Purpose:
To formally recognize Emergency Medical Services (EMS) as an essential public service with access to equitable federal funding, ensuring the sustainability and effectiveness of EMS across the United States.
Policy Statement:
In recognition of the critical role Emergency Medical Services (EMS) play in public health and safety, this policy declares EMS as an essential service, providing it with the same federal funding privileges as all other essential services, such as law enforcement, fire, and public health. Furthermore, to address the growing needs of communities and support EMS personnel, this policy mandates the inclusion of EMS personnel in the Federal Emergency Management Agency’s (FEMA) Staffing for Adequate Fire and Emergency Response (SAFER) grant. Additionally, it establishes an increase in federal funding allocation per the FEMA Assistance to Firefighters Grant for EMS providers, excluding private for-profit corporations, with a baseline of no less than 50% of allocated resources specifically dedicated to EMS services.
Key Provisions:
- Recognition of EMS as an Essential Service:
Emergency Medical Services shall be designated as an essential service under federal law, acknowledging the critical role it plays in public safety and healthcare systems nationwide. This designation prioritizes EMS in federal funding considerations, resource allocation, and support services.
- Equitable Access to Federal Funding:
EMS agencies, including municipal, county, and non-profit providers, shall receive equitable access to federal funding streams. EMS services will be included alongside other essential services in all relevant grant programs, ensuring parity in resource allocation for equipment, training, and personnel support.
- Inclusion in FEMA SAFER Grant Program:
EMS personnel shall be eligible for funding and support under the FEMA SAFER grant, previously limited to fire services. This amendment aims to bolster staffing, enhance recruitment and retention efforts, and improve EMS capacity in communities across the United States.
- Increased Federal Funding Allocation in FEMA AFG Grant:
A minimum of 50% of federal funding dedicated to public emergency response services shall be allocated specifically to EMS providers, excluding private for-profit corporations. This funding shall prioritize rural and underserved communities, as well as areas with limited access to emergency healthcare.
- Support for Training and Workforce Development:
In recognition of the challenges in recruiting and retaining EMS personnel, funding will also prioritize training programs and workforce development initiatives. EMS agencies will receive support for professional development, certification programs, and mental health resources aimed at maintaining a sustainable and resilient workforce. This includes expanding opportunities for EMS personnel to access continuing education and specialized training aligned with national standards.
- Enhanced Funding for Rural and Underserved Areas:
Recognizing the unique challenges faced by rural and underserved communities, a significant portion of the EMS-dedicated funding will be allocated specifically to these areas. This includes grants and resources to improve response times, expand service coverage, and establish or maintain EMS operations in remote or economically disadvantaged regions. These efforts are intended to reduce disparities in emergency response access and outcomes.
- EMS specific Infrastructure and Equipment Grants for EMS Agencies:
EMS providers will be eligible for federal grants to upgrade or replace outdated equipment and infrastructure. This includes ambulances, medical equipment, personal protective gear, and communication systems. The goal is to ensure that EMS agencies have access to modern tools and technology to deliver high-quality care and respond effectively during emergencies and disasters.
- Integration into National Emergency Preparedness Plans:
As part of this policy, EMS agencies will be more fully integrated into national and local emergency preparedness and response frameworks. This includes collaborating with other first responders, healthcare providers, and emergency management teams. EMS agencies will be considered a critical component of disaster response plans, and coordination efforts will be strengthened to ensure seamless collaboration during large-scale emergencies.
- Accountability and Performance Metrics:
To ensure responsible use of funds and maximize the impact on community health and safety, all funded EMS agencies must adhere to standardized reporting requirements. Metrics such as response times, patient outcomes, and personnel retention rates will be tracked and reported annually. These performance metrics will be reviewed by FEMA and HHS to assess program effectiveness and identify areas for improvement.
- Review and Adjustment of Funding Allocation:
This policy includes provisions for a biennial review of funding allocation and needs assessments. Based on the data gathered through reporting and oversight mechanisms, adjustments to funding levels and priorities will be made to ensure that EMS providers are consistently equipped to meet the demands of their communities. These reviews will also involve feedback from local EMS agencies to capture on-the-ground insights and evolving challenges.
Benefits of the Policy:
• Enhanced Emergency Response Capabilities: By declaring EMS an essential service, communities will experience improved response capabilities, especially in critical and high-demand situations.
• Improved EMS Recruitment and Retention: The SAFER grant inclusion and dedicated workforce support programs will help address ongoing staffing shortages.
• Increased Equity in Access to Emergency Medical Care: This policy promotes equitable access to EMS services by prioritizing funding for rural and underserved areas.
• Strengthened Disaster Preparedness: Integrating EMS agencies into national preparedness plans enhances their role in large-scale emergencies, improving community resilience.
Conclusion:
This federal policy reaffirms the commitment to supporting Emergency Medical Services as a vital part of the nation’s public safety and healthcare infrastructure. By ensuring adequate funding, inclusion in critical grant programs, and prioritizing resource allocation to non-profit and public EMS providers, this policy will help build a stronger, more resilient EMS system capable of meeting both daily and extraordinary demands.