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EMS Staffing & Support Act – S.3910 – Advocacy Newsflash 

By  Robbie MacCue

This week the EMS Staffing and Support Act (S. 3910) was proposed in the US Senate which clearly outlines the crisis EMS systems face and recognizes the support providers need to sustain themselves. 

This legislation would establish a Federal funding mechanism of $500M through HRSA (Health Resource and Services Administration). It would create an exclusive funding mechanism to support EMS personnel, recruitment and retention, training, equipment, vehicles, supplies, the wellbeing of providers, and to improve EMS station facilities.




Let’s be clear: in many communities, these EMS departments are the difference between life and death, and we must do all we can to ensure that they are fully staffed, equipped, and able to respond to emergencies in a timely manner,”

Vermont Senator Sanders

This bill also requires HHS to issue two reports, one on the disparities and inequities of reimbursement for EMS, from both Federal and private sources. The second report would include an action plan to support rural and nonaffiliated EMS departments (non fire department based services) with support of additional grant funding.

In a summary report of the bill, Sanders office points out EMS systems are underfunded, particularly in rural areas, which are reliant on Medicare or Medicaid funding that only reimburses 75% of the cost of care and does not provide any funding if a patient is not transported to the hospital according to a 2012 GOA report on ambulance providers and the increasing cost of utilization and care.

The EMS Staffing and Support Act follows legislation introduced last month by Senator Sanders to address similar issues in the fire services by increasing the Assistance to Firefighters Grants (AFG) and the Staffing for Adequate Fire and Emergency Response (SAFER) grants, from $360M annually to tripling that amount through 2028, investing $12 billion over five years in these two programs through the Firefighter Staffing and Support Act (S.3592)

Call to Action - How You Can Help:

Click Call or Write Congress and you’ll be directed to find your Senator’s information, along with your local congressional representative. While there is not yet a companion bill in the House of Representatives, you can let your congress member know their support will be needed.

Next Steps:

In order for this bill to move out of the Senate HELP (Health, Education, Labor, and Pensions) Committee, it will require support from key members, and a companion bill in the House. If you live in a state represented by Senators sitting on this committee your outreach will be even more important to move this bill to the floor for a vote.

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Robbie MacCue


Robbie is the cofounder of the EMS Leadership Academy, host of the EMS Leadership Summit, and paramedic captain in Albany, NY where he serves in the Special Operations Division for ground rescue, flight, & tactical medicine. He performs international medical flights with North America's largest fixed wing Air Ambulance service. For more than 14 years, Robbie served as President of a non-profit EMS organization advocating for increased funding and raising the bar of excellence. In addition, Robbie is an American Heart Association advocate who is passionate about empowering others to save more lives. He has taught physicians, nurses, and other medical providers Advanced Cardiac Life Support at medical schools and hospitals throughout Manhattan. Robbie has undergraduate degree from Rensselaer Polytechnic Institute, and a MBA from Case Western Reserve University and provides business consulting that combines his love of technology with healthcare.

Robbie MacCue

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