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Visit the NAEMT Online Legislative Service portal
Take a moment to reach out to our elected servants and let your voice be heard. The OLS can be accessed here: https://naemt.org/advocacy/online-legislative-service From NAEMT: ¡°March 31 expiration of current Medicare ambulance add-on payments looms. Call on Congress to extend these critical payments ¨C 2% urban, 3% rural, and 22.6% in super rural areas. We make taking action easy. Send an email in just seconds...¡± Have a great week. Respectfully, Kevin Turley NAEMT Alabama Advocacy Coordinator
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Advocacy Alert! Co-Sponsors Needed for Key EMS Legislation
Advocacy Alert! Co-Sponsors Needed for Key EMS Legislation https://naemt.org/advocacy/online-legislative-service
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Key Legislative Issues
Brothers and Sosters: please take a moment and visit the NAEMT Online Legislative System (OLS) and review some key EMS issues. From there you can conveniently contact your elected servants and express your concerns. Please reach out to each of your elected servants regarding these issues. Also, please share the OLS link with others. The OLS portal is here: https://www.naemt.org/advocacy/online-legislative-service I hope to see everyone later this year at the Alabama EMS Conference! Respectfully, kevin Turley NAEMT Alabama Advocacy Coordinator
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Letter from the NAEMT President
From the NAEMT President: ¡± Dear Members, I hope you, your families and your colleagues are all doing well. I am very pleased to report to you on our association¡¯s accomplishment in the first half of this year. We have been actively advocating for EMS agencies and personnel to secure the funding and resources needed to serve their patients and communities. Through our efforts: The Supporting and Improving Rural EMS Needs (SIREN) Reauthorization Act was introduced in the Senate and a letter to the Senate Health, Education, Labor and Pensions Committee from 18 Senators was sent asking for increased funding for SIREN grants in 2024. The EMS Counts Act of 2023 was introduced in the House and Senate to require the Department of Labor to accurately count the number of EMS personnel in the country. Letters were sent to Senate and House leaders to ask for EMS workforce development funds for EMS agencies. And, we submitted comments to the Senate Health, Education, Labor and Pensions Committee on the need for federal help to address the EMS workforce shortage. We sent a joint letter to the Senate Subcommittee on Labor, Health and Human Services and Education to request funding for the EMS for Children Program in 2024. Member advocacy campaigns were conducted to generate support in Congress for our legislation. The campaigns resulted in 5,163 emails sent to 290 members of Congress. Thank you to all members who participated in these campaigns! The results of a national surveyon how EMS economic and operational models have been changing in the face of unprecedented challenges were published. The results of our national survey on MIH-CP programs were published. EMS On the Hill Day was held on March 30 at which 240 EMS professionals from 39 states and the District of Columbia participated in 217 meetings with their members of Congress and staff. We appreciate the efforts of all who were able to walk the halls of the Capitol with us. The 49th National EMS Week on May 21-27 was promoted across the country. This year¡¯s theme, EMS: Where Emergency Care Begins, highlighted the important contributions of EMS practitioners in safeguarding the health, safety, and well-being of our communities. A new position statement was adopted by the NAEMT Board calling for the federal government to establish an Emergency Support Function (ESF) specifically for EMS within the National Response Framework, decoupling EMS from ESF #8, Public Health and Medical Services. Another new position statement was published calling for the level and quality of participation by EMS in DHS fusion centers to be standardized across the nation to ensure that fusion centers have consistent access to information and intelligence collected by EMS. A new page was created on the NAEMT web site to provide EMS workforce development resources to members. Four scholarships were awarded to help students in underrepresented groups to enter the EMS workforce. We have been working hard to provide our members with more benefits and services to support their careers and improve their health and well-being. NAEMT Radio, our latest initiative to inform and engage members, made its debut in February. Podcasts are published twice a month on trending topics presented by the top leaders and subject matter experts in EMS. The 2024 class of Lighthouse Leadership mentees was selected, joining the first class selected in 2023. Created for our members, the program is designed to match mentees with mentors who can guide and support them in achieving their leadership goals. Two NAEMT members were awarded and accepted scholarships to advance their careers. Applications for another round of scholarships will be accepted July 15-September 15, 2023. Free webinars with CE credit were offered to members on changes to EMS economic and operational models, best practices in coordinating education courses, navigating CMS compliance with Medicaid supplemental payments, prehospital stroke assessment and treatment, cybersecurity readiness and response, and prehospital trauma standards of care. More free webinars ar
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Please take action on the NAEMT Online Legislative Service
Colleagues, Please take a moment and visit the NAEMT Online Legislative Service portal and reach out to your elected servants regarding EMS issues. The process is simple, quick, and will greatly help our field and the services we provide to our fellow citizens. The link is here: https://www.naemt.org/advocacy/online-legislative-service If I can be of any assistance, please let me know. Respectfully, Kevin Turley NAEMT Advocacy Coordinator - Alabama
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CMS Forum
The next CMS Ambulance Open Door Forum scheduled for: Date: Thursday, December 1, 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** Opening Remarks Chair- Maria Durham, Director, Division of Data Analysis and Market Based Pricing Moderator ¨C Jill Darling (Office of Communications) Announcements & Updates ET3 Model updates Ground Ambulance and Patient Billing Advisory Committee Medicare Ground Ambulance Data Collection System: Calendar Year (CY) 2023 Physician Fee Schedule (PFS) Final Rule slide presentation will be available at: https://www.cms.gov/Center/Provider-Type/Ambulances-Services-Center, under Spotlights, Upcoming Events Origin and Destination Requirements Under the Ambulance Fee Schedule During COVID-19 PHE Only: https://www.federalregister.gov/public-inspection/2022-23873/medicare-and-medicaid-programs-cy-2023-payment-policies-under-the-physician-fee-schedule-and-other Rural Emergency Hospitals Ambulance Services: CY 2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule: https://www.federalregister.gov/public-inspection/2022-23918/medicare-program-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center-payment CY 2023 Ambulance Inflation Factor (AIF) & Productivity Adjustment:https://www.cms.gov/files/document/r11642cp.pdf III. Open Q&A **DATE IS SUBJECT TO CHANGE** Next Ambulance Open Door Forum: TBA ODF email: AMBULANCEODF@... --------------------------------------------------------------------- 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 atPress@.... 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- 866-410-5843; Conference Passcode: No Passcode needed Instant Replay is an audio recording of this call that can be accessed by dialing 1-866-410-5843 and entering the Conference Passcode beginning 1 hours after the call has ended. The recording is available until December 3, 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.
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Medicare Ambulance Inflation Factor
On October 14, 2022, CMS issued Transmittal 11642 (Change Request 12948), which announced the Medicare Ambulance Inflation Factor (AIF) for the calendar year 2023. The AIF is calculated by measuring the increase in the consumer price index for all urban consumers (CPI-U) for the 12-month period ending with June of the previous year. Starting in the calendar year 2011, the change in the CPI-U is now reduced by a so-called ¡°productivity adjustment¡±, which is equal to the 10-year moving average of changes in the economy-wide private nonfarm business multi-factor productivity index (MFP). The MFP reduction may result in a negative AIF for any calendar year. The resulting AIF is then added to the conversion factor used to calculate Medicare payments under the Ambulance Fee Schedule. For the 12-month period ending in June 2022, the Federal Bureau of Labor Statistics (BLS) has calculated that the CPI-U increased by 9.1%. CMS further indicated that the CY 2023 MFP would be 0.4%. Accordingly, CMS indicated that the Ambulance Inflation Factor for the calendar year 2023 will be 8.7%. This is the largest inflation update since the implementation of the current Medicare Ambulance Fee Schedule in April 2002. The increase from last year¡¯s 5.1% increase is also the single largest year-over-year increase on record. Should you have any questions, please do not hesitate to let us know. NAEMT Advocacy Team
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