Comment on CMS-2026-1916-0001
Foothill Fire Chiefs AssociationOpposeTrade association
Summary: The Foothill Fire Chiefs Association opposes the proposed cap on Ground Emergency Medical Transportation (GEMT) supplemental payments, arguing that a uniform national limit fails to account for the high costs of providing fire-based EMS in the Los Angeles region. They request that CMS exempt governmental, volunteer, and 501(c)(3) fire-based EMS agencies that operate under approved, cost-reconciled GEMT programs.
Foothill Fire Chiefs Association Letter on CMS-2449-P
The Foothill Fire Chiefs Association opposes the proposed cap on GEMT supplemental payments because a uniform national reimbursement limit does not reflect the higher actual costs of providing fire-based EMS in the Los Angeles region. The Association supports preserving audited, cost-reconciled GEMT programs that reimburse public agencies based on documented expenses and protect emergency staffing, equipment, and regional response readiness.