New York’s EMS System Is at a Breaking Point

The need for ambulance response is increasing state-wide

There are too few EMTs and Paramedics, and no reliable pipeline of new talent

Reimbursement of services to EMS agencies is way below actual costs to respond

Delays will continue to increase for access to well trained and well equipped ambulance crews

What’s Happening?

Across New York, demand for ambulances is increasing.

Costs have increased.

Training requirements have increased.

Reimbursement for this critical work has not. 

 What was once a stable public safety system is now stretched thin—especially in rural and underserved communities.

The model is broken

EMS is unsustainable with a reimbursement for response model.

It needs to be funded for readiness: well trained professionals ready 24/7 to respond to it’s community.

Why this matters

Delays in care

Many communities rely on a volunteer model that doesn’t meet modern needs or are otherwise understaffed to respond in a timely fashion.

System Overload

Our ambulance and our emergency departments are overburdened with more patients with different needs. We haven’t kept up to support that burden.

Access Gaps

Our rural communities feel the impact the most: longer trips to the hospital, fewer local specialties, and fewer ambulances ready to respond.

Solutions are within our reach

Learn more about the problems and the solutions with these four reports.

2023 Evidence Base EMS Agenda for Future

Report on Rural Ambulance Services

The Growing Role of Counties in EMS

2024 Update on the EMS Workforce Shortage