EMS Counts Act

Access to emergency medical supplies (including Personal Protective Equipment, COVID-19 tests, ventilators, and medications) during COVID-19 public health emergency H.R.1306-National Coronavirus Commission Act of 2021 H.R.2354-EMS Counts Act H.R.3635-Strengthening America's Strategic National Stockpile Act of 2021 H.R.5703-Post-Disaster Mental Health Response Act S.412-National Coronavirus Commission Act of 2021 S.1974-Strengthening Americas Strategic National Stockpile Act of 2021 S.2925-Strategic Planning for Emergency Medical Manufacturing Act S.3677-Post-Disaster Mental Health Response Act S.3799-PREVENT Pandemics Act

Client expense: $447,388 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support funding the SIREN Grant program for FY23; Educate lawmakers and staff on the need to count EMS workforce correctly. Support S. 2971/H.R. 2354, a bill that would count EMS workforce correctly under the BLS. Urge for a Senate companion bill; Support S. 2037/H.R. 2453, ambulance Medicare extenders legislation to extend for another five years the temporary 2% urban, 3% rural and super rural bonus increases that expire at the end of 2022 and allow for the preservation of more zip codes as being rural. Ambulance transports that originate in rural zip codes get not only the 1% temporary increase but a 50% increase on the first 17 miles of a transport; Educate lawmakers and staff on shortage of EMS supply chain issues, specifically ambulance chassis and parts to fix existing chassis; Support participation in the Congressional EMS Caucus.

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Occupational Data Collection. Issues related to right to work laws Issues related to Apprenticeship programs in fire departments. Issues related to the Fair Labor Standards Act Issues related to workforce recruitment for fire departments H.R.2354/S.2971, EMS Counts Act H.R. 2586/S. 2178, Fire Fighters and EMS Employer-Employee Cooperation Act

Client expense: $81,000 · Firm income: Not reported

Government targets: Employment & Training Administration, HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

H.R. 8295, the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2023, provisions relating to funding for: - Rural EMS Training and Equipment Assistance - National Firefighter Registry for cancer research The EMS Counts Act (H.R. 2354/S. 2971), provisions to obtain a more accurate count of the EMS workforce in the U.S. Issues relating to the fire & EMS departments needs for health and safety standards, testing, vaccinations, supplies and funding to respond to the COVID-19 pandemic. The Protecting Access to Ground Ambulance Medical Services Act (H.R. 2454/S. 2037), provisions to extend Medicare add-on payments for the transportation of patients by fire & EMS departments to hospitals. Funding for the SIREN grant program at the Substance Abuse & Mental Health Services Administration. Issues related to the assessment of EMS quality and medical director compensation. Issues related to the cost accounting of EMS services for Medicare patients. Issues relating to regulation of costs incurred during interfacility transport. Issues relating to COVID-19 vaccination of fire and EMS personnel. Issues relating to the EMS workforce shortage issues. Issues relating to sequestration and its effects on Medicare reimbursement for ambulance transport. H.R. 1480/S. 2700, the HERO Act, legislation to provide mental health support to first responders. S. 1873/H.R. 1946, the Medicare Multi-Cancer Early Detection Screening Coverage Act of 2021, provisions to promote Medicare payment of medical cancer screening technology. The Fighting Post-Traumatic Stress Disorder Act (S. 4007/H.R. 8058), provisions to request input from the Attorney General re: public safety officer health and wellmess. H.R. 8994, the Supporting Our First Responders Act, provisions to support grants for EMS agencies. Issues relating to supply chain shortages and the delivery of EMS vehicles and equipment.

Access to emergency medical supplies (including Personal Protective Equipment, COVID-19 tests, ventilators, and medications) during COVID-19 public health emergency H.R.1306-National Coronavirus Commission Act of 2021 H.R.2354-EMS Counts Act H.R.3635-Strengthening America's Strategic National Stockpile Act of 2021 H.R.5703-Post-Disaster Mental Health Response Act S.412-National Coronavirus Commission Act of 2021 S.1974-Strengthening Americas Strategic National Stockpile Act of 2021 S.2925-Strategic Planning for Emergency Medical Manufacturing Act S.3677-Post-Disaster Mental Health Response Act S.3799-PREVENT Pandemics Act

Client expense: $471,867 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support funding the SIREN Grant program for FY23; Educate lawmakers and staff on the need to count EMS workforce correctly. Support S. 2971/H.R. 2354, a bill that would count EMS workforce correctly under the BLS. Urge for a Senate companion bill; Support S. 2037/H.R. 2453, ambulance Medicare extenders legislation to extend for another five years the temporary 2% urban, 3% rural and super rural bonus increases that expire at the end of 2022 and allow for the preservation of more zip codes as being rural. Ambulance transports that originate in rural zip codes get not only the 1% temporary increase but a 50% increase on the first 17 miles of a transport; Support the re-introduction and participation in the Congressional EMS Caucus.

Client expense: Not reported · Firm income: $24,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 8295, the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2023, provisions relating to funding for: - Rural EMS Training and Equipment Assistance - National Firefighter Registry for cancer research The EMS Counts Act (H.R. 2354/S. 2971), provisions to obtain a more accurate count of the EMS workforce in the U.S. Issues relating to the fire & EMS departments needs for health and safety standards, testing, vaccinations, supplies and funding to respond to the COVID-19 pandemic. The Protecting Access to Ground Ambulance Medical Services Act (H.R. 2454/S. 2037), provisions to extend Medicare add-on payments for the transportation of patients by fire & EMS departments to hospitals. Funding for the SIREN grant program at the Substance Abuse & Mental Health Services Administration. Issues related to the assessment of EMS quality and medical director compensation. Issues related to the cost accounting of EMS services for Medicare patients. Issues relating to regulation of costs incurred during interfacility transport. Issues relating to COVID-19 vaccination of fire and EMS personnel. Issues relating to the EMS workforce shortage issues. Issues relating to sequestration and its effects on Medicare reimbursement for ambulance transport. H.R. 1480/S. 2700, the HERO Act, legislation to provide mental health support to first responders. S. 1873/H.R. 1946, the Medicare Multi-Cancer Early Detection Screening Coverage Act of 2021, provisions to promote Medicare payment of medical cancer screening technology.

Client expense: $30,000 · Firm income: Not reported

Occupational Data Collection. Right to Work. Collective Bargaining. Issues related to Apprenticeship programs in fire departments. Addressing H.R.2354/S.2971

Client expense: $104,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Access to emergency medical supplies (including Personal Protective Equipment, COVID-19 tests, ventilators, and medications) during COVID-19 public health emergency H.R.1306-National Coronavirus Commission Act of 2021 H.R.2354-EMS Counts Act H.R.3565-Strengthening America's Strategic National Stockpile Act of 2021 H.R.5703-Post-Disaster Mental Health Response Act S.412-National Coronavirus Commission Act of 2021 S.1974-Strengthening Americas Strategic National Stockpile Act of 2021 S.2925-Strategic Planning for Emergency Medical Manufacturing Act S.3677-Post-Disaster Mental Health Response Act S.3799-PREVENT Pandemics Act

Client expense: $341,910 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support funding the SIREN Grant program for FY23; Educate lawmakers and staff on the need to count EMS workforce correctly. Support S. 2971/H.R. 2354, a bill that would count EMS workforce correctly under the BLS. Urge for a Senate companion bill; Support S. 2037/H.R. 2453, ambulance Medicare extenders legislation to extend for another five years the temporary 2% urban, 3% rural and super rural bonus increases that expire at the end of 2022 and allow for the preservation of more zip codes as being rural. Ambulance transports that originate in rural zip codes get not only the 1% temporary increase but a 50% increase on the first 17 miles of a transport; S. 3677/H.R. 5703, Post-Disaster Mental Health Response Act; Support letter to House and Senate leadership concerning EMS workforce shortage crisis. Educate lawmakers and staff about crisis and need for funding; Support letter to release and provide more provider relief funds as well as an extension of the moratorium on the 2% sequestration cut for Medicare providers and suppliers; Support letter to re-authorize FIRSTNET; Submitted Comment to Senate HELP hearings on the PREVENT Pandemics Bill and the EMS workforce shortage; Support the re-introduction and participation in the Congressional EMS Caucus.

Client expense: Not reported · Firm income: $70,000

P.L. 117-105, the Fiscal Year (FY) 2022 Consolidated Appropriations Act, funding for the following programs: - Rural EMS Training and Equipment Assistance. - National Firefighter Registry for cancer research. Funding for the above programs in FY 2023. The EMS Counts Act (H.R. 2354/S. 2971), provisions to more accurate count of the EMS workforce in the U.S. Issues relating to the fire & EMS departments needs for health and safety standards, testing, vaccinations, supplies and funding to respond to the COVID-19 pandemic. The Protecting Access to Ground Ambulance Medical Services Act (H.R. 2454/S. 2037), provisions to to the extension of Medicare add-on payments for the transportation of patients by fire & EMS departments to hospitals. Funding for the SIREN grant program at the Substance Abuse & Mental Health Services Administration. Issues related to the assessment of EMS quality and medical director compensation. Issues related to the implementation of provision in P.L. 117-2 that provides reimbursement for providing treatment in place services to patients. Issues related to the cost accounting of EMS services for Medicare patients. Issues relating to regulation of costs incurred during interfacility transport. Issues relating to COVID-19 vaccination of fire and EMS personnel.

Client expense: $20,000 · Firm income: Not reported

Access to emergency medical supplies (including Personal Protective Equipment, COVID-19 tests, ventilators, and medications) during COVID-19 public health emergency H.R.1306-National Coronavirus Commission Act of 2021 H.R.2354-EMS Counts Act H.R.3565-Strengthening America's Strategic National Stockpile Act of 2021 S.412-National Coronavirus Commission Act of 2021 S.1974-Strengthening Americas Strategic National Stockpile Act of 2021 S.2925-Strategic Planning for Emergency Medical Manufacturing Act

Client expense: $440,656 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support funding the SIREN Grant program for FY22; Educate lawmakers and staff on the need to count EMS workforce correctly. Support S. 2971/H.R. 2354, a bill that would count EMS workforce correctly under the BLS. Urge for a Senate companion bill; Support S. 2037/H.R. 2453, ambulance Medicare extenders legislation to extend for another five years the temporary 2% urban, 3% rural and super rural bonus increases that expire at the end of 2022 and allow for the preservation of more zip codes as being rural. Ambulance transports that originate in rural zip codes get not only the 1% temporary increase but a 50% increase on the first 17 miles of a transport; H.R 4377, The Volunteer First Responder Housing Act; H.R. 5703, Post-Disaster Mental Health Response Act; S. 1902, Behavioral Health Crisis Services Expansion Act; Support $15 billion to build out 911 services nationwide; Urge Administration to keep ground ambulance out of balanced billing regulations; Support letter to House and Senate leadership to prevent the pending 4% sequestration cut triggered by the American Rescue Plan; Submitted comments on balanced billing and cost collection; Support letter to House and Senate leadership concerning EMS workforce shortage crisis. Educate lawmakers and staff about crisis; Support letter to release provider relief funds; Support the re-introduction of the Congressional EMS Caucus.

Client expense: Not reported · Firm income: $34,000

Access to emergency medical supplies (including Personal Protective Equipment, COVID-19 tests, ventilators, and medications) during COVID-19 public health emergency H.R.1306-National Coronavirus Commission Act of 2021 H.R.2354-EMS Counts Act S.412-National Coronavirus Commission Act of 2021

Client expense: $438,314 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support funding the SIREN Grant program for FY22; Educate lawmakers and staff on Treatment in Place (TIP) and make permanent as well as other waivers- telehealth and alternate destination for EMS. Educate lawmakers and staff on the need to count EMS workforce correctly. Support H.R. 2354, a bill that would count EMS workforce correctly under the BLS. Urge for a Senate companion bill; Support S. 2037/H.R. 2453, ambulance Medicare extenders legislation to extend for another five years the temporary 2% urban, 3% rural and super rural bonus increases that expire at the end of 2022 and allow for the preservation of more zip codes as being rural. Ambulance transports that originate in rural zip codes get not only the 1% temporary increase but a 50% increase on the first 17 miles of a transport; Support $15 billion to build out 911 services nationwide; Urge Administration to keep ground ambulance out of balanced billing regulations; Support letter to House and Senate leadership to prevent the pending 4% sequestration cut triggered by the American Rescue Plan; Submitted comments on balanced billing and cost collection; Support letter to House and Senate leadership concerning EMS workforce shortage crisis. Educate lawmakers and staff about crisis; Support letter to release provider relief funds; Support the re-introduction of the Congressional EMS Caucus.

Client expense: Not reported · Firm income: $26,000

Access to emergency medical supplies (including Personal Protective Equipment, COVID-19 tests, ventilators, and medications) during COVID-19 public health emergency H.R.1306-National Coronavirus Commission Act of 2021 H.R.2354-EMS Counts Act S.412-National Coronavirus Commission Act of 2021

Client expense: $408,596 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support funding the SIREN Grant program for FY22; Educate lawmakers and staff on Treatment in Place (TIP). Support provision in recent COVID package to reimburse EMS for these services under the PHE and ultimately permanently; Support S. 149/H.R. 1609 that would provide the CMS with the authority to waive the requirement that a patient be transported to a medical facility in order for the ground ambulance service provider or supplier to receive Medicare reimbursement; Educate lawmakers and staff on the need to count EMS workforce correctly. Support H.R. 2354, a bill that would count EMS workforce correctly under the BLS; Support passage of H.R. 1195, the Workplace Violent and Social Services Act; Support funding for HRSAs Emergency Medical Services for Children (EMSC) Program; Support S. 2037/H.R. 2453, ambulance Medicare extenders legislation to extend for another five years the temporary 2% urban, 3% rural and super rural bonus increases that expire at the end of 2022 and allow for the preservation of more zip codes as being rural. Ambulance transports that originate in rural zip codes get not only the 1% temporary increase but a 50% increase on the first 17 miles of a transport; Support $15 billion to build out 911 services nationwide; Wrote a letter to Senate Commerce, Science and Transportation Committee and House Transportation and Infrastructure Committee opposing any legislation that would increase the legal size or weight limits of trucks because of the serious safety risks inherent in allowing bigger trucks on our nations roads and bridges; Support passage of H.R. 1480, the HERO Act, a bill that establishes several federal programs designed to address public safety behavioral health issues; Support H.R. 3060, The Putting Our First Responders First Act, which would will provide clarification to both IRS employees and first responders and keep injury-related compensation tax exempt after retirement age; H.R. 2936/S. 1511, the Protecting America's First Responders Act, which would make it easier for public safety officers to qualify for the Public Safety Officers' Benefits (PSOB) Disability program; Support H.R. 3164, the Hot Cars Act; Oppose H.R.3876, the Ketamine Restriction Act; Support H.R. 3728, a bill that would authorize a one-time, $1 billion appropriation to fund construction and refurbishment of fire and EMS stations; Express opposition to a draft quality bill; Support the re-introduction of the Congressional EMS Caucus.