| 1 | 1 | | I |
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| 2 | 2 | | 119THCONGRESS |
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| 3 | 3 | | 1 |
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| 4 | 4 | | STSESSION H. R. 2220 |
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| 5 | 5 | | To preserve access to emergency medical services. |
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| 6 | 6 | | IN THE HOUSE OF REPRESENTATIVES |
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| 7 | 7 | | MARCH18, 2025 |
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| 8 | 8 | | Ms. P |
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| 9 | 9 | | EREZ(for herself, Mr. FINSTAD, Mr. FEENSTRA, Ms. BONAMICI, Mr. |
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| 10 | 10 | | L |
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| 11 | 11 | | AWLER, and Mr. HARDERof California) introduced the following bill; |
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| 12 | 12 | | which was referred to the Committee on Energy and Commerce, and in |
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| 13 | 13 | | addition to the Committee on Education and Workforce, for a period to |
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| 14 | 14 | | be subsequently determined by the Speaker, in each case for consider- |
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| 15 | 15 | | ation of such provisions as fall within the jurisdiction of the committee |
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| 16 | 16 | | concerned |
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| 17 | 17 | | A BILL |
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| 18 | 18 | | To preserve access to emergency medical services. |
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| 19 | 19 | | Be it enacted by the Senate and House of Representa-1 |
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| 20 | 20 | | tives of the United States of America in Congress assembled, 2 |
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| 21 | 21 | | SECTION 1. SHORT TITLE. 3 |
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| 22 | 22 | | This Act may be cited as the ‘‘Preserve Access to 4 |
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| 23 | 23 | | Rapid Ambulance Emergency Medical Treatment Act of 5 |
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| 24 | 24 | | 2025’’ or the ‘‘PARA–EMT Act of 2025’’. 6 |
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| 25 | 25 | | SEC. 2. FINDINGS. 7 |
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| 26 | 26 | | Congress finds the following: 8 |
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| 28 | 28 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 |
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| 29 | 29 | | •HR 2220 IH |
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| 30 | 30 | | (1) Paramedics and emergency medical techni-1 |
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| 31 | 31 | | cians (in this section referred to as ‘‘EMTs’’) pro-2 |
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| 32 | 32 | | vide care to ill or injured people in emergency med-3 |
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| 33 | 33 | | ical settings and are a vital component of the Na-4 |
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| 34 | 34 | | tion’s Emergency Medical Services (in this section 5 |
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| 35 | 35 | | referred to as ‘‘EMS’’) system. 6 |
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| 36 | 36 | | (2) EMTs provide basic emergency medical care 7 |
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| 37 | 37 | | and transportation for patients while paramedics 8 |
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| 38 | 38 | | provide advanced emergency medical care such as 9 |
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| 39 | 39 | | intubation, oral and intravenous drug administra-10 |
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| 40 | 40 | | tion, and other procedures. 11 |
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| 41 | 41 | | (3) The United States EMS system is facing a 12 |
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| 42 | 42 | | crippling workforce shortage, a long-term problem 13 |
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| 43 | 43 | | that has been building for more than a decade. 14 |
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| 44 | 44 | | (4) In 2019, the Health Resources and Services 15 |
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| 45 | 45 | | Administration reported that by 2030, there would 16 |
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| 46 | 46 | | be a need for an additional 42,000 EMTs and Para-17 |
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| 47 | 47 | | medics to meet the nation’s demand for healthcare 18 |
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| 48 | 48 | | services. 19 |
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| 49 | 49 | | (5) The COVID–19 pandemic has further exac-20 |
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| 50 | 50 | | erbated this workforce shortage, with ambulance 21 |
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| 51 | 51 | | crews suffering the effects of surging demand, burn-22 |
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| 52 | 52 | | out, fear of illness and stress on their families. 23 |
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| 53 | 53 | | (6) A 2021 survey of nearly 20,000 employees 24 |
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| 54 | 54 | | working at 258 EMS organizations found that over-25 |
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| 56 | 56 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 |
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| 57 | 57 | | •HR 2220 IH |
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| 58 | 58 | | all turnover among paramedics and EMTs ranges 1 |
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| 59 | 59 | | from 20 to 30 percent annually. 2 |
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| 60 | 60 | | (7) With COVID–19 halting clinical and in-per-3 |
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| 61 | 61 | | son trainings for a significant period of time, the 4 |
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| 62 | 62 | | pipeline of new EMS staff has been stretched even 5 |
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| 63 | 63 | | thinner. 6 |
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| 64 | 64 | | SEC. 3. EMS PREPAREDNESS AND RESPONSE WORKFORCE 7 |
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| 65 | 65 | | SHORTAGE PILOT PROGRAM. 8 |
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| 66 | 66 | | Title XII of the Public Health Service Act (42 U.S.C. 9 |
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| 67 | 67 | | 300d et seq.) is amended by inserting after section 1204 10 |
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| 68 | 68 | | the following: 11 |
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| 69 | 69 | | ‘‘SEC. 1205. EMS PREPAREDNESS AND RESPONSE WORK-12 |
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| 70 | 70 | | FORCE SHORTAGE PILOT PROGRAM. 13 |
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| 71 | 71 | | ‘‘(a) G |
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| 72 | 72 | | RANTS.—The Secretary, acting through the 14 |
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| 73 | 73 | | Assistant Secretary for Preparedness and Response, shall 15 |
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| 74 | 74 | | establish a pilot program to award grants to eligible emer-16 |
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| 75 | 75 | | gency medical services agencies to support the recruitment 17 |
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| 76 | 76 | | and training of emergency medical technicians and para-18 |
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| 77 | 77 | | medics to improve access to, and enhance the quality of, 19 |
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| 78 | 78 | | emergency medical services. 20 |
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| 79 | 79 | | ‘‘(b) A |
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| 80 | 80 | | PPLICATION.—An eligible emergency medical 21 |
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| 81 | 81 | | services agency seeking a grant under this section shall 22 |
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| 82 | 82 | | submit to the Secretary an application at such time, in 23 |
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| 83 | 83 | | such manner, and containing such information as the Sec-24 |
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| 84 | 84 | | retary may require. 25 |
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| 87 | 87 | | •HR 2220 IH |
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| 88 | 88 | | ‘‘(c) USE OFFUNDS.—An eligible emergency medical 1 |
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| 89 | 89 | | services agency receiving a grant under this section shall 2 |
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| 90 | 90 | | use funds received through the grant to implement a new 3 |
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| 91 | 91 | | program or enhance an existing program to— 4 |
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| 92 | 92 | | ‘‘(1) recruit and retain emergency medical serv-5 |
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| 93 | 93 | | ices personnel, which may include volunteer per-6 |
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| 94 | 94 | | sonnel; 7 |
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| 95 | 95 | | ‘‘(2) train emergency medical services personnel 8 |
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| 96 | 96 | | to obtain and maintain licenses and certifications 9 |
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| 97 | 97 | | relevant to service in an emergency medical services 10 |
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| 98 | 98 | | agency; 11 |
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| 99 | 99 | | ‘‘(3) conduct courses and implement apprentice-12 |
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| 100 | 100 | | ship programs that qualify graduates to serve in an 13 |
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| 101 | 101 | | emergency medical services agency in accordance 14 |
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| 102 | 102 | | with State and local requirements; 15 |
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| 103 | 103 | | ‘‘(4) fund specific training to meet Federal or 16 |
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| 104 | 104 | | State licensing or certification requirements; 17 |
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| 105 | 105 | | ‘‘(5) develop new ways to educate emergency 18 |
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| 106 | 106 | | medical services personnel through the use of tech-19 |
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| 107 | 107 | | nology-enhanced educational methods; 20 |
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| 108 | 108 | | ‘‘(6) establish wellness and fitness programs for 21 |
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| 109 | 109 | | emergency medical services personnel to ensure that 22 |
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| 110 | 110 | | such personnel are able to carry out their duties, in-23 |
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| 111 | 111 | | cluding programs dedicated to raising awareness of, 24 |
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| 114 | 114 | | •HR 2220 IH |
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| 115 | 115 | | and prevention of, job-related mental health issues; 1 |
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| 116 | 116 | | or 2 |
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| 117 | 117 | | ‘‘(7) train emergency medical services personnel 3 |
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| 118 | 118 | | to care for people with mental and substance use 4 |
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| 119 | 119 | | disorders in emergency situations. 5 |
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| 120 | 120 | | ‘‘(d) P |
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| 121 | 121 | | RIORITIZATION.—In awarding grants under 6 |
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| 122 | 122 | | this section, the Secretary shall prioritize eligible emer-7 |
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| 123 | 123 | | gency medical services agencies that— 8 |
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| 124 | 124 | | ‘‘(1) emphasize the recruitment and training of 9 |
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| 125 | 125 | | youth, particularly high school students, rural youth, 10 |
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| 126 | 126 | | and youth from low-income or disadvantaged back-11 |
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| 127 | 127 | | grounds; 12 |
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| 128 | 128 | | ‘‘(2) develop and implement programs to assist 13 |
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| 129 | 129 | | veterans who completed military emergency medical 14 |
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| 130 | 130 | | technician training while serving in the Armed 15 |
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| 131 | 131 | | Forces of the United States to meet certification, li-16 |
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| 132 | 132 | | censure, and other requirements applicable to be-17 |
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| 133 | 133 | | coming an emergency medical technician or para-18 |
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| 134 | 134 | | medic; 19 |
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| 135 | 135 | | ‘‘(3) are small or are located in rural areas and 20 |
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| 136 | 136 | | serve rural populations; or 21 |
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| 137 | 137 | | ‘‘(4) address such other priorities as the Sec-22 |
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| 138 | 138 | | retary considers appropriate. 23 |
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| 139 | 139 | | ‘‘(e) A |
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| 140 | 140 | | LLOCATION OF GRANTS TORURALEMER-24 |
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| 141 | 141 | | GENCYMEDICALSERVICESAGENCIES.—The Secretary 25 |
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| 143 | 143 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 6 |
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| 144 | 144 | | •HR 2220 IH |
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| 145 | 145 | | shall ensure that not less than 20 percent of the total 1 |
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| 146 | 146 | | number of grants under this section are made to emer-2 |
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| 147 | 147 | | gency medical services agencies located in rural areas. 3 |
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| 148 | 148 | | ‘‘(f) M |
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| 149 | 149 | | AXIMUMGRANTAMOUNT.—The amount of a 4 |
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| 150 | 150 | | grant made under this section to a single grant recipient 5 |
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| 151 | 151 | | shall not exceed $1,000,000. 6 |
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| 152 | 152 | | ‘‘(g) R |
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| 153 | 153 | | EPORTS.— 7 |
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| 154 | 154 | | ‘‘(1) R |
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| 155 | 155 | | EPORT TO SECRETARY .—An eligible 8 |
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| 156 | 156 | | emergency medical services agency receiving a grant 9 |
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| 157 | 157 | | under subsection (a) shall periodically submit to the 10 |
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| 158 | 158 | | Secretary a report evaluating the activities sup-11 |
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| 159 | 159 | | ported by the grant. 12 |
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| 160 | 160 | | ‘‘(2) R |
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| 161 | 161 | | EPORT TO PUBLIC.—The Secretary shall 13 |
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| 162 | 162 | | submit to the Committee on Energy and Commerce 14 |
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| 163 | 163 | | of the House of Representatives and the Committee 15 |
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| 164 | 164 | | on Health, Education, Labor, and Pensions of the 16 |
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| 165 | 165 | | Senate, and make publicly available, a report on the 17 |
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| 166 | 166 | | Secretary’s findings with respect to the success of 18 |
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| 167 | 167 | | the program under this section in improving access 19 |
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| 168 | 168 | | to, and enhancing the quality of, emergency medical 20 |
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| 169 | 169 | | services. 21 |
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| 170 | 170 | | ‘‘(h) D |
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| 171 | 171 | | EFINITION.—In this section, the term ‘eligible 22 |
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| 172 | 172 | | emergency medical services agency’ means an entity that 23 |
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| 173 | 173 | | is— 24 |
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| 176 | 176 | | •HR 2220 IH |
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| 177 | 177 | | ‘‘(1) licensed to deliver medical care outside of 1 |
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| 178 | 178 | | a medical facility under emergency conditions that 2 |
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| 179 | 179 | | occur as a result of the condition of the patient; and 3 |
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| 180 | 180 | | ‘‘(2) delivers services (either on a compensated 4 |
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| 181 | 181 | | or volunteer basis) by an emergency medical services 5 |
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| 182 | 182 | | provider or other provider that is licensed or cer-6 |
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| 183 | 183 | | tified by the State involved as an emergency medical 7 |
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| 184 | 184 | | technician, a paramedic, or an equivalent profes-8 |
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| 185 | 185 | | sional (as determined by the State). 9 |
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| 186 | 186 | | ‘‘(i) A |
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| 187 | 187 | | UTHORIZATION OFAPPROPRIATIONS.— 10 |
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| 188 | 188 | | ‘‘(1) I |
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| 189 | 189 | | N GENERAL.—To carry out this section, 11 |
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| 190 | 190 | | there are authorized to be appropriated $50,000,000 12 |
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| 191 | 191 | | for each of fiscal years 2026 through 2030. 13 |
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| 192 | 192 | | ‘‘(2) A |
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| 193 | 193 | | DMINISTRATIVE COSTS .—The Secretary 14 |
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| 194 | 194 | | may use not more than 10 percent of the amount 15 |
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| 195 | 195 | | appropriated pursuant to paragraph (1) for a fiscal 16 |
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| 196 | 196 | | year for the administrative expenses of carrying out 17 |
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| 197 | 197 | | this section.’’. 18 |
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| 200 | 200 | | •HR 2220 IH |
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| 201 | 201 | | SEC. 4. ASSISTING VETERANS WITH MILITARY EMERGENCY 1 |
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| 202 | 202 | | MEDICAL TRAINING TO MEET REQUIRE-2 |
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| 203 | 203 | | MENTS FOR BECOMING EMERGENCY MED-3 |
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| 204 | 204 | | ICAL TECHNICIANS AND CIVILIAN PARA-4 |
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| 205 | 205 | | MEDICS. 5 |
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| 206 | 206 | | Part B of title III of the Public Health Service Act 6 |
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| 207 | 207 | | (42 U.S.C. 243 et seq.) is amended by inserting after sec-7 |
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| 208 | 208 | | tion 320B (42 U.S.C. 247d–11) the following: 8 |
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| 209 | 209 | | ‘‘SEC. 320C. ASSISTING VETERANS WITH MILITARY EMER-9 |
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| 210 | 210 | | GENCY MEDICAL TRAINING TO MEET RE-10 |
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| 211 | 211 | | QUIREMENTS FOR BECOMING EMERGENCY 11 |
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| 212 | 212 | | MEDICAL TECHNICIANS AND CIVILIAN PARA-12 |
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| 213 | 213 | | MEDICS. 13 |
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| 214 | 214 | | ‘‘(a) P |
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| 215 | 215 | | ROGRAM.—The Secretary shall— 14 |
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| 216 | 216 | | ‘‘(1) establish a program consisting of awarding 15 |
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| 217 | 217 | | demonstration grants to States to cover transition 16 |
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| 218 | 218 | | costs in order to assist veterans who completed ro-17 |
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| 219 | 219 | | bust military emergency medical technician or para-18 |
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| 220 | 220 | | medic training while serving in the Armed Forces of 19 |
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| 221 | 221 | | the United States to meet certification, licensure, 20 |
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| 222 | 222 | | and other requirements applicable to becoming a ci-21 |
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| 223 | 223 | | vilian emergency medical technician or paramedic in 22 |
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| 224 | 224 | | the State; and 23 |
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| 225 | 225 | | ‘‘(2) in implementing such program, assist 24 |
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| 226 | 226 | | States in honoring the service of such veterans who 25 |
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| 227 | 227 | | have completed training through such service in the 26 |
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| 230 | 230 | | •HR 2220 IH |
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| 231 | 231 | | Armed Forces of the United States and passed the 1 |
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| 232 | 232 | | respective National Registry of Emergency Medical 2 |
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| 233 | 233 | | Technicians exam to ease the transition to the civil-3 |
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| 234 | 234 | | ian Nation’s Emergency Medical Services workforce. 4 |
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| 235 | 235 | | ‘‘(b) U |
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| 236 | 236 | | SE OFFUNDS.—A State receiving a grant 5 |
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| 237 | 237 | | under this section shall use amounts of such grants to pre-6 |
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| 238 | 238 | | pare and implement a plan to assist with the transition 7 |
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| 239 | 239 | | of a veteran to becoming a civilian emergency medical 8 |
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| 240 | 240 | | technician or paramedic as described in subsection (a), in-9 |
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| 241 | 241 | | cluding by establishing a grant program within the appli-10 |
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| 242 | 242 | | cable State agency responsible for emergency medical serv-11 |
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| 243 | 243 | | ices to cover— 12 |
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| 244 | 244 | | ‘‘(1) the costs of training, education, certifi-13 |
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| 245 | 245 | | cation, and credentialing by an accredited institu-14 |
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| 246 | 246 | | tion; and 15 |
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| 247 | 247 | | ‘‘(2) fees for national testing for official certifi-16 |
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| 248 | 248 | | cation and State fees to acquire State licensure. 17 |
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| 249 | 249 | | ‘‘(c) R |
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| 250 | 250 | | EPORT.—The Secretary shall submit to the 18 |
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| 251 | 251 | | Congress an annual report on the program under this sec-19 |
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| 252 | 252 | | tion. 20 |
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| 253 | 253 | | ‘‘(d) A |
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| 254 | 254 | | UTHORIZATION OF APPROPRIATIONS.—To 21 |
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| 255 | 255 | | carry out this section, there are authorized to be appro-22 |
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| 256 | 256 | | priated $20,000,000 for each of fiscal years 2026 through 23 |
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| 257 | 257 | | 2030.’’. 24 |
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| 260 | 260 | | •HR 2220 IH |
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| 261 | 261 | | SEC. 5. STUDY AND REPORT ON EMERGENCY MEDICAL 1 |
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| 262 | 262 | | TECHNICIAN AND PARAMEDIC WORKFORCE 2 |
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| 263 | 263 | | SHORTAGE. 3 |
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| 264 | 264 | | (a) S |
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| 265 | 265 | | TUDY.—The Secretary of Labor, in coordination 4 |
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| 266 | 266 | | with the Secretary of Health and Human Services, shall 5 |
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| 267 | 267 | | conduct a study on— 6 |
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| 268 | 268 | | (1) the number of currently available emergency 7 |
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| 269 | 269 | | medical technician and paramedic jobs, categorized 8 |
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| 270 | 270 | | by type of employer (such as ambulance services, 9 |
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| 271 | 271 | | local governments other than hospitals, and hos-10 |
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| 272 | 272 | | pitals); 11 |
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| 273 | 273 | | (2) the projected increase in available emer-12 |
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| 274 | 274 | | gency medical technician and paramedic jobs from 13 |
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| 275 | 275 | | 2025 through 2034, categorized by type of employer; 14 |
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| 276 | 276 | | (3) the percentage of available emergency med-15 |
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| 277 | 277 | | ical technician and paramedic jobs from 2025 16 |
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| 278 | 278 | | through 2034 that are expected to result from the 17 |
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| 279 | 279 | | need to replace workers who transfer to different oc-18 |
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| 280 | 280 | | cupations or exit the labor force; 19 |
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| 281 | 281 | | (4) the availability of appropriate training and 20 |
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| 282 | 282 | | education programs in the United States sufficient 21 |
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| 283 | 283 | | to meet the projected demand for emergency medical 22 |
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| 284 | 284 | | technician and paramedic jobs from 2025 through 23 |
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| 285 | 285 | | 2034; and 24 |
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| 288 | 288 | | •HR 2220 IH |
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| 289 | 289 | | (5) the projected shortage of emergency medical 1 |
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| 290 | 290 | | technicians and paramedics from 2025 through 2 |
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| 291 | 291 | | 2034. 3 |
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| 292 | 292 | | (b) R |
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| 293 | 293 | | EPORT TOCONGRESS.—Not later than one year 4 |
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| 294 | 294 | | after the date of the enactment of this Act, the Secretary 5 |
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| 295 | 295 | | of Labor, in coordination with the Secretary of Health and 6 |
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| 296 | 296 | | Human Services, shall submit to Congress a report on the 7 |
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| 297 | 297 | | study conducted under subsection (a) together with such 8 |
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| 298 | 298 | | recommendations that the Secretaries determine are ap-9 |
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| 299 | 299 | | propriate to address the projected shortage of emergency 10 |
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| 300 | 300 | | medical technicians and paramedics, including whether 11 |
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| 301 | 301 | | Schedule A should be expanded to include these occupa-12 |
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| 302 | 302 | | tions. 13 |
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| 303 | 303 | | Æ |
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