebecca Williamson (Smith); his two adored daughters Jennifer Thomas (Jason) of Tulsa, Oklahoma, and Ashley Schneeberg (Matt) of Jenks, Oklahoma; his brother, Mark Williamson (Theresa) of Broken Arrow, Oklahoma; and his five step children, Blake Burruss (Rachel), Krista Sands, Holly Chapman (Joel), Sarah Lyn Smith and Jay Darrin Smith. He was an exceptional grandfather to his beautiful grandchildren and step grandchildren, Asa and Will Thomas, Kate and Ava Schneeberg, Barrett Burruss, Addysion Sands, Brycelyn Wiedel, and Gabe Chapman. He is also survived by numerous cousins, nephews, a niece, and his aunt, Blanche Wilson. H. Stephen Williamson was the president and chief executive officer of Emergency Medical Services Authority (EMSA) since the Authority began operations in 1978, and served for over 39 years. (more…)