Resolution 98-01

Resolution Regarding Emergency Physician Involvement in the HCFA Negotiated Rule Making Process

Whereas, out-of-hospital emergency medical care is the practice of medicine in the out-of-hospital environment, and

Whereas, EMS agencies and personnel have specific legal relationships with physicians and generally are supervised by physicians, and

Whereas, at national, state and local levels, emergency medicine physicians have significant influence over the quality and operation of EMS systems of care, and

Whereas, the American College of Emergency Physicians (ACEP) and the National Association of Emergency Medical Services Physicians (NAEMSP) are professional organizations representing physicians who specialize in emergency medicine and EMS, and

Whereas, physician involvement directly affects both the quality and the cost of out of hospital emergency medical care, and

Whereas, the Health Care Finance Administration (HCFA) is beginning a "negotiated rule making" process which will establish a fee schedule for reimbursement of out of hospital emergency medical care, and

Whereas, various groups with interest or involvement in the delivery and/or reimbursement of out of hospital emergency medical care will be participating in the negotiated rule making process, and

Whereas, the EMS Agenda for the Future Implementation Guide specifically identifies HCFA, ACEP, NAEMSP and others to be collectively involved in national action to resolve conflicting EMS finance and reimbursement issues.

NOW THEREFORE BE IT RESOLVED that the NASEMSD encourages HCFA to support the participation of representatives from ACEP and NAEMSP in the negotiated rule making process, and

BE IT FURTHER RESOLVED that the NASEMSD encourages all other organizations involved in the negotiated rule making process to support the participation of ACEP and/or NAEMSP.

Signed this 31st day of October, 1998.

Drew E. Dawson

NASEMSD President

Gary Ireland

NASEMSD Secretary

Resolution 98-02

Resolution Rural Emergency Medical Services

Whereas, the Congress of the United States passed Public Law 105-33, the Balanced Budget Act of 1997 which included Section 4201 entitled Medicare Rural Hospital Flexibility Program, and

Whereas, the Rural Hospital Flexibility Program authorized a $25 million program of grants to states to improve access to health care services including "the establishment or expansion of a program for the provision of rural emergency medical services," and

Whereas, the National Rural Health Association (NRHA), the National Association of State EMS Directors (NASEMSD) and others have been instrumental in seeking funding from Congress for rural emergency medical services, and

Whereas, the NASEMSD partnered with the NRHA in preparing a position paper for the NRHA on the subject of "Rural/frontier EMS towards the year 2000," and

Whereas, $25 million was appropriated for the Rural Hospital Flexibility Program by Congress for federal fiscal year 2000;

Therefore be it resolved NASEMSD in cooperation with NRHA encourages the utilization of the NRHA position paper by Congress, federal agencies, states and others to continue to focus on addressing rural and frontier EMS issues to enhance the integration of EMS into broader rural health systems, suggested in the EMS Agenda of the Future, and

Be it further resolved the Office of Rural Health Policy within the Health Resources and Services Administration of DHHS is encouraged to coordinate closely with NASEMSD in developing the programmatic and funding guidelines for the Rural Health Flexibility Program to ensure EMS participation in the program and to improve the provision of rural emergency medical services.

Signed this 31st day of October 1998.

Drew E. Dawson

NASEMSD President

Gary Ireland

NASEMSD Secretary

Resolution 98-03

Resolution Domestic Preparedness for Terrorist Attacks and EMS

WHEREAS, the current EMS response system to terrorist actions is fragmented and disorganized throughout the United States, and the threat of terrorism is an issue that should be addressed in a coordinated manner by Federal, State and local response agencies, and

WHEREAS, various Federal organizations have provided special funds, training and equipment to better prepare the United States to respond to terrorist attacks, and

WHEREAS, the NASEMSD recognizes that all states and territories under the flag of the United States are at risk to acts of terrorism, and

WHEREAS, there is a need for the entire medical community to be aware, trained, educated and equipped to be able to recognize, respond and safely treat victims of terrorist attacks, and

WHEREAS, state EMS offices be involved with the planning and implementation of the EMS response and assisting the entire medical community to safely respond to terrorist attacks,

NOW THEREFORE BE IT RESOLVED that Federal agencies providing funds for the preparation for terrorist attacks should include state and territorial EMS offices for the purpose of planning, developing and coordinating the awareness, training and equipment needed by the medical community for recognizing, responding, managing and treating victims of terrorist attacks.

Signed this 31st day of October 1998.

Drew E. Dawson

NASEMSD President

Gary Ireland

NASEMSD Secretary