PARA–EMT Act of 2023

Lobbied to raise the profile of the severe shortage of paramedics and emergency medical technicians (EMTs) and address the problem through emergency medical service training programs for emergency medical service professional and retain current paramedics and EMTs through access to first responder benefits. Lobbied on the PARA-EMT Act (H.R.6433), Pathways to Health Careers Act (H.R. 4783, S. 3449), Supporting our First Responders Act (H.R. 1737), Homes for Every Local Protector, Educator, and Responder Act (H.R. 3170, S. 1514), National Apprenticeship Act (S. 2122, H.R. 2851), Apprenticeship Pathways Act (S. 2124), Freedom to Invest in Tomorrow's Workforce Act (S. 722, H.R. 1477), Bipartisan Primary Care and Health Workforce Act (S. 2840), legislation on the Reauthorization of the Pandemic and All-Hazards Preparedness Act (S. 2333, H.R. 4421) and the 2025 National Defense Reauthorization Act (H.R. 8070).

Client expense: $290,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Implementation of the No Surprises Act - Ground Ambulance Advisory Committee; workforce issue; pandemic preparedness; H.R.3170 / S.1514 The HELPER Act; H.R.6433 PARA-EMT Act of 2023.

Client expense: Not reported · Firm income: $51,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Transportation, Dept of (DOT), Treasury, Dept of

Legislation and regulation impacting ground ambulance and emergency medical services including funding, reimbursement, training, workforce, and the implementation of the No Surprises Act. Pursue additional funding for emergency preparedness and response training for emergency medical service agencies including increased funding under the Rural EMS Grant Program. Seek equitable coverage for all paramedics and emergency medical technicians on workforce and mental health issues. H.R.1666, Legislation to amend title XVIII to protect patient access to ground ambulance services under part B of the Medicare program. Outreach on EMS workforce shortage language in FY2025 House Appropriations report, including H.R.6433, the Preserve Access to Rapid Ambulance Emergency Medical Treatment Act of 2023.

Client expense: Not reported · Firm income: $60,000

Impact of the VA Final Rule on Special Modes of Transportation, including S.2757, the VA Emergency Transportation Access Act and H.R.6433, the Preserve Access to Rapid Ambulance Emergency Medical Treatment Act of 2023.

Client expense: Not reported · Firm income: $60,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to H.R. 8977, the Improving Access to Emergency Medical Services Act of 2024. Issues related to S. 3236/ H.R. 6257, the Emergency Medical Services Reimbursement for On-Scene Care and Support Act. Issues related to H.R. 8042, the Community Paramedicine Act of 2024. Issues related to H.R. 1737, Supporting Our First Responders Act. Issues related to H.R. 4646/ S. 265, the SIREN Reauthorization Act. Issues related to S. 1115, the EMS Counts Act of 2023. Issues related to H.R. 6140, the FAST PASS Act. Issues related to H.R. 6433, the PARA-EMT Act of 2023. Issues related to H.R. 1666/ S. 1673, Protecting Access to Ground Ambulance Medical Services Act of 2023.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY25 appropriations; H.R. 1666; H.R. 6433; health care workforce; VA reimbursement issues

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY25 appropriations; H.R. 1666; H.R. 6433; health care workforce; VA reimbursement issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbied to raise the profile of the severe shortage of paramedics and emergency medical technicians (EMTs) and address the problem through emergency medical service training programs for emergency medical service professional and retain current paramedics and EMTs through access to first responder benefits. Lobbied on the PARA-EMT Act (H.R.6433), Pathways to Health Careers Act (H.R. 4783, S. 3449), Supporting our First Responders Act (H.R. 1737), Homes for Every Local Protector, Educator, and Responder Act (H.R. 3170, S. 1514), National Apprenticeship Act (S. 2122, H.R. 2851), Apprenticeship Pathways Act (S. 2124), Freedom to Invest in Tomorrow's Workforce Act (S. 722, H.R. 1477), Bipartisan Primary Care and Health Workforce Act (S. 2840), legislation on the Reauthorization of the Pandemic and All-Hazards Preparedness Act (S. 2333, H.R. 4421) and the 2025 National Defense Reauthorization Act (H.R. 8070).

Client expense: $275,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Implementation of the No Surprises Act - Ground Ambulance Advisory Committee; workforce issue; pandemic preparedness; H.R.3170 / S.1514 The HELPER Act; H.R.6433 PARA-EMT Act of 2023.

Client expense: Not reported · Firm income: $51,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Transportation, Dept of (DOT), Treasury, Dept of

Fund and Reauthorize the Supporting and Improving Rural EMS Needs (SIREN) Law. Support S.265/H.R. 4646, to reauthorize the SIREN Act grants for another five years (2024-2028); Urge Congress to fund the SIREN program at $32 million in FY25; Support legislation to reimburse EMS for Treatment in Place (TIP) and Transport to Alternate Destination (TAD). Support S.3236/H.R.6257, the Emergency Medical Services Reimbursement for On-Scene and Support Act. Support introduction of legislation on a TIP/TAD pilot; Support H.R. 8042, the Community Paramedicine Act of 2024; Support S. 1115/H.R. 2574, EMS Counts; S. 2757/H.R. H.R.5530, VA Emergency Transportation Access Act; Educate and support for the creations of Critical Access Ambulance designation; S. 3765/H.R.6960 - Emergency Medical Services for Children (EMSC); Support S. 2757/H.R. 5530, Protect Access to Vital Ground Ambulance Services for Veterans and Communities; Support the inclusion of language in the House/Senate Labor HHS Appropriations for EMS workforce shortage. 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; 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 the inclusion of language in the House/Senate Labor HHS Appropriations bill on EMS education on rare diseases; Support H.R. 1666/S.1673, Protecting Access to Ground Ambulance Medical Services Act of 2023; Express concern and urge Congress to amend language on military medics included in H.R.6433, to preserve access to emergency medical services; Support language included in the NDAA on transitioning military medics; Support participation of EMS Caucus.

FY25 appropriations; H.R. 1666; H.R. 6433; health care workforce; VA reimbursement issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY25 appropriations; H.R. 1666; H.R. 6433; health care workforce; VA reimbursement issues

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbied to raise the profile of the severe shortage of paramedics and emergency medical technicians (EMTs) and address the problem through emergency medical service training programs for emergency medical service professional and retain current paramedics and EMTs through access to first responder benefits. Lobbied on the PARA-EMT Act (H.R.6433), Pathways to Health Careers Act (H.R. 4783, S. 3449), Supporting our First Responders Act (H.R. 1737), Homes for Every Local Protector, Educator, and Responder Act (H.R. 3170, S. 1514), National Apprenticeship Act (S. 2122, H.R. 2851), Apprenticeship Pathways Act (S. 2124), Freedom to Invest in Tomorrow's Workforce Act (S. 722, H.R. 1477), Bipartisan Primary Care and Health Workforce Act (S. 2840), legislation on the Reauthorization of the Pandemic and All-Hazards Preparedness Act (S. 2333, H.R. 4421) and the National Defense Reauthorization Act (H.R. 8070).

Client expense: $275,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Fund and Reauthorize the Supporting and Improving Rural EMS Needs (SIREN) Law. Support S.265/H.R. 4646, to reauthorize the SIREN Act grants for another five years (2024-2028); Urge Congress to fund the SIREN program at $32 million in FY25; Support legislation to reimburse EMS for Treatment in Place (TIP) and Transport to Alternate Destination (TAD). Support S.3236/H.R.6257, the Emergency Medical Services Reimbursement for On-Scene and Support Act. Support introduction of legislation on a TIP/TAD pilot; Support efforts to create a bill to promote MIH-CP legislation; Support S. 1115/H.R. 2574, EMS Counts; S. 2757/H.R. H.R.5530, VA Emergency Transportation Access Act; S. 3765/H.R.6960 - Emergency Medical Services for Children (EMSC); Support S. 2757/H.R. 5530, Protect Access to Vital Ground Ambulance Services for Veterans and Communities; 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; 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 H.R. 1666/S.1673, Protecting Access to Ground Ambulance Medical Services Act of 2023; Support H.Res. 1042, Congressional Gold Medal for the Freedom House Ambulance Service; Express concern and urge Congress to amend language on military medics included in H.R.6433, to preserve access to emergency medical services; Support participation of EMS Caucus.

Implementation of the No Surprises Act - Ground Ambulance Advisory Committee; workforce issue; pandemic preparedness; H.R.3170 / S.1514 The HELPER Act; H.R.6433 PARA-EMT Act of 2023.

Client expense: Not reported · Firm income: $51,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Transportation, Dept of (DOT), Treasury, Dept of

Lobbied to raise the profile of the severe shortage of paramedics and emergency medical technicians (EMTs) and address the problem through emergency medical service training programs for emergency medical service professional and retain current paramedics and EMTs through access to first responder benefits. Lobbied on the PARA-EMT Act (H.R.6433), Pathways to Health Careers Act (H.R. 4783, S. 3449), Supporting our First Responders Act (H.R. 1737), Homes for Every Local Protector, Educator, and Responder Act (H.R. 3170, S. 1514), National Apprenticeship Act (S. 2122, H.R. 2851), Apprenticeship Pathways Act (S. 2124), Freedom to Invest in Tomorrow's Workforce Act (S. 722, H.R. 1477), Bipartisan Primary Care and Health Workforce Act (S. 2840) and on legislation on the Reauthorization of the Pandemic and All-Hazards Preparedness Act (S. 2333, H.R. 4421).

Client expense: $275,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Implementation of the Honoring Our PACT Act (Public Law No: 117-168) Implementation of the Deborah Sampson Act (included within Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020 Public Law No: 116-315), and women veterans policy Afghan Adjustment Act (H.R. 8685/S. 4787) and policies regarding resettling of Afghan refugees VA Medicinal Cannabis Research Act of 2023 (S. 326) Veterans Equal Access Act (H.R. 2431) Discussions around expanding IVF coverage to all veterans with a reproductive injury Afghan Allies Protection Act (H.R. 3808/S. 1786) Equal Access to Contraception for Veterans Act (H.R. 894) Access to Contraception for Servicemembers and Dependents Act (S. 1527) Organizational opposition to specific provisions within Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2024 (H.R. 4366) Organizational opposition to specific anti-LGBTQ provisions with the House-passed 2024 National Defense Authorization Act (H.R. 2670) Veterans Affairs Peer Review Neutrality Act (H.R. 5794) VET PFAS Act (H.R. 4249/S. 2294) Elizabeth Dole Home Care Act (H.R. 542/S. 141) PARA-EMT Act (H.R. 6433) Servicemembers and Veterans Empowerment and Support Act of 2023 (H.R. 2441/S. 1028)

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

Lobbied to raise the profile of the severe shortage of paramedics and emergency medical technicians (EMTs) and address the problem through emergency medical service training programs for emergency medical service professional and retain current paramedics and EMTs through access to first responder benefits. Lobbied on the PARA-EMT Act (H.R.6433), Pathways to Health Careers Act (H.R. 4783, S. 3449), Supporting our First Responders Act (H.R. 1737), Homes for Every Local Protector, Educator, and Responder Act (H.R. 3170, S. 1514), National Apprenticeship Act (S. 2122, H.R. 2851), Apprenticeship Pathways Act (S. 2124), Freedom to Invest in Tomorrow's Workforce Act (S. 722, H.R. 1477), Bipartisan Primary Care and Health Workforce Act (S. 2840), draft proposals on the and the Reauthorization of the Pandemic and All-Hazards Preparedness Act .

Client expense: $275,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE