Ep 31. NAEMT Radio – EMS on the Hill and NAEMT Legislative Issues

Recorded at the 2024 NAEMT EMS on the Hill event, Rob Lawrence chats with NAEMT President Susan Bailey and President Elect Chris Way on the bills and issues that are being discussed with elected officials and their staff this year.

Urge Congress to Support EMS Reimbursement for Treatment in Place (TIP)

NAEMT has long advocated for providing EMS agencies the flexibility to navigate patients to the right care in the right setting through federal and state reimbursement of Treatment in Place (TIP). Neither Medicaid nor Medicare currently cover TIP; because EMS is not reimbursed for care unless a patient is brought to the hospital, the current EMS economic model incentivizes transportation to a hospital emergency department, even when a less expensive level of care is appropriate.

 Reimbursing EMS agencies for TIP will save Medicare billions of dollars on unnecessary emergency department visits, shorten task times for EMS agencies struggling with workforce shortages, help decompress overcrowded hospitals and emergency departments, and meet patients’ needs without long waits at the hospital. Many hospitals hold EMS personnel for hours waiting for an available bed in the emergency department, keeping EMS responders from getting back into service and ready for the next emergency in the community.

Request House Support for the Community Paramedicine Act of 2024

Request support from your House Representatives for H.R. 8042, the Community Paramedicine Act of 2024, introduced by Representatives Emanuel Cleaver (D-MO) and Kelly Armstrong (R-ND). This bill would create a grant program under the Secretary of Health and Human Services (HHS) that would authorize $25 million per year for five years to support community paramedicine services; award qualified entities up to $750,000 for individual applications and $1.5 million for joint applications; and establish an advisory board comprised of national community paramedicine, emergency medical service, and fire service organizations to advise, assist, and peer review grant applications in rural and underserved areas.

SIREN ACT

The SIREN Act was signed into law on December 20, 2018. This law created a grant program for public and non-profit EMS agencies and fire departments in rural areas to support the recruitment, retention, education, and equipping of EMS personnel. Rural EMS agencies and fire departments often lack the resources to pay for even basic operational needs, and this program is aimed at helping meet some of those needs.

 This successful program needs to be reauthorized. Senators Dick Durbin (D-IL) and Susan Collins (R-ME) and Representatives David Joyce (R-OH) and Debbie Dingell (D-MI) have introduced the SIREN Reauthorization Act, S. 265 and H.R. 4646. These bills would reauthorize SIREN Act grants for an additional five years, through 2028. S. 265 passed the Senate in December 2023.

Encourage Congress to include $32M in FY2025 for SIREN Grants

Take action today to encourage Congress to include $32M in the FY2025 budget for the Rural EMS Training and Equipment Assistance (REMSTEA) grant program, otherwise known as the SIREN grants. The REMSTEA/SIREN Act grant program, administered by the Substance Abuse and Mental Health Services Administration (SAMHSA), is a critical lifeline for budget-challenged rural EMS agencies and fire departments. The grants have provided much-needed funding to assist in procuring medication and medical supplies, recruiting and retaining personnel, increasing service levels from Basic Life Support to Advanced Life Support, and even replacing older ambulances with newer and safer models.

Ask Congress to Protect Access to Ground Ambulance Medical Services

S.1673 and H.R. 1666 would extend the current temporary increases under the Medicare ambulance fee schedule of 2% urban, 3% rural and 22.6% super rural for another three years, through December 31, 2027. Without the exte