,,ii #aag? ,,congress #b;d ,session ,s4 #ciaj ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #bc1 #bjbb,mr4 ,s&]s 7= himself & ,ms4 ,smi?7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to e/abli% a fund+ program = support+ ,,ems organizations1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,,ems ,/aff+ & ,support ,act4 #b4 ,,ems organization fund+ ,"p ,p ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g et seq47 is am5d$ by add+ at ! end ! foll[+3 #cii,v-#g4 ,,ems organization fund+ 7a7 ,def9itions ,9 ?is section3 7#a7 ,indian ,tribe2 ,tribal organization ,! t]ms ,indian ,tribe & ,tribal organization h ! mean+s giv5 su* t]ms 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7#b7 ,,ems organization ,! t]m ,,ems organization means a public or private entity t provides m$ical transport & em]g5cy m$ical s]vices4 7#c7 ,em]g5cy m$ical s]vices ,! t]m em]g5cy m$ical s]vices has ! mean+ giv5 su* t]m 9 section #ccj;,j7e74 7#d7 ,qualifi$ applicant ,! t]m qualifi$ applicant means-- 7,a7 an ,,ems organization1 o!r ?an an ,,ems organization t op]ates = pr(it2 7,b7 a ,/ate1 ,indian ,tribe1 ,tribal organization1 c\nty1 or municipality2 or 7,c7 any o!r nonpr(it organization t repres5ts ! int]e/s ( ,,ems organizations4 7#e7 ,/ate ,! t]m ,/ate means any ,/ate ( ! ,unit$ ,/ates1 ! ,di/rict ( ,columbia1 ! ,commonweal? ( ,pu]to ,rico1 ,am]ican ,samoa1 ,guam1 ! ,unit$ ,/ates ,virg9 ,isl&s1 ! ,commonweal? ( ! ,nor!rn ,m>iana ,isl&s1 & any o!r t]ritory or possession ( ! ,unit$ ,/ates4 7b7 ,competitive grants 7#a7 ,9 g5]al ,beg9n+ 9 fiscal ye> #bjbc1 ! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 %all aw>d grants on a competitive basis to qualifi$ applicants to c>ry out activities describ$ 9 subsection 7d7 9 ord] to support ,,ems organizations 9 ! ,unit$ ,/ates4 7#b7 ,applications 7,a7 ,9 g5]al ,a qualifi$ applicant seek+ a grant "u ?is subsection %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may reasonably require1 includ+-- 7i7 a description ( ! f9ancial ne$ ( ! qualifi$ applicant 7or ea* qualifi$ applicant 9 ! case ( a jo9t application describ$ 9 subp>agraph 7,b772 & 7ii7 an analysis ( ! co/s & b5efits1 ) respect to improv+ m$ical transport & em]g5cy m$ical s]vices1 ( ! activities to be c>ri$ out ?r\gh ! grant4 7,b7 ,jo9t applications ,a qualifi$ applicant may submit a jo9t application ) #a or m o!r qualifi$ applicants "u ?is subsection4 7,c7 ,pe] review ( grant applications 7i7 ,9 g5]al ,! ,secret>y1 aft] consultation ) national em]g5cy m$ical s]vices organizations1 %all appo9t em]g5cy m$ical s]vice p]sonnel to conduct pe] reviews ( applications receiv$ "u ?is subsection4 7ii7 ,applicability ( ,f$]al ,advisory ,committee ,act ,! ,f$]al ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app47 %all n apply to activities c>ri$ out "u ?is subp>agraph4 7,d7 ,prioritization ( grant aw>ds ,9 aw>d+ grants "u ?is subsection1 ! ,secret>y %all consid] ea* ( ! foll[+3 7i7 ,! f9d+s & recomm5dations ( ! pe] reviews c>ri$ out "u subp>agraph 7,c74 7ii7 ,! degree to :i* an aw>d w improve ! cov]age1 response times1 & ability ( ,,ems organizations to provide m$ical transport & em]g5cy m$ical s]vices4 7iii7 ,! ext5t ( ! ne$ ( an applicant = a grant "u ?is subsection & ! ne$ to protect ! ,unit$ ,/ates z a :ole4 7c7 ,contracts or compacts ) ,indian ,tribes & ,tribal organizations 7#a7 ,9 g5]al ,beg9n+ 9 fiscal ye> #bjbc1 ! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 %all aw>d fund+ ?r\gh contracts or compacts pursuant to ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act1 di/ribut$ on a fair & equitable =mula z develop$ ?r\gh consultation ) ,indian ,tribes & ,tribal organizations1 to ,indian ,tribes & ,tribal organizations to c>ry out activities describ$ 9 subsection 7d7 9 ord] to support ,,ems organizations 9 ,tribal communities4 7#b7 ,applications ,an ,indian ,tribe or ,tribal organization seek+ fund+ "u ?is subsection %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y requires ?r\gh consultation ) ,indian ,tribes & ,tribal organizations4 7d7 ,activities 7#a7 ,9 g5]al ,grants or o!r fund+ aw>d$ "u ?is section may be us$ to support ,,ems organizations ?r\gh any ( ! foll[+3 7,a7 ,hir+ ,,ems organization p]sonnel4 7,b7 ,recruit+ & reta9+ volunte] ,,ems organization p]sonnel4 7,c7 ,provid+ tra9+ or reimburs+ p]sonnel = tra9+4 7,d7 ,conduct+ c\rses & implem5t+ appr5tice%ip programs t qualify graduates to s]ve 9 an ,,ems organization 9 accordance ) ,/ate & local requirem5ts4 7,e7 ,pur*as+ necess>y equipm5t4 7,f7 ,pur*as+ m$ic9e & m$ical supplies4 7,g7 ,pur*as+ ,,ems vehicles4 7,h7 ,wellness & fitness programs = ,,ems organization p]sonnel4 7,i7 ,modify+ facilities4 7,j7 ,improv+ regional coord9ation among ,,ems organizations4 7,k7 ,e/abli%+ or support+ community p>am$ic9e or mobile integrat$ heal? c>e initiatives4 7,l7 ,any o!r activity ! ,secret>y det]m9es appropriate4 7#b7 ,limitation ,no funds aw>d$ "u ?is section may be made available to an ,,ems organization t op]ates = pr(it or to o!rwise support ef=ts to e/abli% or provide em]g5cy m$ical s]vices1 or m$ical transport1 = pr(it4 7e7 ,am\nt ,ea* grant aw>d$ "u subsection 7b71 or fund+ ?r\gh a contract or compact "u subsection 7c71 %all be 9 an am\nt n to exce$ #a1jjj1jjj4 7f7 ,appropriations 7#a7 ,aw>ds 7,a7 ,9 g5]al ,!re is au?oriz$ to be appropriat$1 & !re is appropriat$1 to ! ,secret>y to aw>d grants1 & fund+ ?r\gh contracts or compacts1 "u ?is section-- 7i7 = fiscal ye> #bjbc1 #ejj1jjj1jjj2 & 7ii7 = ea* fiscal ye> !reaft]1 ! am\nt au?oriz$ "u ?is subp>agraph = ! prec$+ fiscal ye> increas$ by ! p]c5tage increase 9 ! consum] price index = all urban consum]s 7all items2 ,unit$ ,/ates city av]age7 = ! mo/ rec5t #ab-mon? p]iod = :i* applicable data is available4 7,b7 ,contracts & compacts ,( ! am\nt appropriat$ "u subp>agraph 7,a7 = ea* fiscal ye>1 n less ?an #e p]c5t %all be set aside to c>ry out subsection 7c74 7#b7 ,te*nical assi/ance ,!re is au?oriz$ to be appropriat$1 & !re is appropriat$1 to ! ,secret>y to provide te*nical assi/ance to entities complet+ & submitt+ applications "u ?is section-- 7,a7 = fiscal ye> #bjbc1 #aj1jjj1jjj2 & 7,b7 = ea* fiscal ye> !reaft]1 ! am\nt au?oriz$ "u ?is p>agraph = ! prec$+ fiscal ye> increas$ by ! p]c5tage increase 9 ! consum] price index = all urban consum]s 7all items2 ,unit$ ,/ates city av]age7 = ! mo/ rec5t #ab-mon? p]iod = :i* applicable data is available4 4 #c4 ,reports 7a7 ,9 g5]al ,n lat] ?an #ij days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 ! ,assi/ant ,secret>y = ,prep>$ness & ,response1 & ,,ems /akehold]s1 %all submit to ,congress a report detail+ ! *all5ges1 disp>ities1 & inadequacies 9 provid+ ,f$]al1 ,/ate1 & private 7includ+ comm]cial insur]s7 reimbursem5t = m$ical transport & em]g5cy m$ical s]vices & provid+ recomm5dations = improvem5t ) respect to provid+ su* reimbursem5t4 7b7 ,rural ,,ems organizations ,n lat] ?an #ij days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 ! ,assi/ant ,secret>y = ,prep>$ness & ,response1 & ,,ems /akehold]s1 %all submit to ,congress a report on ! *all5ges specific to rural ,,ems organizations1 includ+ ) respect to ,f$]al1 ,/ate1 & private 7includ+ private insur]s7 reimbursem5t rates & policies1 & develop an action plan to address ^? *all5ges ?r\gh grants & o!r adm9i/rative action4