How to read the money
Income and expense are whole-filing amounts associated with this lobbyist, not personal compensation or an allocated share.
No topic inference: each bill number appears in source LDA issue text assigned to this lobbyist.
Lifeline for First Responders Act
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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).
Specific issues are shown only where the LDA source assigned them to this lobbyist. Targets apply to the associated filing.
AMERICAN AMBULANCE ASSOCIATION via AMERICAN AMBULANCE ASSOCIATION
2026 · third_quarter · Q3
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.
Source: Senate LDA
EMT Act
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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).
First Responder Behavioral Health Access Act
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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).
HELPER Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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) and draft Supporting our First Responders Act. Lobbied on the draft National Defense Reauthorization Act of 2027 to include language to facilitate the transition of medics leaving the armed forces to transition to the civilian healthcare workforce.
HELPER Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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.
HELPER Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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).
PARA–EMT Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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) and draft Supporting our First Responders Act. Lobbied on the draft National Defense Reauthorization Act of 2027 to include language to facilitate the transition of medics leaving the armed forces to transition to the civilian healthcare workforce.
PARA–EMT Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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.
PARA–EMT Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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).
Protecting Access to Ground Ambulance Medical Services Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to extend and raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on the Consolidated Appropriations Act 2026 (H.R. 7148) to extend and increase the Medicare payments to ground ambulance services. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Protecting Access to Ground Ambulance Medical Services Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
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.
Protecting Access to Ground Ambulance Medical Services Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Provided context on the Ground Ambulance Chapter of the MedPAC Report of July 15 to highlight need for increased reimbursement for ground ambulance services and reform of the ambulance fee schedule. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
CARE Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to extend and raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on the Consolidated Appropriations Act 2026 (H.R. 7148) to extend and increase the Medicare payments to ground ambulance services. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
CARE Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
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.
CARE Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Provided context on the Ground Ambulance Chapter of the MedPAC Report of July 15 to highlight need for increased reimbursement for ground ambulance services and reform of the ambulance fee schedule. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Racehorse Health and Safety Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to extend and raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on the Consolidated Appropriations Act 2026 (H.R. 7148) to extend and increase the Medicare payments to ground ambulance services. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Racehorse Health and Safety Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
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.
Racehorse Health and Safety Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Provided context on the Ground Ambulance Chapter of the MedPAC Report of July 15 to highlight need for increased reimbursement for ground ambulance services and reform of the ambulance fee schedule. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Community Paramedicine Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to extend and raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on the Consolidated Appropriations Act 2026 (H.R. 7148) to extend and increase the Medicare payments to ground ambulance services. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Community Paramedicine Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
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.
Community Paramedicine Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Provided context on the Ground Ambulance Chapter of the MedPAC Report of July 15 to highlight need for increased reimbursement for ground ambulance services and reform of the ambulance fee schedule. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
To provide low-income individuals with opportunities to enter and follow a career pathway in the health professions, and for other purposes.
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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) and draft Supporting our First Responders Act. Lobbied on the draft National Defense Reauthorization Act of 2027 to include language to facilitate the transition of medics leaving the armed forces to transition to the civilian healthcare workforce.
To provide low-income individuals with opportunities to enter and follow a career pathway in the health professions, and for other purposes.
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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.
To provide low-income individuals with opportunities to enter and follow a career pathway in the health professions, and for other purposes.
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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).
Consolidated Appropriations Act, 2026
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to extend and raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on the Consolidated Appropriations Act 2026 (H.R. 7148) to extend and increase the Medicare payments to ground ambulance services. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Emergency Medical Services Reimbursement for On-Scene and Support Act
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to extend and raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on the Consolidated Appropriations Act 2026 (H.R. 7148) to extend and increase the Medicare payments to ground ambulance services. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Emergency Medical Services Reimbursement for On-Scene and Support Act
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
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.
Emergency Medical Services Reimbursement for On-Scene and Support Act
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Provided context on the Ground Ambulance Chapter of the MedPAC Report of July 15 to highlight need for increased reimbursement for ground ambulance services and reform of the ambulance fee schedule. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
National Defense Authorization Act for Fiscal Year 2027
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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.
National Defense Authorization Act for Fiscal Year 2027
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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).
MEDIC Careers Act of 2026
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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.
MEDIC Careers Act of 2026
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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).
Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2027
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
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.
Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2027
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
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.
Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
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.
Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
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.
Protecting Access to Ground Ambulance Medical Services Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to extend and raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on the Consolidated Appropriations Act 2026 (H.R. 7148) to extend and increase the Medicare payments to ground ambulance services. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Protecting Access to Ground Ambulance Medical Services Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
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.
Protecting Access to Ground Ambulance Medical Services Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Provided context on the Ground Ambulance Chapter of the MedPAC Report of July 15 to highlight need for increased reimbursement for ground ambulance services and reform of the ambulance fee schedule. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to extend and raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on the Consolidated Appropriations Act 2026 (H.R. 7148) to extend and increase the Medicare payments to ground ambulance services. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
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.
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Provided context on the Ground Ambulance Chapter of the MedPAC Report of July 15 to highlight need for increased reimbursement for ground ambulance services and reform of the ambulance fee schedule. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Apprenticeship Pathways Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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) and draft Supporting our First Responders Act. Lobbied on the draft National Defense Reauthorization Act of 2027 to include language to facilitate the transition of medics leaving the armed forces to transition to the civilian healthcare workforce.
Apprenticeship Pathways Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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.
Apprenticeship Pathways Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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).
MEDIC Careers Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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) and draft Supporting our First Responders Act. Lobbied on the draft National Defense Reauthorization Act of 2027 to include language to facilitate the transition of medics leaving the armed forces to transition to the civilian healthcare workforce.
MEDIC Careers Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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.
MEDIC Careers Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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).
CARE Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to extend and raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on the Consolidated Appropriations Act 2026 (H.R. 7148) to extend and increase the Medicare payments to ground ambulance services. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
CARE Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
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.
CARE Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Provided context on the Ground Ambulance Chapter of the MedPAC Report of July 15 to highlight need for increased reimbursement for ground ambulance services and reform of the ambulance fee schedule. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Emergency Medical Services Reimbursement for On-Scene Care and Support Act
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to extend and raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on the Consolidated Appropriations Act 2026 (H.R. 7148) to extend and increase the Medicare payments to ground ambulance services. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Emergency Medical Services Reimbursement for On-Scene Care and Support Act
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
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.
Emergency Medical Services Reimbursement for On-Scene Care and Support Act
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: AMERICAN AMBULANCE ASSOCIATION
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Provided context on the Ground Ambulance Chapter of the MedPAC Report of July 15 to highlight need for increased reimbursement for ground ambulance services and reform of the ambulance fee schedule. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Lifeline for First Responders Act
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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).
HELPER Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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) and draft Supporting our First Responders Act. Lobbied on the draft National Defense Reauthorization Act of 2027 to include language to facilitate the transition of medics leaving the armed forces to transition to the civilian healthcare workforce.
HELPER Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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.
HELPER Act of 2025
Client: AMERICAN AMBULANCE ASSOCIATION · Firm: 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).
Lobbied for relief from the federal fuel excise tax for private ground ambulance service organizations.
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.
Educated congressional offices and committees on the local oversight and rate controls of ground ambulance service organizations and the requirements placed on such organizations as 9-1-1 emergency medical services as well first responders. Also educated on the challenges that ground ambulance service organizations, which are predominately small entities providing medical services to individual communities, face in receiving adequate reimbursement from payors. Lobbied in support of the final report of the Ground Ambulance and Patient Billing Advisory Committee.
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).
Lobbied in support of resources for ground ambulance service organizations in order to be prepared to respond to future public health emergencies, natural disasters and acts of terrorism.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
AMERICAN AMBULANCE ASSOCIATION via AMERICAN AMBULANCE ASSOCIATION
2026 · second_quarter · Q2
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 in support of resources for ground ambulance service organizations in order to be prepared to respond to future public health emergencies, natural disasters and acts of terrorism.
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.
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Provided context on the Ground Ambulance Chapter of the MedPAC Report of July 15 to highlight need for increased reimbursement for ground ambulance services and reform of the ambulance fee schedule. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Lobbied for relief from the federal fuel excise tax for private ground ambulance service organizations.
Educated congressional offices and committees on the local oversight and rate controls of ground ambulance service organizations and the requirements placed on such organizations as 9-1-1 emergency medical services as well first responders. Also educated on the challenges that ground ambulance service organizations, which are predominately small entities providing medical services to individual communities, face in receiving adequate reimbursement from payors. Lobbied in support of the final report of the Ground Ambulance and Patient Billing Advisory Committee.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
AMERICAN AMBULANCE ASSOCIATION via AMERICAN AMBULANCE ASSOCIATION
2026 · first_quarter · Q1
Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 2232, S.1643) to extend and raise the percentages of temporary increases in Medicare payments for ground ambulance services. Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on the Consolidated Appropriations Act 2026 (H.R. 7148) to extend and increase the Medicare payments to ground ambulance services. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.
Lobbied for relief from the federal fuel excise tax for private ground ambulance service organizations.
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) and draft Supporting our First Responders Act. Lobbied on the draft National Defense Reauthorization Act of 2027 to include language to facilitate the transition of medics leaving the armed forces to transition to the civilian healthcare workforce.
Lobbied on the draft Senate and House FY2027 Labor, HHS, Education and Related Agencies Appropriations Bills for funding for the Administration for Strategic Preparedness and Response 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.
Educated congressional offices and committees on the local oversight and rate controls of ground ambulance service organizations and the requirements placed on such organizations as 9-1-1 emergency medical services as well first responders. Also educated on the challenges that ground ambulance service organizations, which are predominately small entities providing medical services to individual communities, face in receiving adequate reimbursement from payors. Lobbied in support of the final report of the Ground Ambulance and Patient Billing Advisory Committee.
Lobbied in support of resources for ground ambulance service organizations in order to be prepared to respond to future public health emergencies, natural disasters and acts of terrorism.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office