RT Book, Section A1 Knutsen, Christian C. A2 Cooney, Derek R. SR Print(0) ID 1126789848 T1 EMS Personnel T2 Cooney's EMS Medicine YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 9780071775649 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1126789848 RD 2024/04/24 AB Individual states regulate the education, certification, and licensure of their EMS providers. Historically, the federal government has support EMS development at the state, regional, and local levels. The EMS Systems Act passed by Congress in 1973 created a categorical grant program to support developing state and regional EMS systems and led to the distribution of more than $300 million for EMS research, planning, operations, and improvement.1 While the act identified 15 essential elements of EMS systems (communications, training, manpower, mutual aid, transportation, accessibility, facilities, critical care units, transfer of care, consumer participation, public education, public safety agencies, medical records, independent review and evaluation, and disaster linkage), it did not set national standards how these elements were to be enacted. In 1974, the Robert Wood Johnson Foundation contributed an additional $15 million to 44 regional EMS project, marking one of the largest private grants for EMS. Without a unified EMS model, states' EMS systems became significantly different from each other and customized to their needs.