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Committee Detail

Note: An Annual Comprehensive Review, as required by §7 of the Federal Advisory Committee Act, is conducted each year on committee data entered for the previous fiscal year (referred to as the reporting year). The data for the reporting year is not considered verified until this review is complete and the data is moved to history for an agency/department. See the Data From Previous Years section at the bottom of this page for the committee’s historical, verified data.

DOT - 29152 - National Emergency Medical Services Advisory Council - Statutory (Congress Created)


Committee NameNational Emergency Medical Services Advisory CouncilAgency NameDepartment of Transportation
Fiscal Year2020Committee Number29152
Original Establishment Date4/24/2007Committee StatusChartered
Actual Termination Date Committee URL
New Committee This FYNoPresidential Appointments*No
Terminated This FYNoMax Number of Members*25
Current Charter Date4/19/2019Designated Fed Officer Position Title*Director, Office of Emergency Medical Services
Date Of Renewal Charter4/19/2021Designated Federal Officer PrefixDr.
Projected Termination Date Designated Federal Officer First Name*Jon
Exempt From Renewal*NoDesignated Federal Officer Middle Name
Specific Termination AuthorityDesignated Federal Officer Last Name*Krohmer
Establishment Authority*Statutory (Congress Created)Designated Federal Officer Suffix
Specific Establishment Authority*42 U.S.C § 300d-4(b)Designated Federal Officer Phone*(202) 366-9966
Effective Date Of Authority*4/24/2012Designated Federal Officer Fax*202-366-7149
Exempt From EO 13875 Discretionary CmteNot ApplicableDesignated Federal Officer Email*
Committee Type*Continuing
Committee Function*National Policy Issue Advisory Board


Agency Recommendation*Continue
Legislation to Terminate RequiredNot Applicable
Legislation StatusNot Applicable
How does cmte accomplish its purpose?*The committee provides information, advice, and recommendations to the Secretary, through the Administrator of NHTSA, and to the Federal Interagency Committee on EMS (FICEMS) on matters relating to all aspects of development and implementation of emergency medical services.Throughout FY18, the committee continued to have 4 very active sub-committees that met bi-monthly via teleconference. The full committee has approved several well-developed recommendations to NHTSA and FICEMS that the agencies have incorporated into future and ongoing project planning.
How is membership balanced?*The committee is comprised of 25 members, each representing the perspective of a particular component of the emergency medical services community. The membership is also balanced in terms of other demographics, including geography, gender, etc. and follows an approved Membership Balance Plan.
How frequent & relevant are cmte mtgs?*The committee generally meets at least three times a year to provide a forum to discuss methods for improving community-based emergency medical services. The meetings have been very productive and all have included strong public participation. Meetings are 1.5 days each in Washington, DC. Notices are posted in the Federal Register and also with relevant stakeholders. Public attendance averages 40-50 people per meeting.
Why advice can't be obtained elsewhere?*Prior to the establishment of NEMSAC, there was no such forum for EMS community/stakeholder input on the work of NHTSA or other Federal agencies on EMS matters. This is a critical public safety/healthcare service and it is very valuable to have thoughtful input of selected EMS representatives to ensure that NHTSA programs and activities are as beneficial as possible. The NEMSAC has provided invaluable advice to NHTSA and the Federal Interagency Committee on EMS.
Why close or partially close meetings?N/A
Recommendation RemarksOn April 19, 2019, the NEMSAC was re-chartered to continue compliance with the its statutory authority per Section 31108 of the Moving Ahead for Progress in the 21st Century Act of 2012.


Outcome Improvement To Health Or Safety*YesAction Reorganize Priorities*Yes
Outcome Trust In GovernmentYesAction Reallocate ResourcesYes
Outcome Major Policy ChangesNoAction Issued New RegulationsNo
Outcome Advance In Scientific ResearchYesAction Proposed LegislationNo
Outcome Effective Grant MakingNoAction Approved Grants Or Other PaymentsNo
Outcome Improved Service DeliveryYesAction OtherNo
Outcome Increased Customer SatisfactionYesAction Comment
Outcome Implement Laws/Reg RequirementsNoGrants Review*No
Outcome OtherNoNumber Of Grants Reviewed0
Outcome CommentProjects at NHTSA directly impact the quality of care provided by EMS workers across the country by conducting research and encouraging the use of evidence-based guidelines for prehospital emergency care. The NEMSAC has provided invaluable guidance so those projects can be better implemented. The NEMSAC has increased external customer satisfaction and has improved NHTSA's and the Federal Interagency Committee's ability to respond to national EMS community issues and concerns. In 2019, NEMSAC provided 3 advisories, one of which generated a summary response to NHTSA's Request to Report on the Trauma Task Force RFI. Other completed advisories include: Opioid Exposure EMS PPE Recommendations and Successful Integration of Improvement Science in EMS.Number Of Grants Recommended0
Cost Savings*NoneDollar Value Of Grants Recommended$0.00
Cost Savings CommentNo measurable cost savings. Most recommendations are promoting improved EMS system operations, personal safety and improved patient outcomes.Grants Review CommentN/A
Number Of Recommendations*75Access Contact Designated Fed. Officer*Yes
Number Of Recommendations CommentNEMSAC has produced multiple recommendations and several very comprehensive reports on EMS issues. These recommendations have been directed both toward NHTSA and the statutorily created Federal Interagency Committee on EMS of which NHTSA is a member. The total number of recommendations is counted as only those formal recommendations to DOT or FICEMS and not broad advice that may be included in reports.Access Agency WebsiteYes
% of Recs Fully Implemented*39.00%Access Committee WebsiteYes
% of Recs Fully Implemented CommentMany of the recommendations from NEMSAC in 2009-15 have been fully or partially implemented by NHTSA and FICEMS member agencies. Others require statutory changes outside the scope of NHTSA and FICEMS. More recent recommendations have been provided in sets and while NHTSA has begun work on several aspects of the recommendation, full implementation remains a challenge. Often NHTSA is able to accomplish most of the spirit of the recommendation without fully implementing it verbatim. Recommendations are sometimes broad and require long-term policy discussions with Federal partners and external stakeholder groups. Other recommendations are specific but frequently cost prohibitive. However, NHTSA uses the recommendations to inform its strategic planning and budget planning processes. Obtaining funding and approval for these projects frequently take considerable time. Lists of recommendations are distributed to Federal partners and projects are often jointly funded by several offices across the U.S. Government. FICEMS used all 56 NEMSAC recommendations (through 2014) to formulate its FICEMS Strategic Plan, a high-level planning document to coordinate the EMS activities of 10 Federal agencies. NEMSAC provides a very tangible return on investment for the Department in regards to its guidance, but also provides an intangible impact on the national EMS community and raises the stature of this life-saving profession in the broader health system.Access GSA FACA WebsiteNo
% of Recs Partially Implemented*49.00%Access PublicationsYes
% of Recs Partially Implemented CommentAs with above, many recommendations since 2009 have been partially implemented by NHTSA and FICEMS. Often NHTSA is able to accomplish most of the spirit of the recommendation without fully implementing it verbatim.Access OtherNo
Agency Feedback*YesAccess CommentAll NEMSAC minutes and related documents are posted on and related information is available through the agency's NHTSA EMS Update.
Agency Feedback Comment*The NHTSA Office of EMS does provide feedback to NEMSAC relative to their recommendations. At each NEMSAC Meeting, the DFO addresses what action has been taken on specific recommendations. The NEMSAC understands the time it takes develop new projects, especially involving procurements, based on the lead time needed for various budget cycles.The NEMSAC Chair is also invited to present recommendations directly to FICEMS at their biannual meetings and receive feedback from FICEMS members in person.Narrative Description*The NEMSAC was chartered by the Secretary of Transportation in FY 2007 and members were first appointed in early 2008. NEMSAC was re-charted and members were re-appointed in April 2019 to fulfill the requirements of the Moving Ahead for Progress in the 21st Century Act of 2012. The NEMSAC is comprised of representatives of the many sectors of EMS and they provide advice and recommendations to DOT and FICEMS carrying out its work on improving Emergency Medical Services (EMS) and post crash care. NEMSAC has produced multiple recommendations and several comprehensive reports on issues related to a Culture of Safety in EMS (both provider and patient safety), the role of EMS in Healthcare Reform, need for guidelines regarding Mode of Transport, including issues related to helicopter EMS transport, emergency vehicle operator training, and several recommendations regarding appropriate reimbursement of EMS. NHTSA has implemented several projects based on recommendations from the NEMSAC including undertaking research to better understand the effects of fatigue on EMS providers and steps to better measure and report performance and quality in EMS. These recommendations help to prioritize the activities of FICEMS and DOT as they relate to emergency medical services. EMS is a critical component of both the healthcare system and one of the foundations of traffic safety.
Hide Section - COSTS


Payments to Non-Federal Members*$0.00Est Payments to Non-Fed Members Next FY*$0.00
Payments to Federal Members*$0.00Est. Payments to Fed Members Next FY*$0.00
Payments to Federal Staff*$65,000.00Estimated Payments to Federal Staff*$65,000.00
Payments to Consultants*$0.00Est. Payments to Consultants Next FY*$0.00
Travel Reimb. For Non-Federal Members*$29,500.00Est Travel Reimb Non-Fed Members nextFY*$207,500.00
Travel Reimb. For Federal Members*$0.00Est Travel Reimb For Fed Members*$0.00
Travel Reimb. For Federal Staff*$0.00Est. Travel Reimb to Fed Staff Next FY*$0.00
Travel Reimb. For Consultants*$0.00Est Travel Reimb to Consultants Next FY*$0.00
Other Costs$35,340.00Est. Other Costs Next FY*$25,000.00
Total Costs$129,840.00Est. Total Next FY*$297,500.00
Federal Staff Support (FTE)*0.75Est. Fed Staff Support Next FY*0.75
Cost RemarksIn 2020, travel and per diem expenses were curtailed because of the Public Health Emergency.Est Cost RemarksIn 2021, travel could get back to normal and we plan to bring on our members for in-person meeting
Hide Section - Interest Areas

Interest Areas

Basic Science
Basic Sciences
Management Science
Computer Technology
Information Technology
Data Integrity
Data Quality
Emergency Preparedness and Management
Food and Drugs
Medical Devices
Federal Government
State Government
Tribal Government
Health Care
Medical Education
Medical Practitioners
Research and Statistics
Occupational Safety and Health
Health and Health Research
Medicine and Dentistry
National Defense
National Security and Defense
Basic Research
Research and Statistics
Surface and Vehicular Transportation


To View all the members, meetings and advisory reports for this committee please click here




ActionCommittee System IDSubcommittee NameFiscal Year
 COM-034974Adaptability and Innovation2020
 COM-034972Equitable Patient Care2020
 COM-034970Integration and Technology2020
 COM-034971Preparedness and Education2020
 COM-034969Profession Safety2020
 COM-034973Sustainability and Efficiency2020


No Documents Found



Data from Previous Years

ActionCommittee System IDCommittee NameFiscal Year
 COM-035518National Emergency Medical Services Advisory Council2019
 COM-032960National Emergency Medical Services Advisory Council2018
 COM-001752National Emergency Medical Services Advisory Council2017
 COM-002806National Emergency Medical Services Advisory Council2016
 COM-003596National Emergency Medical Services Advisory Council2015
 COM-004727National Emergency Medical Services Advisory Council2014
 COM-005916National Emergency Medical Services Advisory Council2013
 COM-007078National Emergency Medical Services Advisory Council2012
 COM-008055National Emergency Medical Services Advisory Council2011
 COM-009003National Emergency Medical Services Advisory Council2010
 COM-010134National Emergency Medical Services Advisory Council2009
 COM-010924National Emergency Medical Services Advisory Council2008
 COM-011764National Emergency Medical Services Advisory Council2007
 COM-012788National Emergency Medical Services Advisory Council2006