3rd Quarter - Report

AMERICAN AMBULANCE ASSOCIATION for AMERICAN AMBULANCE ASSOCIATION

Firm
Client
Income
—
Expenses
$350,000
Expense method
A: Lobbying Disclosure Act definitions

What was lobbied

6 issue areas, each in the filer's own words, with who lobbied on it and where.

Taxation/Internal Revenue Code TAX

Lobbied for relief from the federal fuel excise tax for private ground ambulance service organizations.

LobbyistCovered position, as disclosed
SHAWN BAIRD —
TRISTAN NORTH —

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Medicare/Medicaid MMM

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.

LobbyistCovered position, as disclosed
SHAWN BAIRD New —
TRISTAN NORTH —

Contacted: Centers For Medicare and Medicaid Services (CMS); Health & Human Services, Dept of (HHS); SENATE; White House Office; HOUSE OF REPRESENTATIVES

Bills named: S. 1643 (119th), H.R. 4011 (119th), H.R. 7277 (119th), H.R. 2538 (119th), S. 3145 (119th), H.R. 2232 (119th), S. 3730 (119th), S. 1960 (119th), H.R. 3378 (119th)

Health Issues HCR

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.

LobbyistCovered position, as disclosed
SHAWN BAIRD New —
TRISTAN NORTH —

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Labor Issues/Antitrust/Workplace LBR

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).

LobbyistCovered position, as disclosed
SHAWN BAIRD New —
TRISTAN NORTH —

Contacted: White House Office; SENATE; HOUSE OF REPRESENTATIVES; Health & Human Services, Dept of (HHS)

Bills named: H.R. 8800 (119th), H.R. 9140 (119th), S. 235 (119th), H.R. 10116 (119th), H.R. 10712 (119th), H.R. 5370 (119th), S. 2673 (119th), H.R. 2220 (119th), H.R. 10349 (119th), S. 4819 (119th), H.R. 2094 (119th), S. 978 (119th)

Budget/Appropriations BUD

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.

LobbyistCovered position, as disclosed
SHAWN BAIRD New —
TRISTAN NORTH —

Contacted: HOUSE OF REPRESENTATIVES; SENATE; Health & Human Services, Dept of (HHS)

Bills named: H.R. 9170 (119th), H.R. 9260 (119th)

Disaster Planning/Emergencies DIS

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.

LobbyistCovered position, as disclosed
SHAWN BAIRD New —
TRISTAN NORTH —

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Shown as published by the Senate Office of Public Records and the House Clerk under the Lobbying Disclosure Act. The official filing is the record; open it for the full form.