Protecting Access to Ground Ambulance Medical Services Act of 2023

H.R. 1666/S. 1673, Protecting Access to Ground Ambulance Medical Services Act

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

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

S. 265/H.R. 4646, the SIREN Reauthorization Act to reauthorize the Rural Emergency Medical Services Training Grant program Issues related to the cost accounting of EMS services for Medicare patients H.R. 9029/S. 4942, 2025 Labor, Health and Human Services, and Education Appropriations relating to the National Firefighter Registry and the Supporting and Improving Rural EMS Needs (SIREN) grant, and NIOSH Firefighter Fatality Investigation and Prevention Program (FFFIPP). H.R. 3821/S. 2119, Firefighter Cancer Registry Reauthorization Act Provisions of H.R.8070/S.4638, the National Defense Authorization Act for Fiscal Year 2025, relating to firefighter cancer. H.R. 3671/H.R. 4274/S. 1925, HERO Act H.R. 1666/S. 1673, Protecting Access to Ground Ambulance Medical Services Act Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB) H.R. 2574/S. 1115, the EMS Counts Act Issues relating to volunteer firfighter status being added to the U.S. Standard Certificate of Death

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. 9101/S. 4274, 9/11 Responder and Survivor Health Funding Correction Act of 2024 H.R. 8977, Improving Access to Emergency Medical Services Act of 2024 H.R. 7931/S. 4101, PEAKS Act H.R. 7788/S. 4013, Firefighter PFAS Injury Compensation Act of 2024 H.R. 4306, Michael Lecik Military Firefighters Protection Act H.R. 3671/S. 1925, HERO Act H.R. 2407/S. 2085, Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act H.R. 1666/S. 1673, Protecting Access to Ground Ambulance Medical Services Act of 2021 H.R. 1294/S. 569, 9/11 Responder and Survivor Health Funding Correction Act Issues related to health insurance for retired public safety officers Issues related to supplemental Medicaid reimbursements for ground ambulance service Issues pertaining to the provision of mental health services for fire fighters Issues pertaining to ground ambulance billing/reimbursement Issues pertaining to implementation of the No Surprises Act Supporting the National Firefighter Cancer Registry Issues related to cancer screenings for fire fighters

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

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

H.R. 1666/S. 1673, Protecting Access to Ground Ambulance Medical Services Act of 2023.

Client expense: $220,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to H.R. 8977, the Improving Access to Emergency Medical Services Act of 2024. Issues related to S. 3236/ H.R. 6257, the Emergency Medical Services Reimbursement for On-Scene Care and Support Act. Issues related to H.R. 8042, the Community Paramedicine Act of 2024. Issues related to H.R. 1737, Supporting Our First Responders Act. Issues related to H.R. 4646/ S. 265, the SIREN Reauthorization Act. Issues related to S. 1115, the EMS Counts Act of 2023. Issues related to H.R. 6140, the FAST PASS Act. Issues related to H.R. 6433, the PARA-EMT Act of 2023. Issues related to H.R. 1666/ S. 1673, Protecting Access to Ground Ambulance Medical Services Act of 2023. Issues related to S. 5400, Improving Access to Emergency Medical Services Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare and Medicaid policies relating to ground and air ambulance services, including workforce shortage issues, and supplemental relief for ambulance providers; H.R.10445, Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025; H.R.10545, American Relief Act, 2025; H.R.1666/S.1673, Protecting Access to Ground Ambulance Medical Services Act of 2023; Monitoring public health emergency designation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare and Medicaid policies relating to ground and air ambulance services, including workforce shortage issues, and supplemental relief for ambulance providers; H.R.10445, Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025; H.R.10545, American Relief Act, 2025; H.R.1666/S.1673, Protecting Access to Ground Ambulance Medical Services Act of 2023; Monitoring public health emergency designation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare and Medicaid policies relating to ground and air ambulance services, including workforce shortage issues, and supplemental relief for ambulance providers; H.R.10445, Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025; H.R.10545, American Relief Act, 2025; H.R.1666/S.1673, Protecting Access to Ground Ambulance Medical Services Act of 2023; Monitoring public health emergency designation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1666 and S.1673, Protecting Access to Ground Ambulance Medical Services Act, provisions relating to the extension of temporary increases in Medicare payments to ground ambulance services.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 9029/S. 4942, the FY 2025 Labor, Health and Human Services, and Education Appropriations Act, provisions re: - Funding at the National Institute of Occupational Safety and Health for a national firefighter cancer registry. - Funding at the U.S. Department of Health and Human Services' Substance Abuse & Mental Health Services Administration for the Rural Emergency Medical Services Training Grant program. P.L. 118-84, the SIREN Reauthorization Act, provisions to reauthorize the Rural Emergency Medical Services Training Grant program. H.R. 8977, legislation to reimburse fire and EMS departments for treating patients on scene. P.L. 118-147, the Firefighter Cancer Registry Reauthorization Act of 2023, provisions to reauthorize the National Firefighter Cancer Registry. Issues relating to supply chain issues and the effects on the cost and delivery of fire apparatus and equipment. Issues relating to the Ground Emergency Medical Transportation program. H.R. 8042, the Community Paramedicine Act, provisions to create a grant program for mobile integrated health programs. H.R. 3671/H.R. 4274/S.1925, the Helping Emergency Responders Overcome Act, provisions to create behavioral health resources for fire and EMS personnel. S. 645/H.R. 472, The Fighting Post-Traumatic Stress Disorder Act, provisions to provide behavioral health resources to first responders at the Department of Justice. Issues relating to the National EMS Advisory Council. Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB). Issues related to fire safety in home oxygen systems and reimbursement for the installation of thermal fuses. H.R. 5530/S. 2757, the VA Emergency Transportation Access Act, provisions to set requirements before the Department of Veterans Affairs can change reimbursement rates for ambulance transport. H.R. 2574/S. 1115, the EMS Counts Act, provisions to better account for the national EMS workforce. H.R. 1666/S. 1673, the Protecting Access to Ground Ambulance Medical Services Act, provisions to extend the add-on payments for ambulance transport of patients. Issues relating to the use of human factors in investigations by the National Fallen Fire Fighter Fatality Investigation and Prevention Program.

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), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Intl Trade Administration (ITA), Natl Highway Traffic Safety Administration (NHTSA), Occupational Safety & Health Administration (OSHA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

Issues relating to billing for ambulance transport. Issues relating to the Ground Emergency Medical Transportation program. Issues relating to reimbursement of fire and EMS departments for mobile integrated health programs, treatment of patients in place, and transportation of patients to alternate destinations of care. Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB). Issues related to fire safety in home oxygen systems and reimbursement for the installation of thermal fuses. H.R. 8042, the Community Paramedicine Act, provisions to create a grant program for mobile integrated health programs. H.R. 8977, legislation to reimburse fire and EMS departments for treating patients on scene. H.R. 1666/S. 1673, the Protecting Access to Ground Ambulance Medical Services Act, provisions to extend the add-on payments for ambulance transport of patients.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, SENATE

Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 1666, S.1673), Preserving Telehealth, Hospital, and Ambulance Access Act (H.R. 8261) and American Relief Act (H.R. 10545) to extend temporary increases in Medicare payments to ground ambulance services. Educated congressional offices and committees on scheduled changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on legislation, Improving Access to Emergency Medical Services Act of 2024 (H.R. 8977, S. 5400), to create a CMMI demonstration project on the reimbursement of treatment in place as well as on alternative destination and mobile integrated health policies. Lobbied on the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (S. 3236, H.R. 6257) and Community Paramedicine Act (H.R. 8042). Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (H.R. 7931, S. 4101).

Client expense: $290,000 · Firm income: Not reported

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

S. 265/H.R. 4646, the SIREN Reauthorization Act to reauthorize the Rural Emergency Medical Services Training Grant program Issues related to the cost accounting of EMS services for Medicare patients H.R. 9029/S. 4942, 2025 Labor, Health and Human Services, and Education Appropriations relating to the National Firefighter Registry and the Supporting and Improving Rural EMS Needs (SIREN) grant, and NIOSH Firefighter Fatality Investigation and Prevention Program (FFFIPP). H.R. 3821/S. 2119, Firefighter Cancer Registry Reauthorization Act Provisions of H.R.8070/S.4638, the National Defense Authorization Act for Fiscal Year 2025, relating to firefighter cancer. H.R. 3671/H.R. 4274/S. 1925, HERO Act H.R. 1666/S. 1673, Protecting Access to Ground Ambulance Medical Services Act Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB) H.R. 2574/S. 1115, the EMS Counts Act Issues relating to volunteer firfighter status being added to the U.S. Standard Certificate of Death

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. 1666/S. 1673, Protecting Access to Ground Ambulance Medical Services Act

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

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

Medicare ground ambulance add-ons (H.R. 1666/S. 1673 Protecting Access to Ground Ambulance Medical Services Act of 2023); workforce issues; revisions to the designation of rural, super-rural, and urban for Medicare payment; Medicaid

Client expense: Not reported · Firm income: $51,000

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

Fund and Reauthorize the Supporting and Improving Rural EMS Needs (SIREN) Law. Support S.265/H.R. 4646, to reauthorize the SIREN Act grants for another five years (2024-2028); Urge Congress to fund the SIREN program at $32 million in FY25; Support legislation to reimburse EMS for Treatment in Place (TIP) and Transport to Alternate Destination (TAD). Support H.R. 8977, Improving Access to Emergency Medical Services Act of 2024; Support S.3236/H.R.6257, the Emergency Medical Services Reimbursement for On-Scene and Support Act; Support H.R. 8042, the Community Paramedicine Act of 2024; Support S. 1115/H.R. 2574, EMS Counts; S. 2757/H.R. 5530, VA Emergency Transportation Access Act; Educate and support for the creations of Critical Access Ambulance designation; S. 3765/H.R.6960 - Emergency Medical Services for Children (EMSC); Support S. 2757/H.R. 5530, Protect Access to Vital Ground Ambulance Services for Veterans and Communities; Support the inclusion of language in the House/Senate Labor HHS Appropriations for EMS workforce shortage. Insufficient reimbursement for EMS care and lack of federal investment in EMS are long-term problems that have been building for decades. The additional burdens placed on EMS systems and personnel during the pandemic made a serious problem even worse, pushing many EMS systems in our country to the breaking point. Most communities are facing crisis-level shortages of EMS personnel, and many have seen EMS agencies close altogether, removing a critical lifeline from these communities. The shortage of EMS personnel threatens to undermine our emergency 9-1-1 response infrastructure; Support Congress to hold congressional hearings on the EMS workforce crisis and the causes for the exodus of the EMS workforce from the profession; Support the inclusion of language in the House/Senate Labor HHS Appropriations bill on EMS education on rare diseases; Support H.R. 1666/S.1673, Protecting Access to Ground Ambulance Medical Services Act of 2023; Support language included in the NDAA on transitioning military medics; Support participation of EMS Caucus.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Medicare reimbursement policy for air and ground ambulance services; H.R. 1666/S. 1673, Protecting Access to Ground Ambulance Medical Services Act of 2023

Client expense: $220,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1666 and S.1673, Protecting Access to Ground Ambulance Medical Services Act, provisions relating to the extension of temporary increases in Medicare payments to ground ambulance services.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare and Medicaid policies relating to ground and air ambulance services, including workforce shortage issues, and supplemental relief for ambulance providers; H.R.1666/S.1673, Protecting Access to Ground Ambulance Medical Services Act of 2023; Monitoring public health emergency designation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare and Medicaid policies relating to ground and air ambulance services, including workforce shortage issues, and supplemental relief for ambulance providers; H.R.1666/S.1673, Protecting Access to Ground Ambulance Medical Services Act of 2023; Monitoring public health emergency designation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare and Medicaid policies relating to ground and air ambulance services, including workforce shortage issues, and supplemental relief for ambulance providers; H.R.1666/S.1673, Protecting Access to Ground Ambulance Medical Services Act of 2023; Monitoring public health emergency designation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 9029/S. 4942, the FY 2025 Labor, Health and Human Services, and Education Appropriations Act, provisions re: - Funding at the National Institute of Occupational Safety and Health for a national firefighter cancer registry. - Funding at the U.S. Department of Health and Human Services' Substance Abuse & Mental Health Services Administration for the Rural Emergency Medical Services Training Grant program. P.L. 118-84, the SIREN Reauthorization Act, provisions to reauthorize the Rural Emergency Medical Services Training Grant program. H.R. 8977, legislation to reimburse fire and EMS departments for treating patients on scene. H.R. 3821/S. 2119, the Firefighter Cancer Registry Reauthorization Act of 2023, provisions to reauthorize the National Firefighter Cancer Registry. Issues relating to supply chain issues and the effects on the cost and delivery of fire apparatus and equipment. Issues relating to the Ground Emergency Medical Transportation program. H.R. 8042, the Community Paramedicine Act, provisions to create a grant program for mobile integrated health programs. H.R. 3671/H.R. 4274/S.1925, the Helping Emergency Responders Overcome Act, provisions to create behavioral health resources for fire and EMS personnel. S. 645/H.R. 472, The Fighting Post-Traumatic Stress Disorder Act, provisions to provide behavioral health resources to first responders at the Department of Justice. Issues relating to the National EMS Advisory Council. Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB). Issues related to fire safety in home oxygen systems and reimbursement for the installation of thermal fuses. H.R. 5530/S. 2757, the VA Emergency Transportation Access Act, provisions to set requirements before the Department of Veterans Affairs can change reimbursement rates for ambulance transport. H.R. 2574/S. 1115, the EMS Counts Act, provisions to better account for the national EMS workforce. H.R. 1666/S. 1673, the Protecting Access to Ground Ambulance Medical Services Act, provisions to extend the add-on payments for ambulance transport of patients. Issues relating to the use of human factors in investigations by the National Fallen Fire Fighter Fatality Investigation and Prevention Program.

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

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

Issues relating to billing for ambulance transport. Issues relating to the Ground Emergency Medical Transportation program. Issues relating to reimbursement of fire and EMS departments for mobile integrated health programs, treatment of patients in place, and transportation of patients to alternate destinations of care. Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB). Issues related to fire safety in home oxygen systems and reimbursement for the installation of thermal fuses. H.R. 8042, the Community Paramedicine Act, provisions to create a grant program for mobile integrated health programs. H.R. 8977, legislation to reimburse fire and EMS departments for treating patients on scene. H.R. 1666/S. 1673, the Protecting Access to Ground Ambulance Medical Services Act, provisions to extend the add-on payments for ambulance transport of patients.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, SENATE

H.R. 9101/S. 4274, 9/11 Responder and Survivor Health Funding Correction Act of 2024 H.R. 8977, Improving Access to Emergency Medical Services Act of 2024 H.R. 7931/S. 4101, PEAKS Act H.R. 7788/S. 4013, Firefighter PFAS Injury Compensation Act of 2024 H.R. 4306, Michael Lecik Military Firefighters Protection Act H.R. 3671/S. 1925, HERO Act H.R. 2407/S. 2085, Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act H.R. 1666/S. 1673, Protecting Access to Ground Ambulance Medical Services Act of 2021 H.R. 1294/S. 569, 9/11 Responder and Survivor Health Funding Correction Act Issues related to health insurance for retired public safety officers Issues related to supplemental Medicaid reimbursements for ground ambulance service Issues pertaining to the provision of mental health services for fire fighters Issues pertaining to ground ambulance billing/reimbursement Issues pertaining to implementation of the No Surprises Act Supporting the National Firefighter Cancer Registry Issues related to cancer screenings for fire fighters

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

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

Issues related to H.R. 8977, the Improving Access to Emergency Medical Services Act of 2024. Issues related to S. 3236/ H.R. 6257, the Emergency Medical Services Reimbursement for On-Scene Care and Support Act. Issues related to H.R. 8042, the Community Paramedicine Act of 2024. Issues related to H.R. 1737, Supporting Our First Responders Act. Issues related to H.R. 4646/ S. 265, the SIREN Reauthorization Act. Issues related to S. 1115, the EMS Counts Act of 2023. Issues related to H.R. 6140, the FAST PASS Act. Issues related to H.R. 6433, the PARA-EMT Act of 2023. Issues related to H.R. 1666/ S. 1673, Protecting Access to Ground Ambulance Medical Services Act of 2023.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 1666, S.1673) and Preserving Telehealth, Hospital, and Ambulance Access Act (H.R. 8261) to extend temporary increases in Medicare payments to ground ambulance services. Educated congressional offices and committees on scheduled changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on legislation, Improving Access to Emergency Medical Services Act of 2024 (H.R. 8977), to create a CMMI demonstration project on the reimbursement of treatment in place as well as on alternative destination and mobile integrated health policies. Lobbied on the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (S. 3236, H.R. 6257) and Community Paramedicine Act (H.R. 8042). Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (H.R. 7931, S. 4101).

Client expense: $275,000 · Firm income: Not reported

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

H.R. 1666/S. 1673, Protecting Access to Ground Ambulance Medical Services Act

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

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

S. 265/H.R. 4646, the SIREN Reauthorization Act to reauthorize the Rural Emergency Medical Services Training Grant program Issues related to the cost accounting of EMS services for Medicare patients 2025 Labor, Health and Human Services, and Education Appropriations relating to the National Firefighter Registry and the Supporting and Improving Rural EMS Needs (SIREN) grant, and NIOSH Firefighter Fatality Investigation and Prevention Program (FFFIPP). H.R. 3821/S. 2119, Firefighter Cancer Registry Reauthorization Act Provisions of H.R.8070/S.4638, the National Defense Authorization Act for Fiscal Year 2025, relating to firefighter cancer. H.R. 3671/H.R. 4274/S. 1925, HERO Act H.R. 1666/S. 1673, Protecting Access to Ground Ambulance Medical Services Act Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB) H.R. 2574/S. 1115, the EMS Counts Act Issues relating to volunteer firfighter status being added to the U.S. Standard Certificate of Death

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)

Medicare ground ambulance add-ons (H.R. 1666/S. 1673 Protecting Access to Ground Ambulance Medical Services Act of 2023); workforce issues; revisions to the designation of rural, super-rural, and urban for Medicare payment; Medicaid

Client expense: Not reported · Firm income: $51,000

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

H.R. 7513, Protecting America's Seniors Access to Care Act, all provisions; H.R. 468, Building Americas Health Care Workforce Act, all provisions; H.R. 8113, Transparency into State Directed Payments Act of 2024, all provisions; H.R. 8115, To amend title XIX of the Social Security Act to allow for the deferral or disallowance of portions of payments for certain managed care violations under Medicaid, all provisions; H.R. 1110, KEEP Telehealth Option Act, all provisions; H.R. 7711, Advancing Access to Telehealth Act, all provisions; H.R. 3432, Telemental Health Care Access Act, all provisions; H.R. 3875, the Expanded Telehealth Access Act, all provisions; H.R. 5611, Helping Ensure Access to Local Telehealth (HEALTH) Act of 2023, all provisions; H.R. 6033, Patient Education and Knowledge (SPEAK) Act of 2023, all provisions; H.R. 5541, the Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act, all provisions; H.R. 7863, To require the Secretary of Health and Human Services to issue guidance on furnishing behavioral health services via telehealth to individuals with limited English proficiency under Medicare program, all provisions; H.R. 134, To amend title XVIII of the Social Security Act to remove geographic requirements and expand originating sites for telehealth services, all provisions; H.R. 8261, The Preserving Telehealth, Hospital, and Ambulance Access Act, Issues pertaining to Telehealth, Hospital at Home, and MDH-LVA; S.4350 / H.R. 8260, Hospital Inpatient Services, Modernization Act of 2024, all provisions; H.R. 8235, Rural Physician Workforce Preservation Act, all provisions; S. 2016/ H.R. 4189, The CONNECT for Health Act of 2023, Specifically telehealth waivers, geographic restrictions, originating site requirements, in person requirement behavioral health, RHCs and FQHCs access; S. 1110, the Rural Hospital Support Act, all provisions; S. 1673 / H.R. 1666, Protecting Access to Ground Ambulance Medical Services Act of 2023, all provisions; H.R. 6430, Assistance for Rural Community Hospitals (ARCH)Act, all provisions; S. 803, Save Rural Hospitals Act, all provisions; H.R. 4968, GOLD Card Act of 2023, all provisions; H.R. 3173 / S. 4532, Improving Seniors' Timely Access to Care, all provisions; H.R. 5013/S. 3503, Value in Health Care Act, all provisions; HR 2389/ S. 1302, Resident Physician Shortage Reduction Act of 2023, all provisions; Draft Bill, Graduate Medical Education Bill, Issues pertaining to proposed changes to the Medicare Graduate Medical Education program and solutions to address workforce shortages in rural areas; H.J.Res. 139 / S.J. Res 91, A joint resolution for congressional disapproval of a rule relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting", all provisions; HR 1565, Critical Access Hospital Relief Act of 2023, all provisions; H.R. 7623, Telehealth Modernization Act, Issues pertaining to Telehealth, Hospital at Home, Unique Health Identifier; H.R.1128, Rural Health Care Access Act of 2023, all provisions; S.1571, Rural Hospital Closure Relief Act of 2023, all provisions; S. 470 / H.R. 977, The Patient Access to Higher Quality Health Care Act, all provisions; Draft Bill, Keeping Obstetrics Local Act, all provisions;H.R.5378, Lower Costs, More Transparency Act, Issues related to site neutral payment cuts, hospital price transparency, unique health identifier, 340B Program; Centers for Medicare & Medicaid Services (CMS), FY25 proposed rule for the inpatient psychiatric facility (IPF) prospective payment system (PPS), Issues pertaining to payment policy proposals for inpatient psychiatric facilities (IPFs); Centers for Medicare & Medicaid Services (CMS), FY25 proposed rule for skilled nursing facility prospective payment system , Issues pertaining to payment policy proposals for skilled nursing facilities (SNFs); Centers for Medicare & Medicaid Services (CMS)FY25 proposed rule for inpatient rehabilitation facility prospective payment system, Issues pertaining to payment policy proposals for inpatient rehabilitation facilities (IRFs); Centers for Medicare & Medicaid Services (CMS), FY25 proposed rule Hospital Inpatient Prospective Payment Systems , Issues pertaining to payment policy proposals for acute-care hospitals; Centers for Medicare & Medicaid Services (CMS), FY25 proposed rule Long-Term Care Hospital Prospective Payment System, Issues pertaining to payment policy proposals for long term acute-care hospitals; Centers for Medicare & Medicaid Services (CMS), Transforming Episode Accountability Model (TEAM), Deadline expansion and proposed mandatory alternative payment model; Centers for Medicare & Medicaid Services (CMS), Medicare Advantage Data RFI, Issues pertaining to enforcement and accountability of MA plans, prompt payment, gold carding, Standarization, penalties, and plan oversight; Centers for Medicare & Medicaid Services (CMS); Anomalous DME Spending in MSSP, accountable care models; Centers for Medicare & Medicaid Services (CMS), Accrediting Organizations (AO's), Feedback to strengthen accrediting organizations oversight; Provider Reimbursements, Issues related to provider reimbursement, site neutral payment cuts, Medicare/Medicaid program funding, facility fees; Site Neutral Payments, for Q2 2024, Issues related to site neutral payment cuts for drug administration; Valued Based Care, for Q2 2024, Specifically on alternative payment models, MACRA reform, feedback on proposed TEAM model; Rural Hospitals, Issues pertaining to the sustainability of MDHS, CAHs, SCHs, and REHs; Physician Payments, Issues pertaining to proposed solutions to improve MACRA, alternative payment models, mental health of workforce; LTCH High Cost Outlier Threshold, Issues concerning High Cost Outlier in LTCH payment policy; Organ Transplant Model, Issues pertaining to Value Based Care; Rural Health Clinic Payments, Issues related to increasing payments for rural health clinics; Chronic Care Management, Issues pertaining to chronic care management for Medicare beneficiaries.

Client expense: $6,080,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Natl Drug Control Policy (NDCP), SENATE, White House Office

H.R. 7513, Protecting America's Seniors Access to Care Act, all provisions; H.R. 468, Building Americas Health Care Workforce Act, all provisions; H.R. 8113, Transparency into State Directed Payments Act of 2024, all provisions; H.R. 8115, To amend title XIX of the Social Security Act to allow for the deferral or disallowance of portions of payments for certain managed care violations under Medicaid, all provisions; H.R. 1110, KEEP Telehealth Option Act, all provisions; H.R. 7711, Advancing Access to Telehealth Act, all provisions; H.R. 3432, Telemental Health Care Access Act, all provisions; H.R. 3875, the Expanded Telehealth Access Act, all provisions; H.R. 5611, Helping Ensure Access to Local Telehealth (HEALTH) Act of 2023, all provisions; H.R. 6033, Patient Education and Knowledge (SPEAK) Act of 2023, all provisions; H.R. 5541, the Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act, all provisions; H.R. 7863, To require the Secretary of Health and Human Services to issue guidance on furnishing behavioral health services via telehealth to individuals with limited English proficiency under Medicare program, all provisions; H.R. 134, To amend title XVIII of the Social Security Act to remove geographic requirements and expand originating sites for telehealth services, all provisions; H.R. 8261, The Preserving Telehealth, Hospital, and Ambulance Access Act, Issues pertaining to Telehealth, Hospital at Home, and MDH-LVA; S.4350 / H.R. 8260, Hospital Inpatient Services, Modernization Act of 2024, all provisions; H.R. 8235, Rural Physician Workforce Preservation Act, all provisions; S. 2016/ H.R. 4189, The CONNECT for Health Act of 2023, Specifically telehealth waivers, geographic restrictions, originating site requirements, in person requirement behavioral health, RHCs and FQHCs access; S. 1110, the Rural Hospital Support Act, all provisions; S. 1673 / H.R. 1666, Protecting Access to Ground Ambulance Medical Services Act of 2023, all provisions; H.R. 6430, Assistance for Rural Community Hospitals (ARCH)Act, all provisions; S. 803, Save Rural Hospitals Act, all provisions; H.R. 4968, GOLD Card Act of 2023, all provisions; H.R. 3173 / S. 4532, Improving Seniors' Timely Access to Care, all provisions; H.R. 5013/S. 3503, Value in Health Care Act, all provisions; HR 2389/ S. 1302, Resident Physician Shortage Reduction Act of 2023, all provisions; Draft Bill, Graduate Medical Education Bill, Issues pertaining to proposed changes to the Medicare Graduate Medical Education program and solutions to address workforce shortages in rural areas; H.J.Res. 139 / S.J. Res 91, A joint resolution for congressional disapproval of a rule relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting", all provisions; HR 1565, Critical Access Hospital Relief Act of 2023, all provisions; H.R. 7623, Telehealth Modernization Act, Issues pertaining to Telehealth, Hospital at Home, Unique Health Identifier; H.R.1128, Rural Health Care Access Act of 2023, all provisions; S.1571, Rural Hospital Closure Relief Act of 2023, all provisions; S. 470 / H.R. 977, The Patient Access to Higher Quality Health Care Act, all provisions; Draft Bill, Keeping Obstetrics Local Act, all provisions;H.R.5378, Lower Costs, More Transparency Act, Issues related to site neutral payment cuts, hospital price transparency, unique health identifier, 340B Program; Centers for Medicare & Medicaid Services (CMS), FY25 proposed rule for the inpatient psychiatric facility (IPF) prospective payment system (PPS), Issues pertaining to payment policy proposals for inpatient psychiatric facilities (IPFs); Centers for Medicare & Medicaid Services (CMS), FY25 proposed rule for skilled nursing facility prospective payment system , Issues pertaining to payment policy proposals for skilled nursing facilities (SNFs); Centers for Medicare & Medicaid Services (CMS)FY25 proposed rule for inpatient rehabilitation facility prospective payment system, Issues pertaining to payment policy proposals for inpatient rehabilitation facilities (IRFs); Centers for Medicare & Medicaid Services (CMS), FY25 proposed rule Hospital Inpatient Prospective Payment Systems , Issues pertaining to payment policy proposals for acute-care hospitals; Centers for Medicare & Medicaid Services (CMS), FY25 proposed rule Long-Term Care Hospital Prospective Payment System, Issues pertaining to payment policy proposals for long term acute-care hospitals; Centers for Medicare & Medicaid Services (CMS), Transforming Episode Accountability Model (TEAM), Deadline expansion and proposed mandatory alternative payment model; Centers for Medicare & Medicaid Services (CMS), Medicare Advantage Data RFI, Issues pertaining to enforcement and accountability of MA plans, prompt payment, gold carding, Standarization, penalties, and plan oversight; Centers for Medicare & Medicaid Services (CMS); Anomalous DME Spending in MSSP, accountable care models; Centers for Medicare & Medicaid Services (CMS), Accrediting Organizations (AO's), Feedback to strengthen accrediting organizations oversight; Provider Reimbursements, Issues related to provider reimbursement, site neutral payment cuts, Medicare/Medicaid program funding, facility fees; Site Neutral Payments, for Q2 2024, Issues related to site neutral payment cuts for drug administration; Valued Based Care, for Q2 2024, Specifically on alternative payment models, MACRA reform, feedback on proposed TEAM model; Rural Hospitals, Issues pertaining to the sustainability of MDHS, CAHs, SCHs, and REHs; Physician Payments, Issues pertaining to proposed solutions to improve MACRA, alternative payment models, mental health of workforce; LTCH High Cost Outlier Threshold, Issues concerning High Cost Outlier in LTCH payment policy; Organ Transplant Model, Issues pertaining to Value Based Care; Rural Health Clinic Payments, Issues related to increasing payments for rural health clinics; Chronic Care Management, Issues pertaining to chronic care management for Medicare beneficiaries.

Client expense: $9,080,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Natl Drug Control Policy (NDCP), SENATE, White House Office

H.R. 1666 and S.1673, Protecting Access to Ground Ambulance Medical Services Act, provisions relating to the extension of temporary increases in Medicare payments to ground ambulance services.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1666, S. 1673, Protecting Access to Ground Ambulance Medical Services Act of 2023; Protecting Access to Ground Ambulance Medical Services Act of 2023.

Client expense: $220,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Fund and Reauthorize the Supporting and Improving Rural EMS Needs (SIREN) Law. Support S.265/H.R. 4646, to reauthorize the SIREN Act grants for another five years (2024-2028); Urge Congress to fund the SIREN program at $32 million in FY25; Support legislation to reimburse EMS for Treatment in Place (TIP) and Transport to Alternate Destination (TAD). Support S.3236/H.R.6257, the Emergency Medical Services Reimbursement for On-Scene and Support Act. Support introduction of legislation on a TIP/TAD pilot; Support H.R. 8042, the Community Paramedicine Act of 2024; Support S. 1115/H.R. 2574, EMS Counts; S. 2757/H.R. H.R.5530, VA Emergency Transportation Access Act; Educate and support for the creations of Critical Access Ambulance designation; S. 3765/H.R.6960 - Emergency Medical Services for Children (EMSC); Support S. 2757/H.R. 5530, Protect Access to Vital Ground Ambulance Services for Veterans and Communities; Support the inclusion of language in the House/Senate Labor HHS Appropriations for EMS workforce shortage. Insufficient reimbursement for EMS care and lack of federal investment in EMS are long-term problems that have been building for decades. The additional burdens placed on EMS systems and personnel during the pandemic made a serious problem even worse, pushing many EMS systems in our country to the breaking point. Most communities are facing crisis-level shortages of EMS personnel, and many have seen EMS agencies close altogether, removing a critical lifeline from these communities. The shortage of EMS personnel threatens to undermine our emergency 9-1-1 response infrastructure; Support Congress to hold congressional hearings on the EMS workforce crisis and the causes for the exodus of the EMS workforce from the profession; Support the inclusion of language in the House/Senate Labor HHS Appropriations bill on EMS education on rare diseases; Support H.R. 1666/S.1673, Protecting Access to Ground Ambulance Medical Services Act of 2023; Express concern and urge Congress to amend language on military medics included in H.R.6433, to preserve access to emergency medical services; Support language included in the NDAA on transitioning military medics; Support participation of EMS Caucus.

Client expense: Not reported · Firm income: $31,800

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Medicare and Medicaid policies relating to ground and air ambulance services, including workforce shortage issues, and supplemental relief for ambulance providers; H.R.1666/S.1673, Protecting Access to Ground Ambulance Medical Services Act of 2023; Monitoring public health emergency designation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare and Medicaid policies relating to ground and air ambulance services, including workforce shortage issues, and supplemental relief for ambulance providers; H.R.1666/S.1673, Protecting Access to Ground Ambulance Medical Services Act of 2023; Monitoring public health emergency designation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare and Medicaid policies relating to ground and air ambulance services, including workforce shortage issues, and supplemental relief for ambulance providers; H.R.1666/S.1673, Protecting Access to Ground Ambulance Medical Services Act of 2023; Monitoring public health emergency designation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to billing for ambulance transport. Issues relating to the Ground Emergency Medical Transportation program. Issues relating to reimbursement of fire and EMS departments for mobile integrated health programs, treatment of patients in place, and transportation of patients to alternate destinations of care. Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB). Issues related to fire safety in home oxygen systems and reimbursement for the installation of thermal fuses. H.R. 8042, the Community Paramedicine Act, provisions to create a grant program for mobile integrated health programs. H.R. 8977, legislation to reimburse fire and EMS departments for treating patients on scene. H.R. 1666/S. 1673, the Protecting Access to Ground Ambulance Medical Services Act, provisions to extend the add-on payments for ambulance transport of patients.

Client expense: $50,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, SENATE

H.R. 9029, the FY 2025 Labor, Health and Human Services, and Education Appropriations Act, provisions re: - Funding at the National Institute of Occupational Safety and Health for a national firefighter cancer registry. - Funding at the U.S. Department of Health and Human Services' Substance Abuse & Mental Health Services Administration for the Rural Emergency Medical Services Training Grant program. S. 265/H.R. 4646, the SIREN Reauthorization Act, provisions to reauthorize the Rural Emergency Medical Services Training Grant program. H.R. 8977, legislation to reimburse fire and EMS departments for treating patients on scene. H.R. 3821/S. 2119, the Firefighter Cancer Registry Reauthorization Act of 2023, provisions to reauthorize the National Firefighter Cancer Registry. Issues relating to supply chain issues and the effects on the cost and delivery of fire apparatus and equipment. Issues relating to the Ground Emergency Medical Transportation program. H.R. 8042, the Community Paramedicine Act, provisions to create a grant program for mobile integrated health programs. H.R. 3671/H.R. 4274/S.1925, the Helping Emergency Responders Overcome Act, provisions to create behavioral health resources for fire and EMS personnel. S. 645/H.R. 472, The Fighting Post-Traumatic Stress Disorder Act, provisions to provide behavioral health resources to first responders at the Department of Justice. Issues relating to the National EMS Advisory Council. Issues relating to the Advisory Committee on Ground Ambulance and Patient Billing (GAPB). Issues related to fire safety in home oxygen systems and reimbursement for the installation of thermal fuses. H.R. 5530/S. 2757, the VA Emergency Transportation Access Act, provisions to set requirements before the Department of Veterans Affairs can change reimbursement rates for ambulance transport. H.R. 2574/S. 1115, the EMS Counts Act, provisions to better account for the national EMS workforce. H.R. 1666/S. 1673, the Protecting Access to Ground Ambulance Medical Services Act, provisions to extend the add-on payments for ambulance transport of patients.

Client expense: $50,000 · Firm income: Not reported

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

Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 1666, S.1673) and Preserving Telehealth, Hospital, and Ambulance Access Act (H.R. 8261) to extend temporary increases in Medicare payments to ground ambulance services. Educated congressional offices and committees on scheduled changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on draft legislation to create a CMMI demonstration project on the reimbursement of treatment in place as well as on alternative destination and mobile integrated health policies. Lobbied on the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (S. 3236, H.R. 6257) and Community Paramedicine Act (H.R. 8042). Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (H.R. 7931, S. 4101).

Client expense: $275,000 · Firm income: Not reported

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

H.R. 1666 and S.1673, Protecting Access to Ground Ambulance Medical Services Act, provisions relating to the extension of temporary increases in Medicare payments to ground ambulance services.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1666, S. 1673, Protecting Access to Ground Ambulance Medical Services Act of 2023.

Client expense: $240,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Fund and Reauthorize the Supporting and Improving Rural EMS Needs (SIREN) Law. Support S.265/H.R. 4646, to reauthorize the SIREN Act grants for another five years (2024-2028); Urge Congress to fund the SIREN program at $32 million in FY25; Support legislation to reimburse EMS for Treatment in Place (TIP) and Transport to Alternate Destination (TAD). Support S.3236/H.R.6257, the Emergency Medical Services Reimbursement for On-Scene and Support Act. Support introduction of legislation on a TIP/TAD pilot; Support efforts to create a bill to promote MIH-CP legislation; Support S. 1115/H.R. 2574, EMS Counts; S. 2757/H.R. H.R.5530, VA Emergency Transportation Access Act; S. 3765/H.R.6960 - Emergency Medical Services for Children (EMSC); Support S. 2757/H.R. 5530, Protect Access to Vital Ground Ambulance Services for Veterans and Communities; Support EMS Workforce: Insufficient reimbursement for EMS care and lack of federal investment in EMS are long-term problems that have been building for decades. The additional burdens placed on EMS systems and personnel during the pandemic made a serious problem even worse, pushing many EMS systems in our country to the breaking point. Most communities are facing crisis-level shortages of EMS personnel, and many have seen EMS agencies close altogether, removing a critical lifeline from these communities. The shortage of EMS personnel threatens to undermine our emergency 9-1-1 response infrastructure; Support Congress to hold congressional hearings on the EMS workforce crisis and the causes for the exodus of the EMS workforce from the profession; Support H.R. 1666/S.1673, Protecting Access to Ground Ambulance Medical Services Act of 2023; Support H.Res. 1042, Congressional Gold Medal for the Freedom House Ambulance Service; Express concern and urge Congress to amend language on military medics included in H.R.6433, to preserve access to emergency medical services; Support participation of EMS Caucus.

Client expense: Not reported · Firm income: $31,800

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Medicare and Medicaid policies relating to ground and air ambulance services, including workforce shortage issues, and supplemental relief for ambulance providers; H.R.1666/S.1673, Protecting Access to Ground Ambulance Medical Services Act of 2023; Monitoring public health emergency designation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare and Medicaid policies relating to ground and air ambulance services, including workforce shortage issues, and supplemental relief for ambulance providers; H.R.1666/S.1673, Protecting Access to Ground Ambulance Medical Services Act of 2023; Monitoring public health emergency designation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE