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NPR promised to save the federal government about $108 billion: $40.4 billion from a "smaller bureaucracy", $36.4 billion from program changes, and $22.5 billion from streamlining contracting processes. [4] The recommendations variously required legislative action, presidential action, internal bureaucratic reform, or combinations of them. [3]
Even though primary management and regulation of prehospital providers is at the state level, the federal government does have a model scope of practice including minimum skills for EMRs, EMTs, Advanced EMTs and Paramedics set through the National Highway Traffic Safety Administration (NHTSA). [1]
Federal disaster relief and recovery was brought under the umbrella of the Department of Housing and Urban Development (HUD), in 1973 by Presidential Reorganization Plan No. 2 of 1973, [11] and the Federal Disaster Assistance Administration was created as an organizational unit within the department. This agency would oversee disasters until ...
EMS delivery in the US can be based on various models. While most services are, to some degree, publicly funded, the factor which often differentiates services is the manner in which they are operated. EMS systems may be directly operated by the community, or they may fall to a third-party provider, such as a private company. [2]
The Hill-Burton Act of 1946, which provided federal assistance for the construction of community hospitals, established nondiscrimination requirements for institutions that received such federal assistance—including the requirement that a "reasonable volume" of free emergency care be provided for community members who could not pay—for a period for 20 years after the hospital's construction.
The President of the United States is the chief executive of the federal government. He is in charge of executing federal laws and approving, or vetoing, new legislation passed by Congress. The President resides in the Executive Residence (EXR) maintained by the Office of Administration (OA).
The U.S. civil service is managed by the Office of Personnel Management, which in December 2011 reported approximately 2.79 million civil servants employed by the federal government. [2] [3] [4] This included employees in the departments and agencies run by any of the three branches of government (the executive branch, legislative branch, and ...
The United States EMS Compact, officially known as the Recognition of EMS Personnel Licensure Interstate CompAct (REPLICA), is an interstate compact designed to facilitate the day-to-day practice of emergency medical services personnel across state lines. The compact provides a framework for states to extend a "privilege to practice" for ...