Improving Access to Emergency Medical Services Act of 2024

Communicate Wake EMSs feedback on HR 8977, Improving Access to Emergency Medical Services Act of 2024

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

Government targets: HOUSE OF REPRESENTATIVES, 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; Educate and urge passage of legislation to reimburse EMS for Treatment in Place (TIP); Support H.R. 8977, Improving Access to Emergency Medical Services Act of 2024; 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; Support H.R. 6829, the Cardiomyopathy, Heath Education, Awareness, Research and Training in Schools (HEARTS) 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.

Client expense: Not reported · Firm income: $31,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 8977, Improving Access to Emergency Medical Services Act of 2024 H.R. 7931/S. 4101, PEAKS Act Issues pertaining to CMS reimbursement for ground ambulance services Issues pertaining to implementation of the No Surprises Act Issues pertaining to supplemental Medicaid reimbursement opportunities for ambulance service Issues pertaining to CMS' Ground Ambulance and Patient Billing Advisory Committee Issues pertaining to the ET3 Model Policy

Client expense: $165,000 · Firm income: Not reported

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

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: $165,000 · 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 Act (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: Centers For Disease Control & Prevention (CDC), 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. Issues related to S. 5400, Improving Access to Emergency Medical Services Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Communicate Wake EMSs feedback on HR 8977, Improving Access to Emergency Medical Services Act of 2024

Client expense: Not reported · Firm income: $31,000

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. 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.

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.

Communicate Wake EMSs feedback on HR 8977, Improving Access to Emergency Medical Services Act of 2024

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support of Interior and Environment FY 2025 Appropriations Bill, H.R. 8998 and S. 4802, related to a Community Project assistance request to support water and energy generation infrastructure improvements and repair and replacement of flumes and canals. Support of Energy and Water Development FY 2025 Appropriations Bill, H.R. 8977/S.4927, related to Community Project Assistance requests to support feasibility study for replacement of flumes and canals; and for hydroelectric powerhouse infrastructure improvements. Support of Energy and Water Development FY 25 Appropriations Bill, S. 4927, Community Projects Assistance request related to capital improvements for a hydroelectric powerhouse.

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

Government targets: 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.

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

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

H.R. 8977, Improving Access to Emergency Medical Services Act of 2024 H.R. 7931/S. 4101, PEAKS Act Issues pertaining to CMS reimbursement for ground ambulance services Issues pertaining to implementation of the No Surprises Act Issues pertaining to supplemental Medicaid reimbursement opportunities for ambulance service Issues pertaining to CMS' Ground Ambulance and Patient Billing Advisory Committee Issues pertaining to the ET3 Model Policy

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

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

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

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.

H.R. 8977, Legislation to allow reimbursements for TIP and TAD by EMS agencies Issues pertaining to CMS reimbursement for ground ambulance services Issues pertaining to implementation of the No Surprises Act Issues pertaining to supplemental Medicaid reimbursement opportunities for ambulance service Issues pertaining to CMS' Ground Ambulance and Patient Billing Advisory Committee Issues pertaining to the ET3 Model Policy

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

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