Purpose
NEMTAC® advisory committees are the structured mechanism through which the organization develops, maintains, and interprets national standards, accreditation frameworks, and education programs for the non-emergency medical transportation (NEMT) industry.
Each advisory committee has a clearly defined purpose, scope, and set of boundaries. Committees exist to support consensus-based standards development by bringing balanced, real-world perspectives into a neutral, ANSI-aligned process.
Advisory committees are not trade associations, lobbying bodies, enforcement authorities, or regulatory agencies. They do not advocate for specific policy positions, business models, or commercial interests.
Why this matters:
This language immediately establishes neutrality, limits authority, and aligns with ANSI and nonprofit expectations.
What Advisory Committees Do
Advisory committees support NEMTAC’s mission by contributing subject-matter expertise to:
Drafting and reviewing proposed standards, accreditation criteria, and education frameworks
Identifying operational considerations, risks, and emerging needs relevant to committee scope
Reviewing and responding to public comments as part of the ANSI process
Supporting the ongoing maintenance and periodic review of approved standards
Informing education program design aligned with approved standards
Committees operate within defined scopes to strengthen quality, safety, reliability, and accountability across the NEMT system.
Why this matters:
Removes implied authority and keeps all actions advisory and process-bound.
What Advisory Committees Are Not
Advisory committees are not trade associations, lobbying organizations, advocacy groups, or commercial forums. Committee participation does not exist to advance a single organization, business model, or market position.
Committees do not:
Set rates or negotiate contracts
Issue enforcement decisions
Grant accreditation or certification
Replace regulators, payers, or government agencies
Committee work is structured to preserve neutrality, balance, due process, and public trust.
Who Serves
Advisory committee members are volunteers drawn from across the NEMT ecosystem, which may include:
- NEMT providers (across service levels and fleet models)
- Brokers, health plans, and payer representatives
- Regulators, compliance professionals, and government stakeholders
- Safety, training, and risk-management subject-matter experts
- Technology and systems professionals and vendors
- Other relevant stakeholders aligned to committee scope
NEMTAC seeks representation that supports balance, practical credibility, and ANSI-aligned consensus.
Terms and Participation Expectations
Advisory committee and workgroup appointments are two-year terms.
Participation typically includes:
- Scheduled virtual meetings
- Review of materials between meetings as needed
- Professional, respectful deliberation focused on consensus-building
Time commitments vary by committee and by the stage of the work.
Governance, Neutrality, and Conflicts of Interest
NEMTAC’s committee structure is designed to:
- Prevent dominance by any single interest group
- Preserve independence and neutrality
- Ensure transparency and accountability
- Support long-term institutional continuity
Committee members may be asked to disclose potential conflicts of interest when relevant to a topic under discussion. Disclosure does not automatically preclude participation but supports transparency and informed deliberation.
How Standards Work Connects to Advisory Committees
NEMTAC is an ANSI-accredited Standards Developing Organization (SDO). Committee work supports an open, consensus-based process that emphasizes balance, due process, and public input. Advisory committees inform—but do not control—final standards outcomes.
Participation in a committee is one way to contribute. Public comment opportunities are also available to the broader industry regardless of committee membership.
Apply to Join an Advisory Committee
If you would like to contribute to standards, accreditation, or education work, you may apply here:
https://go.nemtac.co/widget/form/6gvTtGdzlvetuibdE8G8
Applications are reviewed to support committee effectiveness and balanced representation. Not all applicants may be seated immediately, depending on current committee needs and capacity.
Stakeholder Representation Includes:
NEMTAC advisory committees are intentionally structured to reflect balanced representation across the full non-emergency medical transportation ecosystem. Participation does not imply endorsement of any specific business model, organization, or policy position.
No single stakeholder group may dominate committee participation or outcomes. Representation does not imply endorsement of any specific organization, technology, or policy position.
1.
NEMT Providers
2.
Transportation Brokers
3.
Health Plans & MCOs
4.
Healthcare Facilities & Referrers
5.
Regulatory & Oversight Agencies
6.
Passengers & Transportation Recipients
7.
Technology & Data Platform Providers
8.
Vehicle & Equipment Manufacturers
9.
Public Transit Systems & Regional Transit Authorities
10.
Community & Advocacy Organizations
11.
Training & Education Organizations
12.
Standards Development & Accreditation Bodies
13.
Insurance Carriers & Risk Brokers
Accreditation Advisory Committee (AAC)
Purpose
The Accreditation Advisory Committee (AAC) supports NEMTAC’s accreditation program by applying NEMTAC’s accreditation framework to real-world accreditation reviews and recommendations.
What it is
AAC reviews accreditation survey results and submitted documentation, deliberates based on established accreditation criteria and due process, and makes accreditation recommendations to NEMTAC consistent with program requirements.
What it is not
AAC is not a regulator and does not replace state or federal oversight. AAC does not negotiate contracts, set rates, or advocate for any specific business model or commercial interest. AAC’s work is limited to NEMTAC’s accreditation framework and documented process requirements.
Why this matters
Accreditation must be both rigorous and fair. AAC strengthens consistency, credibility, and public trust by ensuring accreditation recommendations are evidence-based and aligned with published criteria.
Broker & Payer Advisory Committee (BPAC)
Purpose
The Broker & Payer Advisory Committee (BPAC) focuses on standards related to network design, oversight, accountability, and performance expectations from the broker and payer perspective.
What it is
BPAC defines expectations that support quality-based network management, transparency, and responsible use of NEMT services.
What it is not
BPAC is not a contracting forum and does not set rates, negotiate agreements, or advocate for specific commercial models.
Why this matters
Brokers and payers shape system behavior. BPAC helps ensure that influence supports quality, access, and accountability rather than cost-only decision-making.
Compliance & Regulatory Advisory Committee (CRAC)
Purpose
The Compliance & Regulatory Advisory Committee (CRAC) focuses on aligning NEMTAC standards with real regulatory and compliance environments across states and programs.
What it is
CRAC ensures standards are interpretable, enforceable, and compatible with existing oversight frameworks while remaining neutral and scalable.
What it is not
CRAC is not a regulator and does not issue compliance determinations, enforcement actions, or legal interpretations.
Why this matters
Standards that conflict with regulatory reality fail. CRAC improves clarity, adoption, and defensibility.
Preparedness & Response Advisory Committee (PRAC)
Purpose
The Preparedness & Response Advisory Committee (PRAC) is responsible for creating and maintaining a formal interface between EMS, Mobile Integrated Health (MIH), and NEMT professionals to support coordinated use of transportation resources across the continuum of care.
What it is
PRAC defines the education, credentials, and operational frameworks that allow appropriate use of NEMT system capacity to support EMS and MIH operations—particularly when emergency and community-based care systems are staffing- or resource-constrained. This includes ensuring patients are transported by the right mode, at the right time, by appropriately credentialed personnel.
What it is not
PRAC is not an emergency response authority and does not expand NEMT into clinical or emergency care. It does not replace EMS, MIH, or 911 systems, nor does it alter scope-of-practice or licensure requirements.
Why this matters
Clear interfaces allow EMS and MIH systems to preserve emergency capacity, reduce avoidable strain, and safely leverage existing NEMT resources—protecting patients and strengthening system resilience without expanding scope of practice.
Safety & Training Advisory Committee (STAC)
Purpose
The Safety & Training Advisory Committee (STAC) is responsible for developing and maintaining education and certification standards that define safety, competency, and training expectations for NEMT professionals.
What it is
STAC develops and reviews NEMTAC education and certification standards and evaluates NEMTAC-developed course content to ensure alignment with those standards. STAC’s work ensures that training programs reflect operational reality, adult learning principles, and risk prevention best practices.
What it is not
STAC does not issue individual certifications, enforce training requirements, or discipline individuals or organizations. Certification issuance and program administration are performed by NEMTAC pursuant to approved standards.
Why this matters
Consistent, standards-aligned training reduces preventable harm, improves workforce competency, and strengthens public trust in NEMT safety practices.
Technology & Innovation Advisory Committee (TIAC)
Purpose
The Technology & Innovation Advisory Committee (TIAC) focuses on interoperability, data integrity, and responsible innovation within NEMT systems.
What it is
TIAC informs standards related to technology neutrality, open systems, data exchange, cybersecurity considerations, and future readiness.
What it is not
TIAC is not a vendor showcase, procurement forum, or product endorsement body.
Why this matters
Technology should serve the system, not control it. TIAC helps prevent fragmentation and vendor capture.
Insurance & Risk Management Advisory Committee (IRMAC)
Purpose
The Insurance & Risk Management Advisory Committee (IRMAC) focuses on aligning safety standards with insurance, liability, and risk realities in NEMT operations.
What it is
IRMAC informs standards that reduce preventable loss, support insurability, and improve long-term system sustainability.
What it is not
IRMAC does not sell insurance, determine coverage, or adjudicate claims.
Why this matters
Effective risk management supports affordability, access, and safety across the NEMT ecosystem.
Healthcare & Passenger Access Advisory Committee (HPAAC)
Purpose
The Healthcare & Passenger Access Advisory Committee (HPAAC) focuses on ensuring NEMT standards support patient access, equity, and dignity within the healthcare system.
What it is
HPAAC surfaces access barriers, system gaps, and passenger experience considerations at the system level.
What it is not
HPAAC is not a grievance forum and does not resolve individual complaints, clinical issues, or disputes.
Why this matters
Transportation only has value when it enables care. HPAAC keeps access central to standards development.
Public Transit & Urban Mobility Advisory Committee (PTUMAC)
Purpose
The Public Transit & Urban Mobility Advisory Committee (PTUMAC) focuses on how non-emergency medical transportation (NEMT), public transit, and microtransit services interface to provide a complete, end-to-end mobility leg for passengers accessing healthcare and essential services.
What it is
PTUMAC informs standards that support coordination across NEMT programs, public transit agencies, and emerging microtransit services—recognizing that a significant portion of NEMT is delivered by public transit providers operating under distinct regulatory authorities. The committee addresses how these systems interact, where responsibilities begin and end, and how requirements across multiple programs can be communicated, aligned, and standardized without conflict. This includes first- and last-mile connectivity, urban and rural mobility planning, and the separation and alignment of NEMT requirements from Federal Transit Administration (FTA)–regulated responsibilities.
What it is not
PTUMAC is not a transit authority and does not plan routes, allocate funding, or manage public transportation systems. It does not alter or supersede FTA regulations, state transit oversight, or local governance authority.
Why this matters
Clear interfaces between public transit, microtransit, and NEMT reduce compliance risk, improve service reliability, and ensure passengers experience a coordinated mobility leg rather than fragmented trips—allowing agencies to meet the combined requirements of the programs they serve without regulatory confusion.
Vehicle & Equipment Safety Advisory Committee (VESAC)
Purpose
The Vehicle & Equipment Safety Advisory Committee (VESAC) focuses on vehicle configuration, on-board equipment, and safety-related technologies used in non-emergency medical transportation (NEMT) to protect passengers and professionals across all levels of service.
What it is
VESAC informs standards related to the safe design, configuration, and operational use of NEMT vehicles, including interior layouts, installed and portable equipment, securement systems, assistive devices, and safety-related technologies. The committee addresses how applicable external standards—such as those from the Federal Motor Vehicle Safety Standards (FMVSS), RESNA, NMEDA, and other recognized bodies—can be applied together within NEMT operations to support consistent, practical, and defensible safety expectations.
What it is not
VESAC does not approve products, certify manufacturers, or replace federal or state safety standards. It does not supersede FMVSS, RESNA, NMEDA, or other applicable regulatory or consensus standards.
Why this matters
Passenger and workforce safety depend not only on the vehicle itself, but on the equipment, technologies, and systems used within it. Clear, coordinated standards reduce risk, improve consistency, and support safer NEMT operations across diverse fleets and service models.
