AMERICAN AMBULANCE ASSOCIATION

Lobbied to raise the profile of the severe shortage of paramedics and emergency medical technicians (EMTs) in the U.S. and address the problem through emergency medical service training programs, and retaining current paramedics and EMTs through access to first responder benefits. Lobbied on the PARA-EMT Act (H.R. 2220), Apprenticeship Pathways Act of 2025 (S. 235), Homes for Every Local Protector, Educator, and Responder Act (S. 978, H.R. 2094), Pathways to Health Careers Act (H.R. 5370), MEDIC Careers Act (S. 2673, H.R. 9140) and draft Supporting our First Responders Act. Lobbied on the National Defense Reauthorization Act of 2027 (H.R. 8800) to include language to facilitate the transition of medics leaving the armed forces to transition to the civilian healthcare workforce. Lobbied on legislation to provide behavior health resources for the particular mental health issues facing first responders including paramedics, EMTs and 9-1-1 dispatchers. Specific bills include the Lifeline for First Responders Act (H.R. 10116, S. 4819), ,Emergency Responders Mental Health Training (EMT) Act (H.R. 10349) and Responder Behavioral Health Access Act (H.R. 10712).

Client expense: $350,000 · Firm income: —

Matched citations: H.R. 2220

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: —

Matched citations: H.R. 2232

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: —

Matched citations: H.R. 2538

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: —

Matched citations: H.R. 3378

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: —

Matched citations: H.R. 4011

Lobbied to raise the profile of the severe shortage of paramedics and emergency medical technicians (EMTs) in the U.S. and address the problem through emergency medical service training programs, and retaining current paramedics and EMTs through access to first responder benefits. Lobbied on the PARA-EMT Act (H.R. 2220), Apprenticeship Pathways Act of 2025 (S. 235), Homes for Every Local Protector, Educator, and Responder Act (S. 978, H.R. 2094), Pathways to Health Careers Act (H.R. 5370), MEDIC Careers Act (S. 2673, H.R. 9140) and draft Supporting our First Responders Act. Lobbied on the National Defense Reauthorization Act of 2027 (H.R. 8800) to include language to facilitate the transition of medics leaving the armed forces to transition to the civilian healthcare workforce. Lobbied on legislation to provide behavior health resources for the particular mental health issues facing first responders including paramedics, EMTs and 9-1-1 dispatchers. Specific bills include the Lifeline for First Responders Act (H.R. 10116, S. 4819), ,Emergency Responders Mental Health Training (EMT) Act (H.R. 10349) and Responder Behavioral Health Access Act (H.R. 10712).

Client expense: $350,000 · Firm income: —

Matched citations: H.R. 5370

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: —

Matched citations: H.R. 7277

Lobbied to raise the profile of the severe shortage of paramedics and emergency medical technicians (EMTs) in the U.S. and address the problem through emergency medical service training programs, and retaining current paramedics and EMTs through access to first responder benefits. Lobbied on the PARA-EMT Act (H.R. 2220), Apprenticeship Pathways Act of 2025 (S. 235), Homes for Every Local Protector, Educator, and Responder Act (S. 978, H.R. 2094), Pathways to Health Careers Act (H.R. 5370), MEDIC Careers Act (S. 2673, H.R. 9140) and draft Supporting our First Responders Act. Lobbied on the National Defense Reauthorization Act of 2027 (H.R. 8800) to include language to facilitate the transition of medics leaving the armed forces to transition to the civilian healthcare workforce. Lobbied on legislation to provide behavior health resources for the particular mental health issues facing first responders including paramedics, EMTs and 9-1-1 dispatchers. Specific bills include the Lifeline for First Responders Act (H.R. 10116, S. 4819), ,Emergency Responders Mental Health Training (EMT) Act (H.R. 10349) and Responder Behavioral Health Access Act (H.R. 10712).

Client expense: $350,000 · Firm income: —

Matched citations: H.R. 8800

Lobbied to raise the profile of the severe shortage of paramedics and emergency medical technicians (EMTs) in the U.S. and address the problem through emergency medical service training programs, and retaining current paramedics and EMTs through access to first responder benefits. Lobbied on the PARA-EMT Act (H.R. 2220), Apprenticeship Pathways Act of 2025 (S. 235), Homes for Every Local Protector, Educator, and Responder Act (S. 978, H.R. 2094), Pathways to Health Careers Act (H.R. 5370), MEDIC Careers Act (S. 2673, H.R. 9140) and draft Supporting our First Responders Act. Lobbied on the National Defense Reauthorization Act of 2027 (H.R. 8800) to include language to facilitate the transition of medics leaving the armed forces to transition to the civilian healthcare workforce. Lobbied on legislation to provide behavior health resources for the particular mental health issues facing first responders including paramedics, EMTs and 9-1-1 dispatchers. Specific bills include the Lifeline for First Responders Act (H.R. 10116, S. 4819), ,Emergency Responders Mental Health Training (EMT) Act (H.R. 10349) and Responder Behavioral Health Access Act (H.R. 10712).

Client expense: $350,000 · Firm income: —

Matched citations: H.R. 9140

Lobbied on the Senate and House FY2027 Labor, HHS, Education and Related Agencies (H.R. 9260) and Transportation HUD (H.R. 9170) Appropriations Bills for funding for the Administration for Strategic Preparedness and Response, NHTSA EMS Office and Department of Labor for paramedic and EMT training grants to help address the emergency medical service workforce shortage to ensure sufficient EMS capabilities to address responses to national health emergencies and terrorism incidents. Lobbied on funding for the SIREN Act and EMS for Children programs and language in support of future data collection by CMS on ground ambulance services.

Client expense: $350,000 · Firm income: —

Matched citations: H.R. 9170

Lobbied on the Senate and House FY2027 Labor, HHS, Education and Related Agencies (H.R. 9260) and Transportation HUD (H.R. 9170) Appropriations Bills for funding for the Administration for Strategic Preparedness and Response, NHTSA EMS Office and Department of Labor for paramedic and EMT training grants to help address the emergency medical service workforce shortage to ensure sufficient EMS capabilities to address responses to national health emergencies and terrorism incidents. Lobbied on funding for the SIREN Act and EMS for Children programs and language in support of future data collection by CMS on ground ambulance services.

Client expense: $350,000 · Firm income: —

Matched citations: H.R. 9260

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: —

Matched citations: S.1643

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: —

Matched citations: S.1960

Lobbied to raise the profile of the severe shortage of paramedics and emergency medical technicians (EMTs) in the U.S. and address the problem through emergency medical service training programs, and retaining current paramedics and EMTs through access to first responder benefits. Lobbied on the PARA-EMT Act (H.R. 2220), Apprenticeship Pathways Act of 2025 (S. 235), Homes for Every Local Protector, Educator, and Responder Act (S. 978, H.R. 2094), Pathways to Health Careers Act (H.R. 5370), MEDIC Careers Act (S. 2673, H.R. 9140) and draft Supporting our First Responders Act. Lobbied on the National Defense Reauthorization Act of 2027 (H.R. 8800) to include language to facilitate the transition of medics leaving the armed forces to transition to the civilian healthcare workforce. Lobbied on legislation to provide behavior health resources for the particular mental health issues facing first responders including paramedics, EMTs and 9-1-1 dispatchers. Specific bills include the Lifeline for First Responders Act (H.R. 10116, S. 4819), ,Emergency Responders Mental Health Training (EMT) Act (H.R. 10349) and Responder Behavioral Health Access Act (H.R. 10712).

Client expense: $350,000 · Firm income: —

Matched citations: S. 235

Lobbied to raise the profile of the severe shortage of paramedics and emergency medical technicians (EMTs) in the U.S. and address the problem through emergency medical service training programs, and retaining current paramedics and EMTs through access to first responder benefits. Lobbied on the PARA-EMT Act (H.R. 2220), Apprenticeship Pathways Act of 2025 (S. 235), Homes for Every Local Protector, Educator, and Responder Act (S. 978, H.R. 2094), Pathways to Health Careers Act (H.R. 5370), MEDIC Careers Act (S. 2673, H.R. 9140) and draft Supporting our First Responders Act. Lobbied on the National Defense Reauthorization Act of 2027 (H.R. 8800) to include language to facilitate the transition of medics leaving the armed forces to transition to the civilian healthcare workforce. Lobbied on legislation to provide behavior health resources for the particular mental health issues facing first responders including paramedics, EMTs and 9-1-1 dispatchers. Specific bills include the Lifeline for First Responders Act (H.R. 10116, S. 4819), ,Emergency Responders Mental Health Training (EMT) Act (H.R. 10349) and Responder Behavioral Health Access Act (H.R. 10712).

Client expense: $350,000 · Firm income: —

Matched citations: S. 2673

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: —

Matched citations: S. 3145

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: —

Matched citations: S. 3730

Lobbied to raise the profile of the severe shortage of paramedics and emergency medical technicians (EMTs) in the U.S. and address the problem through emergency medical service training programs, and retaining current paramedics and EMTs through access to first responder benefits. Lobbied on the PARA-EMT Act (H.R. 2220), Apprenticeship Pathways Act of 2025 (S. 235), Homes for Every Local Protector, Educator, and Responder Act (S. 978, H.R. 2094), Pathways to Health Careers Act (H.R. 5370), MEDIC Careers Act (S. 2673, H.R. 9140) and draft Supporting our First Responders Act. Lobbied on the National Defense Reauthorization Act of 2027 (H.R. 8800) to include language to facilitate the transition of medics leaving the armed forces to transition to the civilian healthcare workforce. Lobbied on legislation to provide behavior health resources for the particular mental health issues facing first responders including paramedics, EMTs and 9-1-1 dispatchers. Specific bills include the Lifeline for First Responders Act (H.R. 10116, S. 4819), ,Emergency Responders Mental Health Training (EMT) Act (H.R. 10349) and Responder Behavioral Health Access Act (H.R. 10712).

Client expense: $350,000 · Firm income: —

Matched citations: S. 4819

Lobbied to raise the profile of the severe shortage of paramedics and emergency medical technicians (EMTs) in the U.S. and address the problem through emergency medical service training programs, and retaining current paramedics and EMTs through access to first responder benefits. Lobbied on the PARA-EMT Act (H.R. 2220), Apprenticeship Pathways Act of 2025 (S. 235), Homes for Every Local Protector, Educator, and Responder Act (S. 978, H.R. 2094), Pathways to Health Careers Act (H.R. 5370), MEDIC Careers Act (S. 2673, H.R. 9140) and draft Supporting our First Responders Act. Lobbied on the National Defense Reauthorization Act of 2027 (H.R. 8800) to include language to facilitate the transition of medics leaving the armed forces to transition to the civilian healthcare workforce. Lobbied on legislation to provide behavior health resources for the particular mental health issues facing first responders including paramedics, EMTs and 9-1-1 dispatchers. Specific bills include the Lifeline for First Responders Act (H.R. 10116, S. 4819), ,Emergency Responders Mental Health Training (EMT) Act (H.R. 10349) and Responder Behavioral Health Access Act (H.R. 10712).

Client expense: $350,000 · Firm income: —

Matched citations: S. 978

H.R. 2232 and S. 1643 - Extension of the ground ambulance add-ons; Medicare update of the ambulance fee schedule definitions of urban, rural, and super-rural; treatment in place; MedPAC report on Ground Ambulance Data Collection System.

Client expense: — · Firm income: $60,000

Matched citations: H.R. 2232

H.R. 2232 and S. 1643 - Extension of the ground ambulance add-ons; Medicare update of the ambulance fee schedule definitions of urban, rural, and super-rural; treatment in place; MedPAC report on Ground Ambulance Data Collection System.

Client expense: — · Firm income: $60,000

Matched citations: S. 1643