HERO Act

H.R. 9029/S. 4942, the FY 2025 Labor, Health and Human Services, and Education Appropriations Act, provisions re: - Funding at the National Institute of Occupational Safety and Health for a national firefighter cancer registry. - Funding at the U.S. Department of Health and Human Services' Substance Abuse & Mental Health Services Administration for the Rural Emergency Medical Services Training Grant program. P.L. 118-84, the SIREN Reauthorization Act, provisions to reauthorize the Rural Emergency Medical Services Training Grant program. H.R. 8977, legislation to reimburse fire and EMS departments for treating patients on scene. P.L. 118-147, the Firefighter Cancer Registry Reauthorization Act of 2023, provisions to reauthorize the National Firefighter Cancer Registry. Issues relating to supply chain issues and the effects on the cost and delivery of fire apparatus and equipment. Issues relating to the Ground Emergency Medical Transportation program. H.R. 8042, the Community Paramedicine Act, provisions to create a grant program for mobile integrated health programs. H.R. 3671/H.R. 4274/S.1925, the Helping Emergency Responders Overcome Act, provisions to create behavioral health resources for fire and EMS personnel. S. 645/H.R. 472, The Fighting Post-Traumatic Stress Disorder Act, provisions to provide behavioral health resources to first responders at the Department of Justice. Issues relating to the National EMS Advisory Council. Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB). Issues related to fire safety in home oxygen systems and reimbursement for the installation of thermal fuses. H.R. 5530/S. 2757, the VA Emergency Transportation Access Act, provisions to set requirements before the Department of Veterans Affairs can change reimbursement rates for ambulance transport. H.R. 2574/S. 1115, the EMS Counts Act, provisions to better account for the national EMS workforce. H.R. 1666/S. 1673, the Protecting Access to Ground Ambulance Medical Services Act, provisions to extend the add-on payments for ambulance transport of patients. Issues relating to the use of human factors in investigations by the National Fallen Fire Fighter Fatality Investigation and Prevention Program.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Intl Trade Administration (ITA), Natl Highway Traffic Safety Administration (NHTSA), Occupational Safety & Health Administration (OSHA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

S. 265/H.R. 4646, the SIREN Reauthorization Act to reauthorize the Rural Emergency Medical Services Training Grant program Issues related to the cost accounting of EMS services for Medicare patients H.R. 9029/S. 4942, 2025 Labor, Health and Human Services, and Education Appropriations relating to the National Firefighter Registry and the Supporting and Improving Rural EMS Needs (SIREN) grant, and NIOSH Firefighter Fatality Investigation and Prevention Program (FFFIPP). H.R. 3821/S. 2119, Firefighter Cancer Registry Reauthorization Act Provisions of H.R.8070/S.4638, the National Defense Authorization Act for Fiscal Year 2025, relating to firefighter cancer. H.R. 3671/H.R. 4274/S. 1925, HERO Act H.R. 1666/S. 1673, Protecting Access to Ground Ambulance Medical Services Act Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB) H.R. 2574/S. 1115, the EMS Counts Act Issues relating to volunteer firfighter status being added to the U.S. Standard Certificate of Death

Client expense: $10,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Highway Traffic Safety Administration (NHTSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

HR 1719/S 930, the Honoring Our Fallen Heroes Act; Legislation to address survivor and disability benefits for public safety officers impacted by occupational cancer. All issues related to the bill. H.R. 3671/S. 1925, the Helping Emergency Responders Overcome Act. Legislation to establish mental health and wellness programs for firefighters and other first responders. All issues related to the bill. H.R. 3821/S. 2119, the Firefighter Cancer Registry Reauthorization Act. Legislation to reauthorize the National Firefighter Cancer Registry. All issues related to the bill.

Client expense: $10,000 · Firm income: Not reported

Government targets: Bureau of Justice Assistance, HOUSE OF REPRESENTATIVES, SENATE

Advocated for firefighter health and safety issues, including cancer. Honoring Our Fallen Heroes Act (S.930/H.R.1719) The HERO Act (S.1925/H.R.3671) National Firefighter Registry reauthorization (H.R. 3821/S.2119) Improving Access to Emergency Medical Services Act (H.R.8977)

Client expense: $10,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 9029/S. 4942, the FY 2025 Labor, Health and Human Services, and Education Appropriations Act, provisions re: - Funding at the National Institute of Occupational Safety and Health for a national firefighter cancer registry. - Funding at the U.S. Department of Health and Human Services' Substance Abuse & Mental Health Services Administration for the Rural Emergency Medical Services Training Grant program. P.L. 118-84, the SIREN Reauthorization Act, provisions to reauthorize the Rural Emergency Medical Services Training Grant program. H.R. 8977, legislation to reimburse fire and EMS departments for treating patients on scene. H.R. 3821/S. 2119, the Firefighter Cancer Registry Reauthorization Act of 2023, provisions to reauthorize the National Firefighter Cancer Registry. Issues relating to supply chain issues and the effects on the cost and delivery of fire apparatus and equipment. Issues relating to the Ground Emergency Medical Transportation program. H.R. 8042, the Community Paramedicine Act, provisions to create a grant program for mobile integrated health programs. H.R. 3671/H.R. 4274/S.1925, the Helping Emergency Responders Overcome Act, provisions to create behavioral health resources for fire and EMS personnel. S. 645/H.R. 472, The Fighting Post-Traumatic Stress Disorder Act, provisions to provide behavioral health resources to first responders at the Department of Justice. Issues relating to the National EMS Advisory Council. Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB). Issues related to fire safety in home oxygen systems and reimbursement for the installation of thermal fuses. H.R. 5530/S. 2757, the VA Emergency Transportation Access Act, provisions to set requirements before the Department of Veterans Affairs can change reimbursement rates for ambulance transport. H.R. 2574/S. 1115, the EMS Counts Act, provisions to better account for the national EMS workforce. H.R. 1666/S. 1673, the Protecting Access to Ground Ambulance Medical Services Act, provisions to extend the add-on payments for ambulance transport of patients. Issues relating to the use of human factors in investigations by the National Fallen Fire Fighter Fatality Investigation and Prevention Program.

H.R. 9101/S. 4274, 9/11 Responder and Survivor Health Funding Correction Act of 2024 H.R. 8977, Improving Access to Emergency Medical Services Act of 2024 H.R. 7931/S. 4101, PEAKS Act H.R. 7788/S. 4013, Firefighter PFAS Injury Compensation Act of 2024 H.R. 4306, Michael Lecik Military Firefighters Protection Act H.R. 3671/S. 1925, HERO Act H.R. 2407/S. 2085, Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act H.R. 1666/S. 1673, Protecting Access to Ground Ambulance Medical Services Act of 2021 H.R. 1294/S. 569, 9/11 Responder and Survivor Health Funding Correction Act Issues related to health insurance for retired public safety officers Issues related to supplemental Medicaid reimbursements for ground ambulance service Issues pertaining to the provision of mental health services for fire fighters Issues pertaining to ground ambulance billing/reimbursement Issues pertaining to implementation of the No Surprises Act Supporting the National Firefighter Cancer Registry Issues related to cancer screenings for fire fighters

Client expense: $163,011 · Firm income: Not reported

S. 265/H.R. 4646, the SIREN Reauthorization Act to reauthorize the Rural Emergency Medical Services Training Grant program Issues related to the cost accounting of EMS services for Medicare patients 2025 Labor, Health and Human Services, and Education Appropriations relating to the National Firefighter Registry and the Supporting and Improving Rural EMS Needs (SIREN) grant, and NIOSH Firefighter Fatality Investigation and Prevention Program (FFFIPP). H.R. 3821/S. 2119, Firefighter Cancer Registry Reauthorization Act Provisions of H.R.8070/S.4638, the National Defense Authorization Act for Fiscal Year 2025, relating to firefighter cancer. H.R. 3671/H.R. 4274/S. 1925, HERO Act H.R. 1666/S. 1673, Protecting Access to Ground Ambulance Medical Services Act Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB) H.R. 2574/S. 1115, the EMS Counts Act Issues relating to volunteer firfighter status being added to the U.S. Standard Certificate of Death

Client expense: $10,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Highway Traffic Safety Administration (NHTSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

HR 1719/S 930, the Honoring Our Fallen Heroes Act; Legislation to address survivor and disability benefits for public safety officers impacted by occupational cancer. All issues related to the bill. H.R. 3671/S. 1925, the Helping Emergency Responders Overcome Act. Legislation to establish mental health and wellness programs for firefighters and other first responders. All issues related to the bill. H.R. 3821/S. 2119, the Firefighter Cancer Registry Reauthorization Act. Legislation to reauthorize the National Firefighter Cancer Registry. All issues related to the bill.

Client expense: $10,000 · Firm income: Not reported

Government targets: Bureau of Justice Assistance, HOUSE OF REPRESENTATIVES, SENATE

Advocated for firefighter health and safety issues, including cancer. Honoring Our Fallen Heroes Act (S.930/H.R.1719) The HERO Act (S.1925/H.R.3671) National Firefighter Registry reauthorization (H.R. 3821/S.2119) Improving Access to Emergency Medical Services Act (H.R.8977)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 9029, the FY 2025 Labor, Health and Human Services, and Education Appropriations Act, provisions re: - Funding at the National Institute of Occupational Safety and Health for a national firefighter cancer registry. - Funding at the U.S. Department of Health and Human Services' Substance Abuse & Mental Health Services Administration for the Rural Emergency Medical Services Training Grant program. S. 265/H.R. 4646, the SIREN Reauthorization Act, provisions to reauthorize the Rural Emergency Medical Services Training Grant program. H.R. 8977, legislation to reimburse fire and EMS departments for treating patients on scene. H.R. 3821/S. 2119, the Firefighter Cancer Registry Reauthorization Act of 2023, provisions to reauthorize the National Firefighter Cancer Registry. Issues relating to supply chain issues and the effects on the cost and delivery of fire apparatus and equipment. Issues relating to the Ground Emergency Medical Transportation program. H.R. 8042, the Community Paramedicine Act, provisions to create a grant program for mobile integrated health programs. H.R. 3671/H.R. 4274/S.1925, the Helping Emergency Responders Overcome Act, provisions to create behavioral health resources for fire and EMS personnel. S. 645/H.R. 472, The Fighting Post-Traumatic Stress Disorder Act, provisions to provide behavioral health resources to first responders at the Department of Justice. Issues relating to the National EMS Advisory Council. Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB). Issues related to fire safety in home oxygen systems and reimbursement for the installation of thermal fuses. H.R. 5530/S. 2757, the VA Emergency Transportation Access Act, provisions to set requirements before the Department of Veterans Affairs can change reimbursement rates for ambulance transport. H.R. 2574/S. 1115, the EMS Counts Act, provisions to better account for the national EMS workforce. H.R. 1666/S. 1673, the Protecting Access to Ground Ambulance Medical Services Act, provisions to extend the add-on payments for ambulance transport of patients.

H.R. 7788/S. 4013, Firefighter PFAS Injury Compensation Act of 2024 H.R. 4306, Michael Lecik Military Firefighters Protection Act H.R. 3671/S. 1925, HERO Act H.R. 2407/S. 2085, Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act H.R. 1666, Protecting Access to Ground Ambulance Medical Services Act of 2021 H.R. 1294/S. 569, 9/11 Responder and Survivor Health Funding Correction Act Issues related to health insurance for retired public safety officers Issues related to supplemental Medicaid reimbursements for ground ambulance service Issues pertaining to the provision of mental health services for fire fighters Issues pertaining to ground ambulance billing/reimbursement Issues pertaining to implementation of the No Surprises Act Supporting the National Firefighter Cancer Registry Issues related to cancer screenings for fire fighters

Client expense: $163,000 · Firm income: Not reported

Advocated for firefighter health and safety issues, including cancer. Honoring Our Fallen Heroes Act (S.930/H.R.1719) The HERO Act (S.1925/H.R.3671) National Firefighter Registry reauthorization (H.R. 3821/S.2119)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 265/H.R. 4646, the SIREN Reauthorization Act to reauthorize the Rural Emergency Medical Services Training Grant program Issues related to the cost accounting of EMS services for Medicare patients Provisions of H.R. 5894/S. 2624, the FY 2024 Labor, Health and Human Services, and Education Appropriations Act relating to the National Firefighter Registry and the Supporting and Improving Rural EMS Needs (SIREN) grant. H.R. 3821/S. 2119, Firefighter Cancer Registry Reauthorization Act Provisions of S.2226, the National Defense Authorization Act for Fiscal Year 2024, relating to reauthorizing the National Firefighter Cancer Registry. H.R. 3671/H.R. 4274/S. 1925, HERO Act H.R. 1666/S. 1673, Protecting Access to Ground Ambulance Medical Services Act Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB) H.R. 2574/S. 1115, the EMS Counts Act Issues relating to volunteer firfighter status being added to the U.S. Standard Certificate of Death

Client expense: $10,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Highway Traffic Safety Administration (NHTSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

P.L. 118-47, the Fiscal Year (FY) 2024 Further Consolidated Appropriations Act, provisions re: - Funding at the National Institute of Occupational Safety and Health for a national firefighter cancer registry. - Funding at the U.S. Department of Health and Human Services' Substance Abuse & Mental Health Services Administration for the Rural Emergency Medical Services Training Grant program. S. 265/H.R. 4646, the SIREN Reauthorization Act, provisions to reauthorize the Rural Emergency Medical Services Training Grant program. Issues relating to reimbursement for ambulance transport and the treatment of patients in place or their transportation to an alternate destination of care. H.R. 3821/S. 2119, the Firefighter Cancer Registry Reauthorization Act of 2023, provisions to reauthorize the National Firefighter Cancer Registry. Issues relating to supply chain issues and the effects on the cost and delivery of fire apparatus and equipment. Issues relating to the Ground Emergency Medical Transportation program. Issues relating to reimbursement of fire and EMS departments for mobile integrated health programs, treatment of patients in place, and transportation of patients to alternate destinations of care. H.R. 3671/H.R. 4274/S.1925, the Helping Emergency Responders Overcome Act, provisions to create behavioral health resources for fire and EMS personnel. S. 645/H.R. 472, The Fighting Post-Traumatic Stress Disorder Act, provisions to provide behavioral health resources to first responders at the Department of Justice. Issues relating to the National EMS Advisory Council. Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB). Issues related to fire safety in home oxygen systems and reimbursement for the installation of thermal fuses. H.R. 5530/S. 2757, the VA Emergency Transportation Access Act, provisions to set requirements before the Department of Veterans Affairs can change reimbursement rates for ambulance transport. H.R. 2574/S. 1115, the EMS Counts Act, provisions to better account for the national EMS workforce.

HR 1719/S 930, the Honoring Our Fallen Heroes Act; Legislation to address survivor and disability benefits for public safety officers impacted by occupational cancer. All issues related to the bill. H.R. 3671/S. 1925, the Helping Emergency Responders Overcome Act. Legislation to establish mental health and wellness programs for firefighters and other first responders. All issues related to the bill. H.R. 3821/S. 2119, the Firefighter Cancer Registry Reauthorization Act. Legislation to reauthorize the National Firefighter Cancer Registry. All issues related to the bill.

Client expense: $10,000 · Firm income: Not reported

Government targets: Bureau of Justice Assistance, HOUSE OF REPRESENTATIVES, SENATE

Advocated for firefighter health and safety issues, including cancer. Honoring Our Fallen Heroes Act (S.930/H.R.1719) The HERO Act (S.1925/H.R.3671) National Firefighter Registry reauthorization (H.R. 3821/S.2119)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 265/H.R. 4646, the SIREN Reauthorization Act to reauthorize the Rural Emergency Medical Services Training Grant program Issues related to the cost accounting of EMS services for Medicare patients Provisions of H.R. 5894/S. 2624, the FY 2024 Labor, Health and Human Services, and Education Appropriations Act relating to the National Firefighter Registry and the Supporting and Improving Rural EMS Needs (SIREN) grant. H.R. 3821/S. 2119, Firefighter Cancer Registry Reauthorization Act Provisions of S.2226, the National Defense Authorization Act for Fiscal Year 2024, relating to reauthorizing the National Firefighter Cancer Registry. H.R. 3671/H.R. 4274/S. 1925, HERO Act H.R. 1666/S. 1673, Protecting Access to Ground Ambulance Medical Services Act Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB) H.R. 2574/S. 1115, the EMS Counts Act

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Highway Traffic Safety Administration (NHTSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

FY 2024 Labor, Health and Human Services, and Education Appropriations Act, provisions re: - Funding at the National Institute of Occupational Safety and Health for a national firefighter cancer registry. - Funding at the U.S. Department of Health and Human Services' Substance Abuse & Mental Health Services Administration for the Rural Emergency Medical Services Training Grant program. S. 265/H.R. 4646, the SIREN Reauthorization Act, provisions to reauthorize the Rural Emergency Medical Services Training Grant program. Issues relating to billing for ambulance transport. H.R. 3821/S. 2119, the Firefighter Cancer Registry Reauthorization Act of 2023, provisions to reauthorize the National Firefighter Cancer Registry. S.2226, the National Defense Authorization Act for Fiscal Year 2024, provisions to reauthorize the National Firefighter Cancer Registry. Issues relating to supply chain issues and the effects on the cost and delivery of fire apparatus and equipment. Issues relating to the Ground Emergency Medical Transportation program. Issues relating to reimbursement of fire and EMS departments for mobile integrated health programs, treatment of patients in place, and transportation of patients to alternate destinations of care. H.R. 3671/H.R. 4274/S.1925, the Helping Emergency Responders Overcome Act, provisions to create behavioral health resources for fire and EMS personnel. S. 645/H.R. 472, The Fighting Post-Traumatic Stress Disorder Act, provisions to provide behavioral health resources to first responders at the Department of Justice. Issues relating to the National EMS Advisory Council. Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB). Issues related to fire safety in home oxygen systems. H.R. 5530/S. 2757, the VA Emergency Transportation Access Act, provisions to set requirements before the Department of Veterans Affairs can change reimbursement rates for ambulance transport. H.R. 2574/S. 1115, the EMS Counts Act, provisions to better account for the national EMS workforce.

HR 1719/S 930, the Honoring Our Fallen Heroes Act; Legislation to address survivor and disability benefits for public safety officers impacted by occupational cancer. All issues related to the bill. H.R. 3671/S. 1925, the Helping Emergency Responders Overcome Act. Legislation to establish mental health and wellness programs for firefighters and other first responders. All issues related to the bill. H.R. 3821/S. 2119, the Firefighter Cancer Registry Reauthorization Act. Legislation to reauthorize the National Firefighter Cancer Registry. All issues related to the bill.

Client expense: $10,000 · Firm income: Not reported

Government targets: Bureau of Justice Assistance, HOUSE OF REPRESENTATIVES, SENATE

S. 265, the SIREN Reauthorization Act to reauthorize the Rural Emergency Medical Services Training Grant program Issues related to the cost accounting of EMS services for Medicare patients Provisions of H.R. 5894/S. 2624, the FY 2024 Labor, Health and Human Services, and Education Appropriations Act relating to the National Firefighter Registry and the Supporting and Improving Rural EMS Needs (SIREN) grant. H.R. 3821/S. 2119, Firefighter Cancer Registry Reauthorization Act Provisions of S.2226, the National Defense Authorization Act for Fiscal Year 2024, relating to reauthorizing the National Firefighter Cancer Registry. H.R. 3671/H.R. 4274/S. 1925, HERO Act H.R. 1666/S. 1673, Protecting Access to Ground Ambulance Medical Services Act Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB) H.R. 2574/S. 1115, the EMS Counts Act

Client expense: $10,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Highway Traffic Safety Administration (NHTSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Advocated for firefighter health and safety issues, including cancer. Honoring Our Fallen Heroes Act (S.930/H.R.1719) The HERO Act (S.1925/H.R.3671) National Firefighter Registry reauthorization (H.R. 3821/S.2119)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1719/S 930, the Honoring Our Fallen Heroes Act; Legislation to address survivor and disability benefits for public safety officers impacted by occupational cancer. All issues related to the bill. H.R. 3671/S. 1925, the Helping Emergency Responders Overcome Act. Legislation to establish mental health and wellness programs for firefighters and other first responders. All issues related to the bill. H.R. 3821/S. 2119, the Firefighter Cancer Registry Reauthorization Act. Legislation to reauthorize the National Firefighter Cancer Registry. All issues related to the bill.

Client expense: $10,000 · Firm income: Not reported

Government targets: Bureau of Justice Assistance, HOUSE OF REPRESENTATIVES, SENATE

FY 2024 Labor, Health and Human Services, and Education Appropriations Act, provisions re: - Funding at the National Institute of Occupational Safety and Health for a national firefighter cancer registry. - Funding at the U.S. Department of Health and Human Services' Substance Abuse & Mental Health Services Administration for the Rural Emergency Medical Services Training Grant program. S. 265/H.R. 4646, the SIREN Reauthorization Act, provisions to reauthorize the Rural Emergency Medical Services Training Grant program. Issues relating to billing for ambulance transport. H.R. 3821/S. 2119, the Firefighter Cancer Registry Reauthorization Act of 2023, provisions to reauthorize the National Firefighter Cancer Registry. S.2226, the National Defense Authorization Act for Fiscal Year 2024, provisions to reauthorize the National Firefighter Cancer Registry. Issues relating to supply chain issues and the effects on the cost and delivery of fire apparatus and equipment. H.R. 3671/H.R. 4274/S.1925, provisions to create behavioral health resources for fire and EMS personnel. S. 645/H.R. 472, The Fighting Post-Traumatic Stress Disorder Act, provisions to provide behavioral health resources to first responders at the Department of Justice. Issues relating to the National EMS Advisory Council. Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB). Issues related to fire safety in home oxygen systems. H.R. 5530/S. 2757, the VA Emergency Transportation Access Act, provisions to set requirements before the Department of Veterans Affairs can change reimbursement rates for ambulance transport. H.R. 2574/S. 1115, the EMS Counts Act, provisions to better account for the national EMS workforce.

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

S. 265, the SIREN Reauthorization Act to reauthorize the Rural Emergency Medical Services Training Grant program Issues related to the cost accounting of EMS services for Medicare patients Funding for National Firefighter Registry and Supporting and Improving Rural EMS Needs (SIREN) H.R. 3821/S. 2119, Firefighter Cancer Registry Reauthorization Act H.R. 3671/H.R. 4274/S. 1925, HERO Act H.R. 1666/S. 1673, Protecting Access to Ground Ambulance Medical Services Act Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB)

Client expense: $10,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Fund and Reauthorize the Supporting and Improving Rural EMS Needs (SIREN) Law; Support legislation to reimburse EMS for Treatment in Place (TIP) and Transport to Alternate Destination (TAD); Express opposition and concern over CMMI's decision to end the ET3 model on December 31st; Support Congressional letter to DEA to finalize PPAEMA regulations; Support EMS Workforce: Insufficient reimbursement for EMS care and lack of federal investment in EMS are long-term problems that have been building for decades. The additional burdens placed on EMS systems and personnel during the pandemic made a serious problem even worse, pushing many EMS systems in our country to the breaking point. Most communities are facing crisis-level shortages of EMS personnel, and many have seen EMS agencies close altogether, removing a critical lifeline from these communities. The shortage of EMS personnel threatens to undermine our emergency 9-1-1 response infrastructure; Expand the Hospital Preparedness Program, authorized by the Pandemic and All Hazards Preparedness Act (PAHPA), to include $50 million to fund an EMS Preparedness and Response Workforce Shortage Program. Funds from this grant program would support recruitment, retention, and training of EMS personnel including tuition and associated expenses for paramedic and EMT training courses; expenses for required continuing education courses; and costs related to licensure and certification; Make EMS eligible for federal grants offered through the Department of Labor and other agencies for apprenticeship programs. Apprenticeship programs have historically been used to spur workforce development or expansion in sectors of the economy that need workers. EMS agencies and fire departments struggling to recruit and retain EMS personnel would benefit from access to federal grants to support apprenticeship programs for Paramedics and EMTs; Support Congress to hold congressional hearings on the EMS workforce crisis and the causes for the exodus of the EMS workforce from the profession; Support participation of EMS Caucus; Support S.265/H.R. 4646, to reauthorize the SIREN Act grants for another five years (2024-2028); Support S. 1115/H.R. 2574, EMS Counts; Support H.R. 1666/S.1673, Protecting Access to Ground Ambulance Medical Services Act of 2023; Support letter to Secretary Buttigeig regarding the need for the hot car regulation; Support H.R. 3671/S. 1925, HERO Act; Support S.1528/H.R. 1796, the Disaster Survivor Fairness Act; Support H.R.1784, Next Generation 9-1-1 Act of 2023; Support S.1514/H.R.3170, the HELPER Act; Support S.1176/H.R.2663, Workplace Violence; Support S.977/H.R. 1814, the Fire/EMS Station Act; Support H.R.1719, to amend the Omnibus Crime Control and Safe Streets Act of 1968 to provide public safety officer benefits for exposure-related cancers, and for other purposes Support S.645, the Fighting Post-Traumatic Stress Disorder Act of 2023; Support S.261/H.R. 795, Protecting First Responders from Secondary Exposure Act of 2023; Support S.154/H.R. 621, Preventing Auto Recycling Theft Act (PART Act); Support H.R.1423, 911 Community Crisis Responders Act; Support H.R.3104, Helping Our Heroes Act; Support H.R.2548, the Public Safety Concussions and TBI Health Act; Support H.R.2370: Access to AEDs Act; Support funding for the EMSC program in FY24.

Advocated for firefighter health and safety issues, including cancer. Honoring Our Fallen Heroes Act (S.930/H.R.1719) The HERO Act (S.1925/H.R.3671) National Firefighter Registry reauthorization (H.R. 3821/S.2119)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2024 Labor, Health and Human Services, and Education Appropriations Act, provisions re: - Funding at the National Institute of Occupational Safety and Health for a national firefighter cancer registry. - Funding at the U.S. Department of Health and Human Services' Substance Abuse & Mental Health Services Administration for the Rural Emergency Medical Services Training Grant program. S. 265, the SIREN Reauthorization Act, provisions to reauthorize the Rural Emergency Medical Services Training Grant program. Issues relating to billing for ambulance transport. H.R. 3821/S. 2119, the Firefighter Cancer Registry Reauthorization Act of 2023, provisions to reauthorize the National Firefighter Cancer Registry. Issues relating to supply chain issues and the effects on the cost and delivery of fire apparatus and equipment. H.R. 3671/H.R. 4274/S.1925, provisions to create behavioral health resources for fire and EMS personnel. S. 645/H.R. 472, The Fighting Post-Traumatic Stress Disorder Act, provisions to provide behavioral health resources to first responders at the Department of Justice. Issues relating to the National EMS Advisory Council. Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB). Issues related to fire safety in home oxygen systems.

Client expense: $50,000 · Firm income: Not reported

HR 1719/S 930, the Honoring Our Fallen Heroes Act; Legislation to address survivor and disability benefits for public safety officers impacted by occupational cancer. All issues related to the bill. H.R. 3671/S. 1925, the Helping Emergency Responders Overcome Act. Legislation to establish mental health and wellness programs for firefighters and other first responders. All issues related to the bill. H.R. 3821/S. 2119, the Firefighter Cancer Registry Reauthorization Act. Legislation to reauthorize the National Firefighter Cancer Registry. All issues related to the bill.

Client expense: $10,000 · Firm income: Not reported

Government targets: Bureau of Justice Assistance, HOUSE OF REPRESENTATIVES, SENATE