Comment on CMS-2026-1916-0001

Summary: Tom Krueger, Fire Chief of the Lincolnshire-Riverwoods Fire Protection District, opposes the proposed rule to limit Ground Emergency Medical Transportation (GEMT) supplemental payments to the Medicare Ambulance Fee Schedule. He argues that the Medicare schedule does not reflect the actual costs of maintaining 24/7 emergency readiness and that reducing these payments would threaten the district's ability to provide essential services to Medicaid beneficiaries.