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      Ambulance providers hit falling reimbursement

      JEFFERSON CITY, Mo. (AP) -- Ambulance service providers in rural Missouri say falling federal reimbursements have created a budget crisis.

      The Missouri Ambulance Association says federal health care legislation was designed to prevent major cuts in Medicare reimbursements for ambulance districts.

      With the legislation stalled, the trade group says many ambulance districts are feeling a financial pinch.

      The association says tax support is low in many Missouri ambulance districts, and cuts in Medicare payments would hurt the quality of ambulance service.

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