Comment on CMS-2026-1916-0001

Summary: Shane Dixon, EMS Director for Kit Carson County Ambulance Service, opposes the proposed rule because it threatens supplemental Medicaid funding for Ground Emergency Medical Transportation (GEMT) programs. He argues that these funds are essential for maintaining emergency response readiness in rural areas and requests a broad exemption for governmental, volunteer, and 501(c)(3) fire-based EMS agencies.