,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ajicc  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,octob] #bi1 #bjbf,mr4
 ,kean introduc$ ! foll[+ bill2 :i* 0   
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d ! ,public 
,heal? ,s]vice ,act to direct !         
,secret>y ( ,heal? & ,human ,s]vices to 
make grants to eligible entities =      
activities relat$ to em]g5cy m$ical     
s]vices1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,,ems   
,support+ ,p]sonnel1 ,op]ations1        
,upgrades1 ,res\rces1 & ,tra9+ ,act (   
#bjbf or ! ,,ems ,,support ,act ( #bjbf4
  #b4 ,/aff+ = adequate em]g5cy m$ical  
s]vices ,"p ,p ( title ,,iii ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#bhj;g et seq47 is am5d$ by add+ at !   
end ! foll[+3  #cii,v-#h4 ,/aff+ =      
adequate em]g5cy m$ical s]vices  7a7 ,9 
g5]al ,! ,secret>y1 act+ ?r\gh !        
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration1 79 ?is section  
ref]r$ to z ! ,adm9i/rator7 & 9         

consultation ) ! *ief executives ( !    
,/ates1 %all make grants to eligible    
entities to c>ry out any ( ! foll[+     
activities3 7#a7 ,ma9ta9+ or increas+ ! 
numb] ( em]g5cy m$ical s]vices p]sonnel 
9 a c>e] fire dep>tm5t1 comb9ation fire 
dep>tm5ts1 volunte] fire dep>tm5t1 or   
nonaffiliat$ ,,ems organization to con=m
 ) indu/ry m9imum /&>ds & atta9 #bd-;h\r
 /aff+ = adequate em]g5cy m$ical        
s]vices4  7#b7 ,provid+ m5tal heal?     
s]vices to su* p]sonnel4  7#c7 ,cov]+ or
 reimburs+ any co/ relat$ to any requir$
 c]tification = su* p]sonnel4  7#d7     
,acquir+ equipm5t & supplies us$ 9      
connection ) em]g5cy m$ical s]vices1    
includ+ ! foll[+3 7,a7 ,p]sonal         
protective equipm5t4  7,b7 ,m$ication4  
7,c7 ,uni=ms = su* p]sonnel4  7#e7      
,upgrad+ or improv+1 ) respect to su*   
dep>tm5t or organization1 any ( !       
foll[+3 7,a7 ,communications equipm5t4  
7,b7 ,facilities4  7,c7 ,mapp+ equipm5t4
  7,d7 ,vehicles4  7#f7 ,any su* o!r    
activity ! ,adm9i/rator det]m9es        

appropriate4  7b7 ,applications  7#a7 ,9
 g5]al ,an eligible entity t seeks a    
grant "u ?is section %all submit to !   
,adm9i/rator an application at su* "t1 9
 su* mann]1 & conta9+ su* in=mation z ! 
,adm9i/rator may require4  7#b7 ,cont5ts
 ,an application "u p>agraph 7#a7 %all  
include in=mation relat+ to ! foll[+3   
7,a7 ,! inability ( ! applicant to c>ry 
out an activity "u subsection 7a7 unless
 su* applicant receives su* grant to    
fund su* activity4  7,b7 ,! long-t]m    
plans ( su* applicant to reta9 em]g5cy  
m$ical s]vices p]sonnel aft] su* grant  
ends4  7,c7 ,if su* applicant proposes  
to c>ry out an activity describ$ 9      
subsection 7a77#a71 h[ su* applicant    
plans to satisfy ! requirem5ts "u       
subsection 7e74  7c7 ,competitive       
grants2 pref]5ce ,a grant "u ?is section
 %all be made on a competitive basis    
?r\gh a neutral pe] review process1 b ! 
,adm9i/rator may give pref]5tial        
consid]ation to a grant application t   
involves a non-,f$]al contribution = an 

activity describ$ 9 subsection 7a77#a74 
7d7 ,grant p]iod ,a grant "u ?is section
 %all be = a p]iod ( #c ye>s4  7e7      
,limitation = hir+ ,,ems p]sonnel ,( !  
am\nt ( any fund+ receiv$ ?r\gh a grant 
"u ?is section1 an eligible entity t    
receives su* a grant may use to hire    
em]g5cy m$ical s]vices p]sonnel-- 7#a7 )
 respect to ea* ( ! fir/ & second ye>s (
 ! grant p]iod describ$ 9 p>agraph 7#c71
 n m ?an #ge p]c5t ( su* fund+2 &  7#b7 
) respect to ! ?ird ye> ( su* grant     
p]iod1 n m ?an #ce p]c5t ( su* fund+4   
7f7 ,(f-,duty s]vices ,an eligible      
entity t hires em]g5cy m$ical s]vices   
p]sonnel ) funds f a grant "u ?is       
section may n discrim9ate aga9/ su*     
p]sonnel on ! basis (1 or prohibit su*  
p]sonnel f1 engag+ 9 volunte] em]g5cy   
m$ical s]vices dur+ ! (f-duty h\rs ( su*
 p]sonnel4  7g7 ,limitations on funds   
7#a7 ,supplem5t n supplant ,funds       
receiv$ "u ?is section %all be us$ to   
supplem5t & n supplant ,/ate funds1     
local funds1 or funds suppli$ by !      

,bureau ( ,indian ,affairs describ$ "u  
subsection 7h74  7#b7 ,ma9t5ance ( ef=t 
,) respect to any activity = :i* a grant
 "u ?is section is to be exp5d$1 an     
eligible entity %all agree to ma9ta9    
exp5ditures ( am\nts f ,/ate s\rces1    
local s\rces1 or ! ,bureau ( ,indian    
,affairs = su* an activity at a level t 
is n less ?an ! level ( su* exp5diture  
ma9ta9$ by su* eligible entity = !      
fiscal ye> prec$+ ! fiscal ye> = :i* su*
 entity receives su* a grant4  7#c7     
,budgets ,! ,adm9i/rator may n make a   
grant to a municipality "u ?is section )
 an annual budget = em]g5cy m$ical      
s]vices t has be5 r$uc$ bel[ #hj p]c5t (
 ! av]age fund+ level 9 ! #c ye>s       
imm$iately prec$+ ! date on :i* su*     
municipality or o!r entity applies = su*
 grant4  7h7 ,tribal gov]nm5ts ,any     
fund+ suppli$ by ! ,bureau ( ,indian    
,affairs = ! foll[+ activities may be   
consid]$ a non-,f$]al contribution "u   
?is section3 7#a7 ,an ag5cy ( a ,tribal 
gov]nm5t p]=m+ em]g5cy m$ical s]vices on

 ,tribal l&s4  7#b7 ,! ,bureau ( ,indian
 ,affairs p]=m+ su* s]vices on ,tribal  
l&s4  7i7 ,revocation or susp5sion (    
fund+ ,if ! ,adm9i/rator det]m9es t an  
eligible entity t receives a grant "u   
?is section is n 9 sub/antial compliance
 ) ! t]ms or requirem5ts ( su* grant1 ! 
,adm9i/rator may revoke or susp5d fund+ 
) respect to su* grant1 9 :ole or 9 "p4 
7j7 ,majority volunte] & all volunte]   
dep>tm5ts & organizations ,at ! beg9n+ (
 ea* fiscal ye> 9 :i* ! ,adm9i/rator    
makes a grant "u ?is section1 !         
,adm9i/rator %all set aside #aj p]c5t ( 
any funds made available "u subsection  
7n7 = eligible entities ) majority      
volunte]1 or all volunte]1 p]sonnel4    
7k7 ,economic h>d%ip waiv]s  7#a7 ,9    
g5]al ,9 a case ( economic h>d%ip1 !    
,adm9i/rator may c>ry out any ( !       
foll[+3 7,a7 ,waive ! application (     
subsection 7g77#a74  7,b7 ,waive or     
r$uce ! application ( subsection 7e7 or 
7g77#b74  7#b7 ,guidel9es  7,a7 ,9 g5]al
 ,! ,adm9i/rator %all publi% guidel9es =

 det]m9+ economic h>d%ip "u p>agraph    
7#a74  7,b7 ,consultation & consid]ation
 ,9 develop+ guidel9es = publication "u 
subp>agraph 7,a71 ! ,adm9i/rator %all   
c>ry out ! foll[+3 7i7 ,consult )       
individuals :o satisfy ! foll[+         
requirem5ts3 7,i7 ,h be5 recogniz$ =    
exp]tise 9 any ( ! foll[+3 7aa7 ,em]g5cy
 m$ical s]vices4  7bb7 ,! economic      
affairs ( ,/ate or local gov]nm5ts4     
7,,ii7 ,are memb]s ( any ( ! foll[+3    
7aa7 ,eligible entities4  7bb7 ,national
 organizations t repres5t ! int]e/s (   
su* gov]nm5ts4  7ii7 ,consid]1 ) respect
 to relevant communities1 ! foll[+      
factors3 7,i7 ,*anges 9 rates (         
unemploym5t f previ\s ye>s4  7,,ii7     
,:e!r ! rates ( unemploym5t ( su*       
communities are curr5tly & h consi/5tly 
exce$$ ! annual national av]age rates ( 
unemploym5t4  7,,iii7 ,*anges f previ\s 
ye>s 9 p]c5tages ( individuals :o live 9
 a h\sehold eligible to receive b5efits 
?r\gh ! supplem5tal nutrition assi/ance 
program e/abli%$ "u ! ,food & ,nutrition

 ,act ( #bjjh 7#g ,u4,s4,c4 #bjaa et    
seq474  7,,iv7 ,su* o!r factors z !     
,adm9i/rator det]m9es appropriate4  7l7 
,te*nical assi/ance ,9 c>ry+ out ?is    
section1 ! ,adm9i/rator may provide     
te*nical assi/nce to an eligible entity 
op]at$ by a ,/ate t receives a grant "u 
?is section4  7m7 ,p]=mance assessm5t   
sy/em  7#a7 ,9 g5]al ,! ,adm9i/rator    
%all e/abli% a p]=mance assessm5t sy/em1
 includ+ quantifiable p]=mance metrics1 
to evaluate ! ext5t to :i* grants made  
"u ?is section are effective4  7#b7     
,submission ,! ,adm9i/rator may require 
an eligible entity t receives a grant "u
 ?is section to submit to ! ,adm9i/rator
 in=mation ! ,adm9i/rator consid]s      
necess>y = ! sy/em e/abli%$ "u p>agraph 
7#a74  7n7 ,access to docum5ts ,!       
,adm9i/rator & ! ,comptroll] ,g5]al ( ! 
,unit$ ,/ates %all1 = audit & exam9ation
 purposes relat+ to c>ry+ out ?is       
section1 h access to-- 7#a7 any p]t95t  
books1 docum5ts1 pap]s1 or records ( an 
eligible entity t receives a grant "u   

?is section2 &  7#b7 any p]t95t books1  
docum5ts1 pap]s1 or records ( ,/ate or  
local gov]nm5ts1 p]sons1 private sector 
entities1 or o!r entities involv$ 9 an  
activity c>ri$ out ?r\gh su* grant4  7o7
 ,report ,n lat] ?an ,septemb] #cj1     
#bjcj1 ! ,adm9i/rator %all submit to !  
,secret>y a report on ! effectiv5ess (  
grants made "u ?is section1 includ+ any 
recomm5dation = legislation reg>d+ su*  
grants4  7p7 ,def9itions ,9 ?is section3
 7#a7 ,,ems t]ms ,! t]ms c>e] fire      
dep>tm5t1 comb9ation fire dep>tm5t1     
nonaffiliat$ ,,ems organization1 &      
volunte] fire dep>tm5t h ! mean+ giv5   
su* t]ms 9 section #cc ( ! ,f$]al ,fire 
,prev5tion & ,control ,act ( #aigd 7#ae 
,u4,s4,c4 #bbbi74  7#b7 ,eligible entity
 ,! t]m eligible entity-- 7,a7 means a  
c>e] fire dep>tm5t1 comb9ation fire     
dep>tm5t1 volunte] fire dep>tm5t1       
nonaffiliat$ ,,ems organization1 or !   
municipality 9 :i* su* a dep>tm5t or    
organization op]ates2 &  7,b7 does n    
include su* a dep>tm5t1 organization1 or

 municipality t has receiv$ a grant "u  
section #eec ) respect to rural em]g5cy 
m$ical s]vices tra9+ & equipm5t         
assi/ance4  7#c7 ,em]g5cy m$ical s]vices
 p]sonnel ,! t]m em]g5cy m$ical s]vices 
p]sonnel includes an individual :o is   
employ$ by or volunte]s at a /ation =   
deploy+ em]g5cy m$ical s]vices4  7q7    
,au?orization ( appropriations  7#a7 ,9 
g5]al ,!re is au?oriz$ to be appropriat$
 to c>ry out ?is section #gej1jjj1jjj = 
ea* ( fiscal ye>s #bjbg ?r\gh #bjca4    
7#b7 ,adm9i/rative exp5ses ,( ! am\nts  
au?oriz$ to be appropriat$ "u p>agraph  
7#a7 = a fiscal ye>1 ! ,adm9i/rator may 
n use m ?an #e p]c5t ( su* am\nts to    
cov] sal>ies1 exp5ses1 & o!r            
adm9i/rative co/s incurr$ by !          
,adm9i/rator ) respect to c>ry+ out ?is 
section4  7r7 ,t]m9ation ,?is section   
%all t]m9ate on ,septemb] #cj1 #bjca4  4