A bill to amend title XI of the Social Security Act to provide Secretarial authority to temporarily waive or modify application of certain Medicare requirements with respect to ambulance services furnished during certain emergency periods.

Issues related to H.R. 2550, Prevent BLEEDing Act of 2019 and the Stop the Bleed Campaign. Issues related to H.R. 8592, the EMS Counts Act of 2020. Issues related to H.R. 1319, the American Rescue Plan Act of 2021. Issues related to H.R. 1609 and S.149, To amend title XI of the Social Security Act to provide Secretarial authority to temporarily waive or modify application of certain Medicare requirements with respect to ambulance services furnished during certain emergency periods. Issues related to H.R. 3463 / S. 1693, the Medical Supplies for Pandemics Act of 2021. Issues related to H.R. 3635 / S. 1974, the Strengthening America's Strategic National Stockpile Act of 2021.

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

Government targets: Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Natl Highway Traffic Safety Administration (NHTSA), SENATE, Transportation, Dept of (DOT)

Issues related to H.R. 2550, Prevent BLEEDing Act of 2019 and the Stop the Bleed Campaign. Issues related to H.R. 8592, the EMS Counts Act of 2020. Issues related to H.R. 1319, the American Rescue Plan Act of 2021. Issues related to H.R. 1609 and S.149, To amend title XI of the Social Security Act to provide Secretarial authority to temporarily waive or modify application of certain Medicare requirements with respect to ambulance services furnished during certain emergency periods. Issues related to H.R. 3463 / S. 1693, the Medical Supplies for Pandemics Act of 2021. Issues related to H.R. 3635 / S. 1974, the Strengthening America's Strategic National Stockpile Act of 2021.

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

Government targets: Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE

Lobbied on improvements to policies and increased reimbursement under the Medicare ambulance fee schedule. Advocated on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2454, S. 2037) to extend temporary Medicare ambulance increases and retain certain rural zip code designations. Outreach to CMS on language to reimburse ground ambulance service providers and suppliers for treatment in place medical care provided during the COVID-19 public health emergency included in the American Rescue Plan (H.R. 1319) as well as S. 149 and H.R. 1609. Advocated for an extension of the freeze on the 2% sequestration cut and prevention of the 4% cut resulting from the American Rescue Plan for Medicare providers and suppliers as part of H.R. 1868.

Client expense: $200,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA)

Support funding the SIREN Grant program for FY22; Educate lawmakers and staff on Treatment in Place (TIP). Support provision in recent COVID package to reimburse EMS for these services under the PHE and ultimately permanently; Support S. 149/H.R. 1609 that would provide the CMS with the authority to waive the requirement that a patient be transported to a medical facility in order for the ground ambulance service provider or supplier to receive Medicare reimbursement; Educate lawmakers and staff on the need to count EMS workforce correctly. Support H.R. 2354, a bill that would count EMS workforce correctly under the BLS; Support passage of H.R. 1195, the Workplace Violent and Social Services Act; Support funding for HRSAs Emergency Medical Services for Children (EMSC) Program; Support S. 2037/H.R. 2453, ambulance Medicare extenders legislation to extend for another five years the temporary 2% urban, 3% rural and super rural bonus increases that expire at the end of 2022 and allow for the preservation of more zip codes as being rural. Ambulance transports that originate in rural zip codes get not only the 1% temporary increase but a 50% increase on the first 17 miles of a transport; Support $15 billion to build out 911 services nationwide; Wrote a letter to Senate Commerce, Science and Transportation Committee and House Transportation and Infrastructure Committee opposing any legislation that would increase the legal size or weight limits of trucks because of the serious safety risks inherent in allowing bigger trucks on our nations roads and bridges; Support passage of H.R. 1480, the HERO Act, a bill that establishes several federal programs designed to address public safety behavioral health issues; Support H.R. 3060, The Putting Our First Responders First Act, which would will provide clarification to both IRS employees and first responders and keep injury-related compensation tax exempt after retirement age; H.R. 2936/S. 1511, the Protecting America's First Responders Act, which would make it easier for public safety officers to qualify for the Public Safety Officers' Benefits (PSOB) Disability program; Support H.R. 3164, the Hot Cars Act; Oppose H.R.3876, the Ketamine Restriction Act; Support H.R. 3728, a bill that would authorize a one-time, $1 billion appropriation to fund construction and refurbishment of fire and EMS stations; Express opposition to a draft quality bill; Support the re-introduction of the Congressional EMS Caucus.

Issues related to H.R. 2550, Prevent BLEEDing Act of 2019 and the Stop the Bleed Campaign. Issues related to H.R. 8592, the EMS Counts Act of 2020. Issues related to H.R. 1319, the American Rescue Plan Act of 2021. Issues related to H.R. 1609 and S.149, To amend title XI of the Social Security Act to provide Secretarial authority to temporarily waive or modify application of certain Medicare requirements with respect to ambulance services furnished during certain emergency periods. Issues related to H.R. 3463 / S. 1693, the Medical Supplies for Pandemics Act of 2021.

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

Government targets: Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE, U.S. Customs & Border Protection

Lobbied on improvements to policies and increased reimbursement under the Medicare ambulance fee schedule. Advocated on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2454, S. 2037) to extend temporary Medicare ambulance increases and retain certain rural zip code designations. Outreach to CMS on language to reimburse ground ambulance service providers and suppliers for treatment in place medical care provided during the COVID-19 public health emergency included in the American Rescue Plan (H.R. 1319) as well as S. 149 and H.R. 1609. Provided feedback to congressional offices on the draft Ground Ambulance Quality Assurance Act. Advocated for an extension of the freeze on the sequestration cut for Medicare providers and suppliers as part of H.R. 1868.

Client expense: $200,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA)

Urge the Administration and Congress to provide robust funding for EMS in COVID package; Support additional funding for the Provider relief fund in COVID package; Support the Administrations vaccination efforts in your National Strategy for the COVID 19 Response and Pandemic Preparedness plan that encouraged states and local communities to utilize paramedics, emergency medical technicians, and other qualified first responders in their vaccination plans will be well received by EMS agencies and the communities which they serve and respectfully request that funds be made available to reimburse our EMS and firefighter workforce; Urge Administration and Congress that EMS practitioners have access to vaccinations; Support funding the SIREN Grant program for FY22; Educate lawmakers and staff on Treatment in Place (TIP). Draft legislation. Support provision in recent COVID package to reimburse EMS for these services under the PHE and ultimately permanently; Support S. 149/H.R. 1609 that would provide the CMS with the authority to waive the requirement that a patient be transported to a medical facility in order for the ground ambulance service provider or supplier to receive Medicare reimbursement; Educate lawmakers and staff on the need to count EMS workforce correctly. Urge for the re-introduce of legislation that would count EMS workforce correctly under the BLS; Support the re-introduction of the Workplace Violent and Social Services Act (H.R.1195); Support the re-introduction of the Prevent BLEEDing Act of 2021; Support funding for HRSAs Emergency Medical Services for Children (EMSC) Program; Support the re-introduction of ambulance Medicare extenders legislation to extend for another five years the temporary 2% urban, 3% rural and super rural bonus increases that expire at the end of 2022 and allow for the preservation of more zip codes as being rural. Ambulance transports that originate in rural zip codes get not only the 1% temporary increase but a 50% increase on the first 17 miles of a transport; Support letter to congressional leadership in support of extending the moratorium on Medicare sequestration cuts; Support letter to HHS institute an enforcement mechanism to ensure hospitals are complying with the infectious disease notification requirements under the Ryan White Act, including notification of exposure to COVID-19; Support $15 billion to build out 911 services nationwide; Support letter to HHS to urge HHS to expeditiously exercise the emergency waiver authority for ground ambulance services that Congress provided through the American Rescue Plan Act of 2021 (P.L. 117-2).

Issues related to H.R. 2550, Prevent BLEEDing Act of 2019 and the Stop the Bleed Campaign. Issues related to H.R. 8592, the EMS Counts Act of 2020. Issues related to H.R. 1319, the American Rescue Plan Act of 2021. Issues related to H.R. 1609 and S.149, To amend title XI of the Social Security Act to provide Secretarial authority to temporarily waive or modify application of certain Medicare requirements with respect to ambulance services furnished during certain emergency periods.

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

Government targets: Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE, U.S. Customs & Border Protection

Lobbied on improvements to policies and increased reimbursement under the Medicare ambulance fee schedule. Advocated on language to reimburse ground ambulance service providers and suppliers for treatment in place medical care provided during the COVID-19 public health emergency included in the American Rescue Plan (H.R. 1319) as well as S. 149 and H.R. 1609. Advocated for an extension of the freeze on the sequestration cut for Medicare providers and suppliers as part of H.R. 1868.

Client expense: $200,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA)