On February 11, President Trump signed into law the continuation of ambulance Medicare extenders for an additional 5 years, retroactive to January 1st, as part of the sweeping Bipartisan Budget Act of 2018. This legislation will enable our industry to continue to deliver the essential, life-saving services that we provide 24/7 to our patients and communities. It also requires our industry to begin the process of cost reporting in 2019. Reporting the actual costs that we incur in serving our patients and communities, including the day-to-day patient care, as well as the cost of preparedness in the event of a disaster, will provide the data that is needed for future modifications to the ambulance fee schedule.