,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #fdcc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #ae1         
#bjbc,ms4 ,p]ez 7= h]self & ,mr4 ,f9/ad7
 introduc$ ! foll[+ bill2 :i* 0 ref]r$  
to ! ,committee on ,en]gy & ,comm]ce1 & 
9 addition to ! ,committee on ,education
 & ! ,work=ce1 = a p]iod to be          
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to pres]ve access  
to em]g5cy m$ical s]vices4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,pres]ve
 ,access to ,rapid ,ambulance ,em]g5cy  
,m$ical ,treatm5t ,act ( #bjbc or !     
,,p>a-,,emt ,act ( #bjbc4  #b4 ,f9d+s   
,congress f9ds ! foll[+3 7#a7 ,p>am$ics 
& em]g5cy m$ical te*nicians 79 ?is      
section ref]r$ to z ,e,m,ts7 provide c>e
 to ill or injur$ p 9 em]g5cy m$ical    
sett+s & are a vital compon5t ( !       
,nation's ,em]g5cy ,m$ical ,s]vices 79  
?is section ref]r$ to z ,,ems7 sy/em4   
7#b7 ,e,m,ts provide basic em]g5cy      

m$ical c>e & transportation = pati5ts   
:ile p>am$ics provide advanc$ em]g5cy   
m$ical c>e su* z intubation1 oral &     
intrav5\s drug adm9i/ration1 & o!r      
proc$ures4  7#c7 ,! ,unit$ ,/ates ,,ems 
sy/em is fac+ a crippl+ work=ce %ortage1
 a long-t]m problem t has be5 build+ = m
 ?an a decade4  7#d7 ,9 #bjai1 ! ,heal? 
,res\rces & ,s]vices ,adm9i/ration      
report$ t by #bjcj1 !re w\ld be a ne$ = 
an additional #db1jjj ,e,m,ts &         
,p>am$ics to meet ! nation's dem& =     
heal?c>e s]vices4  7#e7 ,! ,,covid-#ai  
p&emic has fur!r exac]bat$ ?is work=ce  
%ortage1 ) ambulance crews suff]+ !     
effects ( surg+ dem&1 burn\t1 fe> (     
illness & /ress on _! families4  7#f7 ,a
 #bjba survey ( ne>ly #bj1jjj employees 
work+ at #beh ,,ems organizations f\nd t
 ov]all turnov] among p>am$ics & ,e,m,ts
 ranges f #bj to #cj p]c5t annually4    
7#g7 ,) ,,covid-#ai halt+ cl9ical &     
9-p]son tra9+s = a significant p]iod (  
"t1 ! pipel9e ( new ,,ems /aff has be5  
/ret*$ ev5 ?9n]4  #c4 ,,ems prep>$ness &

 response work=ce %ortage pilot program 
,title ,,xii ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #cjj;d et seq47 is  
am5d$ by ins]t+ aft] section #abjd !    
foll[+3  #abje4 ,,ems prep>$ness &      
response work=ce %ortage pilot program  
7a7 ,grants ,! ,secret>y1 act+ ?r\gh !  
,assi/ant ,secret>y = ,prep>$ness &     
,response1 %all e/abli% a pilot program 
to aw>d grants to eligible em]g5cy      
m$ical s]vices ag5cies to support !     
recruitm5t & tra9+ ( em]g5cy m$ical     
te*nicians & p>am$ics to improve access 
to1 & enhance ! quality (1 em]g5cy      
m$ical s]vices4  7b7 ,application ,an   
eligible em]g5cy m$ical s]vices ag5cy   
seek+ a grant "u ?is section %all submit
 to ! ,secret>y an application at su*   
"t1 9 su* mann]1 & conta9+ su* in=mation
 z ! ,secret>y may require4  7c7 ,use ( 
funds ,an eligible em]g5cy m$ical       
s]vices ag5cy receiv+ a grant "u ?is    
section %all use funds receiv$ ?r\gh !  
grant to implem5t a new program or      
enhance an exi/+ program to-- 7#a7      

recruit & reta9 em]g5cy m$ical s]vices  
p]sonnel1 :i* may include volunte]      
p]sonnel2  7#b7 tra9 em]g5cy m$ical     
s]vices p]sonnel to obta9 & ma9ta9      
lic5ses & c]tifications relevant to     
s]vice 9 an em]g5cy m$ical s]vices      
ag5cy2  7#c7 conduct c\rses & implem5t  
appr5tice%ip programs t qualify         
graduates to s]ve 9 an em]g5cy m$ical   
s]vices ag5cy 9 accordance ) ,/ate &    
local requirem5ts2  7#d7 fund specific  
tra9+ to meet ,f$]al or ,/ate lic5s+ or 
c]tification requirem5ts2  7#e7 develop 
new ways to educate em]g5cy m$ical      
s]vices p]sonnel ?r\gh ! use (          
te*nology-enhanc$ educational me?ods2   
7#f7 e/abli% wellness & fitness programs
 = em]g5cy m$ical s]vices p]sonnel to   
ensure t su* p]sonnel are able to c>ry  
out _! duties1 includ+ programs d$icat$ 
to rais+ aw>5ess (1 & prev5tion (1      
job-relat$ m5tal heal? issues2 or  7#g7 
tra9 em]g5cy m$ical s]vices p]sonnel to 
c>e = p ) m5tal & sub/ance use disord]s 
9 em]g5cy situations4  7d7              

,prioritization ,9 aw>d+ grants "u ?is  
section1 ! ,secret>y %all prioritize    
eligible em]g5cy m$ical s]vices ag5cies 
t-- 7#a7 seek to promote div]sity &     
ensure equal opportunity = p>ticipation 
9 ! em]g5cy m$ical s]vices work=ce2     
7#b7 emphasize ! recruitm5t & tra9+ (   
y\?1 p>ticul>ly high s*ool /ud5ts1 rural
 y\?1 & y\? f l[-income or disadvantag$ 
backgr\nds2  7#c7 develop & implem5t    
programs to assi/ vet]ans :o complet$   
milit>y em]g5cy m$ical te*nician tra9+  
:ile s]v+ 9 ! ,arm$ ,=ces ( ! ,unit$    
,/ates to meet c]tification1 lic5sure1 &
 o!r requirem5ts applicable to becom+ an
 em]g5cy m$ical te*nician or p>am$ic2   
7#d7 are small or are locat$ 9 rural    
areas & s]ve rural populations2 or  7#e7
 address su* o!r priorities z !         
,secret>y consid]s appropriate4  7e7    
,allocation ( grants to rural em]g5cy   
m$ical s]vices ag5cies ,! ,secret>y %all
 ensure t n less ?an #bj p]c5t ( ! total
 numb] ( grants "u ?is section are made 
to em]g5cy m$ical s]vices ag5cies locat$

 9 rural areas4  7f7 ,maximum grant     
am\nt ,! am\nt ( a grant made "u ?is    
section to a s+le grant recipi5t %all n 
exce$ #a1jjj1jjj4  7g7 ,reports  7#a7   
,report to ,secret>y ,an eligible       
em]g5cy m$ical s]vices ag5cy receiv+ a  
grant "u subsection 7a7 %all p]iodically
 submit to ! ,secret>y a report evaluat+
 ! activities support$ by ! grant4  7#b7
 ,report to public ,! ,secret>y %all    
submit to ! ,committee on ,en]gy &      
,comm]ce ( ! ,h\se ( ,repres5tatives & !
 ,committee on ,heal?1 ,education1      
,labor1 & ,p5sions ( ! ,s5ate1 & make   
publicly available1 a report on !       
,secret>y's f9d+s ) respect to ! success
 ( ! program "u ?is section 9 improv+   
access to1 & enhanc+ ! quality (1       
em]g5cy m$ical s]vices4  7h7 ,def9ition 
,9 ?is section1 ! t]m eligible em]g5cy  
m$ical s]vices ag5cy means an entity t  
is-- 7#a7 lic5s$ to deliv] m$ical c>e   
outside ( a m$ical facility "u em]g5cy  
conditions t occur z a result ( !       
condition ( ! pati5t2 &  7#b7 deliv]s   

s]vices 7ei!r on a comp5sat$ or volunte]
 basis7 by an em]g5cy m$ical s]vices    
provid] or o!r provid] t is lic5s$ or   
c]tifi$ by ! ,/ate involv$ z an em]g5cy 
m$ical te*nician1 a p>am$ic1 or an      
equival5t pr(essional 7z det]m9$ by !   
,/ate74  7i7 ,au?orization (            
appropriations  7#a7 ,9 g5]al ,to c>ry  
out ?is section1 !re are au?oriz$ to be 
appropriat$ #ej1jjj1jjj = ea* ( fiscal  
ye>s #bjbd ?r\gh #bjbh4  7#b7           
,adm9i/rative co/s ,! ,secret>y may use 
n m ?an #aj p]c5t ( ! am\nt appropriat$ 
pursuant to p>agraph 7#a7 = a fiscal ye>
 = ! adm9i/rative exp5ses ( c>ry+ out   
?is section4  4  #d4 ,assi/+ vet]ans )  
milit>y em]g5cy m$ical tra9+ to meet    
requirem5ts = becom+ civilian em]g5cy   
m$ical te*nicians & p>am$ics ,"p ,b (   
title ,,iii ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #bdc et seq47 is    
am5d$ by ins]t+ aft] section #cbj;,b !  
foll[+3  #cbj;,c4 ,assi/+ vet]ans )     
milit>y em]g5cy m$ical tra9+ to meet    
requirem5ts = becom+ civilian em]g5cy   

m$ical te*nicians & p>am$ics  7a7       
,program ,! ,secret>y %all e/abli% a    
demon/ration program "u :i* ! ,secret>y 
w aw>d grants to ,/ates to /reaml9e     
,/ate requirem5ts & proc$ures 9 ord] to 
assi/ vet]ans :o h complet$ milit>y     
em]g5cy m$ical te*nician tra9+ :ile s]v+
 9 ! ,arm$ ,=ces ( ! ,unit$ ,/ates meet 
! c]tification1 lic5sure1 & o!r         
requirem5ts applicable to becom+ an     
em]g5cy m$ical te*nician or p>am$ic 9 ! 
,/ate4  7b7 ,uses ( funds ,a ,/ate      
receiv+ a grant "u ?is section %all use 
am\nts receiv$ ?r\gh ! grant to prep>e &
 implem5t a plan to /reaml9e ,/ate      
requirem5ts & proc$ures z describ$ 9    
subsection 7a71 includ+ by-- 7#a7       
det]m9+ ! ext5t to :i* ! requirem5ts = !
 education1 tra9+1 & skill level (      
em]g5cy m$ical te*nicians 9 ! ,/ate are 
equival5t to requirem5ts = ! education1 
tra9+1 & skill level ( milit>y em]g5cy  
m$ical te*nicians2 &  7#b7 id5tify+     
me?ods1 su* z waiv]s1 = milit>y em]g5cy 
m$ical te*nicians to =ego or meet any   

su* equival5t ,/ate requirem5ts4  7c7   
,eligibility ,to be eligible = a grant  
"u ?is section1 a ,/ate %all demon/rate 
to ! satisfaction ( ! ,secret>y t !     
,/ate has a %ortage ( em]g5cy m$ical    
te*nicians4  7d7 ,report ,beg9n+ on !   
date t is "o ye> aft] ! date on :i* !   
fir/ grant is aw>d$ "u ?is section1 &   
annually !reaft]1 ! ,secret>y %all      
submit to ! ,congress an report on !    
success ( ! program "u ?is section 9    
assi/+ milit>y em]g5cy m$ical te*nicians
 to receive c]tification or lic5sure z  
an em]g5cy m$ical te*nician or p>am$ic 9
 a ,/ate4  7e7 ,au?orization (          
appropriations ,to c>ry out ?is section1
 !re are au?oriz$ to be appropriat$     
#bj1jjj1jjj = ea* ( fiscal ye>s #bjbd   
?r\gh #bjbh4  4  #e4 ,/udy & report on  
em]g5cy m$ical te*nician & p>am$ic      
work=ce %ortage  7a7 ,/udy ,! ,secret>y 
( ,labor1 9 coord9ation ) ! ,secret>y ( 
,heal? & ,human ,s]vices1 %all conduct a
 /udy on-- 7#a7 ! numb] ( curr5tly      
available em]g5cy m$ical te*nician &    

p>am$ic jobs1 categoriz$ by type (      
employ] 7su* z ambulance s]vices1 local 
gov]nm5ts o!r ?an hospitals1 &          
hospitals72  7#b7 ! project$ increase 9 
available em]g5cy m$ical te*nician &    
p>am$ic jobs f #bjbc ?r\gh #bjcb1       
categoriz$ by type ( employ]2  7#c7 !   
p]c5tage ( available em]g5cy m$ical     
te*nician & p>am$ic jobs f #bjbc ?r\gh  
#bjcb t are expect$ to result f ! ne$ to
 replace work]s :o transf] to diff]5t   
occupations or exit ! labor =ce2  7#d7 !
 availability ( appropriate tra9+ &     
education programs 9 ! ,unit$ ,/ates    
suffici5t to meet ! project$ dem& =     
em]g5cy m$ical te*nician & p>am$ic jobs 
f #bjbc ?r\gh #bjcb2 &  7#e7 ! project$ 
%ortage ( em]g5cy m$ical te*nicians &   
p>am$ics f #bjbc ?r\gh #bjcb4  7b7      
,report to congress ,n lat] ?an "o ye>  
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y ( ,labor1 9 coord9ation ) !   
,secret>y ( ,heal? & ,human ,s]vices1   
%all submit to ,congress a report on !  
/udy conduct$ "u subsection 7a7 toge!r )

 su* recomm5dations t ! ,secret>ies     
det]m9e are appropriate to address !    
project$ %ortage ( em]g5cy m$ical       
te*nicians & p>am$ics1 includ+ :e!r     
,s*$ule ,a %\ld be exp&$ to include ^!  
occupations4