Zip Code Delay Comment Letter

On December 30, 2014, AAA submitted a comment letter to CMS asking the Agency to delay implementation of the changes in zip codes losing their rural status starting in 2015. In its comment letter, the AAA based the one-year delay on the lack of proper notice of the changes in the geographical delineations of zip codes and the omission of a small entity impact certification in the proposed or final rules. In the proposed rule, CMS stated only 122 zip codes would lose rural status but in the final rule cited 3,038 zip codes switching from rural to urban. The AAA was able to get that number corrected to 1,599 zip codes but believes CMS still needs to delay implementation of the change for one-year to give ambulance service providers adequate time to determine and budget for the loss of revenue.

View Letter

Comment Letter on Proposed Fee Schedule Changes

On August 29, 2014, the AAA sent a Proposed Rule Comment Letter to the Centers for Medicare and Medicaid Services (CMS) regarding the CY2015 Fee Schedule Changes.  The AAA determined the recently published proposed rule on updates to the Medicare ambulance fee scheduled for CY 2015 likely significantly underestimated the number of zip codes that would change geographic area designation. In the proposed rule, CMS stated 120 zip codes would change from rural to urban and 100 zip codes would change from urban to rural. The AAA has estimated 1,524 zip codes would change from rural to urban and 449 zip codes would change from urban to rural.

AAA Proposed Rule Comment Letter

2015 Changed Zip Totals by State

CMS Proposed Rule on CY2015 Fee Schedule Changes

The AAA determined the recently published proposed rule on updates to the Medicare ambulance fee scheduled for CY 2015 likely significantly underestimated the number of zip codes that would change geographic area designation. In the proposed rule, CMS stated 120 zip codes would change from rural to urban and 100 zip codes would change from urban to rural. The AAA has estimated 1,524 zip codes would change from rural to urban and 449 zip codes would change from urban to rural.

Stop Light

2014 Ride-Along Toolkit

Congressional Ambulance Ride-Alongs and National Emergency Preparedness Month

The immediate response to a catastrophic disaster, act of terrorism or other public health emergency involves many local public safety, public health and health care organizations. As first responders, America’s ambulance service providers are an essential resource and perform vital services as part of each community’s emergency response system and health care safety net. Therefore, we urge ambulance service providers to:

  1. Participate on local and state homeland security advisory panels
  2. Upgrade emergency preparedness and response plans regarding ambulance response capabilities during a disaster incident
  3. Develop and submit grant applications to local (city and county) or state government officials to secure local, state and federal funds for planning, exercises, equipment and personal protective equipment
  4. Organize Ride-Alongs for your members of Congress during the August Recess
  5. Participate in local National Emergency Preparedness Month (September) activities
  6. Generate local media to increase public awareness about the role of ambulance service providers in the community’s response to disasters and to provide an incentive to local officials to provide the necessary funding

The following tool kit is designed to assist members of the American Ambulance Association to achieve all six of the above objectives.

Drug Supply Shortage Letters to Congress – 2012

On April 5, 2012, AAA joined  the International Association of Fire Chiefs (IAFC), National EMS Management Association (NEMSMA), National Association of Emergency Medical Technicians (NAEMT), The National Association of State EMS Officials (NASEMSO), International Association of EMS Chiefs (IAEMS), National Association of EMS Physicians (NAEMSP), Association of Air Medical Services (AAMS), and the National Volunteer Fire Council (NVFC) in urging Congress to address critical drug shortages.

Pledge of Support to the Office of Homeland Security

AAA Board of Directors Resolution

Whereas, the American Ambulance Association (AAA) represents ambulance services across the United States that participate in serving more than 95% of the urban U.S. population with emergency and non-emergency care and medical transportation services, and

Whereas, AAA members play a key role in our nation’s homeland security as a first responder, and

Whereas, the members of the American Ambulance Association work closely with their community’s local emergency response services such as fire and rescue, hospitals, public health, long-term care and other community-based health care organizations, and

Whereas, the nation’s Paramedics and Emergency Medical Technicians are highly trained health care professionals on the front line everyday participating in the pre-hospital safety net for people all across America, therefore,

Be it resolved that the AAA Board of Directors, on behalf of its membership and the ambulance industry across the United States, does hereby pledge its commitment to the Office of Homeland Security, and its Director Tom Ridge, to assist in the planning and implementation of various homeland security operations within our area of expertise.

Adopted November 17, 2001
By the American Ambulance Association
Board of Directors

Call for Affirmation of Ambulance Services Vital Role in Disaster Response

AAA Board of Directors Resolution

Whereas, during a catastrophic disaster, act of terrorism or other public health threat, local ambulance services are an essential resource and a vital part of the emergency response system, and

Whereas, dramatic evidence of this critical role was the quick response of ambulance services immediately following the terrorists attacks on September 11, 2001, and

Whereas, the American Ambulance Association (AAA) represents ambulance services across the United States that participate in serving more than 95% of the urban U.S. population with emergency and non-emergency care and medical transportation, and

Whereas, especially during this time of heightened alert, affirming the role of the nation’s ambulance services in the local, state and federal homeland security planning and response is essential, therefore

Be it resolved that the AAA Board of Directors, on behalf of its membership and the ambulance industry across the United States, does hereby recommend the following…

  • Safety of ambulance service personnel and patients, and the security of ambulance facilities, supply inventories and vehicles;
  • Effective use of ambulance resources benefiting the patients and communities we serve;
  • Integration of local ambulance services into emergency management including: 1) mitigation, 2) preparedness, 3) response, and 4) recovery;
  • Timely cost reimbursement to offset the financial impact of disaster preparedness and response; and
  • Accurate recognition of critical role of ambulance service providers, before, during and after an event.

Adopted by the American Ambulance Association
Board of Directors
November 17, 2001