08/03/2026
A proposed CMS rule (CMS-2449-P) would cap Medicaid supplemental payments — including GEMT — at Medicare Ambulance Fee Schedule rates starting in 2029, with phase-downs beginning in 2028. For public and rural EMS agencies that depend on GEMT funding to cover the real cost of a 911 response, this is a threat to operational readiness. NAEMT joined 17 other organizations in opposing this rule and is urging CMS to pursue policies that support — not undermine — the agencies keeping communities safe. Read the full breakdown: https://buff.ly/HkGpgAO