Rochester NY – With falling Medicare reimbursements threatening ambulance service throughout Rochester and New York State, US Senator Charles Schumer will unveil a plan Monday that would boost payments to ambulance providers. Schumer will be in Rochester to stress the urgent need to increase support for first responder emergency medical personnel . A pending Medicare proposal scheduled to go into effect next year would reduce the reimbursement rates for ambulance service in New York State by about $15 million annually to about $145 million. Industry officials estimate that in Rochester, area ambulance providers would lose $300,000 annually under the new Medicare fee schedule. Under the Medicare Ambulance Payment Reform Act , the Rochester providers would receive an additional $2 million to cover the full cost of their services.