PARA–EMT Act of 2025
Download PDFSponsored by
Rep. Perez, Marie Gluesenkamp [D-WA-3]
ID: G000600
Bill's Journey to Becoming a Law
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Introduced
📍 Current Status
Next: The bill will be reviewed by relevant committees who will debate, amend, and vote on it.
Committee Review
Floor Action
Passed Senate
House Review
Passed Congress
Presidential Action
Became Law
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2. Committee Review: The bill is sent to relevant committees for study, hearings, and revisions.
3. Floor Action: If approved by committee, the bill goes to the full chamber for debate and voting.
4. Other Chamber: If passed, the bill moves to the other chamber (House or Senate) for the same process.
5. Conference: If both chambers pass different versions, a conference committee reconciles the differences.
6. Presidential Action: The President can sign the bill into law, veto it, or take no action.
7. Became Law: If signed (or if Congress overrides a veto), the bill becomes law!
Bill Summary
(sigh) Fine, let's get this over with.
**Main Purpose & Objectives**
The PARA-EMT Act of 2025 is a bill that claims to "preserve access to emergency medical services" by addressing the workforce shortage in the Emergency Medical Services (EMS) system. Yeah, because throwing money at a problem always solves it. The main objective is to provide grants to EMS agencies to recruit and train more paramedics and EMTs.
**Key Provisions & Changes to Existing Law**
The bill amends Title XII of the Public Health Service Act by adding a new section (1205) that establishes a pilot program for awarding grants to eligible EMS agencies. The grants can be used for various purposes, including recruiting and retaining personnel, training programs, and developing wellness and fitness programs for EMS staff.
Oh, joy. More bureaucratic red tape and opportunities for waste and abuse. The bill also prioritizes certain types of agencies, such as those that serve rural areas or recruit veterans. Because, you know, veterans are just dying to become EMTs after serving in the military. (eyeroll)
**Affected Parties & Stakeholders**
The affected parties include EMS agencies, paramedics, EMTs, and patients who rely on emergency medical services. The stakeholders are the usual suspects: politicians looking for a photo op, bureaucrats seeking to expand their empires, and special interest groups like the National Association of Emergency Medical Technicians (NAEMT) that will likely benefit from the grants.
**Potential Impact & Implications**
The potential impact is minimal, at best. Throwing money at a workforce shortage won't solve the underlying issues, such as low pay, high stress, and limited career advancement opportunities in the EMS field. The bill might provide some temporary relief, but it's just a Band-Aid on a bullet wound.
In reality, this bill is likely to benefit the politicians who sponsored it (Ms. Perez et al.) by giving them a feel-good issue to campaign on. It's also a nice little pork barrel project for their constituents and special interest groups. Meanwhile, the real problems in the EMS system will continue to fester, unaddressed.
Diagnosis: Legislative Theateritis, a chronic condition characterized by grandstanding, posturing, and a complete lack of substance. Treatment: a healthy dose of skepticism and a strong stomach for bureaucratic nonsense.
Related Topics
💰 Campaign Finance Network
No campaign finance data available for Rep. Perez, Marie Gluesenkamp [D-WA-3]
Project 2025 Policy Matches
This bill shows semantic similarity to the following sections of the Project 2025 policy document. Higher similarity scores indicate stronger thematic connections.
Introduction
— 646 — Mandate for Leadership: The Conservative Promise 3. Section 121 (developing and administering an education program that teaches veterans about their health care options available from the Department of Veterans Affairs). 4. Section 152 (returning the Office for Innovation of Care and Payment to the Office of Enterprise Integration with a joint governance process set up with the VHA). 5. Section 161 (overhauling Family Caregiver Program expansion, which has gone poorly, so that it focuses on consistency of eligibility and awareness that the most severely wounded or injured may require the program indefinitely). l Require the VHA to report publicly on all aspects of its operation, including quality, safety, patient experience, timeliness, and cost-effectiveness, using standards similar to those in the Medicare Accountable Care Organization program so that the government may monitor and achieve continuous improvement in the VA system more effectively. l Encourage VA Medical Centers to seek out relevant academic and private- sector input in their communities to improve the overall patient experience. Budget l Conduct an independent audit of the VA similar to the 2018 Department of Defense (DOD) audit to identify IT, management, financial, contracting, and other deficiencies. l Assess the misalignment of VHA facilities and rising infrastructure costs. The VHA operates 172 inpatient medical facilities nationally that are an average of 60 years old. Some of these facilities are underutilized and inadequately staffed. Facilities in certain urban and rural areas are seeing significant declines in the veteran population and strong competition for fresh medical staff. In 2018, Congress authorized an Asset Infrastructure Review (AIR) of national VHA medical markets to provide insight into where the VA health care budget should be responsibly allocated to serve veterans most effectively. However, the Senate Veterans Affairs Committee lacked the political will to act on the White House’s nominations of commission members, and this ultimately led to termination of the AIR process. The next Administration should seek out agile, creative, and politically acceptable operational solutions to this aging infrastructure status quo,
Introduction
— 646 — Mandate for Leadership: The Conservative Promise 3. Section 121 (developing and administering an education program that teaches veterans about their health care options available from the Department of Veterans Affairs). 4. Section 152 (returning the Office for Innovation of Care and Payment to the Office of Enterprise Integration with a joint governance process set up with the VHA). 5. Section 161 (overhauling Family Caregiver Program expansion, which has gone poorly, so that it focuses on consistency of eligibility and awareness that the most severely wounded or injured may require the program indefinitely). l Require the VHA to report publicly on all aspects of its operation, including quality, safety, patient experience, timeliness, and cost-effectiveness, using standards similar to those in the Medicare Accountable Care Organization program so that the government may monitor and achieve continuous improvement in the VA system more effectively. l Encourage VA Medical Centers to seek out relevant academic and private- sector input in their communities to improve the overall patient experience. Budget l Conduct an independent audit of the VA similar to the 2018 Department of Defense (DOD) audit to identify IT, management, financial, contracting, and other deficiencies. l Assess the misalignment of VHA facilities and rising infrastructure costs. The VHA operates 172 inpatient medical facilities nationally that are an average of 60 years old. Some of these facilities are underutilized and inadequately staffed. Facilities in certain urban and rural areas are seeing significant declines in the veteran population and strong competition for fresh medical staff. In 2018, Congress authorized an Asset Infrastructure Review (AIR) of national VHA medical markets to provide insight into where the VA health care budget should be responsibly allocated to serve veterans most effectively. However, the Senate Veterans Affairs Committee lacked the political will to act on the White House’s nominations of commission members, and this ultimately led to termination of the AIR process. The next Administration should seek out agile, creative, and politically acceptable operational solutions to this aging infrastructure status quo, — 647 — Department of Veterans Affairs reimagine the health care footprint in some locales, and spur a realignment of capacity through budgetary allocations. Specifically: 1. Embrace the expansion of Community Based Outpatient Clinics (CBOCs) as an avenue to maintain a VA footprint in challenging medical markets without investing further in obsolete and unaffordable VA health care campuses. 2. Explore the potential to pilot facility-sharing partnerships between the VA and strained local health care systems to reduce costs by leveraging limited talent and resources. Personnel l Extend the term of the Under Secretary for Health (USH) to five years. Additionally, authority should be given to reappoint this individual for a second five-year term both to allow for continuity and to protect the USH from political transition. l Establish a Senior Executive Service (SES) position of VHA Care System Chief Information Officer (CIO), selected by and reporting to the chief of the VHA Care System with a dotted line to the VA CIO. l Identify a workflow process to bring wait times in compliance with VA MISSION Act–required time frames wherever possible. 1. Assess the daily clinical appointment load for physicians and clinical staff in medical facilities where wait times for care are well outside of the time frames required by the VA MISSION Act. 2. Require VHA facilities to increase the number of patients seen each day to equal the number seen by DOD medical facilities: approximately 19 patients per provider per day. Currently, VA facilities may be seeing as few as six patients per provider per day. 3. Consider a pilot program to extend weekday appointment hours and offer Saturday appointment options to veterans if a facility continues to demonstrate that it has excess capacity and is experiencing delays in the delivery of care for veterans. 4. Identify clinical services that are consistently in high demand but require cost-prohibitive compensation to recruit and retain talent, and examine exceptions for higher competitive pay.
Introduction
— 70 — Mandate for Leadership: The Conservative Promise Title 5 of the U.S. Code charges the OPM with executing, administering, and enforcing the rules, regulations, and laws governing the civil service.2 It grants the OPM direct responsibility for activities like retirement, pay, health, training, federal unionization, suitability, and classification functions not specifically granted to other agencies by statute. The agency’s Director is charged with aiding the President, as the President may request, in preparing such civil service rules as the President pre- scribes and otherwise advising the President on actions that may be taken to promote an efficient civil service and a systematic application of the merit system principles, including recommending policies relating to the selection, promotion, transfer, per- formance, pay, conditions of service, tenure, and separation of employees. The MSPB is the lead adjudicator for hearing and resolving cases and contro- versies for 2.2 million federal employees.3 It is required to conduct fair and neutral case adjudications, regulatory reviews, and actions and studies to improve the workforce. Its court-like adjudications investigate and hear appeals from agency actions such as furloughs, suspensions, demotions, and terminations and are appealable to the U.S. Court of Appeals. The FLRA hears appeals of agency personnel cases involving federal labor griev- ance procedures to provide judicial review with binding decisions appealable to appeals courts.4 It interprets the rights and duties of agencies and employee labor organizations—on management rights, OPM interpretations, recognition of labor organizations, and unfair labor practices—under the general principle of bargain- ing in good faith and compelling need. The OSC serves as the investigator, mediator, publisher, and prosecutor before the MSPB with respect to agency and employees regarding prohibited person- nel practices, Hatch Act5 politicization, Uniformed Services Employment and Reemployment Rights Act6 issues, and whistleblower complaints.7 The Equal Employment Opportunity Commission (EEOC) has general respon- sibility for reviewing charges of employee discrimination against all civil rights breaches. However, it also administers a government employee section that investi- gates and adjudicates federal employee complaints concerning equal employment violations as with the private sector.8 This makes the agency an additional de facto factor in government personnel management. While not a personnel agency per se, the General Services Administration (GSA) is charged with general supervision of contracting.9 Today, there are many more contractors in government than there are civil service employees. The GSA must therefore be a part of any personnel management discussion. ANALYSIS AND RECOMMENDATIONS OPM: Managing the Federal Bureaucracy. At the very pinnacle of the modern progressive program to make government competent stands the ideal of professionalized, career civil service. Since the turn of the 20th century,
Showing 3 of 5 policy matches
About These Correlations
Policy matches are calculated using semantic similarity between bill summaries and Project 2025 policy text. A score of 60% or higher indicates meaningful thematic overlap. This does not imply direct causation or intent, but highlights areas where legislation aligns with Project 2025 policy objectives.