Lawmakers in Augusta are currently considering bills to address the lack of emergency medical services across Maine. One proposed bill would require cities and towns to post their plan for providing ambulance service in order to ensure sufficient coverage for everyone in the state. Another bill seeks to establish the Southern Penobscot County Regional Ambulance Service Authority to help towns collaborate on providing this essential service.
The need for action on this issue has become increasingly urgent, with real tragedies occurring due to inadequate emergency services. A report released in January 2024 described many EMS operations as being “at the edge of a cliff” and called for increased state intervention to stabilize the system. Last year’s state budget allocated $31 million to support struggling services, but advocates say a total of $70 million over five years is needed.
Various challenges facing EMS operations were highlighted in the report, including issues with insurance reimbursements and the lack of coverage for on-scene care by EMS crews that do not result in transport. Large hospital systems have also faced difficulties with their ambulance services due to labor shortages and low reimbursements.
Advocates for the proposed legislation emphasize the importance of regionalization and public information campaigns to improve EMS services statewide. They argue that a comprehensive approach is necessary to address the crisis and ensure that communities are prepared for emergencies. Lawmakers are expected to continue addressing this issue throughout the year as the need for a sustainable EMS system in Maine becomes increasingly apparent.
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