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Officials describe EMS zoning and 'wall time' problem; committee hears treatment‑without‑transport options

House Study Committee on Evaluating Funding for Public Health · September 18, 2025
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Summary

DPH explained the state's EMS zoning process, regional EMS councils (REMSAC), and performance measures used to review providers. Lawmakers and DPH discussed ambulance 'wall time', workforce shortages, and emerging reimbursement options such as treatment without transport and alternate destination billing codes.

Department of Public Health officials briefed the House Study Committee on how Georgia regulates emergency medical services and described current operational challenges lawmakers should expect to confront.

Megan Andrews of DPH summarized the EMS framework: Georgia is divided into EMS zones (mostly county borders) and the regional EMS advisory councils (REMSACs) analyze complaints and performance data — including STEMI and stroke transport metrics — before recommending changes to zone providers. The REMSACs…

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