Medi-Cal and state reimbursements must reflect the true cost of rural EMS. Providers operate with high fixed costs and low call volume. Continued access to Emergency Medical Transport Quality Assurance Fee (GEMT-QAF) is essential, including for non-network providers under third-party agreements.
Invest in safety-net hospitals in Barstow, Needles, and Twentynine Palms. These facilities anchor care for rural populations and are essential to regional health access.
Advance broadband, clean energy, water systems, and affordable housing in underserved communities to promote long-term sustainability and public health.
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