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ambulance services assured authority Committee on Emergency communications coordination Department of Health emergency departments emergency medical services emergency medical technicians EMS grantees EMS program EMS region EMS resources EMS system development EMS Systems Act EMS-related entity equipment eral establishment or expansion expansion grants facilities Federal grant Federal programs Federal support financial support firm commit governments and providers grant application grant monitoring Health Services Administration HEW regional offices Highway Safety Act hospital in-kind contributions lack little control matching funds Medical Services Systems monitoring and assistance monitoring and technical patient transfer planned or established problems Program guidelines programs relate project officials projects reviewed projects visited provider commitment received recordkeeping system regional EMS system regional management organizations regional staffs regional system development related to EMS require responsibility Senate bill 2548 Services Administration Services Systems Act successful system development system establishment system management organizations system plan technical assistance tems tion Transportation