EMS Counts Act of 2021

Occupational Data Collection. Issues related to right to work laws Issues related to Apprenticeship programs in fire departments. Issues related to the Fair Labor Standards Act Issues related to workforce recruitment for fire departments H.R.2354/S.2971, EMS Counts Act H.R. 2586/S. 2178, Fire Fighters and EMS Employer-Employee Cooperation Act

Client expense: $81,000 · Firm income: Not reported

Government targets: Employment & Training Administration, HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

H.R. 8295, the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2023, provisions relating to funding for: - Rural EMS Training and Equipment Assistance - National Firefighter Registry for cancer research The EMS Counts Act (H.R. 2354/S. 2971), provisions to obtain a more accurate count of the EMS workforce in the U.S. Issues relating to the fire & EMS departments needs for health and safety standards, testing, vaccinations, supplies and funding to respond to the COVID-19 pandemic. The Protecting Access to Ground Ambulance Medical Services Act (H.R. 2454/S. 2037), provisions to extend Medicare add-on payments for the transportation of patients by fire & EMS departments to hospitals. Funding for the SIREN grant program at the Substance Abuse & Mental Health Services Administration. Issues related to the assessment of EMS quality and medical director compensation. Issues related to the cost accounting of EMS services for Medicare patients. Issues relating to regulation of costs incurred during interfacility transport. Issues relating to COVID-19 vaccination of fire and EMS personnel. Issues relating to the EMS workforce shortage issues. Issues relating to sequestration and its effects on Medicare reimbursement for ambulance transport. H.R. 1480/S. 2700, the HERO Act, legislation to provide mental health support to first responders. S. 1873/H.R. 1946, the Medicare Multi-Cancer Early Detection Screening Coverage Act of 2021, provisions to promote Medicare payment of medical cancer screening technology. The Fighting Post-Traumatic Stress Disorder Act (S. 4007/H.R. 8058), provisions to request input from the Attorney General re: public safety officer health and wellmess. H.R. 8994, the Supporting Our First Responders Act, provisions to support grants for EMS agencies. Issues relating to supply chain shortages and the delivery of EMS vehicles and equipment.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Intl Trade Administration (ITA), Natl Highway Traffic Safety Administration (NHTSA), Occupational Safety & Health Administration (OSHA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Support funding the SIREN Grant program for FY23; Educate lawmakers and staff on the need to count EMS workforce correctly. Support S. 2971/H.R. 2354, a bill that would count EMS workforce correctly under the BLS. Urge for a Senate companion bill; 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 the re-introduction and participation in the Congressional EMS Caucus.

Client expense: Not reported · Firm income: $24,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 8295, the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2023, provisions relating to funding for: - Rural EMS Training and Equipment Assistance - National Firefighter Registry for cancer research The EMS Counts Act (H.R. 2354/S. 2971), provisions to obtain a more accurate count of the EMS workforce in the U.S. Issues relating to the fire & EMS departments needs for health and safety standards, testing, vaccinations, supplies and funding to respond to the COVID-19 pandemic. The Protecting Access to Ground Ambulance Medical Services Act (H.R. 2454/S. 2037), provisions to extend Medicare add-on payments for the transportation of patients by fire & EMS departments to hospitals. Funding for the SIREN grant program at the Substance Abuse & Mental Health Services Administration. Issues related to the assessment of EMS quality and medical director compensation. Issues related to the cost accounting of EMS services for Medicare patients. Issues relating to regulation of costs incurred during interfacility transport. Issues relating to COVID-19 vaccination of fire and EMS personnel. Issues relating to the EMS workforce shortage issues. Issues relating to sequestration and its effects on Medicare reimbursement for ambulance transport. H.R. 1480/S. 2700, the HERO Act, legislation to provide mental health support to first responders. S. 1873/H.R. 1946, the Medicare Multi-Cancer Early Detection Screening Coverage Act of 2021, provisions to promote Medicare payment of medical cancer screening technology.

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

Occupational Data Collection. Right to Work. Collective Bargaining. Issues related to Apprenticeship programs in fire departments. Addressing H.R.2354/S.2971

Client expense: $104,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Support funding the SIREN Grant program for FY23; Educate lawmakers and staff on the need to count EMS workforce correctly. Support S. 2971/H.R. 2354, a bill that would count EMS workforce correctly under the BLS. Urge for a Senate companion bill; 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; S. 3677/H.R. 5703, Post-Disaster Mental Health Response Act; Support letter to House and Senate leadership concerning EMS workforce shortage crisis. Educate lawmakers and staff about crisis and need for funding; Support letter to release and provide more provider relief funds as well as an extension of the moratorium on the 2% sequestration cut for Medicare providers and suppliers; Support letter to re-authorize FIRSTNET; Submitted Comment to Senate HELP hearings on the PREVENT Pandemics Bill and the EMS workforce shortage; Support the re-introduction and participation in the Congressional EMS Caucus.

Client expense: Not reported · Firm income: $70,000

P.L. 117-105, the Fiscal Year (FY) 2022 Consolidated Appropriations Act, funding for the following programs: - Rural EMS Training and Equipment Assistance. - National Firefighter Registry for cancer research. Funding for the above programs in FY 2023. The EMS Counts Act (H.R. 2354/S. 2971), provisions to more accurate count of the EMS workforce in the U.S. Issues relating to the fire & EMS departments needs for health and safety standards, testing, vaccinations, supplies and funding to respond to the COVID-19 pandemic. The Protecting Access to Ground Ambulance Medical Services Act (H.R. 2454/S. 2037), provisions to to the extension of Medicare add-on payments for the transportation of patients by fire & EMS departments to hospitals. Funding for the SIREN grant program at the Substance Abuse & Mental Health Services Administration. Issues related to the assessment of EMS quality and medical director compensation. Issues related to the implementation of provision in P.L. 117-2 that provides reimbursement for providing treatment in place services to patients. Issues related to the cost accounting of EMS services for Medicare patients. Issues relating to regulation of costs incurred during interfacility transport. Issues relating to COVID-19 vaccination of fire and EMS personnel.

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

Support funding the SIREN Grant program for FY22; Educate lawmakers and staff on the need to count EMS workforce correctly. Support S. 2971/H.R. 2354, a bill that would count EMS workforce correctly under the BLS. Urge for a Senate companion bill; 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; H.R 4377, The Volunteer First Responder Housing Act; H.R. 5703, Post-Disaster Mental Health Response Act; S. 1902, Behavioral Health Crisis Services Expansion Act; Support $15 billion to build out 911 services nationwide; Urge Administration to keep ground ambulance out of balanced billing regulations; Support letter to House and Senate leadership to prevent the pending 4% sequestration cut triggered by the American Rescue Plan; Submitted comments on balanced billing and cost collection; Support letter to House and Senate leadership concerning EMS workforce shortage crisis. Educate lawmakers and staff about crisis; Support letter to release provider relief funds; Support the re-introduction of the Congressional EMS Caucus.

Client expense: Not reported · Firm income: $34,000