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Sunday, March 29, 2026 at 6:14 PM

VA Rule will Hurt Rural Veterans

As a practicing physician in rural Nevada, I can tell you that healthcare is challenging in rural areas all around the U.S.
VA Rule will Hurt Rural Veterans

This article was updated on October 13.

Ground and air ambulances are a lifeline for millions of veterans across the U.S., ensuring they receive the health care they deserve in a timely manner. For the 254,851 veterans in Nevada, access to health care is already challenging, especially for those veterans living in rural Nevada.

Over the years, the emergency medical services industry has delivered care to thousands of veterans, especially to those living in rural areas like ours. The industry’s specialized teams provide more than medical transport; they can be the difference between life or death for a veteran.

As a practicing physician in rural Nevada, I can tell you that health care is challenging in rural areas all around the U.S. Since 2010, 138 rural hospitals have closed across America: 19 hospitals closed in 2020 alone. Nevada has lost two rural hospitals in recent years, representing a reduction in available medical services for thousands of Nevadans.

This is why I’m concerned about a rule change by the Department of Veterans Affairs to cut reimbursement rates for ambulance services at or below Medicare rate. This rule will especially hurt veterans living in rural areas like Fallon where they don’t have easy access to a VA facility. 

This move will close critical links in the health care chain, which enable those in remote areas to access traditional and emergency care in a timely fashion. If implemented, this rule will substantially reduce rural ambulance capacity, harming veterans by limiting access to lifesaving medical care.

The new rule will also deny payment if a veteran is transported to a non-VA facility.  This will impact Fallon veterans who may need to get to Banner Hospital quickly, versus the longer drive to the Reno VA. 

Considering that more than a quarter of all U.S. veterans (4.4 million) live in rural areas around the U.S., this rule would significantly reduce the ability of the elderly and disabled to access health care. Reflecting on what all these veterans have done for our country, this is not the treatment they deserve.

I urge Nevada’s Senators and Representatives to support Senate Bill 2757, the VA Emergency Transportation Access Act. This bill will ensure proper review of the actual costs of transport and that new rates are confirmed to reflect the actual costs of transportation. That is a fair and reasonable action to take. It also creates a forum for air and ground medical service providers to engage with the VA on future reimbursement rate modifications. This will protect veteran’s access to emergency transport in the future!

Dr. Robin Titus is a practicing family physician, Chief of Staff at South Lyon Medical Center, and a state Senator representing District 17.


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COMMENTS
Comment author: EvaComment text: Grandpa, I find myself wondering about you every so often. I see glimpses of your face in the years worn onto my dad. It makes me feel more connected to you in some way. I remember the familiar kindness from you that I know in my dad. I would’ve really liked to have a good conversation. I only have a handful of memories with you, but you were loving, and you were kind. I wish I was able to say more. If I am someone to you, I hope I make you proud. Thank you Aunt for this sweet post.Comment publication date: 3/27/26, 12:11 AMComment source: Obituary -- Randolph Floris Banovich C Comment author: RBCComment text: The Navy should reimburse the market cost of replacing the grazing land they are taking. Period.Comment publication date: 3/26/26, 10:38 AMComment source: Local Rancher Says Navy Land Expansion is Devastating His Family RanchComment author: Charlene B JohnsonComment text: This post was released without letting the next of kin or family know first. I am Kelly’s sister, Charlene B Johnson and his daughter is Trisha Benjamin. The Fallon Tribal Police acted unconscionably by not notifying the family first. This is devastating for us especially after speaking a little bit with the officer handling the report and The Chief Juarez. Who refused to give me any further details or to at least let me know the FBI was notified and that they were investigating if my brothers death was foul play or not. My understanding is the FBI is called when a body is found. Tribal Chairwoman please do the family a solid and make sure the finding of my brother was due to suspicious circumstances.Comment publication date: 3/24/26, 1:55 PMComment source: Fallon Paiute-Shoshone Tribe Reports Death Under InvestigationComment author: Nicole GalbraithComment text: Farren - I just saw that you aren’t here with us. I am completely in shock! I met you and hung out with you so many years ago with Jer, and Eden. I honestly can’t believe you are gone…..you were a wonderful human being, with a HUGE heart and soul. Hearing this makes my heart break! You are forever in our hearts, and I can say I feel blessed that I was able to know you! Rest easy sweet Farren xoxoComment publication date: 3/23/26, 12:30 PMComment source: Obituary- Farren Crossland
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