EMS Counts Act

H.R. 86, Nullify OSHA Act H.R. 1443/S. 1247, Public Safety Officer Free Speech Act H.R. 1505/S. 636, Public Safety Employer-Employee Cooperation Act H.R. 1902, Helping Emergency Responders Overcome Act H.R. 2921/S. 2745, Federal Firefighter Cancer Detection and Prevention Act of 2025 H.R. 2174/S. 1957, Paycheck Protection Act H.R. 3170, Improving Access to Workers Compensation for Injured Federal Workers Act H.R. 3791, EMS Counts Act H.R. 4453/S. 4658, Parkinsons Protection for Fire Fighters Act of 2025 H.R. 4763, PTO Act H.R. 5408/S. 844, Faster Labor Contracts Act S. 1006, Federal Workforce Freedom Act S. 2278, A bill to amend 18 USC to punish criminal offenses targeting first responders Issues related to the OSHA Emergency Response Standard Issues related to uniform allowances for DOD fire fighters Issues related to hiring and promotion freezes for federal fire fighters Issues related to executive orders pertaining to federal labor unions Issues related to apprenticeship programs for fire departments Issues related to the consolidation of fire apparatus manufacturers Issues related to Section 7(k) of the Fair Labor Standards Act

Client expense: $204,309 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Employment & Training Administration, Executive Office of the President (EOP), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE

H.R.3791, EMS Counts Act Issues related to OccupationalSafety Health Admonistrations's (OSHA) proposed Emergency Response Standard [Docket No. OSHA-2007-0073]. Issues related to OSHA's proprosed Heat Standard [Docket No. OSHA-2021-0009].

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

Government targets: Bureau of Labor Statistics (BLS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA)

H.R. 9260, Labor, Health and Human Services, and Education FY 2027 Appropriations relating to the National Institute for Occupational Safety and Health's (NIOSH) National Firefighter Registry for cancer, the Supporting and Improving Rural EMS Needs (SIREN) grant, NIOSH's Firefighter Fatality Investigation and Prevention Program (FFFIPP), NIOSH's National Personal Protective Technology Laboratory, and the World Trade Center Health Program. H.R. 1902, HERO Act H.R. 3791, EMS Counts Act Issues relating to the reversing staff reductions and the preservation of programs within the National Institute for Occupational Safety and Health, including the National Firefighter Registry for Cancer, Fire Fighter Fatality Investigation Prevention Program, WTC Health, National Personal Protective Technology Laboratory, the Respirator Approval Program, Emergency Response Support, and Health Hazard Evaluation Program. H.R. 2232/S. 1643, Protecting Access to Ground Ambulance Medical Services Act H.R. 2538/S. 3145, Comprehensive Alternative Response for Emergencies (CARE) Act H.R. 10116/S. 4819, Lifeline for First Responders Act Issues relating to volunteer firefighter status being added to the U.S. Standard Certificate of Death Issues related to the preservation of staff and funding at National Highway Traffic Safety Administrations (NHTSA) Office of Emergency Medical Services (EMS)

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

Issues relating to OSHA's draft Emergency Response standard. The EMS Counts Act (H.R. 3791), provisions to direct the Bureau of Labor Statistics to accurately count the number of EMS practitioners in the United States.

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

Government targets: Bureau of Labor Statistics (BLS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA)

The FY 2027 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act (H.R. 9260), provisions to fund the following programs at the U.S. Department of Health and Human Services: - National Institute for Occupational Safety and Health's National Firefighter Registry for Cancer. - National Institute for Occupational Safety and Health's Fire Fighter Fatality Investigation and Prevention Program. - National Institute for Occupational Safety and Health's National Personal Protective Technology Laboratory. - World Trade Center Health Program. - Funding for the SIREN grant program for rural EMS. Issues relating to the supply chain and delivery and cost of fire and EMS apparatus and equipment. Issues relating to the Ground Emergency Medical Transportation program. Fighting Post-Traumatic Stress Disorder Act (S. 825), provisions to provide behavioral health resources to first responders at the U.S. Department of Justice. Issues relating to fire safety in home oxygen systems and reimbursement for the installation of thermal fuses. The Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232/S. 1643), provisions to extend the add-on payments for ambulance transport of Medicare patients. Issues relating to the staffing reductions at the National Firefighter Registry for Cancer, Fire Fighter Fatality Investigation, WTC Health, and Prevention Program and National Personal Protective Technology Laboratory. Issues relating to firefighter cancer. Issues relating to the acquisition of medications and medical equipment used by EMS. The Comprehensive Alternative Response for Emergencies Act (H.R. 2538/S. 3145), provisions to reimburse fire and EMS departments for treating Medicare patients in place. The Community Paramedicine Act (H.R. 4011), provisions to fund Community Paramedicine and Mobile Integrated Health (CP/MIH) programs. The EMS Counts Act (H.R. 3791), provisions to direct the Bureau of Labor Statistics to accurately count the number of EMS practitioners in the United States. Issues relating to the reimbursement of blood products by EMS providers. Issues relating to the reimbursement of emergency medical service and ground ambulance transport provided to Medicare and Medicaid patients. Issues relating to the National EMS Advisory Council and its reformulation. Issues relating to electronic patient care reporting systems. The Reimbursing Emergency Services for Critical Urgent Encounters Act of 2026 (H.R. 9970), issues relating to Medicare reimbursement for patient transport by ambulance. Issues relating to the implementation of the Protecting Patient Access to Emergency Medications Act (P.L. 115-83) and the storage of medicines by fire and EMS departments. Issues relating to building and safety standards in healthcare facilities. Issues related to fire-based air ambulance services.

Support for the National Firefighter Registry, Firefighter Fatality Investigation and Prevention Program, National Personal Protective Technology Laboratory (NPPTL), and World Trade Center Health Program (WTCHP) H.R.3791, EMS Counts Act

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Workplace violence prevention for health care workers H.R. 2531-Workplace Violence Prevention for Health Care and Social Service Workers Act, to require OSHA to issue workplace violence prevention standards to protect health care and social service workers H.R. 3413-Physician and Patient Safety Act, to provide due process protections for physicians H.R. 3791-EMS Counts Act, to ensure more accurate counts of trained EMS personnel by Bureau of Labor Statistics S. 1232-Workplace Violence Prevention for Health Care and Social Service Workers Act, to require OSHA to issue workplace violence prevention standards to protect health care and social service workers S. 1767-Physician and Patient Safety Act, to provide due process protections for physicians S. 2031-Workforce Mobility Act of 2025, to prohibit the use of noncompete agreements

Client expense: $498,299 · Firm income: Not reported

H.R.3791, EMS Counts Act Issues related to OccupationalSafety Health Admonistrations's (OSHA) proposed Emergency Response Standard [Docket No. OSHA-2007-0073]. Issues related to OSHA's proprosed Heat Standard [Docket No. OSHA-2021-0009].

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

Government targets: Bureau of Labor Statistics (BLS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA)

H.R. 9260, Labor, Health and Human Services, and Education FY 2027 Appropriations relating to the National Institute for Occupational Safety and Health's (NIOSH) National Firefighter Registry for cancer, the Supporting and Improving Rural EMS Needs (SIREN) grant, NIOSH's Firefighter Fatality Investigation and Prevention Program (FFFIPP), NIOSH's National Personal Protective Technology Laboratory, and the World Trade Center Health Program. H.R. 1902, HERO Act H.R. 3791, EMS Counts Act Issues relating to the reversing staff reductions and the preservation of programs within the National Institute for Occupational Safety and Health, including the National Firefighter Registry for Cancer, Fire Fighter Fatality Investigation Prevention Program, WTC Health, National Personal Protective Technology Laboratory, the Respirator Approval Program, Emergency Response Support, and Health Hazard Evaluation Program. H.R. 2232/S. 1643, Protecting Access to Ground Ambulance Medical Services Act H.R. 2538/S. 3145, Comprehensive Alternative Response for Emergencies (CARE) Act Issues relating to volunteer firefighter status being added to the U.S. Standard Certificate of Death Issues related to the preservation of staff and funding at National Highway Traffic Safety Administrations (NHTSA) Office of Emergency Medical Services (EMS)

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

Support Medicare Reimbursement for EMS Treatment in Place (TIP); Support S. 2196/H.R. 2538, the CARE Act; Support S. 3730/H.R. 7277, EMS ROCs Act; Support Mobile Integrated Healthcare (MIH) Community Paramedicine (CP) Programs; Support introduction of legislation to provide grants to communities to create and maintain/sustain MIH-CP programs;H.R. 4011. Support FY2027 Funding for SIREN Act Grants in FY27 Labor HHS Appropriations bill; Support the H.R. 3791, EMS Counts Act; Support H.R. 7386, FirstNet Reauthorization; Support H.R. 2196/S.2546, reauthorization of an extension of the Commemorative Works Act (CWA) to build an EMS Memorial in DC; Support H.R. 7623, the Freedom House Ambulance Services Congressional Gold Medal Act; Support H.R. 2220, the PARA-EMT Act; Support language in the FY27 NDAA on the transition of military medics; Support S. 1643/H.R. 2232, the Protecting Access to Ground Ambulance Medical Services Act; Support participation of the Congressional EMS Caucus; Support S.315/H.R. 979, the AM Radio for Every Vehicle; Support S. 4819, Lifeline for First Responders Act; Support H.R. 8789, Volunteer First Responder Housing Act; Oppose the Centers for Medicare & Medicaid Services (CMS) Proposed Rule CMS-2449-P, specifically the provisions that would limit Ground Emergency Medical Transportation (GEMT) supplemental payments; Oppose H.R.7739, Rural Emergency Response Support Act;

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

H.R. 1610, FIRE Cancer Act of 2025 H.R. 1902, Helping Emergency Responders Overcome (HERO) Act H.R. 2538/S. 3145, CARE Act of 2025 H.R. 2921/S. 2745, Federal Firefighter Cancer Detection and Prevention Act of 2025 H.R. 3791, EMS Counts Act H.R. 4453/S. 4658, Parkinson's Protection for Firefighters Act H.R. 5575, FASTER Act H.R. 6147/S. 3221, Expanding Health Care Options for First Responders Act S. 4819, Lifeline for First Responders Act Issues related to NIOSH programs supporting fire fighters Issues related to cancer screenings for federal fire fighters Issues related to fertility following PFAS exposures Issues related to CMS payments for ambulance service Issues related to CMS payments for pre-hospital blood transfusions

Client expense: $196,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE

H.R. 2220, PARA-EMT Act of 2025 H.R. 2232, Protecting Access to Ground Ambulance Medical Services Act of 2025 H.R. 2538, CARE Act of 2025 H.R. 3791, EMS Counts Act H.R. 4011, Community Paramedicine Act of 2025 Issues related to reimbursement of ground ambulance services Issues related to the Ground Emergency Medical Transportation program

Client expense: $196,000 · 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. 86, Nullify OSHA Act H.R. 1210/S. 511, Protecting Taxpayers Wallets Act of 2025 H.R. 1232/S. 533, National Right to Work Act H.R. 1443/S. 1247, Public Safety Officer Free Speech Act H.R. 1505/S. 636, Public Safety Employer-Employee Cooperation Act H.R. 1902, Helping Emergency Responders Overcome Act H.R. 2921/S. 2745, Federal Firefighter Cancer Detection and Prevention Act of 2025 H.R. 2174/S. 1957, Paycheck Protection Act H.R. 3170, Improving Access to Workers Compensation for Injured Federal Workers Act H.R. 3791, EMS Counts Act H.R. 4453/S. 4658, Parkinsons Protection for Fire Fighters Act of 2025 H.R. 4763, PTO Act H.R. 5408/S. 844, Faster Labor Contracts Act S. 1006, Federal Workforce Freedom Act S. 2278, A bill to amend 18 USC to punish criminal offenses targeting first responders Issues related to the OSHA Emergency Response Standard Issues related to uniform allowances for DOD fire fighters Issues related to hiring and promotion freezes for federal fire fighters Issues related to executive orders pertaining to federal labor unions Issues related to apprenticeship programs for fire departments Issues related to the consolidation of fire apparatus manufacturers Issues related to Section 7(k) of the Fair Labor Standards Act

Client expense: $196,000 · Firm income: Not reported

The FY 2027 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act (H.R. 9260), provisions to fund the following programs at the U.S. Department of Health and Human Services: - National Institute for Occupational Safety and Health's National Firefighter Registry for Cancer. - National Institute for Occupational Safety and Health's Fire Fighter Fatality Investigation and Prevention Program. - National Institute for Occupational Safety and Health's National Personal Protective Technology Laboratory. - World Trade Center Health Program. - Funding for the SIREN grant program for rural EMS. Issues relating to the supply chain and delivery and cost of fire apparatus and equipment. Issues relating to the Ground Emergency Medical Transportation program. Fighting Post-Traumatic Stress Disorder Act (S. 825), provisions to provide behavioral health resources to first responders at the U.S. Department of Justice. Issues relating to fire safety in home oxygen systems and reimbursement for the installation of thermal fuses. The Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232/S. 1643), provisions to extend the add-on payments for ambulance transport of Medicare patients. Issues relating to the staffing reductions at the National Firefighter Registry for Cancer, Fire Fighter Fatality Investigation, WTC Health, and Prevention Program and National Personal Protective Technology Laboratory. Issues relating to firefighter cancer. Issues relating to the acquisition of medications and medical equipment used by EMS. The Comprehensive Alternative Response for Emergencies Act (H.R. 2538/S. 3145), provisions to reimburse fire and EMS departments for treating Medicare patients in place. The Community Paramedicine Act (H.R. 4011), provisions to fund Community Paramedicine and Mobile Integrated Health (CP/MIH) programs. The EMS Counts Act (H.R. 3791), provisions to direct the Bureau of Labor Statistics to accurately count the number of EMS practitioners in the United States. Issues relating to the reimbursement of blood products by EMS providers.

Issues relating to OSHA's draft Emergency Response standard. The EMS Counts Act (H.R. 3791), provisions to direct the Bureau of Labor Statistics to accurately count the number of EMS practitioners in the United States.

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

Government targets: Bureau of Labor Statistics (BLS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA)

Support for the National Firefighter Registry, Firefighter Fatality Investigation and Prevention Program, National Personal Protective Technology Laboratory (NPPTL), and World Trade Center Health Program (WTCHP) H.R.3791, EMS Counts Act

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Support Medicare Reimbursement for EMS Treatment in Place (TIP); Support S. 2196/H.R. 2538, the CARE Act; Support Mobile Integrated Healthcare (MIH) Community Paramedicine (CP) Programs; Support introduction of legislation to provide grants to communities to create and maintain/sustain MIH-CP programs;H.R. 4011. Support FY2027 Funding for SIREN Act Grants in FY27 Labor HHS Appropriations bill; Support the H.R. 3791, EMS Counts Act; Support H.R. 2196/S.2546, creation of an EMS Memorial in DC; Support H.R. 7623, the Freedom House Ambulance Services Congressional Gold Medal Act; Support H.R. 2220, the PARA-EMT Act; Support S. 1643/H.R. 2232, the Protecting Access to Ground Ambulance Medical Services Act; Support participation of the Congressional EMS Caucus;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Workplace violence prevention for health care workers H.R. 2531-Workplace Violence Prevention for Health Care and Social Service Workers Act, to require OSHA to issue workplace violence prevention standards to protect health care and social service workers H.R. 3413-Physician and Patient Safety Act, to provide due process protections for physicians H.R. 3791-EMS Counts Act, to ensure more accurate counts of trained EMS personnel by Bureau of Labor Statistics S. 1232-Workplace Violence Prevention for Health Care and Social Service Workers Act, to require OSHA to issue workplace violence prevention standards to protect health care and social service workers S. 1767-Physician and Patient Safety Act, to provide due process protections for physicians S. 2031-Workforce Mobility Act of 2025, to prohibit the use of noncompete agreements

Client expense: $468,727 · Firm income: Not reported

H.R.3791, EMS Counts Act Issues related to OccupationalSafety Health Admonistrations's (OSHA) proposed Emergency Response Standard [Docket No. OSHA-2007-0073]. Issues related to OSHA's proprosed Heat Standard [Docket No. OSHA-2021-0009].

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

Government targets: Bureau of Labor Statistics (BLS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA)

H.R. 5304/S. 2587, Labor, Health and Human Services, and Education FY 2026 Appropriations relating to the National Institute for Occupational Safety and Health's (NIOSH) National Firefighter Registry for cancer, the Supporting and Improving Rural EMS Needs (SIREN) grant, NIOSH's Firefighter Fatality Investigation and Prevention Program (FFFIPP), NIOSH's National Personal Protective Technology Laboratory, and the World Trade Center Health Program. H.R. 1902, HERO Act H.R.3791, EMS Counts Act Issues relating to the reversing staff reductions and the preservation of programs within the National Institute for Occupational Safety and Health, including the National Firefighter Registry for Cancer, Fire Fighter Fatality Investigation Prevention Program, WTC Health, National Personal Protective Technology Laboratory, the Respirator Approval Program, Emergency Response Support, and Health Hazard Evaluation Program. H.R. 2232/S. 1643, Protecting Access to Ground Ambulance Medical Services Act H.R. 2538/S. 3145, Comprehensive Alternative Response for Emergencies (CARE) Act Issues relating to volunteer firefighter status being added to the U.S. Standard Certificate of Death Issues related to the preservation of staff and funding at National Highway Traffic Safety Administrations (NHTSA) Office of Emergency Medical Services (EMS)

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

H.R. 2220, PARA-EMT Act of 2025 H.R. 2232, Protecting Access to Ground Ambulance Medical Services Act of 2025 H.R. 2538, CARE Act of 2025 H.R. 3791, EMS Counts Act H.R. 4011, Community Paramedicine Act of 2025 Issues related to reimbursement of ground ambulance services Issues related to grants for community paramedicine programs Issues related to the ET3 Program Issues related to the Ground Emergency Medical Transportation program Issues related to fall prevention programs for seniors

Client expense: $164,993 · 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. 7148, Consolidated Appropriations Act, 2026 H.R. 842/S. 339, Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 891, Bipartisan Health Care Act H.R. 1410/S. 739, 9/11 Responder and Survivor Health Funding Correction Act H.R. 1610, FIRE Cancer Act of 2025 H.R. 1902, Helping Emergency Responders Overcome (HERO) Act H.R. 2921, Federal Firefighter Cancer Detection and Prevention Act of 2025 H.R. 3791, EMS Counts Act H.R. 4453, Parkinson's Protection for Firefighters Act H.R. 6147/S. 3221, Expanding Health Care Options for First Responders Act Issues related to NIOSH programs which support fire fighters Issues related to cancer screenings for federal fire fighters Issues related to fertility following PFAS exposures

Client expense: $164,993 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE

H.R. 86, Nullify OSHA Act H.R. 1210/S. 511, Protecting Taxpayers Wallets Act of 2025 H.R. 1232/S. 533, National Right to Work Act H.R. 1443/S. 1247, Public Safety Officer Free Speech Act H.R. 1505/S. 636, Public Safety Employer-Employee Cooperation Act H.R. 1902, Helping Emergency Responders Overcome Act H.R. 2921, Federal Firefighter Cancer Detection and Prevention Act of 2025 H.R. 2174/S. 1957, Paycheck Protection Act H.R. 3170, Improving Access to Workers Compensation for Injured Federal Workers Act H.R. 3791, EMS Counts Act H.R. 4453, Parkinsons Protection for Fire Fighters Act of 2025 H.R. 4763, PTO Act H.R. 5408/S. 844, Faster Labor Contracts Act S. 1006, Federal Workforce Freedom Act S. 2278, A bill to amend 18 USC to punish criminal offenses targeting first responders Issues related to the OSHA Emergency Response Standard Issues related to uniform allowances for DOD fire fighters Issues related to hiring and promotion freezes for federal fire fighters Issues related to executive orders pertaining to federal labor unions Issues related to apprenticeship programs for fire departments Issues related to the procurement of fire apparatus

Client expense: $164,993 · Firm income: Not reported

Issues relating to OSHA's draft Emergency Response standard. The EMS Counts Act (H.R. 3791), provisions to direct the Bureau of Labor Statistics to accurately count the number of EMS practitioners in the United States.

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

Government targets: Bureau of Labor Statistics (BLS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA)

The FY 2026 Consolidated Appropriations Act (P.L. 119-75), provisions to fund the following programs at the U.S. Department of Health and Human Services: - National Institute for Occupational Safety and Health's National Firefighter Registry for Cancer. - National Institute for Occupational Safety and Health's Fire Fighter Fatality Investigation and Prevention Program. - National Institute for Occupational Safety and Health's National Personal Protective Technology Laboratory. - World Trade Center Health Program. - Funding for the SIREN grant program for rural EMS. Issues relating to the supply chain and delivery and cost of fire apparatus and equipment. Issues relating to the Ground Emergency Medical Transportation program. Fighting Post-Traumatic Stress Disorder Act (S. 825), provisions to provide behavioral health resources to first responders at the U.S. Department of Justice. Issues relating to fire safety in home oxygen systems and reimbursement for the installation of thermal fuses. The Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232/S. 1643), provisions to extend the add-on payments for ambulance transport of Medicare patients. Issues relating to the staffing reductions at the National Firefighter Registry for Cancer, Fire Fighter Fatality Investigation, WTC Health, and Prevention Program and National Personal Protective Technology Laboratory. Issues relating to firefighter cancer. Issues relating to the acquisition of medications and medical equipment used by EMS. The Comprehensive Alternative Response for Emergencies Act (H.R. 2538/S. 3145), provisions to reimburse fire and EMS departments for treating Medicare patients in place. The Community Paramedicine Act (H.R. 4011), provisions to fund Community Paramedicine and Mobile Integrated Health (CP/MIH) programs. The EMS Counts Act (H.R. 3791), provisions to direct the Bureau of Labor Statistics to accurately count the number of EMS practitioners in the United States. Issues relating to the reimbursement of blood products by EMS providers.

Support Medicare Reimbursement for EMS Treatment in Place (TIP); Support S. 2196/H.R. 2538, the CARE Act; Support Mobile Integrated Healthcare (MIH) Community Paramedicine (CP) Programs; Support introduction of legislation to provide grants to communities to create and maintain/sustain MIH-CP programs;H.R. 4011. Support FY2026 Funding for SIREN Act Grants; Support the H.R. 3791, EMS Counts Act; Support S. 1643/H.R. 2232, the Protecting Access to Ground Ambulance Medical Services Act; Support participation of the Congressional EMS Caucus; Support S. 3730, the ROCs Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.3791, EMS Counts Act Issues related to OccupationalSafety Health Admonistrations's (OSHA) proposed Emergency Response Standard [Docket No. OSHA-2007-0073]. Issues related to OSHA's proprosed Heat Standard [Docket No. OSHA-2021-0009].

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

Government targets: Bureau of Labor Statistics (BLS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA)

H.R. 5304/S. 2587, Labor, Health and Human Services, and Education FY 2026 Appropriations relating to the National Institute for Occupational Safety and Health's (NIOSH) National Firefighter Registry for cancer, the Supporting and Improving Rural EMS Needs (SIREN) grant, NIOSH's Firefighter Fatality Investigation and Prevention Program (FFFIPP), NIOSH's National Personal Protective Technology Laboratory, and the World Trade Center Health Program. H.R. 1902, HERO Act H.R.3791, EMS Counts Act Issues relating to the staffing reductions at the National Firefighter Registry for Cancer, Fire Fighter Fatality Investigation, WTC Health, and Prevention Program and National Personal Protective Technology Laboratory. H.R. 2232/S. 1643, Protecting Access to Ground Ambulance Medical Services Act H.R. 2538/S. 3145, Comprehensive Alternative Response for Emergencies (CARE) Act Issues relating to volunteer firfighter status being added to the U.S. Standard Certificate of Death Issues related to the preservation of staff and funding at National HighwayTraffic Safety Administrations (NHTSA) Office of Emergency Medical Services (EMS)

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)

Workplace violence prevention for health care workers H.R. 2531-Workplace Violence Prevention for Health Care and Social Service Workers Act, to require OSHA to issue workplace violence prevention standards to protect health care and social service workers H.R. 3413-Physician and Patient Safety Act, to provide due process protections for physicians H.R. 3791-EMS Counts Act, to ensure more accurate counts of trained EMS personnel by Bureau of Labor Statistics S. 1232-Workplace Violence Prevention for Health Care and Social Service Workers Act, to require OSHA to issue workplace violence prevention standards to protect health care and social service workers S. 1767-Physician and Patient Safety Act, to provide due process protections for physicians S. 2031-Workforce Mobility Act of 2025, to prohibit the use of noncompete agreements

Client expense: $501,071 · Firm income: Not reported

H.R. 86, Nullify OSHA Act H.R. 1210/S. 511, Protecting Taxpayers Wallets Act of 2025 H.R. 1232/S. 533, National Right to Work Act H.R. 1443/S. 1247, Public Safety Officer Free Speech Act H.R. 1505/S. 636, Public Safety Employer-Employee Cooperation Act H.R. 1902, Helping Emergency Responders Overcome Act H.R. 2921, Federal Firefighter Cancer Detection and Prevention Act of 2025 H.R. 2174/S. 1957, Paycheck Protection Act H.R. 3170, Improving Access to Workers Compensation for Injured Federal Workers Act H.R. 3791, EMS Counts Act H.R. 4453, Parkinsons Protection for Fire Fighters Act of 2025 H.R. 4763, PTO Act H.R. 5408/S. 844, Faster Labor Contracts Act S. 1006, Federal Workforce Freedom Act S. 2278, A bill to amend 18 USC to punish criminal offenses targeting first responders Issues related to the OSHA Emergency Response Standard Issues related to uniform allowances for DOD fire fighters Issues related to hiring and promotion freezes for federal fire fighters Issues related to executive orders pertaining to federal labor unions Issues related to apprenticeship programs for fire departments Issues related to the procurement of fire apparatus Nomination of Mr. Anthony D'Esposito to serve as DOL IG

Client expense: $184,304 · Firm income: Not reported

H.R. 2220, PARA-EMT Act of 2025 H.R. 2232, Protecting Access to Ground Ambulance Medical Services Act of 2025 H.R. 2538, CARE Act of 2025 H.R. 3791, EMS Counts Act H.R. 4011, Community Paramedicine Act of 2025 Issues related to reimbursement of ground ambulance services Issues related to grants for community paramedicine programs Issues related to the ET3 Program Issues related to the Ground Emergency Medical Transportation program Issues related to fall prevention programs for seniors

Client expense: $184,304 · 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. 842/S. 339, Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 891, Bipartisan Health Care Act H.R. 1410/S. 739, 9/11 Responder and Survivor Health Funding Correction Act H.R. 1610, FIRE Cancer Act of 2025 H.R. 1902, Helping Emergency Responders Overcome (HERO) Act H.R. 2921, Federal Firefighter Cancer Detection and Prevention Act of 2025 H.R. 3791, EMS Counts Act H.R. 4453, Parkinson's Protection for Firefighters Act H.R. 6147/S. 3221, Expanding Health Care Options for First Responders Act Issues related to NIOSH programs which support fire fighters Issues related to cancer screenings for federal fire fighters Issues related to fertility following PFAS exposures

Client expense: $184,304 · Firm income: Not reported

Issues relating to OSHA's draft Emergency Response standard. The EMS Counts Act (H.R. 3791), provisions to direct the Bureau of Labor Statistics to accurately count the number of EMS practitioners in the United States.

Client expense: $40,000 · Firm income: Not reported

Government targets: Bureau of Labor Statistics (BLS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA)

The FY 2026 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act (H.R. 5304/S. 2587), provisions to fund the following programs at the U.S. Department of Health and Human Services: - National Institute for Occupational Safety and Health's National Firefighter Registry for Cancer. - National Institute for Occupational Safety and Health's Fire Fighter Fatality Investigation and Prevention Program. - National Institute for Occupational Safety and Health's National Personal Protective Technology Laboratory. - World Trade Center Health Program. - Funding for the SIREN grant program for rural EMS. Issues relating to the supply chain and delivery and cost of fire apparatus and equipment. Issues relating to the Ground Emergency Medical Transportation program. Fighting Post-Traumatic Stress Disorder Act (S. 825), provisions to provide behavioral health resources to first responders at the U.S. Department of Justice. Issues relating to fire safety in home oxygen systems and reimbursement for the installation of thermal fuses. The Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232/S. 1643), provisions to extend the add-on payments for ambulance transport of Medicare patients. The FY 2026 Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act (P.L. 119-37), provisions to extend the add-on payments for ambulance transport of Medicare patients. Issues relating to the staffing reductions at the National Firefighter Registry for Cancer, Fire Fighter Fatality Investigation, WTC Health, and Prevention Program and National Personal Protective Technology Laboratory. Issues relating to firefighter cancer. Issues relating to the acquisition of medications and medical equipment used by EMS. The Comprehensive Alternative Response for Emergencies Act (H.R. 2538/S. 3145), provisions to reimburse fire and EMS departments for treating Medicare patients in place. The Community Paramedicine Act (H.R. 4011), provisions to fund Community Paramedicine and Mobile Integrated Health (CP/MIH) programs. The EMS Counts Act (H.R. 3791), provisions to direct the Bureau of Labor Statistics to accurately count the number of EMS practitioners in the United States. Issues relating to the reimbursement of blood products by EMS providers.

Support Medicare Reimbursement for EMS Treatment in Place (TIP); Support H.R. 2538, the CARE Act; Support Mobile Integrated Healthcare (MIH) Community Paramedicine (CP) Programs; Support introduction of legislation to provide grants to communities to create and maintain/sustain MIH-CP programs; Support FY2026 Funding for SIREN Act Grants; Support the H.R. 3791, EMS Counts Act; Support S. 1643/H.R. 2232, the Protecting Access to Ground Ambulance Medical Services Act; Support participation of the Congressional EMS Caucus; Support funding for EMSC and Pediatric Disaster Program; Expressed concern on tariffs and impact to EMS medical supplies; Support S.2546/H.R. 2196, creating EMS Memorial in Washington, D.C.; Support S. 315/H.R.979, AM Radio for Every Vehicle; Support S. 1232/H.R.2531, Workplace Violence Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Workplace violence prevention for health care workers H.R. 2531-Workplace Violence Prevention for Health Care and Social Service Workers Act, to require OSHA to issue workplace violence prevention standards to protect health care and social service workers H.R. 3413-Physician and Patient Safety Act, to provide due process protections for physicians H.R. 3791-EMS Counts Act, to ensure more accurate counts of trained EMS personnel by Bureau of Labor Statistics S. 1232-Workplace Violence Prevention for Health Care and Social Service Workers Act, to require OSHA to issue workplace violence prevention standards to protect health care and social service workers S. 1767-Physician and Patient Safety Act, to provide due process protections for physicians S. 2031-Workforce Mobility Act of 2025, to prohibit the use of noncompete agreements

Client expense: $408,597 · Firm income: Not reported

H.R.3791, EMS Counts Act Issues related to OccupationalSafety Health Admonistrations's (OSHA) proposed Emergency Response Standard [Docket No. OSHA-2007-0073]. Issues related to OSHA's proprosed Heat Standard [Docket No. OSHA-2021-0009].

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

Government targets: Bureau of Labor Statistics (BLS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA)

H.R. 5304/S. 2587, Labor, Health and Human Services, and Education FY 2026 Appropriations relating to the National Institute for Occupational Safety and Health's (NIOSH) National Firefighter Registry for cancer, the Supporting and Improving Rural EMS Needs (SIREN) grant, NIOSH's Firefighter Fatality Investigation and Prevention Program (FFFIPP), NIOSH's National Personal Protective Technology Laboratory, and the World Trade Center Health Program. H.R. 1902, HERO Act H.R.3791, EMS Counts Act Issues relating to the staffing reductions at the National Firefighter Registry for Cancer, Fire Fighter Fatality Investigation, WTC Health, and Prevention Program and National Personal Protective Technology Laboratory. H.R. 2232/S. 1643, Protecting Access to Ground Ambulance Medical Services Act H.R. 2538, Comprehensive Alternative Response for Emergencies (CARE) Act Issues relating to volunteer firfighter status being added to the U.S. Standard Certificate of Death Issues related to the preservation of staff and funding at National HighwayTraffic Safety Administrations (NHTSA) Office of Emergency Medical Services (EMS)

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)

H.R. 2220, PARA-EMT Act of 2025 H.R. 2232, Protecting Access to Ground Ambulance Medical Services Act of 2025 H.R. 2538, CARE Act of 2025 H.R. 3791, EMS Counts Act H.R. 4011, Community Paramedicine Act of 2025 Issues related to reimbursement of ground ambulance services Issues related to grants for community paramedicine programs Issues related to the ET3 Program Issues related to the Ground Emergency Medical Transportation program Issues related to fall prevention programs for seniors

Client expense: $192,264 · 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. 86, Nullify OSHA Act H.R. 1210/S. 511, Protecting Taxpayers Wallets Act of 2025 H.R. 1232/S. 533, National Right to Work Act H.R. 1443/S. 1247, Public Safety Officer Free Speech Act H.R. 1505/S. 636, Public Safety Employer-Employee Cooperation Act H.R. 1902, Helping Emergency Responders Overcome Act H.R. 2921, Federal Firefighter Cancer Detection and Prevention Act of 2025 H.R. 2174/S. 1957, Paycheck Protection Act H.R. 3170, Improving Access to Workers Compensation for Injured Federal Workers Act H.R. 3791, EMS Counts Act H.R. 4453, Parkinsons Protection for Fire Fighters Act of 2025 H.R. 4763, PTO Act H.R. 5408/S. 844, Faster Labor Contracts Act S. 1006, Federal Workforce Freedom Act S. 2278, A bill to amend 18 USC to punish criminal offenses targeting first responders Issues related to the OSHA Emergency Response Standard Issues related to uniform allowances for DOD fire fighters Issues related to hiring and promotion freezes for federal fire fighters Issues related to executive orders pertaining to federal labor unions Issues related to apprenticeship programs for fire departments Issues related to the procurement of fire apparatus Nomination of Mr. Anthony D'Esposito to serve as DOL IG

Client expense: $192,264 · Firm income: Not reported

H.R. 842/S. 339, Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 891, Bipartisan Health Care Act H.R. 1410/S. 739, 9/11 Responder and Survivor Health Funding Correction Act H.R. 1610, FIRE Cancer Act of 2025 H.R. 1902, Helping Emergency Responders Overcome (HERO) Act H.R. 2921, Federal Firefighter Cancer Detection and Prevention Act of 2025 H.R. 3791, EMS Counts Act H.R. 4453, Parkinson's Protection for Firefighters Act Issues related to NIOSH programs which support fire fighters Issues related to cancer screenings for federal fire fighters Issues related to fertility following PFAS exposures

Client expense: $192,264 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE

Issues relating to OSHA's draft Emergency Response standard. The EMS Counts Act (H.R. 3791), provisions to direct the Bureau of Labor Statistics to accurately count the number of EMS practitioners in the United States.

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

Government targets: Bureau of Labor Statistics (BLS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA)

The FY 2026 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act (H.R. 5304/S. 2587), provisions to fund the following programs at the U.S. Department of Health and Human Services: - National Institute for Occupational Safety and Health's National Firefighter Registry for Cancer. - National Institute for Occupational Safety and Health's Fire Fighter Fatality Investigation and Prevention Program. - National Institute for Occupational Safety and Health's National Personal Protective Technology Laboratory. - World Trade Center Health Program. - Funding for the SIREN grant program for rural EMS. Issues relating to the supply chain and delivery and cost of fire apparatus and equipment. Issues relating to the Ground Emergency Medical Transportation program. Fighting Post-Traumatic Stress Disorder Act (S. 825), provisions to provide behavioral health resources to first responders at the U.S. Department of Justice. Issues relating to fire safety in home oxygen systems and reimbursement for the installation of thermal fuses. The Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232/S. 1643), provisions to extend the add-on payments for ambulance transport of Medicare patients. Issues relating to the staffing reductions at the National Firefighter Registry for Cancer, Fire Fighter Fatality Investigation, WTC Health, and Prevention Program and National Personal Protective Technology Laboratory. Issues relating to firefighter cancer. Issues relating to the acquisition of medications and medical equipment used by EMS. The CARE Act (H.R. 2538), provisions to reimburse fire and EMS departments for treating Medicare patients in place. The Community Paramedicine Act (H.R. 4011), provisions to fund Community Paramedicine and Mobile Integrated Health (CP/MIH) programs. The EMS Counts Act (H.R. 3791), provisions to direct the Bureau of Labor Statistics to accurately count the number of EMS practitioners in the United States. Issues relating to the reimbursement of blood products by EMS providers.

Oppose any cuts to Medicaid/Medicare in the Budget process that would have a downstream impact on EMS funding sources; Support Medicare Reimbursement for EMS Treatment in Place (TIP); Support H.R. 2538, the CARE Act; Support Mobile Integrated Healthcare (MIH) Community Paramedicine (CP) Programs; Support introduction of legislation to provide grants to communities to create and maintain/sustain MIH-CP programs; Support FY2026 Funding for SIREN Act Grants; Support H.R. 2220, the Preserve Access to Rapid Ambulance Medical Treatment (PARA EMT) Act; Support the H.R. 3791, EMS Counts Act; Support S. 1643/H.R. 2232, the Protecting Access to Ground Ambulance Medical Services Act; Support participation of the Congressional EMS Caucus; Support funding for EMSC and Pediatric Disaster Program; Expressed concern on tariffs and impact to EMS medical supplies; Support H.R. 2196, creation of an EMS Memorial in Washington, D.C.; Support H.R.979 - AM Radio for Every Vehicle Support S. 1101/H.R.2332 - SHARE Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 842/S. 339, Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 891, Bipartisan Health Care Act H.R. 1410/S. 739, 9/11 Responder and Survivor Health Funding Correction Act H.R. 1610, FIRE Cancer Act of 2025 H.R. 1902, Helping Emergency Responders Overcome (HERO) Act H.R. 2921, Federal Firefighter Cancer Detection and Prevention Act of 2025 H.R. 3791, EMS Counts Act H.R. 4453, Parkinson's Protection for Firefighters Act Issues related to NIOSH programs which support fire fighters Issues related to cancer screenings for federal fire fighters Issues related to fertility following PFAS exposures

Client expense: $261,473 · Firm income: Not reported

H.R. 86, Nullify OSHA Act S. 844, Faster Labor Contracts Act H.R. 1210/S. 511, Protecting Taxpayers Wallets Act of 2025 H.R. 1232/S. 533, National Right to Work Act H.R. 1443/S. 1247, Public Safety Officer Free Speech Act H.R. 1505/S. 636, Public Safety Employer-Employee Cooperation Act H.R. 1902, Helping Emergency Responders Overcome Act H.R. 2921, Federal Firefighter Cancer Detection and Prevention Act of 2025 H.R. 2174/S. 1957, Paycheck Protection Act H.R. 3170, Improving Access to Workers Compensation for Injured Federal Workers Act H.R. 3791, EMS Counts Act H.R. 4453, Parkinsons Protection for Fire Fighters Act of 2025 S. 1006, Federal Workforce Freedom Act S. 2278, A bill to amend 18 USC to punish criminal offenses targeting first responders Issues related to the OSHA Emergency Response Standard Issues related to uniform allowances for DOD fire fighters Issues related to hiring and promotion freezes for federal fire fighters Issues related to executive orders pertaining to federal labor unions Issues related to apprenticeship programs for fire departments Issues related to the procurement of fire apparatus Nomination of Mr. Anthony D'Esposito to serve as DOL IG

Client expense: $261,473 · Firm income: Not reported