Community Paramedicine Act of 2025
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No CRS summary is available for this bill yet. The source title, actions, sponsors, and text versions below come from Congress.gov.
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Filing registrants (7)
2026 · third_quarter · Health Issues
Referred to the House Committee on Energy and Commerce.
Introduced in House
Congress.gov source codes: 1000, Intro-H
Bills with similar content found using semantic analysis.
Sources: Congress.gov
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; as well as support language included on TIP, MIH, EMS workforce, EMS Preparedness & Response Workforce Development; Support updating ZIP code designations using 2020 Census data that directly affects how Medicare and other payers calculate EMS reimbursement in the FY2027 Physician Fee Schedule Proposed Rule; 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;
Client expense: Not reported · Firm income: $31,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · third_quarter · Medicare/Medicaid
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census and the need for a zip code designation appeals process. Provided context on the Ground Ambulance Chapter of the MedPAC Report of July 15 to highlight need for increased reimbursement for ground ambulance services and reform of the ambulance fee schedule. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Engaged in support of the draft RESCUE Blood Act to provide additional Medicare reimbursement for prehospital blood. Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Client expense: $350,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
2026 · third_quarter · Medicare/Medicaid
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 H.R. 9970, RESCUE Act of 2026 Issues related to reimbursement of ground ambulance services Issues related to the Ground Emergency Medical Transportation program
Client expense: $204,309 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2026 · third_quarter · Health Issues
Issues related to H.R. 2538 & S. 3145, the CARE Act of 2025. Issues related to H.R. 7277 & S. 3730, the Emergency Medical Services Reimbursement for On-Scene Care and Support Act. Issues related to H.R. 4011, the Community Paramedicine Act of 2025. Issues related to the Supporting Our First Responders Act. Issues related to H.R. 2220, the PARA-EMT Act of 2025. Issues related to H.R. 2232 & S. 1643, Protecting Access to Ground Ambulance Medical Services Act of 2025.
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2026 · third_quarter · Health Issues
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.
Client expense: $30,000 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Highway Traffic Safety Administration (NHTSA), SENATE
2026 · second_quarter · Health Issues
Issues related to H.R. 2538 & S. 3145, the CARE Act of 2025. Issues related to H.R. 7277 & S. 3730, the Emergency Medical Services Reimbursement for On-Scene Care and Support Act. Issues related to H.R. 4011, the Community Paramedicine Act of 2025. Issues related to the Supporting Our First Responders Act. Issues related to H.R. 2220, the PARA-EMT Act of 2025. Issues related to H.R. 2232 & S. 1643, Protecting Access to Ground Ambulance Medical Services Act of 2025.
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2026 · second_quarter · Health Issues
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
2026 · second_quarter · Medicare/Medicaid
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
2026 · second_quarter · Health Issues
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.
2026 · second_quarter · Medicare/Medicaid
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Provided context on the Ground Ambulance Chapter of the MedPAC Report of July 15 to highlight need for increased reimbursement for ground ambulance services and reform of the ambulance fee schedule. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Client expense: $350,000 · Firm income: Not reported
2026 · first_quarter · Health Issues
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
2026 · first_quarter · Health Issues
Issues related to H.R. 2538 & S. 3145, the CARE Act of 2025. Issues related to H.R. 7277 & S. 3730, the Emergency Medical Services Reimbursement for On-Scene Care and Support Act. Issues related to H.R. 4011, the Community Paramedicine Act of 2025. Issues related to the Supporting Our First Responders Act. Issues related to H.R. 2220, the PARA-EMT Act of 2025. Issues related to H.R. 2232 & S. 1643, Protecting Access to Ground Ambulance Medical Services Act of 2025.
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2026 · first_quarter · Medicare/Medicaid
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
2026 · first_quarter · Health Issues
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.
2026 · first_quarter · Medicare/Medicaid
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to extend and raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on the Consolidated Appropriations Act 2026 (H.R. 7148) to extend and increase the Medicare payments to ground ambulance services. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Client expense: $350,000 · Firm income: Not reported
2025 · fourth_quarter · Health Issues
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
2025 · fourth_quarter · Health Issues
Issues related to H.R. 2538, the CARE Act of 2025. Issues related to the Emergency Medical Services Reimbursement for On-Scene Care and Support Act. Issues related to H.R. 4011, the Community Paramedicine Act of 2025. Issues related to the Supporting Our First Responders Act. Issues related to H.R. 2220, the PARA-EMT Act of 2025. Issues related to H.R. 2232 & S. 1643, Protecting Access to Ground Ambulance Medical Services Act of 2025.
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · fourth_quarter · Medicare/Medicaid
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
2025 · fourth_quarter · Medicare/Medicaid
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to extend and raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on the FY2026 Continuing Appropriations, Agriculture, Leg. Branch & Extensions Act (H.R. 5371) to extend and increase the Medicare payments and to eliminate the potential PAYGO cut to Medicare providers and suppliers. Lobbied on the implementation of provisions of the One Big Beautiful Bill Act (H.R. 1) including on the Rural Health Transformation Program and ensure that ground ambulance service providers and emergency medical services are eligible and covered for funding through inclusion in State plan program applications. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the draft Emergency Medical Services Reimbursement for On-Scene Care and Support Act. Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Client expense: $300,000 · Firm income: Not reported
2025 · fourth_quarter · Health Issues
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.
2025 · third_quarter · Health Issues
Issues related to H.R. 2538, the CARE Act of 2025. Issues related to the Emergency Medical Services Reimbursement for On-Scene Care and Support Act. Issues related to H.R. 4011, the Community Paramedicine Act of 2025. Issues related to the Supporting Our First Responders Act. Issues related to H.R. 2220, the PARA-EMT Act of 2025. Issues related to H.R. 2232 & S. 1643, Protecting Access to Ground Ambulance Medical Services Act of 2025.
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · third_quarter · Medicare/Medicaid
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
2025 · third_quarter · Health Issues
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.
2025 · third_quarter · Medicare/Medicaid
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to extend and raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on the FY2025 Budget and Budget Reconciliation process on the One Big Beautiful Bill Act (H.R. 1) to mitigate the impact of changes to Medicaid enrollment policy on ground ambulance service organizations and to provider tax programs. Lobbied to increase the funding for the Rural Health Transformation Program and ensure that ground ambulance service providers and emergency medical services are eligible and covered for funding through inclusion in State plan program applications. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the draft Emergency Medical Services Reimbursement for On-Scene Care and Support Act. Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Client expense: $300,000 · Firm income: Not reported
2025 · second_quarter · Medicare/Medicaid
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
Client expense: $261,473 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2025 · second_quarter · Medicare/Medicaid
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to extend and raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on the FY2025 Budget and Budget Reconciliation process on the One Big Beautiful Bill Act (H.R. 1) to mitigate the impact of changes to Medicaid enrollment policy on ground ambulance service organizations and to provider tax programs. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the draft Emergency Medical Services Reimbursement for On-Scene Care and Support Act. Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Client expense: $300,000 · Firm income: Not reported
2025 · first_quarter · Pharmacy
Equitable Community Access to Pharmacist Services Act; H.R. 4011 Timely Access to Cancer Treatment; Medically integrated physician dispensing regulations; S.127, PBM Transparency Act; Drug price transparency and cost savings opportunities.
Client expense: $1,220,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2025 · first_quarter · Health Issues
Equitable Community Access to Pharmacist Services Act; Clinical trial diversity, health equity; Emergency preparedness and response. PAHPA Reauthorization; Healthcare innovation, ARPA-H, oncology research; Community Health Center Reauthorization; Benefit cost and transparency, real time benefit tools and patient APIs - S. 1339; Controlled Substance Reporting; Pharmaceutical Manufacturing and Supply Chain Shortage; Alleviating Drug Shortages; Telehealth Modernization Act of 2024; H.R.4011 Timely Access to Cancer Treatment Act; H.R.2630, S.652 The Safe Step Act; H.R. 2474, Strengthening Medicare for Patients and Providers Act; H.R. 3561, PATIENT Act; H.R. 4473, Medicare Patient Access to Cancer Treatment Act; HR 2484 Seniors Access to Critical Medications Act; H.R.5376 The Inflation Reduction Act.
Client expense: $1,220,000 · Firm income: Not reported
2025 · second_quarter · Health Issues
Equitable Community Access to Pharmacist Services Act; Clinical trial diversity, health equity; Emergency preparedness and response. PAHPA Reauthorization; Healthcare innovation, ARPA-H, oncology research; Community Health Center Reauthorization; Benefit cost and transparency,real time benefit tools and patient APIs - S. 1339; Controlled Substance Reporting; Pharmaceutical Manufacturing and Supply Chain Shortage; Alleviating Drug Shortages; Telehealth Modernization Act of 2024; H.R.4011 Timely Access to Cancer Treatment Act; H.R.2630, S.652 The Safe Step Act; H.R. 2474, Strengthening Medicare for Patients and Providers Act; H.R. 3561, PATIENT Act; H.R. 4473, Medicare Patient Access to Cancer Treatment Act; HR 2484
Client expense: Not reported · Firm income: Not reported
2025 · second_quarter · Medicare/Medicaid
Equitable Community Access to Pharmacist Services Act; Clinical trial diversity, health equity; Emergency preparedness and response. PAHPA Reauthorization; Healthcare innovation, ARPA-H, oncology research; Community Health Center Reauthorization; Benefit cost and transparency,real time benefit tools and patient APIs - S. 1339; Controlled Substance Reporting; Pharmaceutical Manufacturing and Supply Chain Shortage; Alleviating Drug Shortages; Telehealth Modernization Act of 2024; H.R.4011 Timely Access to Cancer Treatment Act; H.R.2630, S.652 The Safe Step Act; H.R. 2474, Strengthening Medicare for Patients and Providers Act; H.R. 3561, PATIENT Act; H.R. 4473, Medicare Patient Access to Cancer Treatment Act; HR 2484
Client expense: Not reported · Firm income: Not reported
2025 · second_quarter · Pharmacy
Equitable Community Access to Pharmacist Services Act; Clinical trial diversity, health equity; Emergency preparedness and response. PAHPA Reauthorization; Healthcare innovation, ARPA-H, oncology research; Community Health Center Reauthorization; Benefit cost and transparency,real time benefit tools and patient APIs - S. 1339; Controlled Substance Reporting; Pharmaceutical Manufacturing and Supply Chain Shortage; Alleviating Drug Shortages; Telehealth Modernization Act of 2024; H.R.4011 Timely Access to Cancer Treatment Act; H.R.2630, S.652 The Safe Step Act; H.R. 2474, Strengthening Medicare for Patients and Providers Act; H.R. 3561, PATIENT Act; H.R. 4473, Medicare Patient Access to Cancer Treatment Act; HR 2484
Client expense: Not reported · Firm income: Not reported
2025 · second_quarter · Taxation/Internal Revenue Code
Equitable Community Access to Pharmacist Services Act; Clinical trial diversity, health equity; Emergency preparedness and response. PAHPA Reauthorization; Healthcare innovation, ARPA-H, oncology research; Community Health Center Reauthorization; Benefit cost and transparency,real time benefit tools and patient APIs - S. 1339; Controlled Substance Reporting; Pharmaceutical Manufacturing and Supply Chain Shortage; Alleviating Drug Shortages; Telehealth Modernization Act of 2024; H.R.4011 Timely Access to Cancer Treatment Act; H.R.2630, S.652 The Safe Step Act; H.R. 2474, Strengthening Medicare for Patients and Providers Act; H.R. 3561, PATIENT Act; H.R. 4473, Medicare Patient Access to Cancer Treatment Act; HR 2484
Client expense: Not reported · Firm income: Not reported
2025 · second_quarter · Tariff (miscellaneous tariff bills)
Equitable Community Access to Pharmacist Services Act; Clinical trial diversity, health equity; Emergency preparedness and response. PAHPA Reauthorization; Healthcare innovation, ARPA-H, oncology research; Community Health Center Reauthorization; Benefit cost and transparency,real time benefit tools and patient APIs - S. 1339; Controlled Substance Reporting; Pharmaceutical Manufacturing and Supply Chain Shortage; Alleviating Drug Shortages; Telehealth Modernization Act of 2024; H.R.4011 Timely Access to Cancer Treatment Act; H.R.2630, S.652 The Safe Step Act; H.R. 2474, Strengthening Medicare for Patients and Providers Act; H.R. 3561, PATIENT Act; H.R. 4473, Medicare Patient Access to Cancer Treatment Act; HR 2484
Client expense: Not reported · Firm income: Not reported
2025 · first_quarter · Health Issues
Equitable Community Access to Pharmacist Services Act; Clinical trial diversity, health equity; Emergency preparedness and response. PAHPA Reauthorization; Healthcare innovation, ARPA-H, oncology research; Community Health Center Reauthorization; Benefit cost and transparency, real time benefit tools and patient APIs - S. 1339; Controlled Substance Reporting; Pharmaceutical Manufacturing and Supply Chain Shortage; Alleviating Drug Shortages; Telehealth Modernization Act of 2024; H.R.4011 Timely Access to Cancer Treatment Act; H.R.2630, S.652 The Safe Step Act; H.R. 2474, Strengthening Medicare for Patients and Providers Act; H.R. 3561, PATIENT Act; H.R. 4473, Medicare Patient Access to Cancer Treatment Act; HR 2484 Seniors Access to Critical Medications Act.
Client expense: $1,220,000 · Firm income: Not reported
2025 · first_quarter · Pharmacy
Equitable Community Access to Pharmacist Services Act; H.R. 4011 Timely Access to Cancer Treatment; Medically integrated physician dispensing regulations; S.127, PBM Transparency Act; Drug price transparency and cost savings opportunities.
Client expense: $1,220,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
| Democratic |
| NC |
| Eleanor Holmes Norton | Democratic | DC |
| Glenn Thompson | Republican | PA |
| Lauren Boebert | Republican | CO |
| Maggie Goodlander | Democratic | NH |
| Sarah Elfreth | Democratic | MD |
| Sharice Davids | Democratic | KS |
| Shri Thanedar | Democratic | MI |
| Stephen F. Lynch | Democratic | MA |
| Thomas R. Suozzi | Democratic | NY |
| Zachary Nunn | Republican | IA |
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Client expense: $30,000 · 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
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Client expense: $60,000 · 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
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Client expense: $40,000 · 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
Client expense: $20,000 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Highway Traffic Safety Administration (NHTSA), SENATE
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Government targets: HOUSE OF REPRESENTATIVES, SENATE