Community Paramedicine Act of 2024

Issues relating to billing for ambulance transport. 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. 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. 8042, the Community Paramedicine Act, provisions to create a grant program for mobile integrated health programs. H.R. 8977, legislation to reimburse fire and EMS departments for treating patients on scene. 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.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, SENATE

Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 1666, S.1673), Preserving Telehealth, Hospital, and Ambulance Access Act (H.R. 8261) and American Relief Act (H.R. 10545) to extend temporary increases in Medicare payments to ground ambulance services. Educated congressional offices and committees on scheduled changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on legislation, Improving Access to Emergency Medical Services Act of 2024 (H.R. 8977, S. 5400), to create a CMMI demonstration project on the reimbursement of treatment in place as well as on alternative destination and mobile integrated health policies. Lobbied on the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (S. 3236, H.R. 6257) and Community Paramedicine Act (H.R. 8042). Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (H.R. 7931, S. 4101).

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), 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 H.R. 8977, Improving Access to Emergency Medical Services Act of 2024; Support S.3236/H.R.6257, the Emergency Medical Services Reimbursement for On-Scene and Support Act; Support H.R. 8042, the Community Paramedicine Act of 2024; Support S. 1115/H.R. 2574, EMS Counts; S. 2757/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; Support language included in the NDAA on transitioning military medics; Support participation of EMS Caucus.

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.

Issues relating to billing for ambulance transport. 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. 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. 8042, the Community Paramedicine Act, provisions to create a grant program for mobile integrated health programs. H.R. 8977, legislation to reimburse fire and EMS departments for treating patients on scene. 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.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), 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

Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 1666, S.1673) and Preserving Telehealth, Hospital, and Ambulance Access Act (H.R. 8261) to extend temporary increases in Medicare payments to ground ambulance services. Educated congressional offices and committees on scheduled changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on legislation, Improving Access to Emergency Medical Services Act of 2024 (H.R. 8977), to create a CMMI demonstration project on the reimbursement of treatment in place as well as on alternative destination and mobile integrated health policies. Lobbied on the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (S. 3236, H.R. 6257) and Community Paramedicine Act (H.R. 8042). Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (H.R. 7931, S. 4101).

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), 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 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.

Issues relating to billing for ambulance transport. 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. 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. 8042, the Community Paramedicine Act, provisions to create a grant program for mobile integrated health programs. H.R. 8977, legislation to reimburse fire and EMS departments for treating patients on scene. 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.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), 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.

Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 1666, S.1673) and Preserving Telehealth, Hospital, and Ambulance Access Act (H.R. 8261) to extend temporary increases in Medicare payments to ground ambulance services. Educated congressional offices and committees on scheduled changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on draft legislation to create a CMMI demonstration project on the reimbursement of treatment in place as well as on alternative destination and mobile integrated health policies. Lobbied on the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (S. 3236, H.R. 6257) and Community Paramedicine Act (H.R. 8042). Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (H.R. 7931, S. 4101).

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE