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 FY2025 Budget and Budget Reconciliation process on the One Big Beautiful Bill Act (H.R. 1) to mitigate the impact of changes to Medicaid enrollment policy on ground ambulance service organizations and to provider tax programs. Lobbied to increase the funding for the Rural Health Transformation Program and ensure that ground ambulance service providers and emergency medical services are eligible and covered for funding through inclusion in State plan program applications. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the draft Emergency Medical Services Reimbursement for On-Scene Care and Support Act. 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.
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), draft Supporting our First Responders Act, and the Freedom to Invest in Tomorrow's Workforce Act (S. 756, H.R. 1151). Lobbied on the National Defense Reauthorization Act of 2026 (S. 2296, H.R. 3838) to include language to facilitate the transition of medics leaving the armed forces to transition to the civilian healthcare workforce.
Lobbied on the Senate and House FY2026 Labor, HHS, Education and Related Agencies Appropriations Bills (S. 2587, H.R. 5304) 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 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 for provisions to support businesses, expand eligible training and education for 529 plan usage and inclusion of relief from the federal fuel excise tax for private ground ambulance service organizations as part of FY2025 Budget Reconciliation (H.R.1).