NAEMSP Advocacy

Advocates for Emergency Medical Services (AEMS) began as a coalition of major EMS organizations that was founded October 22, 2002, dedicated to promoting, educating and increasing awareness among decision-makers in Washington on issues affecting EMS providers. AEMS supported all providers of EMS, whether they were fire, hospital, volunteer, third service, or nongovernmental based, by monitoring and influencing legislation and regulatory activity involving EMS and raising awareness among lawmakers on issues of importance to EMS. Beginning in 2015, Advocates for EMS became part of NAEMSP and is no longer working as a coalition. Please contact the NAEMSP Advocacy Committee if you have questions.

DEA Ruling - Protecting Access to Emergency Medications Act of 2017

NAEMSP won a hard fought victory for our membership in 2016 (2017), by lobbying for and achieving passage of the "Protecting Access to Emergency Medications Act of 2017", a bill that addressed significant hazards for EMS practice and controlled substances. The much-anticipated DEA rules package for the application of the Bill have finally been published in the federal register for public comment that ends on 12/4/20.  We encourage our members and their respective agency leadership to visit the document and submit concerns prior to Dec. 4, 2020.

The "Protecting Patient Access to Emergency Medications Act of 2017," (hereafter the "Act") which became law on November 17, 2017, amended the Controlled Substances Act to allow for a new registration category for emergency medical services agencies that handle controlled substances. It also established standards for registering emergency medical services agencies, and set forth new requirements for delivery, storage, and recordkeeping related to their handling of controlled substances. In addition, the Act allows emergency medical services professionals to administer controlled substances outside the physical presence of a medical director or authorizing medical professional pursuant to a valid standing or verbal order. The Drug Enforcement Administration proposes to amend its regulations to make them consistent with the Act and to otherwise implement its requirements.

Electronic comments must be submitted, and written comments must be postmarked, on or before Dec. 4, 2020. Commenters should be aware that the electronic Federal Docket Management System will not accept comments after 11:59 p.m. Eastern Time on the last day of the comment period.
All comments concerning collections of information under the Paperwork Reduction Act must be submitted to the Office of Management and Budget (OMB) on or before Dec. 4, 2020.

Read the full information here:


Lawmakers can only make educated decisions when those in the field inform them of what is going on.

Click here for a message from our partners at Holland & Knight, released Thursday, March 19.

Click here for NAEMSP's COVID-19 Resources.
Click here for CMS's latest guidance on EMTALA.

2020 Government Relations Academy (GRA)

Unfortunately, due to COVID-19, the 2020 Government Relations Academy has been canceled.


Current Issues


July 9, 2018
Following meetings with Holland & Knight staff on behalf of NAEMSP, as well as other public health groups engaged on drug shortage issues, the sponsors of the Opioid Quota Reform Act (S. 2535) inserted important language into the bill that would give the Attorney General the authority to specifically consider drug shortages when modifying production quotas so as not to adversely affect providers’ access to these important drugs.

Click here for more information


Click here to donate to the NAEMSP PAC or download the PAC Donation Form.

EMS Physicians gather on Capitol Hill to Address

Critical Drug Shortages Affecting Patient Care

WASHINGTON, DC (April 16, 2018) – Members of the National Association of EMS Physicians (NAEMSP) gathered in Washington, D.C. last week to advocate for issues affecting quality out-of-hospital emergency medical care, including ongoing drug shortages affecting EMS providers.

Click here for more information.


EMS Physicians Applaud the Signing of the Protecting Patient Access to Emergency Medications Act WASHINGTON, DC (November 20, 2017) – The National Association of EMS Physicians (NAEMSP) applauds the signing into law of the Protecting Patient Access to Emergency Medications Act (H.R. 304), which unanimously passed the House of Representatives in January and the Senate in October. The bill reestablishes the ability of emergency medical care providers, such as paramedics, to administer certain life-saving medications to critical patients without unnecessary delay, which was put in question by recent U.S. Drug Enforcement Agency (DEA) regulatory deliberations. It also strengthens DEA oversight of emergency medical services (EMS).

Click here for more information.


NAEMSP Members Discuss Senate Bill Reintroduction, Bestow EMS Award to Congressman

WASHINGTON, DC (April 25, 2017) – Members of the National Association of EMS Physicians (NAEMSP) gather in Washington, D.C. this week to advocate for the Protecting Patient Access to Emergency Medications Act (H.R. 304), and other issues affecting access to and quality of out-of-hospital emergency medical care, such as EMS payment reform.

Click here for the full press release.


The Congressional Budget Office (CBO) has just released its score of the ACA repeal and replace legislation, the American Health Care Act, currently moving through the House of Representatives and scheduled to be marked up by the House Budget Committee on Wednesday. The score estimates that if the legislation is enacted there would be 14 million more people uninsured in 2018 as compared to current law, increasing to 24 million in 2026.

House Ways and Means and Energy and Commerce Committees Unveil ACA Repeal/Replace Bill

AHA Timeline

The "Protecting Patient Access to Emergency Medications Act of 2016" (H.R. 304) Grassroots Advocacy (formerly H.R. 4365)

HR 304 passed the House on 1/9/2017! Next stop - the Senate!

Click here for a summary (posted 6/1/2016)

Click here for section by section (posted 6/1/2016)

NAEMSP Members Descend Upon Capitol Hill

(April 20, 2016) NAEMSP members participated in EMS On The Hill Day to advocate for several legislative initiatives including support for H.R. 4365, Protecting Patient Access to Emergency Medicine Act of 2016. H.R. 4365 will clarify that the current practice of physician Medical Directors overseeing care provided by paramedics and other emergency practitioners via "standing orders" is statutorily allowed and protected.

In preparation for the Hill Day, NAEMSP members participated in Holland & Knight's Government Relations Academy, which gave them the tools to successfully advocate for this vital legislation. NAEMSP members sharpened and refined their advocacy skills, and gained new ideas and knowledge from the Academy speakers. Attendees heard from Preston Bell who serves as a top aide to the bill's chief sponsor, Representative Richard Hudson (R-NC-6), and they had a dialogue with former Congressman Jim Davis and former Chief Counsel for the House Judiciary Committee (Subcommittee on Constitution) Kathryn Lehman. They also had the opportunity to learn about the reimbursement landscape from Brett Baker from the Senate Finance Committee.

NAEMSP and our coalition partners have been working with Representative Hudson's office to craft this legislation and gain support from additional Members of Congress. H.R. 4365 had six original sponsors when it was introduced in January 2016. Today, as a result of NAEMSP advocacy efforts – including the recent Hill Day – the bill has 67 cosponsors, which consist of 43 Republicans and 24 Democrats representing multiple regions of the country. Since the Hill Day, 26 Members of Congress have cosponsored H.R. 4365 and we anticipate that more Members of Congress will offer their support.

NAEMSP and our coalition partners have been working diligently to secure a hearing on the bill. Accordingly, we anticipate a hearing in mid-May. We are also solidifying Senate sponsors and anticipate introduction of companion legislation in the Senate soon.

Background: The "Protecting Patient Access to Emergency Medications Act of 2016" (H.R. 4365), sponsored by Rep. Richard Hudson (R-NC), will allow EMS agencies to continue using standing orders from their medical director to administer approved medications to their patients under the Drug Enforcement Administration (DEA). For background, a one page-summary and section-by-section are included in the toolkit.

Now that the bill has been introduced, we need all NAEMSP members to reach out to their Members of Congress in the House of Representatives and urge them to co-sponsor our bill. Note we will engage in Senate outreach once a companion bill is introduced.

When a Member of Congress cosponsors a bill, it publicly shows their support for the bill. With thousands of bills being introduced each year, bills with many cosponsors are more likely to make it to the next phase of the process.

The importance of grassroots initiatives cannot be overstated. A well-organized and informed grassroots advocacy effort can effectively convey the importance and urgency of an issue to policymakers. We need you to join us in carrying the message to your lawmakers. They need to hear from folks on the ground in their districts!

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