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http://www.journals.elsevierhealth.com/periodicals/emsins/?rss=yesElsevier Inc.en © 2009 Published by Elsevier Inc. All rights reserved. EMS Insider1081-45073611November 2009 © 2009 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.com- EMS Insiderhttp://www.journals.elsevierhealth.com/periodicals/emsins/article/PIIS1081450709700117/abstract?rss=yesPoor reimbursement continues to squeeze EMS providers nationwide, but the problem is particularly severe in California. Medi-Cal rates in the state are 25% of the national average cost of service and amount to only 36% of the state's below-cost Medicare rates. There's currently a $165 million shortfall in state funding for the Medi-Cal program.EMS Insider10.1016/S1081-4507(09)70011-7EMS Insider 36, 11 (2009)2009-11-01EMS Insider2009-11-013611S1081-4507(09)X7011-7112