EMS is facing a crisis in our nation due to an increase of operating expenses, a decrease in volunteers, and a lack of Medicaid and commercial insurance reimbursement rates. Pennsylvania Medicaid rates have not been adjusted since 2004, while operating costs have continued to increase for EMS agencies. Legislation changes are needed at the government level before ambulance agencies are forced to close their doors, leaving no one available to answer 9-1-1 emergency calls. Pennsylvania Representative Martin Causer is working to address these serious challenges due to limited funding and the shrinking number of volunteers. Rep. Causer has introduced House Bill 699 as a solution to reform the PA Medicaid reimbursement rates.