Missouri Emergency Medical Services Association

2014 MO EMS Conference & EXPO


MO EMS Conference & Expo

July 22-25, 2014

Branson Convention Center and Hilton Hotel

Early bird registration available until July 7

Great speakers                       Great setting                          Bring Your Family

Reserve your room at the Hilton by July 7 for conference rate   1-417-336-5500.

Click here to view the brochure  for the MO EMS Conf & Expo July 22-25, 2014

2nd Annual Medical Officers Symposium

Please click here for the 2014 Medical Officers Symposium brochure.

2014 ICE Spring Break Conference April 22-24, 2014

You are invited to the 2014 ICE Spring Break Conference held April 22nd – 24th in Lake Ozark,Missouri. This year is going to be bigger & better than ever! Sign up now for a great conference filled with exciting education, networking, and a packed vendor expo all at the beautiful lake setting of the Lodge of Four Seasons Resort. All your friends and colleagues will be there — will you? Click here for the ICE 2014 Brochure.

Click here to register today!!



ICE SPRING BREAK is sponsored by

The Missouri Ambulance Association


The Missouri Emergency Medical Service Association

Special Statement from the US Treasury on Volunteer Responders Under the ACA

The Affordable Care Act (ACA more commonly known as Obama care) requires many small business’s to provide health insurance for all employees.  The IRS and other federal agencies have been debating how to handle volunteer EMT’s and volunteer firefighters.  The IRS had issued draft regulations which would have defined volunteer EMT’s and firefighters as employees for the purpose of the ACA.  This obviously would have created a serious financial problem.

Numerous groups including the NAEMT and IAFC all have been working on this issue.
The following  is a letter from the US Department of Treasury ( higher up the food chain than the IRS) which indicates the issue may have been resolved.  We will continue to monitor it through final regulations being adopted.

Treasury Ensures Fair Treatment for Volunteer Firefighters and Emergency Responders Under the Affordable Care Act

By: Mark J. Mazur, Assistant Secretary for Tax Policy


The Affordable Care Act requires that an employer with 50 or more full-time employees offer affordable and adequate health care coverage to its employees.  For this purpose, full time means 30 hours or more per week on average, with the hours of employees working less than that aggregated into full-time equivalents.  Employers that do not fulfill this obligation may be required to make a payment in lieu of meeting their responsibilities, which are described in what are called the employer shared responsibility provisions.  An important question arises about how the hours of volunteer firefighters and other volunteer emergency responders should be taken into account in determining whether they are full-time employees and for counting toward the 50-employee threshold.  Treasury is acting to ensure that emergency volunteer service is accorded appropriate treatment under the Affordable Care Act.

Treasury and the IRS issued proposed regulations on the employer shared responsibility provisions (Section 4980H of the Tax Code) in December 2012 and invited public comments.  Numerous comments were received from individuals and local fire and Emergency Medical Service departments that rely on volunteers.  The comments generally suggested that the employer responsibility rules should not count volunteer hours of nominally compensated volunteer firefighters and emergency medical personnel in determining full-time employees (or full-time equivalents).  In addition, Treasury heard from numerous members of Congress who expressed these same concerns on behalf of the volunteer emergency responders in their states and districts. 

Treasury and the IRS carefully reviewed these comments and spoke with representatives of volunteer firefighters and volunteer emergency personnel to gain a better understanding of their specific situations.  Treasury and the IRS also reviewed various rules that apply to such volunteer personnel under other laws.  These include the statutory provisions that apply to bona fide volunteers under Section 457(e)(11) of the Tax Code (relating to deferred compensation plans of state and local governments and tax-exempt organizations) and rules governing the treatment of volunteers for purposes of the Federal wage and hour laws.  As a result of that review and analysis, the forthcoming final regulations relating to employer shared responsibility generally will not require volunteer hours of bona fide volunteer firefighters and volunteer emergency medical personnel at governmental or tax-exempt organizations to be counted when determining full-time employees (or full-time equivalents).

These final regulations, which we expect to issue shortly, are intended to provide timely guidance for the volunteer emergency responder community.  We think this guidance strikes the appropriate balance in the treatment provided to traditional full-time emergency responder employees, bona fide volunteers, and to our Nation’s first responder units, many of which rely heavily on volunteers. 


Mark J. Mazur is the Assistant Secretary for Tax Policy at the United States Department of the Treasury.

EMT-B or Paramedic License Plates

Any licensed EMT-B or Paramedic in the state of Missouri is able to obtain an Emblem Use Authorization Statement from MEMSA.  The cost is $15 for one year or $30 for two years!  Contact the MEMSA office if you are interested!!!

MEMSA Supports Field EMS Bill

The MEMSA Board of Directors successfully voted to formally support the Field EMS Quality, Innovation and Cost-Effectiveness Improvement Act, also known as the “Field EMS Bill”.

MEMSA is committed to partnering with NAEMT to move forward in promoting and lobbying for the Field EMS Bill. The legislation is of the upmost importance to our organization, and we will work to build support with our membership and Missouri Legislators.

The NAEMT leads the way in advocating for this legislation and MEMSA is proud to advocate on their behalf. NAEMT provided the following information on the bill: The Field EMS Bill was originally introduced in the U.S. House of Representatives in 2011 to provide a path toward the vision outlined by the 2006 Institute Of Medicine report, Emergency Medical Services: At the Crossroads. The report identified systemic problems in EMS and noted that, while fire and police have several targeted federal support programs, there is no dedicated federal funding stream for field EMS practitioners to ensure their capability to respond to medical emergencies as part of a coordinated emergency care system. In many areas of the nation, EMS services are highly fragmented, poorly equipped and insufficiently prepared for day-to-day operations, let alone natural or man-made major disasters.

The Field EMS Bill will provide a path out of the crossroads and toward the vision outlined by the IOM without adding to the federal deficit in the following ways:

- Recognize HHS as Primary Federal Agency for EMS and Trauma Care: The bill would recognize HHS as the primary federal agency for EMS and Trauma Care, consolidate certain programs within HHS into an Office of EMS and Trauma, and require a long overdue federal strategy.
- Enhance and Focus Federal Support Toward Quality, Innovation and Cost-Effectiveness: Establish essential programs to foster improvements in quality, innovation and preparedness, and strengthen accountability among states, EMS agencies and educational entities.
- Improve Quality and Accountability: Enhance quality by promoting physician-led guidelines for medical oversight and direction, evaluate medical liability and reimbursement issues affecting medical direction, and enhance data collection and integration of patient medical information.
- Test Innovative Delivery Models: Evaluate and test innovative models for access and delivery of field EMS, including alternative dispositions of patients not requiring transport to a hospital.
- Enhance Research: Enhance research in Field EMS to further improve quality, outcomes and promote the adoption of cost-effective treatments in the field.
- EMS Trust Fund: Establish an Emergency Medical Services Trust Fund to be funded by voluntary contributions made by taxpayers when filing their federal income tax forms for the purpose of funding the initiatives provided in this legislation.

Rich Dandridge
President, Missouri Emergency Medical Services Association

2014 Test Dates

2014 Testing dates have now been posted. Please check the “Exams & Education” tab at the top of the homepage for all testing dates throughout the year.

EMS Personnel License Applications

The Bureau of EMS requests that applications for all levels of EMT be received no more than 120 days or no less than 30 days prior to expiration.

Stroke and STEMI Regulations Now Available Online

The Stroke and STEMI regulations are now available on the Missouri Secretary of State’s website for viewing.    http://www.sos.mo.gov/

 To navigate the website:  Go to the toolbar, Administrative Rules, then Mo Register, 2012 Issues.

Reporting near-miss and line of duty death incidents with E.V.E.N.T.



Last March the new E.V.E.N.T. online system was launched. This system was created for EMS practitioners to anonymously report EMS and patient safety near-miss and line of duty death incidents by answering a series of questions in an online format.  Information about the system is attached for your reference is also attached.

The purpose of the system is to collect and aggregate data that will then be analyzed and used in the development of EMS policies and procedures, and for use in training, educating and preventing similar events from occurring in the future.  All EMS organizations are invited and encouraged to become E.V.E.N.T. site partners[Read more...]