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Oct. 9-12, 2017
Oklahoma City, OK


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Spring 2017
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Legislative and Regulatory Issues

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Legislative and Regulatory Issues

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  • S.1167— 115th Congress (2017-2018) A bill to require the Administrator of the Federal Aviation Administration to evaluate and consider revising regulations relating to emergency medical equipment requirements for passenger aircraft was introduced May 17 by Sen Brain Schatz (D-HI) and Sen Jerry Moran (R-KS). Its companion in the house, H.R.2485, was ntroduced May 17 by Rep Sean Maloney (D-NY-18) and Rep John Faso (R-NY-19). By requiring the FAA to undertake rulemaking within one year of enactment to update the contents of the EMKs, S. 1167 and H.R. 2485, the Airplane KITS Act of 2017 will help to ensure that when a pediatric medical emergency occurs on an airplane, appropriate medication and equipment will be available on board. NASEMSO joined 19 stakeholder organizations to support this bipartisan legislation, and letters can be downloaded here: Senate | House.

  • S.967 — 115th Congress (2017-2018) Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2017. Sen. Debbie Stabenow (D-MI) introduced S. 967 on 04/27/2017. The bill would make permanent the urban and rural Medicare add-ons and super-rural bonus payments that have been temporarily added in past years but otherwise expire on Dec. 31, 2017. The bill also would recognize ambulance services as providers of medical services rather than mere suppliers of transportation. This is important for setting the stage for future changes to the Medicare ambulance fee schedule, e.g., treatment and referral of a patient not requiring transport, etc. The bill also would require ambulance service providers to submit cost data to assist in determining appropriate reimbursement rates.
  • S. 471 – Isla Rose Life Flight Act. This bill, introduced by Sen Jon Tester (D-MT) in the 115th Session of Congress on Feb. 28, 2017, seeks to preserve state authority "relating to network participation, reimbursement and balance billing, or transparency for an air carrier that provides air ambulance service."
  • H.R. 817: End Surprise Billing Act of 2017. A bill introduced in the 115thCongress by Rep Lloyd Doggett (D-TX) with 34 Democratic co-sponsors on Feb. 2, 2017, seeks to end practices of balanced billing of health benefits for patients from out-of-network providers. While the bill does not specifically mention EMS as a source of concern, advocates for the bill are hoping for a successful “first step” to support state insurance laws that are currently preempted by the Airline Deregulation Act (ADA.)

See archives for previous legislative and regulary issues of interest.