The Colorado EMS Sustainability Task Force created by Senate Bill 22-225 continues to work on their year 4 analysis and draft report. Year 4 is focused on financial sustainability. During the fall the TF received aggregated information from the Colorado Department of Health Care Policy and Financing (HCPF) on the Medicaid Ambulance Supplemental Payment Program on costs reported by governmental EMS services eligible for the program. A chart of those costs breakdowns by quartile is below.

The quartile groups are roughly:

• First Quartile - 25% - 127 calls/yr or less
• Second Quartile - 50% - 128 - 612 calls/yr
• Third Quartile - 75% - 613 - 2088 calls/yr
• Fourth Quartile - 2089+ Calls/yr  

These numbers match pretty closely with financial modeling we did in 2023 to estimate EMS agency costs by size. 

A draft report is being worked on in the background while the Task Force goes on to a limited meeting schedule during the legislative session. We expect behind the scenes work on drafting through April with finalization May - July once the regular meetings kick in monthly.