06/23/2026
A proposed CMS rule could significantly impact Medicaid supplemental funding that supports EMS agencies nationwide. EMS is a readiness-based service, but reimbursement often only pays for transports. This proposal could have real consequences for staffing, equipment, preparedness, and response capacity.
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Public comments are due July 21. Learn more, educate policymakers, and submit your comments:
π EMS1 article:
https://www.ems1.com/ems-management/when-the-spreadsheet-meets-the-siren-how-cmss-proposed-gemt-rule-could-reshape-ems-funding
π Submit comments:
https://www.federalregister.gov/documents/2026/05/22/2026-10292/medicaid-program-medicaid-managed-care-state-directed-payments-and-medicaid-fee-for-service-targeted
The proposed rule highlights a long-standing disconnect: ambulance reimbursement pays for transports, while communities depend on agencies to maintain round-the-clock readiness