Credit: Bianca Coppola
Gov. Kathy Hochul signed two bills this week aimed at addressing the ongoing financial and operational challenges faced by Emergency Medical Services across the state. The new laws, written by State Sen. Michelle Hinchey, expand reimbursement options for EMS providers and authorize ambulances to administer blood transfusions during emergency transports.
The first law, which takes effect on Oct. 1, mandates Medicaid reimbursement for EMS providers not only for calls that end with the patient entering an emergency room or hospital transports but also for on-scene treatment, telemedicine consultations and transport to alternative care facilities, such as urgent care centers and mental health clinics. Under the current system, EMS services were largely unpaid for these critical treatments, receiving compensation only for hospital transport.
The new law is a response to the growing financial strain on EMS providers, many of whom have been facing increased costs and limited reimbursement options. These challenges were highlighted in the Herald’s two-part series in March, which examined the pressures on EMS services in the region, including staffing shortages and funding deficits. The investigation revealed that many rural EMS providers are operating on razor-thin margins, with some facing the prospect of closure without additional funding and support.
“This legislation ensures essential treatment and transportation, and allows New Yorkers to focus on their well-being during an emergency rather than worrying about the financial cost or availability of critical health care when they need it most,” Hochul said in a statement.
The second law, which also goes into effect on Oct. 1, expands the ability of all ambulances to administer blood transfusions during all emergency transports, a capability that was previously restricted to air ambulances and inter-hospital transfers.
“These laws come at a time when EMS providers are facing unprecedented challenges,” Hinchey said in a press release. “By expanding reimbursement options and giving EMS teams the ability to administer life-saving blood transfusions, we are offering critical support to an essential part of our healthcare system, especially in rural communities.”
Aidan O’Connor Jr., executive director of the Greenport Rescue Squad, Inc. in Columbia County, praised the new blood transfusion law, calling it “one of the most vital tools to save lives.” He said the legislation represents one of the most significant advancements in EMS care in decades.
The two bills had broad support from EMS and related organizations, including the New York State Volunteer Ambulance and Rescue Association and the Firefighters Association of the State of New York. Advocates view the new laws as a necessary step to stabilize the EMS system, though many acknowledge that additional reforms are needed to address ongoing issues such as recruitment and retention.
“This is a step in the right direction, but EMS providers are still facing significant funding gaps,” said Timothy P. Egan, executive director of Rockland Paramedic Services, in a statement. “Broader reforms are necessary to fully address the systemic challenges we face.”