Missouri Emergency Medical Services Association

Fall MO EMS Connection Online

The fall issue of the Missouri EMS Connection is available now. If you want to view the digital version, view it here!

The Missouri EMS Connection is the new quarterly magazine that educates, informs, leads, and connects the EMS community. This high-quality, full-color publication is being published by the Missouri Emergency Medical Services Association (MEMSA) for EMS professionals across Missouri and beyond. In the future, we hope to involve other EMS associations in Missouri to connect all facets of EMS in Missouri and get a broad range of articles and information out to EMS professionals.

A new submission policy was approved by the magazine editorial board in July 2015. Download the Missouri EMS Connection Submission Policy here.  If you have an interest in submitting articles or photos, contact Editor Mary Napier.

To make sure you receive future copies of the magazine, join MEMSA today!

MEMSA is NOT closed…..

The Board of Directors of the Missouri Emergency Medical Services Association (MEMSA) would like to dispel recent misinformation that the Association has closed. The truth and fact is that the Missouri Emergency Medical Association is alive and active and is simply experiencing reorganization.

As a part of this process, the building that formally housed administrative activities has been placed on the market. All administrative activities including phone, fax, and email communication are being handled on a daily basis from other sites. There are many state-wide organizations that conduct business in this manner.

During reorganization, MEMSA’s National Registry Testing operations have been temporarily suspended pending review of best test practices. Be assured that MEMSA, as a not-for-profit organization, will provide fair, equitable, and consistent testing services that assures the Bureau of EMS and patients in Missouri competent and knowledgeable licensed pre-hospital personnel.

While many may identify MEMSA only with testing, there are numerous other less visible projects MEMSA has sponsored either individually or with other associations including: FRA which has the potential of generating 6-8 million dollars a year for ground ambulance systems; Paramedic and EMT candidates scholarships; MO EMS Conference & Expo; ICE Spring Break; CODE 3 publication; 9-1-1 legislative efforts; Time Critical Diagnosis system; Awards for Outstanding EMS personnel and numerous other events/issues over the years.

MEMSA has provided a voice for EMS well over 35 years and will continue to represent EMS providers in many areas. We hope to offer professional testing service in Missouri for the Paramedic and Emergency Medical Technician again in the near future.

We encourage your input and the continued support for MEMSA through membership with your fellow Emergency Medical Service personnel. Together, MEMSA and you can ensure the growth and competent delivery of Emergency Medical Services in Missouri.

Board of Directors

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.

**Reprint statement “As by way of email, we are granted permission to share the reprint.”**

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.