Missouri Emergency Medical Services Association

Board Decision to Suspend Testing

The MEMSA organization was developed to give the individual EMS professionals a unified voice to help improve the quality of EMS in the State of Missouri. It has worked to enhance the capabilities of EMS instructors and give resources to training entities so the education of EMS professionals could remain ahead of the National Standard minimums.

MEMSA has worked very hard for nearly 30 years to host testing for EMT, advanced EMT, and Paramedic candidates in the state of Missouri and the different regions. MEMSA has always been committed to assure that standardized quality testing be maintained. The Board felt at this time with developments in testing a change needed to be done. In the November Board meeting a decision was made by the Board to suspend the Testing of EMT’s, Advanced EMT’s and Paramedics after the last posted test date of 2014. MEMSA will be working to restructure the business model.

MEMSA and the Board will continue to work diligently to assure the voice of EMS professionals in Missouri are represented at the State and Federal Level. MEMSA will continue to work to benefit the EMS profession and work to enhance the EMS systems in Missouri.

2014 Board of Directors

Christian Hospital EMS named National Provider of the Year

Christian Hospital emergency medical services (EMS) was named the 2014 National EMS Service Provider of the Year by the National Association of Emergency Medical Technicians (NAEMT) and EMS World magazine. CH EMS team members will receive the award at the NAEMT General Membership Meeting and Awards Presentation, Nov. 10, in Nashville, and be honored the following morning at the EMS World Expo’s opening ceremony.

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MAA October Management Conf. – October 16, 2014

Missouri Ambulance Associations October Management Conference is being held October 16, 2014at the Lodge of 4 Seasons, Lake Ozark, Mo.

We have some great programs lined up including a report from Christian Hospital EMS on their experience in the Ferguson riots as well as a program on Documentation and the new ICD-10’s.

Good information for Management/Administration/Office & Billing Personnel as well as field staff, so don’t miss this great opportunity for education and networking.

To register follow this link:   http://www.cvent.com/d/x4qtk6/4W

Please make your hotel reservations by October 2nd by calling 888-265-5500  or by following the link https://bookings.ihotelier.com/bookings.jsp?groupID=1306489&hotelID=17336.

Paramedic Practical 10/4/14 KC

A familiarization will  held on Friday evening from 6-8 at the testing location.  Please RSVP to memsa@memsa.org if you wish to attend.

EMS Instructor Course & Refresher Courses

Excelsior Springs Area Career Center will be offering a 40-hour EMS Instructor Course November 1, 2, 8, 9 from 8am – 6pm.  The cost is $375.00

Please click here for more information: EMS Instructor course flyer

They will also be offering Refresher courses coming up soon.  Minimum enrollments required.

Paramedic (48 hour) October 11, 12 & 18, 19 8am to 8pm.  Cost is $290.00

EMT-B (24 hour) November 8, 9 8am to 8pm.  Cost is $180.00

4th Annual Gateway Pediatric Trauma Conference

Please see the following link for more information on this conference: 4th Annual Gateway Pediatric Trauma Conference Registration

Code3 Conference

Code3 Conference

If you are an out of hospital provider, regardless of licensure level, you should not miss this conference. The Code3 Conference, put on by the EMS Section of Washington University on October 23-24, 2014, will introduce you to the latest advances in out of hospital medicine. It will cover a broad range of information in short 25 minute presentations without bogging conference attendees down in scientific details. 15 hours of continuing education in cardiac resuscitation, trauma, medical, OB\GYN and pediatrics will be provided over 2 days. The Code3 Conference will change how you look at out of hospital medicine.

For more information, check out Code3 Conference Here.

Missouri Law on Community Paramedic

Please click the following link to see the Missouri Law on Community Paramedic: http://www.moga.mo.gov/statutes/C100-199/1900000098.HTM

See other links to visit regarding this topic as well:

Community Paramedic Proposed Rule final 03172014

Letter to SAC re community paramedic rule 032020141

**EXAMPLE**EMT Community Paramedic Application (2)

More Community Paramedic Information

Please see the following link for information regarding the MN Dept. of Medicaid explanation of how the their $60/hour payment for Community Paramedic services are handled: MN Dept. of Medicaid Explanation on Community Paramedic

MEMSA Letter Re: Mark King Initiative

Please click the link to view the letter from MEMSA.  Letter 5-27-14

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.