The Ambulance Association of Pennsylvania (AAP) is the lead organization for the advancement of the needs of its members in the emergency and non-emergency ambulance and medical transportation industry. The AAP advocates the highest quality patient care through ethical and sound business practices, advancing the interests of its members in important legislative, regulatory, educational and reimbursement issues.  LEARN MORE>>

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  • 08/18/2020 4:37 PM | Anonymous member (Administrator)

    Call to Action: Hazard Pay Grant Update

    The Department of Community and Economic Development (DCED) closed and awarded these grants as of Friday. There was NO notification to those who did not receive the grant, just a publication on the DCED website. NO EMS AGENCY received any of the grant dollars as they incorrectly assumed that EMS was eligible for other funding (paraphrased from a communication from DCED). DCED NEVER contacted the Bureau of EMS or the Department of Health for information about EMS.


    It is time to write to YOUR local press, legislators as well as the Governor's office to let them know that we have been forgotten, yet again!

    Below is the text of the Opening letter that was sent to the media, legislature as well as in a letter to the Governor.

    For your letter to the Governor:
    Office of the Governor
    508 Main Capitol Building
    Harrisburg, PA 17120
    Fax: 717-772-8284


    An Open Letter to Governor Wolf and the General Assembly

    On July 30, 2020 Governor Wolf and Secretary of Health Levine visited the Millersville location of Lancaster EMS to laud the response of the Commonwealth's EMS providers during the COVID-19 pandemic. "During the pandemic, our emergency responders have become more important than ever," Gov. Wolf said. "They have been out on the front lines of this fight, helping attend to COVID-19 patients in their most dire time of need. They have had to adapt their practices to keep themselves and their patients safe, all while continuing to serve as a lifeline to their communities and support the health care system."

    While the visit and remarks at that time was appreciated, it is the actions of the Governor's Administration and the General Assembly of this Commonwealth that prove that the essential frontline EMS providers in this war on the pandemic are merely political talking points.

    The latest frustration to address the financial, physical and emotional concerns facing EMS providers daily was the failure of the Department of Community and Economic Development to award NOT ONE EMS Agency who applied under the Governor's Hazard Pay Grant.

    • EMS providers are essential workers who are the frontline of this pandemic
    • EMS providers face the highest exposure to asymptomatic, presumptive and positive COVID-19 patients on EVERY CALL, EVERY DAY
    • EMS providers have contracted COVID-19 and several in this Commonwealth have DIED
    • EMS providers are some of the lowest paid healthcare workers fighting this pandemic
    • EMS Agencies have struggled financially from lost revenue, daily increased PPE costs and increased payroll costs

    The Hazard Pay Grant was an opportunity to help EMS Agencies compensate our EMS providers for the daily physical and emotional toil of fighting this pandemic. EMS providers do not only treat COVID-19 and other patients but are an essential keystone in preventing the spread of the virus to other patients and the hospital system through proper infectious control procedure and relentless sanitization.

    It is time for the Governor and the General Assembly to heed our warnings and address the financial, physical and emotional concerns facing EMS providers and EMS Agencies in this Commonwealth. Efforts to prevent the failure of our entire EMS System should be the main concern of local and state government.

    Emergency Medical Services, the healthcare safety net and first line of defense in the treatment and prevention of the spread of COVID-19, deserves the financial support of the Governor and the General Assembly. We are continually responding and constantly forgotten.

    Dean A. Bollendorf
    Ambulance Association of Pennsylvania
    (717) 512-5609 (office)

  • 05/18/2020 5:59 PM | Anonymous member (Administrator)

    Dear EMS Executive Directors, Managers, and Chiefs :


    It is obvious from our conversations with Leadership and Members of the General Assembly that THEY HAVE NOT heard about the financial impact to EMS agencies from the COVID-19 pandemic in THEIR communities.

    There is a substantial amount of CARES Act funds anticipated to be rolled out to emergency services. Unfortunately, EMS IS NOT BEING HEARD FROM.

    The AAP can carry the message but we cannot "carry the water" for your service. We have delivered the message but the answer from Harrisburg is "we haven't heard anything from our EMS agencies". We cannot move legislation without the members of the General Assembly understanding that there is a serious financial impact from this pandemic.



    We need your financial data to continue the cumulative losses to show this statewide impact.

  • 04/03/2020 4:53 PM | Anonymous member (Administrator)

    Everyday, there is more and more information on COVID-19 and everyone's email box is filled with a multitude of emails.

    We don't want you to miss anything of importance.

    Rather than send a lot of email related to COVID-19, a separate page has been created on our website so that you can find the resources in one place.  That doesn't mean that if something comes out of importance, we won't send an email.  Because we will.

    But rather that constantly search for emails, you can check the COVID-19 Page for updates.  In addition, if you are aware of a resource that should be listed, please send an email to Heather at

    Stay safe!

  • 03/27/2020 12:43 PM | Anonymous member (Administrator)

    We are requesting weekly data on the financial impact to EMS in this Commonwealth of dealing with the COVID-19 pandemic.  Efforts are being taken at the federal and state level to deliver this message to government officials and policy makers that EMS is being directly impacted from a financial standpoint and the health of our EMS System is in dire financial jeopardy.  Services that rely solely on 911 call volume revenue will likely see increased losses as well as those on the non-emergency medical transportation side.  You should have started collecting this data from March 6, 2020 (date of federal declaration) in case federal and or state funding becomes available from FEMA to PEMA to make your service whole.

    EMS services need to be evaluating their bottom-line weekly.  

    1. There is evidence that 911 call volumes have dropped.  For services that rely on 911 volume for revenue decrease call volume = decreased revenue 

    2. Non-emergency transportation has been curtailed or is non-existent as nursing homes and hospitals have shut down the movement of patients.  Paratransit work is non-existent.  Those services that supplement their budgets with non-emergency medical transportation or solely do this work = decreased or a total loss of revenue

    3. Payroll costs in some areas are increasing as staff is sidelined and overtime is realized  

    4. Costs related to COVID-19 contacts, purchase of cleaning solutions and PPE and increased turn-around times due to proper infection control procedures will effect your bottom-line

    The increase in unemployment will likely force more 911 call billing into patient pay categories and with people out of work your bill will be their last concern.  Also, the possible use of alternative destinations for COVID-19 contacts without a solution for payment will force EMS agencies into a non-reimbursable transport exacerbating this crisis.  Finally, failure to enforce a consistent payment solution or even a payment under the treat-no-transport statute will continue to create financial hardship.

    We implore you to review your financials weekly!  That data you provide the AAP to educate government officials and policy makers may benefit you in saving your ambulance services from financial failure and be essential to you should federal and/or state assistance be realized.  Please included financial data and not text or percentages for the information.

    We are trying to help you - please help us!  Please share this message to all of your colleagues, whether they are members or not!   

    COVID 19 Resource Page

  • 03/20/2020 4:19 PM | Anonymous member (Administrator)

    2020 Ambulance Reimbursement Conference
    May 5-6, 2020 - Cancelled/Postponed

    It is with a sad heart that we have to cancel our annual Reimbursement Conference on May 5 and 6, 2020.  

    We are following the CDC guidelines to refrain from mass gatherings for a period of eight weeks as our conference falls within that eight week time frame.  In addition, the Governor has suspended all non life sustaining activities for an indefinite period of time.

    However, we will be reaching to our speakers and sponsors in hopes to regroup and hold the meeting, if possible, in the future after the state of emergency and life resumes to some normalcy.

    We will be holding elections via electronic means and conducting as much business as we can electronically during this time.

    If you have any questions, please do not hesitate to contact Heather at

    Wishing all of our members safety and good health during this time.

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