Tag: Vermont

Regional Ambulance Service in 2020

Regional Ambulance Service
Rutland, Vermont
76 Staff | 6 Quarantined in 2020

Regional first began operation in 1983. A board of directors came together to create a service that provides 911 service to 11 towns 24 Hours a day, 365 days a year. By 1990, Regional Ambulance Service had become a Paramedic service providing Advanced Life Support to the community. We now have 7 ambulances and over 50 state and nationally certified personal. We cover the regional area including; Castleton, Chittenden, Clarendon, Ira, Killington, Mendon, Pittsford, Proctor, Rutland City, Rutland Town, Shrewsbury and West Rutland. This past year we had responded to over 9,000 calls. On every call we continue to follow our motto; “Serving People First with Pride, Proficiency and Professionalism”

COVID-19 has brought many stressors during what can already be a stressful career. Our service started out with a shortage of PPE. This brought our community together to help everyone get through these times. We had local businesses providing hand sanitizer, and community members creating masks for our employees. Our community helped by donating dinner to our crews while on shift. Coming together has given everyone hope and strength to keep doing the best we can with what we have been given.

Our service has been helping with the State Health Department in collection sites. We have also been driving door to door in our community for collection for those who are unable to make the pop-up sites. Regional Ambulance Service have been proactive in the VT EMS by purchasing serializing equipment. We have been able to use this equipment not only for our own ambulances but have been able to offer them to surrounding services as well. Together we are stronger.

NBC | Ambulance companies at ‘a breaking point’ after receiving little Covid aid

From NBC News by Phil McCausland on December 1, 2020

Stefan Hofer’s ambulance company, West Traill EMS, in Mayville, North Dakota, has received only one or two calls that weren’t related to Covid-19 over the past two months. But he said the case count has ballooned by 20 to 30 percent because of the pandemic. At the same time, the company’s expenses have mounted, its revenue has cratered and its workforce is being decimated by the virus.

The company — which is private and supported by volunteers, a few employees and four trucks — covers more than 1,500 miles of North Dakota prairie and serves about 10,000 people on the far east side of the state.

Private EMS services, both in urban and rural centers across the country, collectively received $350 million in Covid-19 relief funds in April, but those companies said that money ran out within weeks. Months later, the need remains great as they face another coronavirus surge.

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July Brings Legal Changes for Employers in Many States

Oregon Statewide Transit Tax

Important notice to ambulance service employers based in the state of Oregon: there is a new statewide transit tax taking effect on July 1, 2018. Beginning July 1st, employers must start withholding a tax of 1/10th of 1% from the wages of Oregon residents or from non-residents who perform services in Oregon. The Department of Revenue has published detailed information on the statewide tax with a list of available resources to assist employers with compliance.

Iowa Lowers Standard for Positive Alcohol Tests

Effective July 1, 2018, Iowa employers may lower their standard for taking employment action for positive alcohol tests from the old state standard of .04 to .02. Iowa has one of the strictest employment drug and alcohol testing requirements in the country. Employers are required to have a written policy that is distributed to all employees and job candidates for their review. Employers must establish a drug and alcohol awareness program alerting employees of the dangers of drug and alcohol use in the workplace, and most employees must be provided an option to enter a rehabilitation program instead of being disciplined. In addition, all supervisory staff must attend a two-hour initial drug and alcohol training and a one-hour annual refresher.

Rhode Island Paid Sick Leave

Rhode Island has followed a growing list of states and municipalities that have enacted paid sick leave for employers with 18 or more employees. In October, the Health and Safe Families and Workplaces Act was signed by Governor Gina Raimondo. The new paid sick leave law takes effect July 1, 2018. Under the new law, employees will accrue one hour of paid sick time for every 35 hours worked, up to a maximum of 24 hours in a calendar year in 2018. That rate will increase to 32 hours in 2019 and 40 hours in 2020.

Under the new law, employers must allow employees to use paid sick time for the employee’s or employee’s family members illness, injury, or health condition; when the employee’s workplace or child’s school is closed due to a public health emergency; or for reasons related to domestic violence, sexual assault, or stalking. Employers cannot take adverse employment action against employees utilizing leave under this Act.

Employers need to prepare by amending any relevant paid time off policies, ensuring that there is an adequate mechanism for tracking the accrual and use of paid sick leave, and educating all management staff on the provisions of the new paid sick time law to ensure compliance. The new Sick Time Regulations provide additional compliance guidance.

Pay History Inquiries

Effective July 1, 2018, a new law in Vermont prohibits employers from making salary history inquiries from job candidates. Vermont joins several other states and municipalities that have enacted pay equity measures.

Joining the State of Vermont, the City of San Francisco has enacted a ban on asking job applicants about their salary or pay histories. The Parity in Pay Ordinance, signed by May Ed Lee, takes effect on July 1, 2018. The Ordinance bans employers, including City contractors and subcontractors, from considering current or past salaries in hiring candidates for employment. In addition, the Ordinance prohibits employers from asking job applicants about pay history or disclosing a current or former employee’s salary history without their authorization. A statewide ban on asking applicants about their pay histories took effect this past January.

It is recommended that employers in all states, whether legally prohibited or not, remove any reference on their job applications to an employee’s current or past wage/salary. In addition, employers should amend their pre-hire process to eliminate any pay history inquiries. This will provide employers with the best protections against allegations of pay discrimination claims.

Massachusetts Pay Equity

Back in August, 2016, Governor Baker signed An Act to Establish Pay Equity (MEPA) which takes effect on July 1, 2018. The new law is aimed at ending discrimination in the workplace by ensuring that individuals who perform “comparable” work earn competitive salaries. Additionally, the bill prohibits employers from making salary or wage history inquiries with job candidates and provides protections for employees to freely discuss their salaries with other employees.

The new law is aimed at preventing the perpetuation of past employer discriminatory pay practices by prohibiting the employer from basing a salary decision on the candidate’s current or past salary. Employers need to ensure that there are no inquiries on their employment applications or requested during the pre-hire process. Additionally, employers should amend any policies and procedures that might discourage employee discussions about wages.

Lastly, employers should perform a pay equity audit to identify potential wage disparities that may exist in their workplace. Employers who perform a good-faith, reasonable self-evaluation to identify pay disparities will be able to assert an affirmative defense to claims of violations of the Act. The Massachusetts Attorney General has issued guidance and a pay equity toolkit to assist employers with compliance.

California Expands National Origin Discrimination Protections

Effective July 1, 2018, amendments to the California Fair Employment and Housing Act (FEHA) will expand the national origins protections for employer discriminatory practices for applicants and employees to include:

  1. physical, cultural, or linguistics characteristics associated with a national origin group;
  2. marriage to or association with persons of a national origin group;
  3. tribal affiliation;
  4. membership in, or in association with, an organization identified with or seeking to promote the interests of a national origin group;
  5. attendance or participation in schools, churches, temples, mosques, or other religious institutions generally used by persons of a national origin group; and
  6. name that is associated with a national origin group

The Regulations provide protections that include prohibitions on employees adopting “English only” language rules in the workplace, unless the restriction is justified by business necessity, narrowly tailored, and was meaningfully communicated to employees. Discrimination based on an employee’s accent, height and weight (unless job-related and consistent with business necessity), and immigration status.

2018 OSHA Electronic Injury Reporting Deadline

Last year we notified AAA members that they must begin electronically reporting their workplace injury data to OSHA starting December 1, 2017 for 2016. This is just a reminder to all employers that they must electronically report their 2017 workplace injury data through the OSHA Injury Tracking Application (ITA) no later than July 1, 2018. Previously, for employers who had state-level work injury provisions, OSHA did not require injury reporting until the state enacted the appropriate tools to collect the injury data. This has changed, as OSHA announced on April 30, 2018 that employers in states that have not completed the adoption of a state rule yet must also report their 2017 injury data through the OSHA ITA. If any member has not set up their account with OSHA on the ITA, we strongly suggest that you do so immediately. The AAA can assist members in ensuring that they are compliant with this reporting requirement.

Georgia Hands Free Law

Georgia has enacted the Hands-Free Georgia Act (House Bill 673) which becomes effective July 1, 2018. The law makes it illegal for all motor vehicle drivers to “physically hold or support, with any part of his/her body” a wireless device. In addition, drivers are prohibited from writing, sending, or reading any text-based communications, including instant messages, email, or internet data usage. The law requires that a driver utilize an earpiece or hands-free device for all purposes while driving and may not touch their device. This includes utilizing any device for navigational purposes, even while stopped at a traffic signal.

There are exceptions to the new law for reporting traffic accidents: medical emergencies, fires, criminal activity, or hazardous road conditions. The exceptions do include first responders, including EMS agencies during the performance of their official duties. I believe that it is important for agencies to provide very clear communications regarding mobile device usage. I strongly suggest that any employee guidance states that the use of hand-held devices be limited to what is required to facilitate or affect patient care. It is recommended that when the use of a device is necessary, the technician or dispatcher make the notification, provided it does not interfere with monitoring or providing direct care to the patient. For more information or guidance visit the Heads Up Georgia website.

South Dakota Data Breach Law

South Dakota has enacted a new Data Breach Notification Law (SB62) for any entity conducting business in South Dakota that has or retains computerized personal or protected information of South Dakota residents. The law has a very broad definition of personal information and includes “social security numbers, driver’s license numbers, credit card or financial information, health information, identification numbers assigned by an employer for authentication purposes, username or email addresses with passwords, security questions, etc.”

The breach notification obligation attaches when the information holder reasonably believes that personal or protected information has been acquired by an unauthorized person. The law states that they must notify the affected individual within 60 days. Breaches affecting 250 or more individuals must also be reported to the South Dakota Attorney General. If the information holder reasonably believes that the breach will not likely result in harm to the affected individual, no disclosure is necessary provided they investigate and maintain documentation of the investigation for at least three years. Employers should review their data privacy policies and practices to ensure they comply with the new law.

Vermont Recreational Marijuana

Starting July 1, 2018, the State of Vermont has legalized recreational marijuana under a measure passed by the Vermont legislature (H.B. 511). The new law permits residents to grow and possesses up to one ounce of marijuana without facing criminal penalties. This law does not prohibit employers from having policies that prohibit marijuana use. The law also provides that employers do not have to accommodate the use or transportation of marijuana in the workplace. However, employers are advised to review their current workplace drug policies and practices to ensure that their practices are consistent with the new state law.

Vermont has a long-standing prohibition of random drug testing of employees, except when required or permitted under Federal law. Under Federal law, Federal contractors and grantees must maintain a drug-free workplace under the Drug Free Workplace Act. It is important that employers seek legal consultation if an employee notifies the employer that they are using marijuana for a condition that might qualify as a “disability” under the Americans with Disabilities Act (ADA). The Vermont Attorney General has published a Guide to Vermont’s Laws on Marijuana in the Workplace to assist employers with compliance.

Congressman Peter Welch to Receive AAA Legislative Honor

Congressman Peter Welch to
Receive AAA Legislative Recognition Award

For Immediate Release
Contact:
Amanda Riordan
ariordan@ambulance.org
703-610-0264

Washington, DC, – The American Ambulance Association (AAA) will honor Congressman Peter Welch of Vermont with a Legislative Recognition Award in appreciation of his advocacy for emergency medical services.

Congressman Welch will be presented this award in June in Washington, DC by AAA’s Vermont Stars of Life—EMS personnel selected for their excellence and dedication. This year’s Star from the Green Mountain State is Brian Porch of Regional Ambulance Service in Rutland.

Congressman Welch was selected for the Legislative Recognition Award for being a champion of the Medicare Ambulance Access, Fraud Prevention and Reform Act which would make permanent the current temporary Medicare ambulance add-on increases of 2% urban and 3% urban and the super rural bonus payment. The legislation, HR 745 from the 114th Congress, would also treat ambulance services more like providers of health care services and require CMS to collect cost data utilizing a survey methodology that would result in usable information for future reform of the Medicare ambulance fee schedule.

AAA President Mark Postma notes, “Congressman Welch has been a trusted advocate for health care and emergency medical services, both in Vermont and across our country.”

Congressman Welch has represented Vermont in Congress since 2007. Rep. Welch serves on the House Energy and Commerce Committee, and Oversight and Government Reform Committee. He is also a member of the House Democratic Steering and Policy Committee.

In appreciation of his ongoing service to the ambulance services of the United States, AAA is proud to honor Congressman Welch with a Legislative Recognition Award.

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About the American Ambulance Association

Founded in 1979, the AAA represents hundreds of ambulance services across the United States that participate in emergency and nonemergency care and medical transportation. The Association serves as a voice and clearinghouse for ambulance services, and views prehospital care not only as a public service, but also as an essential part of the total public health care system.

AAA Stars of Life

The Stars of Life program celebrates the contributions of ambulance professionals who have gone above and beyond the call of duty in service to their communities or the EMS profession. Stars of Life honors the dedication of these heroes while shining light on the critical role EMS plays in our healthcare infrastructure. This year, 101 EMS professionals will be honored as the 2017 Stars of Life. Meet the stars at www.stars.ambulance.org.

AAA Mission Statement

The mission of the American Ambulance Association is to promote health care policies that ensure excellence in the ambulance services industry and provide research, education, and communications programs to enable its members to effectively address the needs of the communities they serve.

Senator Patrick Leahy Receives AAA Legislative Honor

Senator Patrick Leahy to Receive
AAA Legislative Recognition Award

For Immediate Release
Contact:
Amanda Riordan
ariordan@ambulance.org
703-610-0264

Washington, DC– The American Ambulance Association (AAA) will honor Senator Patrick Leahy of Vermont with a Legislative Recognition Award in appreciation of his advocacy for emergency medical services.

Senator Leahy will be presented this award in June in Washington, DC by AAA’s Vermont Stars of Life—EMS personnel selected for their excellence and dedication. This year’s Star from the Green Mountain State is Brian Porch of Regional Ambulance Service in Rutland.

Senator Leahy was selected for the Legislative Recognition Award for championing the Medicare Ambulance Access, Fraud Prevention and Reform Act, which would make permanent the current temporary Medicare ambulance add-on increases and the super rural bonus payment. The legislation, S. 377 from the 114th Congress, would also treat ambulance services more like providers of health care services. It would require CMS to ambulance collect cost data utilizing a survey methodology that would likely result in usable information and not present an unnecessary burden on rural ambulance services.

AAA President Mark Postma notes, “Senator Leahy has been a trusted advocate for health care and emergency medical services, both in Vermont and across our country. The AAA is proud to present him with the Legislative Recognition Award.”

Elected to the U.S. Senate in 1974, Senator Leahy is the Vice Chair of the Senate Appropriations Committee. Senator Leahy is the senior-most member of both the Senate Judiciary Committee and the Senate Agriculture Committee, as well as the ranking member of the Appropriations Subcommittee on State Department, Foreign Operations, and Related Programs.

# # #

About the American Ambulance Association

Founded in 1979, the AAA represents hundreds of ambulance services across the United States that participate in emergency and nonemergency care and medical transportation. The Association serves as a voice and clearinghouse for ambulance services, and views prehospital care not only as a public service, but also as an essential part of the total public health care system.

AAA Stars of Life

The Stars of Life program celebrates the contributions of ambulance professionals who have gone above and beyond the call of duty in service to their communities or the EMS profession. Stars of Life honors the dedication of these heroes while shining light on the critical role EMS plays in our healthcare infrastructure. This year, 101 EMS professionals will be honored as the 2017 Stars of Life. Meet the stars at www.stars.ambulance.org.

AAA Mission Statement

The mission of the American Ambulance Association is to promote health care policies that ensure excellence in the ambulance services industry and provide research, education, and communications programs to enable its members to effectively address the needs of the communities they serve.

2017 AAA Legislative Awards

The American Ambulance Association is proud to announce the winners of the 2017 AAA Legislative Awards, in recognition of their strong advocacy for emergency medical services. Each legislator was chosen for their ongoing service to the ambulance services of the United States.

2017 AAA Legislator of the Year

Senator Susan Collins (R-ME) – Press Release, Facebook Post, Twitter Post

2017 AAA Legislative Recognition Award Recipients

Senators

Representatives