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United States Department of Health and Human Services

Negotiated Rulemaking Committee on

Medicare Ambulance Fee Schedule

Agreement

The Negotiated Rulemaking Committee on Medicare Ambulance Fee Schedule considered the technical and policy issues in establishing a fee schedule for ambulance services. See section 1834(l) of the Social Security Act.

The parties whose signatures appear on this document agree that:

The individual signing this agreement is authorized to commit the party to the terms of this agreement.

The party concurs in the attached written statement dated February 14, 2000 (Committee Statement), when considered as a whole.

The Department of Health and Human Services, through the Health Care Financing Administration, agrees to use the Committee Statement as the basis of a proposed rule to the maximum extent possible consistent with the Department’s legal obligations.

Each party agrees not to file negative comments on the proposed rule or on its preamble or regulations text to the extent the rule, preamble, and regulation text have the same substance and effect as the Committee Statement, on any matter.

The Health Care Financing Administration, consistent with its obligations under the Federal Administrative Procedures Act, will consider all relevant comments submitted on the proposed rule and will make such modifications in the regulations and preamble as are necessary when issuing final regulations. After the close of the comment period on the proposed rule, the facilitator will consult with the Committee to determine whether the Negotiating Committee will reconvene to consider the comments.

Each party agrees not to take any action to inhibit the adoption of the proposed rule as final to the extent the final regulations and their preamble have the same substance and effect as the Committee Statement.

No party is bound under Article 4 or Article 6 of this Agreement with respect to any matter that is not addressed in the Committee Statement.

United States Department of Health and Human Services

Negotiated Rulemaking Committee on

Medicare Ambulance Fee Schedule

Agreement

Page Two

___________________________________

Representative

American Ambulance Association

___________________________________

Representative

American College of Emergency Physicians/

National Association of EMS Physicians

___________________________________

Representative

American Hospital Association

___________________________________

Representative

Association of Air Medical Services

___________________________________

Representative

Health Care Financing Administration

___________________________________

Representative

International Association of Fire Fighters

___________________________________

Representative

International Association of Fire Chiefs

___________________________________

Representative

National Association of Counties

___________________________________

Representative

National Association of State Emergency

Medical Services Directors

___________________________________

Representative

National Volunteer Fire Council

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Last Updated February 17, 2000