HR 2220
Para–emt act of 2025
Para–emt Act of 2025
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Bill overview
This bill, the Preserve Access to Rapid Ambulance Emergency Medical Treatment Act of 2025 (PARA-EMT Act), addresses a significant shortage of emergency medical technicians (EMTs) and paramedics in the United States. It aims to improve access to and the quality of emergency medical services by providing grants to EMS agencies for recruitment, training, and wellness programs. The bill also establishes a program to assist veterans with military EMT/paramedic training to obtain civilian certifications and conducts a study to assess the scope of the workforce shortage and recommend solutions.
Key provisions
- Establishes a pilot program to award grants to EMS agencies for recruitment and training of EMTs and paramedics.
- Creates a program to assist veterans with military EMT/paramedic training to meet civilian certification requirements.
- Requires a study of the EMT/paramedic workforce shortage and recommends solutions, including potential Schedule A expansion.
- Prioritizes grant applications from agencies serving rural areas, youth, veterans, and those focusing on mental health support for EMS personnel.
- Allocates at least 20% of grants to rural EMS agencies.
- Sets a maximum grant amount of $1,000,000 per agency.
- Mandates regular reporting by grant recipients to the Secretary and a comprehensive report to Congress on the program's effectiveness.
- Authorizes appropriations of $50,000,000 per year from 2026-2030 and $20,000,000 per year from 2026-2030 for specific programs.
Who is affected
- Emergency Medical Services Agencies
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119th CONGRESS — 1st Session
H. R. 2220
IN THE HOUSE OF REPRESENTATIVES
A BILL
To preserve access to emergency medical services.
This Act may be cited as the Preserve Access to Rapid Ambulance Emergency Medical Treatment Act of 2025 PARA–EMT Act of 2025
or the
.
Congress finds the following:
EMTs) provide care to ill or injured people in emergency medical settings and are a vital component of the Nation’s Emergency Medical Services (in this section referred to as
EMS) system.
EMTs provide basic emergency medical care and transportation for patients while paramedics provide advanced emergency medical care such as intubation, oral and intravenous drug administration, and other procedures.
The United States EMS system is facing a crippling workforce shortage, a long-term problem that has been building for more than a decade.
In 2019, the Health Resources and Services Administration reported that by 2030, there would be a need for an additional 42,000 EMTs and Paramedics to meet the nation’s demand for healthcare services.
The COVID–19 pandemic has further exacerbated this workforce shortage, with ambulance crews suffering the effects of surging demand, burnout, fear of illness and stress on their families.
A 2021 survey of nearly 20,000 employees working at 258 EMS organizations found that overall turnover among paramedics and EMTs ranges from 20 to 30 percent annually.
With COVID–19 halting clinical and in-person trainings for a significant period of time, the pipeline of new EMS staff has been stretched even thinner.
Title XII of the Public Health Service Act (42 U.S.C. 300d et seq.) is amended by inserting after section 1204 the following:
recruit and retain emergency medical services personnel, which may include volunteer personnel;
train emergency medical services personnel to obtain and maintain licenses and certifications relevant to service in an emergency medical services agency;
conduct courses and implement apprenticeship programs that qualify graduates to serve in an emergency medical services agency in accordance with State and local requirements;
fund specific training to meet Federal or State licensing or certification requirements;
develop new ways to educate emergency medical services personnel through the use of technology-enhanced educational methods;
establish wellness and fitness programs for emergency medical services personnel to ensure that such personnel are able to carry out their duties, including programs dedicated to raising awareness of, and prevention of, job-related mental health issues; or
train emergency medical services personnel to care for people with mental and substance use disorders in emergency situations.
emphasize the recruitment and training of youth, particularly high school students, rural youth, and youth from low-income or disadvantaged backgrounds;
develop and implement programs to assist veterans who completed military emergency medical technician training while serving in the Armed Forces of the United States to meet certification, licensure, and other requirements applicable to becoming an emergency medical technician or paramedic;
address such other priorities as the Secretary considers appropriate.
The amount of a grant made under this section to a single grant recipient shall not exceed $1,000,000.
licensed to deliver medical care outside of a medical facility under emergency conditions that occur as a result of the condition of the patient; and
delivers services (either on a compensated or volunteer basis) by an emergency medical services provider or other provider that is licensed or certified by the State involved as an emergency medical technician, a paramedic, or an equivalent professional (as determined by the State).
To carry out this section, there are authorized to be appropriated $50,000,000 for each of fiscal years 2026 through 2030.
The Secretary may use not more than 10 percent of the amount appropriated pursuant to paragraph (1) for a fiscal year for the administrative expenses of carrying out this section.
Part B of title III of the Public Health Service Act (42 U.S.C. 243 et seq.) is amended by inserting after section 320B (42 U.S.C. 247d–11) the following:
The Secretary shall—
establish a program consisting of awarding demonstration grants to States to cover transition costs in order to assist veterans who completed robust military emergency medical technician or paramedic training while serving in the Armed Forces of the United States to meet certification, licensure, and other requirements applicable to becoming a civilian emergency medical technician or paramedic in the State; and
A State receiving a grant under this section shall use amounts of such grants to prepare and implement a plan to assist with the transition of a veteran to becoming a civilian emergency medical technician or paramedic as described in subsection (a), including by establishing a grant program within the applicable State agency responsible for emergency medical services to cover—
the costs of training, education, certification, and credentialing by an accredited institution; and
fees for national testing for official certification and State fees to acquire State licensure.
The Secretary shall submit to the Congress an annual report on the program under this section.
To carry out this section, there are authorized to be appropriated $20,000,000 for each of fiscal years 2026 through 2030.
The Secretary of Labor, in coordination with the Secretary of Health and Human Services, shall conduct a study on—
the number of currently available emergency medical technician and paramedic jobs, categorized by type of employer (such as ambulance services, local governments other than hospitals, and hospitals);
the projected increase in available emergency medical technician and paramedic jobs from 2025 through 2034, categorized by type of employer;
the percentage of available emergency medical technician and paramedic jobs from 2025 through 2034 that are expected to result from the need to replace workers who transfer to different occupations or exit the labor force;
the availability of appropriate training and education programs in the United States sufficient to meet the projected demand for emergency medical technician and paramedic jobs from 2025 through 2034; and
the projected shortage of emergency medical technicians and paramedics from 2025 through 2034.
Not later than one year after the date of the enactment of this Act, the Secretary of Labor, in coordination with the Secretary of Health and Human Services, shall submit to Congress a report on the study conducted under subsection (a) together with such recommendations that the Secretaries determine are appropriate to address the projected shortage of emergency medical technicians and paramedics, including whether Schedule A should be expanded to include these occupations.