The Congressional Budget Office (CBO) has just
released its score
of the ACA repeal and replace legislation, the American Health Care Act,
currently moving through the House of Representatives and scheduled to be
marked up by the House Budget Committee on Wednesday. The score estimates that
if the legislation is enacted there would be 14 million more people uninsured
in 2018 as compared to current law, increasing to 24 million in 2026.
House Ways and Means and Energy and Commerce Committees Unveil ACA Repeal/Replace Bill AHA Timeline
Click here for NAEMSP's LEGISLATIVE AGENDA - 2017
Sign up for our Government Relations Academy - April 24, 2017
NAEMSP's Government Relations (GR) Academy will provide you with the knowledge, tools and confidence to advocate both locally and nationally for your EMS patients and practice. By meeting with NAEMSP's government relations experts in Washington DC, the GR Academy will teach you and your colleagues to interact effectively with local and national government. Hit the ground running for EMS on the Hill Day!
The NAEMSP GR Academy will be held from 8:30 am - 12:15 pm on Monday, April 24, the day preceding 2017 EMS on the Hill, is free of charge and will be located at Holland & Knight LLP, 800 17th St. NW, Suite 1100, Washington, DC 20006. Seating is limited and it is on a first come, first served basis. Click here to RSVP by April 7.
Please note that 2017 EMS on the Hill Day attendance is also encouraged - Tuesday, April 25. Separate registration and fees apply. Click here to register for EMS on the Hill Day.
"Protecting Patient Access to Emergency Medications Act of 2016"
(H.R. 304) Grassroots Advocacy (formerly H.R. 4365)
HR 304 passed the House on 1/9/2017! Next stop - the Senate!
Click here for a summary (posted 6/1/2016)
Click here for section by section (posted 6/1/2016)
NAEMSP Members Descend Upon Capitol Hill
On April 20, 2016, NAEMSP members participated in EMS On The Hill Day to advocate for several legislative initiatives including support for H.R. 4365, Protecting Patient Access to Emergency Medicine Act of 2016. H.R. 4365 will clarify that the current practice of physician Medical Directors overseeing care provided by paramedics and other emergency practitioners via "standing orders" is statutorily allowed and protected.
In preparation for the Hill Day, NAEMSP members participated in Holland & Knight's Government Relations Academy, which gave them the tools to successfully advocate for this vital legislation. NAEMSP members sharpened and refined their advocacy skills, and gained new ideas and knowledge from the Academy speakers. Attendees heard from Preston Bell who serves as a top aide to the bill's chief sponsor, Representative Richard Hudson (R-NC-6), and they had a dialogue with former Congressman Jim Davis and former Chief Counsel for the House Judiciary Committee (Subcommittee on Constitution) Kathryn Lehman. They also had the opportunity to learn about the reimbursement landscape from Brett Baker from the Senate Finance Committee.
NAEMSP and our coalition partners have been working with Representative Hudson's office to craft this legislation and gain support from additional Members of Congress. H.R. 4365 had six original sponsors when it was introduced in January 2016. Today, as a result of NAEMSP advocacy efforts – including the recent Hill Day – the bill has 67 cosponsors, which consist of 43 Republicans and 24 Democrats representing multiple regions of the country. Since the Hill Day, 26 Members of Congress have cosponsored H.R. 4365 and we anticipate that more Members of Congress will offer their support.
NAEMSP and our coalition partners have been working diligently to secure a hearing on the bill. Accordingly, we anticipate a hearing in mid-May. We are also solidifying Senate sponsors and anticipate introduction of companion legislation in the Senate soon.
Background: The "Protecting Patient Access to Emergency
Medications Act of 2016" (H.R. 4365), sponsored by Rep. Richard
Hudson (R-NC), will allow EMS agencies to continue using standing orders
from their medical director to administer approved medications to their
patients under the Drug Enforcement Administration (DEA). For background, a one
page-summary and section-by-section are included in the toolkit.
Now that the bill has been introduced, we
need all NAEMSP members to reach out to their Members of Congress in the House
of Representatives and urge them to co-sponsor our bill. Note we will engage in
Senate outreach once a companion bill is introduced.
When a Member of Congress cosponsors a
bill, it publicly shows their support for the bill. With thousands of bills
being introduced each year, bills with many cosponsors are more likely to make
it to the next phase of the process.
The importance of grassroots initiatives
cannot be overstated. A well-organized and informed grassroots advocacy effort
can effectively convey the importance and urgency of an issue to
policymakers. We need you to join us in carrying the message to your
lawmakers. They need to hear from folks on the ground in their districts!
is a template to send to your congressional delegation in the House of
Representatives. Please be sure that you only contact YOUR member of Congress; do not identify yourself as an NAEMSP member if you are not a current member. Please be respectful of the Congress members and do not email a mass quantity of people. This will only hurt our cause. Please edit the template as you see fit. E-mail is the
most efficient means of contacting congressional staff. Snail mail will be
diverted and take a long time to arrive. Accordingly, we encourage you to use
e-mail. Should you not receive an e-mail response after a week or so, please
call the office as follow-up and utilize the talking points on the next page.
Persistence is key!
Each congressional office has a devoted
health care staffer. Please find the e-mail/phone number of the staffer for
your Member of Congress in the attached excel document. If you do not know your
Member of Congress, please use the “find your representative” function at www.house.gov. It is located in the top right
hand corner and generates your Member of Congress by zip code.
Please note if you are a constituent of the
offices below, please simply send an e-mail thanking the office for their
support as the following Members of Congress serve as original co-sponsors.
Rep. Butterfield (D-NC); Rep. Cohen (D-TN);
Rep. Farenthold (R-TX); Rep. Heck, MD (R-NV); Rep. Ruiz, MD (D-CA) and Rep.
Westerman (R-AR). As noted earlier, Rep. Hudson (R-NC) is the sponsor of H.R.
H.R. 4365 Toolkit
H.R. 4365 Summary
H.R. 4365 Section by Section
Email Template and Talking Points
List of House Health Staffers
Track the Progress of this Bill
Advocates for Emergency Medical Services (AEMS) began as a coalition of major EMS organizations that was founded October 22, 2002, dedicated to promoting, educating and increasing awareness among decision-makers in Washington on issues affecting EMS providers.
AEMS supported all providers of EMS, whether they were fire, hospital, volunteer, third service, or nongovernmental based, by monitoring and influencing legislation and regulatory activity involving EMS and raising awareness among lawmakers on issues of importance to EMS.
Beginning in 2015, Advocates for EMS became part of NAEMSP and is no longer working as a coalition. Please contact the NAEMSP Advocacy Committee if you have questions.