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2026 Ambulance Ride-Along Toolkit

Educating your members of Congress about ambulance industry issues makes them much more likely to support your efforts. An easy and effective way to educate them is to invite them to participate in a local Ambulance Ride-Along!

The House and Senate will be adjourning for summer recess in August and members of Congress will return home to their districts and states. This is the perfect opportunity for you to educate your members of Congress about issues facing our industry.

One of the most effective ways to deliver key messages on how Congress can support the ambulance industry is to host your member of Congress or their staff on a tour of your operation and an ambulance ride-along. The AAA has made the process of arranging a ride-long or scheduling a meeting easy for you with our 2026 Ambulance Ride-Along Toolkit.

Are you willing to host a Member of Congress at your service but unsure of how to set it up? Email  Ben Mergendahl at bmergendahl@ambulance.org.

Everything you need to arrange the ride-along or schedule a meeting is included in the Toolkit. Act now and invite your elected officials to join you on an Ambulance Ride-Along!

2026 Ride-Along Toolkit

What You Need to Know About DEA Form 41 for Drug Destruction

Post Authored and Shared by LogRX

Destruction of drugs sounds a little strange, but it’s part of the process the DEA requires for EMS and other first responders when handling controlled substances. It’s important to understand a little about controlled substance destruction, but this phase is often where auditors run into questions.

Destruction is a high-risk moment in the chain of custody process. It’s when partials and expired meds are destroyed as part of the restock cycle. An important piece of the workflow is filling out a DEA Form 41.

Here’s what you need to know to ensure you’re recording drug destruction in a clear, safe, DEA-compliant way.

Key Takeaways:

  • DEA Form 41 documents the final step in the controlled substance lifecycle.
  • Manual DEA Form 41 workflows create unnecessary risk. Handwritten logs, duplicate data entry, and disconnected systems make it harder to maintain consistent, audit-ready documentation.
  • Automating DEA Form 41 documentation improves accuracy and audit readiness.

What DEA Form 41 Actually Documents (in Plain-English)

As most first responders know, the DEA oversees and regulates “scheduled” drugs (also known as controlled substances. They require regular reporting of drug logs from first responders and practitioners.

 

Download DEA Form 41 Here

For many agencies, compliance used to mean jotting everything down in a paper logbook and then going through it every few months to compile reports. Now, as many in EMS are turning toward digital tracking and reporting solutions, options like LogRx make this job easier and more accurate.

Part of the process is the disposal of inventory (controlled substances) that may be expired, opened, or otherwise unusable. Because this is such a sensitive area, it’s very important that the process is clearly documented.

DEA registrants, agencies, and supervisors need to be familiar with the DEA Form 41, which is the appropriate form to file for drug destruction. The form is often known as “Registrant’s Inventory of Drugs Surrendered,” and it’s required documentation whenever controlled substances are formally destroyed.

The DEA Form 41 asks for several pieces of information

  • Which controlled substances were destroyed (drug name, dosage form, strength)
  • How much was destroyed (quantity and units)
  • When and where destruction occurred
  • Who handled and witnessed the destruction

Think of it as closing the chapter on the life of a controlled substance. Your numbers should reconcile, and everything should add up to show that your team keeps a careful eye on controlled substances.

When is the DEA Form 41 Required?

 

Controlled substances have to be discarded safely, according to proper regulations and instructions. That means documentation is crucial.

The DEA Form 41 is required to document:

  • Expired medications
  • Damaged/contaminated medications
  • Partial waste in accordance with agency policy
  • Meds removed from service

While the DEA Form is required, agency policy is still very important. You should follow the rules and guidelines of your particular agency, which may include additional requirements for drug destruction.

In the process, consistency is crucial. Drugs should be disposed of and documented in a clear, regular manner. It should be a natural part of your workflow. While the guidelines may vary on the frequency, it’s important to have a clear policy and procedure in place

What Auditors Look for on a DEA Form 41

When you face a DEA audit or need to send in reports, you might be wondering what auditors are looking for. When do questions start to pop up about the logs?

Controlled substances are destroyed when they can no longer be used. For many EMS agencies, the destruction events happen as part of the normal workflow and drug lifecycle management. During inventory and restocking, it’s quite common to discover that some drugs need to be discarded. Each time you get rid of a drug, the paperwork needs to be completed.

The problems and questions arise when manual paperwork doesn’t line up with reality.

Now, this doesn’t mean that your team had bad intent. In fact, most compliance issues aren’t because of diversion or theft. Most of the issues arise because manual steps are tricky.

Think of copying medication details by hand, entering quantities from one log or spreadsheet to another, chasing signatures and witnesses, deciphering handwriting, and rechecking totals because the numbers don’t add up. The biggest issue with manual tracking is how easy it is for records to be lost, misinterpreted, or damaged over time.

Factor all this into the many other responsibilities that first responders have, and compound that with the chaos of shift change, emergency response, and general exhaustion. It becomes pretty clear why manual documentation isn’t the best approach.

Should an audit come up (and it often does), one of the most important factors is reconciliation between those drug inventory logs and your destruction records. The records should include dates, quantities, and lot numbers. The records should also be easy to find when and if an audit occurs.

Make the job easier on yourself by storing completed forms in a way that’s clear and easy to retrieve later. That means digital files (but keep in mind that PDFs and shared drives can also get lost and messed up).

That’s why a tool like LogRx can help ensure that you’ve completed the proper documentation and you’re audit-ready any time.

How LogRx Supports DEA Form 41 Documentation

LogRx supports the DEA Form 41 documentation. It was built around the idea that documentation needs to be clear, simple, and first-responder-friendly. Moreover, it should come from a source of truth, which in EMS is your controlled substance tracking records.

LogRx makes it easy to automatically fill out your DEA Form 41, using the data you’ve already recorded as part of your team’s normal workflow.

When a medication is designated for destruction, LogRx pre-fills key fields from your inventory history like drug details, quantities, and associated events. Your team can focus on review and finalization, not retyping and piecing puzzles together.

With LogRx, you get faster paperwork, fewer errors, and a clean audit trail. The form is built directly from the same data you’re using to manage your controlled substance program. Compliance is less stressful when documentation is automatic.

LogRx and Other Form Support

LogRx helps make all your paperwork easier. Forms like the DEA 222 acquisition form are easier to manage when accurate inventory data is already available in a simple, user-friendly report.

LogRx stores images and helps you track inventory in a compliance-friendly way. You get end-to-end documentation continuity for the life of all controlled substances that you and your team may need to handle on the job.

When your inventory is tracked, and reports are easy to generate, you can quickly see what you have on hand. You can be proactive about ordering and inventory management. The data provided in the LogRx administrative dashboard gives you all the details you need to identify trends, monitor usage, and tell the story of each controlled substance in your organization’s purview.

One of the best features of LogRx is that it works directly from your team’s handheld devices, while they’re on the go. With a simple snap from their phone or tablet, they can scan in medication and log use fast, even while they’re on the go.

LogRx works out of range, too. Should your team lose cell service while in the field, they can still track, and the information will be updated automatically when they come in range. Real-time tracking is crucial for accuracy and simplicity. It saves the “what happened” scramble at the end of the day.

Compliance with controlled substance reporting rules may not be the most exciting thing on your administrative to-do list, but it protects your team and helps ensure you have exactly what you need on hand when your patients need it.

To see how seamlessly LogRx works with the DEA Form 41, reach out. We can demonstrate the process and show you what a difference that LogRx can make for your team. Make drug destruction reporting simple and fast with LogRx.

Note: This article is for informational purposes and does not constitute legal advice. Always follow DEA requirements and your agency’s policies when handling and destroying controlled substances.

AAA Letter to CMS- Reducing Regulatory Burdens on Ground Ambulance Providers

On June 9, the AAA submitted to CMS a letter on ways the Administration can reduce regulatory burdens on ground ambulance service organizations. The AAA requested that CMS eliminate the requirement to obtain a Physician Certification Statement (PCS), remove the vehicle section from the 855 form and eliminate the patient signature requirement. The letter was in response to a request for information (RFI) issued by CMS.

AAA RFI Response to CMS June 2025

31 State Ambulance Associations Request Support of EMS Supplemental Payments

March 7, 2025

The Honorable Brett Guthrie
Chair
Committee on Energy and Commerce
United States House of Representatives
2161 Rayburn House Office Building
Washington, DC 20515

The Honorable Buddy Carter
Chair
Energy and Commerce Subcommittee on Health
United States House of Representatives
2432 Rayburn House Office Building
Washington, DC 20515

The Honorable Frank Pallone, Jr.
Ranking Member
Committee on Energy and Commerce
United States House of Representatives
2107 Rayburn House Office Building
Washington, DC 20515

The Honorable Dianna DeGette
Ranking Member
Energy and Commerce Subcommittee on
Health
United States House of Representatives
2111 Rayburn House Office Building
Washington, DC 20515

Re: Medicaid Supplemental Payments for Ground Ambulance Services

Dear Chair Guthrie, Ranking Member Pallone, Chair Carter, and Ranking Member DeGette,

On behalf of 31 state ambulance and emergency medical services (EMS) associations, we ask for your continued support for Medicaid supplemental payment programs that provide critical support to EMS providers.

Ambulance service providers face financial pressures and risk closure at an alarming rate in every state. In rural communities in particular, EMS providers are often the only healthcare providers delivering care for hundreds of miles. Medicaid supplemental payment programs offer transparent and sustainable ways to support first responders, allowing them to continue providing life-saving services, train paramedics, and ensure our rural communities are not left without care.

The most at-risk ambulance service providers—those serving rural communities—face unique challenges including large coverage areas, increased travel distances, and higher costs per transport. Adequate support for staffing, training, and equipment is already a major challenge. Medicaid supplemental payment programs focus on improving rural access to care by driving dedicated resources to those communities.

We are deeply concerned by recent proposals that would severely reduce critical Medicaid reimbursement by reducing provider assessments and mandating the use of artificial caps on supplemental payments that would prevent rates from covering costs.

EMS and ambulance service providers, rural hospitals, and safety-net health clinics will close without continued funding that Medicaid supplemental payment funds provide.

Our ambulance associations are eager to collaborate with the Congress and the Administration on solutions that sustain Medicaid financing and ensure ambulance service providers continue to meet the needs of their communities. We appreciate the opportunity to engage in further discussion and provide data on how these programs directly affect each of our states.

Sincerely,

 

Alabama Association of Ambulance Services

Arkansas Ambulance Association

California Ambulance Association

EMS Association of Colorado

Georgia Ambulance Providers Association

Kentucky Ambulance Providers Association

Louisiana Ambulance Alliance

Massachusetts Ambulance Association

Michigan Association of Ambulance Services

Minnesota Ambulance Association

Mississippi Ambulance Alliance

Missouri Ambulance Association

Montana Ambulance Association

Nevada Ambulance Association

New Hampshire Ambulance Association

Medical Transportation Association of New Jersey

United New York Ambulance Network

Ohio Ambulance & Medical Transportation Association

Oklahoma Ambulance Association

Oregon State Ambulance Association

Ambulance Association of Pennsylvania

South Carolina EMS Association

Tennessee Ambulance Service Association

Texas Ambulance Association

Texas EMS Alliance

Vermont Ambulance Association

Virginia Ambulance Association

Washington Ambulance Association

West Virginia EMS Coalition

Professional Ambulance Association of Wisconsin

Wyoming EMS Association

AAA Releases 2025 Medicare Rate Calculator

On December 23, 2024, CMS posted a revised version of the CY 2025 Ambulance Fee Schedule Public Use Files on its website.  These files contain the Medicare allowed amounts for the various levels of ambulance service and mileage.  The file is organized by state, and by payment locality within each state.  The 2025 Ambulance Fee Schedule Public Use File can be viewed by clicking here.

Unfortunately, CMS has elected in recent years to release its Public Use Files without state and payment locality headings.  As a result, in order to look up the rates in your service area, you would need to know the CMS contract number assigned to your state.  This is not something the typical ambulance service would necessarily have on hand.  For this reason, the AAA has created a reformatted version of the CMS Medicare Ambulance Fee Schedule, which includes the state and payment locality headings.  Members can access this reformatted fee schedule below.

The American Ambulance Association is also pleased to announce the release of its 2025 Medicare Rate Calculator tool.  The AAA believes this is a valuable tool that can assist members in budgeting for the current year.  This calculator has been updated to account for recent changes in Medicare policies, including the 2025 Ambulance Inflation Factor and the extension of the temporary adjustments for ground ambulance services (i.e., 2% urban, 3% rural, and super rural bonus) through March 31, 2025.  This extension was the result of Section 3203 of the American Relief Act, 2025.  Barring further legislation, these temporary adjustments will expire on March 31, 2025.

Note on Medicare Sequestration: Both the Ambulance Fee Schedule Public Use Files and the AAA Medicare Rate Calculator display the current Medicare allowables.  Neither takes into account the impact of so-called “budget sequestration” on Medicare payments.  By law, the sequester requires Medicare contractors (and Medicare Advantage insurers) to reduce the amounts they pay under the Medicare Ambulance Fee Schedule by 2% (i.e., 2% off the 80% of the Medicare allowable typically paid by the Medicare contractor).

2025-Medicare-Rate-Calculator

2025.AmbulanceFeeSchedule.StateLocalHeadings.

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