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Legislation and Funding

Legislation and funding issues always affect EMS budgets and operations. Use this topic to find out how the latest economic news is affecting EMS.

Don’t assume residents know what your agency does; spell it out and explain how additional funding would positively impact community members
How EMS agencies can work with states to obtain Rural Health Transformation Program funding
From Medicare cuts to billing delays, Asbel Montes joins Rob Lawrence to share practical strategies EMS agencies can use to weather the reimbursement storm
Arkansas ambulance providers warn that delayed Medicare payments and expired rural funding could force some services to dip into cash reserves
After struggling to launch its own ambulance service, the Town of Tonawanda will hire four EMTs and share coverage with Twin City Ambulance under a new two-year hybrid agreement
Several major cities allege that the Trump administration imposed “unlawful and unrelated conditions” on more than $100M in public safety grants
With costs for staffing, equipment and insurance climbing, Good Fellowship Ambulance projects a $500,000 increase in its 2026 deficit
Skagit County will raise transport rates by 3% each year, equalizing fees for residents and nonresidents while keeping Medicaid and Medicare rates unchanged
With $1T in reductions and 2027 work requirements looming, Medi-Cal-dependent facilities in California expect reimbursement losses
State health officials opened rulemaking to expand high school EMS education and tackle the workforce shortage
Funded through Compeer’s Emergency Response Equipment Grants, Schuyler Ambulance will use the award to buy lifting gear and improve on-scene patient handling
The city unveiled 10 engines, 13 ambulances and 6 command vehicles to sustain fast response times and replace aging rigs
A Fitch & Associates review urges contingency planning, including short- and long-term plans if Columbia EMS or any future business leaves the Quincy Valley
Jefferson County Sheriff Tom Grimsrud will use department funds to certify deputies as emergency medical responders, expanding over time without replacing existing EMS
Redlands City Council opted against a measure to boost the paramedic tax despite a projected $130K gap
To sustain Medic One amid rising EMS costs, Whatcom County may take the 1% hike to help close a $2.9M gap
The plan for the Crossville city ambulance service is rescinded as the EMS plan heads to a 2026 referendum
What EMS leaders need to know now
Step outside the boundaries of your traditional professional role to help find funding when it’s needed most
After a tanker crash totaled one rig, Carroll County deployed a spare, fast-tracked a replacement and approved three more purchases
Funding approved by the Central Texas Public Safety Commission will outfit all Austin Fire Department and Austin-Travis County EMScrews with upgraded body armor
Funding is on hold until states certify population data minus those deported under U.S. immigration laws
Highlighted by the PWW Advisory Group, the South Dakota Ambulance Association-backed series details funding woes, long response times
The U.S. Forest Service is delaying prevention grants, while FEMA and the National Weather Service trim services and warn of funding gaps
Medicare will pay claims without add-ons if a funding deal takes more than two weeks
Democrats blocked a GOP short-term bill, demanding reversal of Medicaid cuts and an extension of ACA premium tax credits, while Republicans rejected the trillion-dollar price tag
The Pittsburgh City Council approved $1.8M to plan a 168-acre site with fire, police and EMS facilities, adding safeguards such as no federal/foreign training, no ‘urban-warfare’ drills
Northwest Ambulance District faces soaring equipment prices, staffing pressures as continued levies sustain service
An Mecklenburg EMS MEDIC ambulance was hit by gunfire, renewing calls for state funding to equip EMS with ballistic vests.