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

EMS News

Provide Input: Draft NEMSAC Letters Regarding DOT Efforts in Post-Crash Care

EMS and 911 professionals can provide feedback on proposed 

suggestions or offer additional recommendations

The National EMS Advisory Council (NEMSAC) has drafted responses to questions posed to the EMS and 911 community by NHTSA. The attached drafts are open for public comment and input prior to formal submission to NHTSA. Please review the attached draft letters which address:

How to Participate: Please provide feedback regarding the responses drafted by the NEMSAC in the two letters attached to this email. Comments and questions must be submitted to NHTSA.NEMSAC@dot.gov by October 21, 2022, at 5 pm ET.

Read more about the National Roadway Safety Strategy (NRSS).

Submit Written Comment

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CALL TO ACTION: Medicare Extenders Expiring

The temporary Medicare ambulance increases are scheduled to expire at the end of the year at a time when our industry is facing unprecedented financial challenges. In addition to extending the Medicare add-on payments for five years, the AAA is asking Congress to increase the 2% urban rate to 3.4%; the 3% rural rate to 4.3%; and the super rural 22.6% rate to 26.7% to help address the crisis.

The Protecting Access to Ground Ambulance Medical Services Act of 2021 (S. 2037, H.R. 2454) by Senators Catherine Cortez Masto (D-NV), Susan Collins (R-ME), Bill Cassidy (R-LA), Debbie Stabenow (D-MI) and Patrick Leahy (D-VT) and Congresswoman Terri Sewell (D-AL), Congressman Markwayne Mullin (R-OK) and Congressman Peter Welch (D-VT) would extend the temporary Medicare ground ambulance increases of 2% urban, 3% rural and the super rural bonus payment for five years and help ensure that rural zip codes remain rural under the Medicare fee schedule following the upcoming zip code reclassification based on 2020 Census data.

These bills are essential to ensuring access for all patients to vital emergency and non-emergency care, but they still do not bring payment rates up to a level that covers the increased cost of labor and other expenditures. We ask that you write to your members of Congress to cosponsor S. 2037 or H.R. 2454 and support increasing the percentages to 3.4% urban, 4.3% rural and 26.7% for the super rural bonus payment.

Contact Your Legislators

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

CMS Medicare, Medicaid, and CHIP Enrollment

Centers for Medicare & Medicaid Services

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-statistics-on-beneficiary-enrollment/medicare-and-medicaid-reports/medicare-monthly-enrollment

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/medicaid/program-information/medicaid-chip-enrollment-data/medicaid-and-chip-enrollment-trend-snapshot/index.html

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/expand-access. This information is updated on a monthly basis. Enrollment data for CMS programs are compiled on different timelines owing to the unique nature of each program.

CMS Ambulance Open Door Forum scheduled for Thursday, August 18

CMS Open Door Forum
The next CMS Ambulance Open Door Forum scheduled for:

Date:  Thursday, August 18, 2022

Start Time:  2:00pm-3:00pm PM Eastern Time (ET);

Please dial-in at least 15 minutes before call start time.

Conference Leaders: Jill Darling, Maria Durham

**This Agenda is Subject to Change**

  1. Opening Remarks

Chair- Maria Durham, Director, Division of Data Analysis and Market Based Pricing

Moderator – Jill Darling (Office of Communications)

  1. Announcements & Updates
  1. Medicare Ground Ambulance Data Collection System: Proposed Changes in the CY 2023 Physician Fee Schedule (PFS) Proposed Rule

Slide presentation is available at: https://www.cms.gov/Center/Provider-Type/Ambulances-Services-Center, under Spotlights, Upcoming Events

2. CY 2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical  Center (ASC) Payment System Proposed Rule: https://www.federalregister.gov/documents/2022/07/26/2022-15372/medicare-program-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center-payment

Proposals Regarding Rural Emergency Hospitals Ambulance Services

III. Open Q&A

**DATE IS SUBJECT TO CHANGE**

Next Ambulance Open Door Forum: TBA

ODF email: AMBULANCEODF@cms.hhs.gov

———————————————————————

This Open Door Forum is open to everyone, but if you are a member of the Press, you may listen in but please refrain from asking questions during the Q & A portion of the call. If you have inquiries, please contact CMS at Press@cms.hhs.gov. Thank you.

Open Door Participation Instructions:

This call will be Conference Call Only.

To participate by phone:

Dial: 1-888-455-1397 & Reference Conference Passcode: 5109694

Persons participating by phone do not need to RSVP. TTY Communications Relay Services are available for the Hearing Impaired.  For TTY services dial 7-1-1 or 1-800-855-2880. A Relay Communications Assistant will help.

Instant Replay: 1- 866-469-7806; Conference Passcode: No Passcode needed

Instant Replay is an audio recording of this call that can be accessed by dialing 1-866-469-7806 and entering the Conference Passcode beginning 1 hours after the call has ended. The recording is available until August 20, 2022, 11:59PM ET.

For ODF schedule updates and E-Mailing List registration, visit our website at http://www.cms.gov/OpenDoorForums/.

Were you unable to attend the recent Ambulance ODF call? We encourage you to visit our CMS Podcasts and Transcript webpage where you can listen and view the most recent Ambulance ODF call. The audio and transcript will be posted to: https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/PodcastAndTranscripts.html.

CMS provides free auxiliary aids and services including information in accessible formats. Click here for more information. This will point partners to our CMS.gov version of the “Accessibility & Nondiscrimination notice” page. Thank you.

Senate Appropriators Address AAA’s Request for Workforce Assistance

Message from AAA President Shawn Baird

The paramedic and EMT shortage has become a top policy priority of the AAA as we pursue several short and long-term initiatives to address this unprecedented crisis. Over the last several months, the AAA has been working closely with Members of the Senate Appropriations Problem Committee and the Office of the Assistant Secretary for Preparedness and Response (ASPR) to secure a grant program that would assist ground ambulance service organizations in hiring and retaining paramedics and EMTs. I am extremely pleased to report that the Fiscal Year 2023 Senate HHS appropriations package includes the program language for which the AAA has been advocating.

The language in the Senate Report reads:

EMS Preparedness and Response Workforce Shortage Program.— The Committee recognizes that our Nation is facing a crippling EMS workforce shortage which threatens public health and jeopardizes our ability to respond to healthcare emergencies on a timely basis. ASPR should prioritize ensuring a well-trained and adequate ground ambulance services workforce in underserved, rural, and Tribal areas and/or addressing health disparities related to accessing prehospital ground ambulance healthcare services, including critical care transport.

In the House, the AAA’s efforts contributed to House appropriators increasing the ASPR account funding for the Hospital Preparedness Program (HPP) (more than $30 million). We anticipate that ASPR would focus its efforts to address the ground ambulance workforce shortage through the HPP, so this increase in funding is also a critical component of the AAA’s efforts.

Although the appropriations process has many more steps to go through before final passage, having the EMS workforce shortage highlighted in the Senate report is a critical step toward achieving our goal to provide ground ambulance services across the country with the help they need during this unprecedent time.

The AAA will continue to work closely with Congressional champions and the ASPR team as they shepherd this language through the next steps in the process. I would like to thank Chairman Patrick Leahy (D-VT), Chair Patty Murray (D-WA), Senators Bill Cassidy (R-LA), Susan Collins (R-ME), Shelly Moore Capito (R-WV), Cindy Hyde-Smith (R-MS), Jeff Merkley (D-OR) and Ranking Members Richard Shelby (R-AL) and Roy Blunt (R-MO) for championing and supporting the effort.

AAA President
Shawn Baird

 

Webinar 7/21 | How 988, Crisis Response, and EMS Can Improve Community Care

EMS Focus
WEBINAR

Working Together: How 988, Crisis Response, and EMS Can Improve Community Care

Hosted by NHTSA’s Office of EMS on July 21, 2022, at 3 pm ET / 12 pm PT


Hosted by NHTSA’s Office of EMS in collaboration with the Substance Abuse & Mental Health Services Administration (SAMHSA), this webinar will discuss opportunities for collaboration between the National Suicide Prevention Lifeline (988), crisis response, and EMS communities. Launched in July, 988 will be a new three-digit number for the existing National Suicide Prevention Lifeline. This system, in collaboration with 911 centers and first responders, is designed to support nationwide improvements in behavioral and mental health emergency responses.

EMS clinicians will hear from their peers engaging with 988 and crisis response teams about challenges and successes, and how to navigate interoperability between 911, 988, EMS, and other response agencies. Hear from both urban and rural agencies about how their collaboration with crisis response partners has made a meaningful difference in their communities.

Tune in for lessons learned in addressing barriers between these critical players in emergency response and providing improved resources in behavioral health incidents.

Register Now

Panelists Include:

NHTSA Office of EMS: Kate Elkins

International Association of EMS Chiefs: Daniel Gerard

Substance Abuse and Mental Health Services Administration: Richard McKeon

National EMS Management Association: Sean Caffrey

Gunnison Regional 911 Authority: Jodie Chinn

Gunnison Valley Health: Kimberly Behounek

Attendees will be encouraged to submit questions during any point of the discussion. The webinar and Q&A will last approximately one hour. Sign up to get email updates about this webinar series, new projects and more.


About EMS Focus

EMS Focus provides a venue to discuss crucial initiatives, issues and challenges for EMS stakeholders and leaders nationwide. Be sure to visit ems.gov for information about upcoming webinars and to view past recordings.

We are committed to providing equal access to this webinar for all participants. Persons with disabilities in need of an accommodation should contact nhtsa.ems@dot.gov to request an accommodation no later than Tuesday, July 19.

Sign up to receive the latest news from the Office of EMS, including webinars, newsletters and industry updates.

Contact Us

1200 New Jersey Avenue, SE
Washington, DC 20590
nhtsa.ems@dot.gov

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?

NEMSIS 2021 Public Dataset Now Available for Research

EMS News

Data from Nearly 49 Million EMS Activations in 2021 Now Available for Research

Additionally, National EMS Database reaches important milestone as 50 states, D.C. and 3 U.S. territories are now submitting patient care data

The National Emergency Medical Services Information System Technical Assistance Center (NEMSIS TAC) announced the release of the 2021 Public-Release Research Dataset, the largest publicly available data of emergency medical services (EMS) activations in the U.S.

The dataset includes information from patient care reports from nearly 49 million EMS activations submitted by almost 14,000 EMS agencies serving communities across the country. Collected at the local level by individual EMS clinicians responding to calls and caring for patients, this data provides EMS agencies, states and the nation with critical insights for quality improvement, resource deployment, public health surveillance and more.

Since the NEMSIS data standard and National EMS Database were created with support from the NHTSA Office of EMS, researchers have used the data to study numerous important clinical and operational issues. This year alone, National EMS data has been used in articles addressing airway management, socioeconomic disparities, cardiac arrest, stroke and overdoses, just to name a few.

To learn more about the NEMSIS 2021 Public-Release Research Dataset, including how to request a copy of the dataset for research, visit nemsis.org, where you’ll find access to tutorials as well as online and pdf forms to request the data.

Learn More About the Dataset

NHTSA and the NEMSIS Technical Assistance Center also recently celebrated the addition of Delaware to the list of states and territories submitting EMS data to the National EMS Database–meaning information from EMS activations in all 50 states, the District of Columbia and three additional U.S. territories are now being collected. This means an even more robust, complete picture of EMS across the country will be available to policymakers and researchers in the future.

New Dataset Image

Sign up to receive the latest news from the Office of EMS, including webinars, newsletters and industry updates.

Contact Us

1200 New Jersey Avenue, SE
Washington, DC 20590
nhtsa.ems@dot.gov

988 Lifeline Transition – Partner Toolkit and Jobs Web Page

June 8 | FICEMS Virtual Meeting

 

 

2022 SESSION

 

Wednesday, June 8, 2022

1:00 p.m. – 3:45 p.m.

Virtual Meeting

Washington, DC

 

General Meeting

1:00-1:05    Welcome, Introductions, Opening Remarks      
 

Jonathan Greene, Deputy Asst. Secretary for Preparedness & Response

Director, Office of Emergency Management & Medical Operations

FICEMS Chairperson
1:05-1:10    Approve:  Meeting Summary [December 8, 2021]
 

Gam Wijetunge, Director, NHTSA OEMS

Director of the Office of EMS, NHTSA
1:10-1:15    Department of Defense Update
1:10     Office of the Assistant Secretary of Defense for Health Affairs

Elizabeth Fudge

Supervisory Program Analyst, Health Readiness Policy & Oversight
1:15-1:35    Department of Health & Human Services Update
1:15     Health Resources & Services Administration

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
1:40-1:50    Department of Homeland Security Update 
 

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
>1:50-1:55    Department of Transportation Update
 

1:50     National Highway Traffic Safety Administration

Nanda Srinivasan

Associate Administrator, Research & Program Development
1:55-2:00    Federal Communications Commission Update 
 

1:55     Public Safety & Homeland Security Bureau

David Furth, J.D.

Deputy Chief, Office of the Bureau Chief
2:00-2:05    State EMS Directors Update
 

                        2:00     State EMS Directors Update

Steve McCoy

EMS Bureau

Florida Department of Public Health
2:05-2:45    NHTSA Office of EMS Projects Updates
2:05     COVID-19 Healthcare Resilience Working Group Update; 988 Update;                                         Mental Health & Suicide Prevention for EMS

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

 

 

 
2:30-2:55    Technical Working Group Subgroup Updates
2:30     Evidence-based Practice & Quality Subgroup

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
3:05-3:15    Break – 10 minutes
3:15-3:20    National EMS Advisory Council Update
                                    Jonathan Washko, Vice Chair, NEMSAC
3:20-3:25    FICEMS COVID-19 Response White Paper Project Update
                                    Mark Sigrist, Energetics (NHTSA OEMS)               

 

3:25-3:30    Public Comment
3:30-3:45    Committee Round Table Discussions
 
3:45             Adjournment

NEMSAC | Webcast May 11-12

The National EMS Advisory Council (NEMSAC) will host a virtual meeting on Wednesday and Thursday, May 11-12, 2022. Members of the public can register for the webcast here.

The NEMSAC meets several times each year to discuss issues facing the EMS community. Members of NEMSAC provide counsel and recommendations regarding EMS to the National Highway Traffic Safety Administration (NHTSA) in the Department of Transportation (DOT) and the Federal Interagency Committee on EMS (FICEMS).

Daily agendas include time for NEMSAC subcommittee deliberations in the morning and the publicly webcasted portion of the meetings begin at 1:00 pm ET, Wednesday, May 11, 2022, and 12:00 pm ET on Thursday, May 12, 2022. Items on the agenda include:

  • Updates from Federal Emergency Services Liaisons
  • Discussion about FICEMS & NHTSA Initiatives
  • Subcommittee Reports
  • Public comment

Individuals registered for the meeting who wish to address the council during the public comment periods can review the current draft and interim advisories and submit comments in writing to NHTSA.NEMSAC@dot.gov by 5:00 pm ET on May 3, 2022.

Draft advisories:

Interim advisory:

This meeting will be open to the public. NHTSA is committed to providing equal access to this meeting for all program participants. Persons with disabilities in need of accommodation should send their request to Clary Mole by phone at (202) 868-3275 or by email at Clary.Mole@dot.gov no later than May 3, 2022. A sign language interpreter will be provided and closed captioning services will be provided for this meeting through the WebEx virtual meeting platform.

Register Now

Notice of Public Meeting: This notice announces a meeting of the National Emergency Medical Services Advisory Council (NEMSAC).

www.federalregister.gov

CMS | Ambulance Ground Transport: Comparative Billing Report in April

From CMS on April 21, 2022

In late April, CMS will issue a Comparative Billing Report (CBR) on Medicare Part B claims for ambulance ground transport. Use the data-driven report to compare your billing practices with those of peers in your state and across the nation.

CBRs aren’t publicly available. Look for an email from cbrpepper.noreply@religroupinc.com to access your report. Update your email address in the Provider Enrollment, Chain, and Ownership System to ensure delivery.

For More Information:

CAAS | GVS V3.0 Draft for Public Comment #2

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Driven to a Higher Standard
CAAS Releases GVS V3.0 Draft for Public Comment #2
CAAS GVS Announcement
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The Commission on Accreditation of Ambulance Services (CAAS) formed a Ground Vehicle Standard Revision Committee to develop V3.0 of the GVS document.  Based on industry collaboration, this Committee has developed a list of proposed changes to V2.0.

Based on the feedback received during Public Comment Period #1, CAAS has now opened Public Comment Period #2, which starts April 1, 2022 and concludes May 31, 2022. In accordance with ANSI protocol, only items that have been changed through the Public Comment #1 period are open for additional comment and review during this second period. Those items are highlighted in yellow on the attached proposal document. Comments on other provisions are not accepted during this process. Interested parties who care to comment on the changes should complete the online feedback form and submit their input during this public comment period. The GVS Committee will review all submissions received during the Public Comment Period #2 and will consider each of the comments received. The CAAS GVS V3.0 document has a scheduled effective date of July 1, 2022.

If you have any questions, please contact Mark Van Arnam, Administrator, CAAS GVS.

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Commission on Accreditation of Ambulance Services (CAAS)

1926 Waukegan Road Phone: (847) 657-6828
Suite 300 Fax: (847) 657-6825
Glenview, Illinois E-mail: CAAS Staff
60025-1770 Website: www.caas.org

NACIDD & NACSD | Public Meetings 4/1 & 4/6

From ASPR on March 31, 2022

The National Advisory Committee on Seniors and Disasters (NACSD) and the National Advisory Committee on Individuals with Disabilities and Disasters (NACIDD) will soon host public meetings of these two advisory committees.

The next NACIDD meeting takes place on Friday, April 1 from 11:30 a.m. to 2:30 p.m. ET and the next NACSD meeting is on Wednesday, April 6 from 11:00 a.m. to 2:00 p.m. ET.

Join board members, distinguished guests, federal leaders, and other experts to discuss the challenges, opportunities, and priorities in meeting the unique health needs of older adult populations and people with disabilities during and after disasters and public health emergencies.

Advanced registration for these meetings is required and can be accessed, along with additional meeting agendas and public information, through the online event pages for the NACIDD and NACSD.

The agendas for each of the next meetings include time to hear from the public. The floor will be open to hear as many relevant comments as possible. To learn how to request a speaking time, please visit each committee’s event page. You can send questions about the NACSD to NACSD@hhs.gov and questions about the NACIDD to NACIDD@hhs.gov.

HHS PRF | EMS Funding Letter to Secretary Becerra

Download PDF Letter

March 24, 2022

The Honorable Xavier Becerra
Secretary of Health and Human Services
Department of Health and Human Services
200 Independence Avenue, SW
Washington, DC 20201

Dear Secretary Becerra:

Ground ambulance service organizations and fire departments continue to struggle financially from the enduring economic effects of the COVID-19 public health emergency (PHE). Our respective members face sharp increases in the costs of fuel, equipment, medical supplies, and staffing as we deal with a severe shortage of paramedics and emergency medical technicians (EMTs) which has been an issue for years but exacerbated by the pandemic. We implore you to help ensure communities around the country have access to 9-1-1 emergency and non-emergency ground ambulance services through the remainder of the PHE and beyond with an infusion of $350 million from returned and/or unspent money in the Provider Relief Fund (PRF).

We greatly appreciate the funding that ground ambulance service organizations and fire departments have already received from the PRF. The funds have been a lifeline for many of our respective members and their ability to continue to serve their communities. However, as the Phase 4 distribution of funds demonstrated, more funding is needed for ground ambulance services. Our members indicate the funds they received in Phase 4 covered approximately 50% of their lost reimbursement and increased costs from July 1, 2020, to March 31, 2021, whereas previous distributions were closer to 88%. We therefore respectfully request an immediate distribution of $350 million or 10% of the annual Medicare expenditure on ground ambulance services.

We request that the funds be distributed in a similar manner as the Tranche 1 distribution from the PRF. The automatic, across-the-board deposit of funding was especially helpful for small and rural ground ambulance service organizations. These rural organizations provide care in underserved areas and are often daunted even by an abbreviated application process. To ensure equity for all communities, we support universal direct deposit.

Additionally, we encourage HHS to make these payments based on the National Provider Identification (NPI) number of the ground ambulance service organization or fire department rather than Tax ID Number (TIN). In the case of moderate and large cities, many municipal departments may share a TIN while maintaining distinct NPIs. Providing these payments according to TIN may unintentionally comingle funds intended for different departments such as fire departments, public health departments, and local government-run hospitals or clinics.

The American Ambulance Association (AAA), International Association of Fire Chiefs (IAFC), International Association of Fire Fighters (IAFF), National Association of Emergency Medical Technicians (NAEMT), and National Volunteer Fire Council (NVFC) represent the providers of vital emergency and non-emergency ground ambulance services and the paramedics, EMTs and firefighters who deliver the direct medical care and transport for every community across the United States.

Our members take on substantial risk every day to treat, transport, and test potential COVID-19 patients, and play a vital role in providing vaccinations to individuals in their homes. Ground ambulance service organizations and fire departments, however, urgently need the additional

$350 million to help offset the increased costs and lower reimbursement resulting from our vital response to the pandemic.

Thank you in advance for your consideration of this request.

Sincerely,

American Ambulance Association

International Association of Fire Chiefs

International Association of Fire Fighters

National Association of Emergency Medical Technicians

National Volunteer Fire Council