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Lobbied on the PARA-EMT Act (H.R. 2220), Apprenticeship Pathways Act of 2025 (S. 235), Homes for Every Local Protector, Educator, and Responder Act (S. 978, H.R. 2094), Pathways to Health Careers Act (H.R. 5370), MEDIC Careers Act (S. 2673) and draft Supporting our First Responders Act. Lobbied on the draft National Defense Reauthorization Act of 2027 to include language to facilitate the transition of medics leaving the armed forces to transition to the civilian healthcare workforce.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":38039,"prefix":null,"prefix_display":null,"first_name":"TRISTAN","nickname":null,"middle_name":null,"last_name":"NORTH","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":153332,"prefix":null,"prefix_display":null,"first_name":"SHAWN","nickname":null,"middle_name":null,"last_name":"BAIRD","suffix":null,"suffix_display":null},"covered_position":null,"new":true}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"Lobbied on the draft Senate and House FY2027 Labor, HHS, Education and Related Agencies Appropriations Bills for funding for the Administration for Strategic Preparedness and Response for paramedic and EMT training grants to help address the emergency medical service workforce shortage to ensure sufficient EMS capabilities to address responses to national health emergencies and terrorism incidents. 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Continued to monitor the No Surprises Act.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":60099,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":null,"last_name":"LESTER","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":253,"name":"Medicare Payment Advisory Commission (MedPAC)"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"Seeking continuation of EMS Workforce grant program in the ASPR for FY 2027 appropriations.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":60099,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":null,"last_name":"LESTER","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"TAX","general_issue_code_display":"Taxation/Internal Revenue Code","description":"Sought relief from fuel tax for ground ambulance service organizations.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":60099,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":null,"last_name":"LESTER","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/888b6443-b048-4139-a1d1-a31256145eb4/","filing_uuid":"888b6443-b048-4139-a1d1-a31256145eb4","filing_type":"Q1","filing_type_display":"1st Quarter - Report","filing_year":2026,"filing_period":"first_quarter","filing_period_display":"1st Quarter (Jan 1 - Mar 31)","filing_document_url":"https://lda.gov/filings/public/filing/888b6443-b048-4139-a1d1-a31256145eb4/print/","filing_document_content_type":"text/html","income":"30000.00","expenses":null,"expenses_method":null,"expenses_method_display":null,"posted_by_name":"Thomas Worrall, Partner","dt_posted":"2026-04-21T10:18:09-04:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":null,"registrant_address_1":"1401 H Street, NW","registrant_address_2":"Suite 525","registrant_different_address":false,"registrant_city":"Washington","registrant_state":"DC","registrant_zip":"20005","registrant":{"id":292892,"url":"https://lda.gov/api/v1/registrants/292892/","house_registrant_id":37346,"name":"WHITMER & WORRALL, LLC","description":"A government relations and consulting firm.","address_1":"1401 H Street, NW","address_2":"Suite 525","address_3":null,"address_4":null,"city":"Washington","state":"DC","state_display":"District of Columbia","zip":"20005","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"MARTIN WHITMER","contact_telephone":"+1 202-558-6000","dt_updated":"2026-07-22T13:56:32.152773-04:00"},"client":{"id":204780,"url":"https://lda.gov/api/v1/clients/204780/","client_id":1003061,"name":"SARNOVA, LLC","general_description":"A nationwide distributor of emergency medical equipment, supplies and pharmaceuticals.","client_government_entity":false,"client_self_select":null,"state":"OH","state_display":"Ohio","country":"US","country_display":"United States of America","ppb_state":"OH","ppb_state_display":"Ohio","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2020-02-01"},"lobbying_activities":[{"general_issue_code":"TRD","general_issue_code_display":"Trade (domestic/foreign)","description":"Issues surrounding tariffs on EMS and pharmaceutical industry products, including medical supplies.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":11986,"prefix":null,"prefix_display":null,"first_name":"MARTIN","nickname":null,"middle_name":null,"last_name":"WHITMER","suffix":null,"suffix_display":null},"covered_position":"Deputy CoS - USDOT","new":false},{"lobbyist":{"id":16844,"prefix":null,"prefix_display":null,"first_name":"THOMAS","nickname":null,"middle_name":null,"last_name":"WORRALL","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":144086,"prefix":null,"prefix_display":null,"first_name":"ERIK","nickname":null,"middle_name":null,"last_name":"KOMENDANT","suffix":null,"suffix_display":null},"covered_position":"Legislative Correspondent, Rep. 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Educated congressional offices and committees on mandatory past due changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Provided context on the Ground Ambulance Chapter of the MedPAC Report of July 15 to highlight need for increased reimbursement for ground ambulance services and reform of the ambulance fee schedule. Lobbied on the Comprehensive Alternative Response for Emergencies Act of 2025 (H.R. 2538, S. 3145) to create a CMMI demonstration project on the reimbursement of ambulance response without transport, and the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (H.R. 7277, S. 3730). Lobbied on the Community Paramedicine Act (H.R. 4011) to provide local governments and partners with funding to furnish mobile integrated healthcare. Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (PEAKS Act) (H.R. 3378, S.1960). Lobbied in support of reducing the amount of the copay for critical ambulance services for patients in Medicare Advantage plans.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":38039,"prefix":null,"prefix_display":null,"first_name":"TRISTAN","nickname":null,"middle_name":null,"last_name":"NORTH","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":153332,"prefix":null,"prefix_display":null,"first_name":"SHAWN","nickname":null,"middle_name":null,"last_name":"BAIRD","suffix":null,"suffix_display":null},"covered_position":null,"new":true}],"government_entities":[{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"Educated congressional offices and committees on the local oversight and rate controls of ground ambulance service organizations and the requirements placed on such organizations as 9-1-1 emergency medical services as well first responders. Also educated on the challenges that ground ambulance service organizations, which are predominately small entities providing medical services to individual communities, face in receiving adequate reimbursement from payors. Lobbied in support of the final report of the Ground Ambulance and Patient Billing Advisory Committee.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":38039,"prefix":null,"prefix_display":null,"first_name":"TRISTAN","nickname":null,"middle_name":null,"last_name":"NORTH","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":153332,"prefix":null,"prefix_display":null,"first_name":"SHAWN","nickname":null,"middle_name":null,"last_name":"BAIRD","suffix":null,"suffix_display":null},"covered_position":null,"new":true}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"DIS","general_issue_code_display":"Disaster Planning/Emergencies","description":"Lobbied in support of resources for ground ambulance service organizations in order to be prepared to respond to future public health emergencies, natural disasters and acts of terrorism.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":38039,"prefix":null,"prefix_display":null,"first_name":"TRISTAN","nickname":null,"middle_name":null,"last_name":"NORTH","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":153332,"prefix":null,"prefix_display":null,"first_name":"SHAWN","nickname":null,"middle_name":null,"last_name":"BAIRD","suffix":null,"suffix_display":null},"covered_position":null,"new":true}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"TAX","general_issue_code_display":"Taxation/Internal Revenue Code","description":"Lobbied for relief from the federal fuel excise tax for private ground ambulance service organizations.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":38039,"prefix":null,"prefix_display":null,"first_name":"TRISTAN","nickname":null,"middle_name":null,"last_name":"NORTH","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":153332,"prefix":null,"prefix_display":null,"first_name":"SHAWN","nickname":null,"middle_name":null,"last_name":"BAIRD","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"LBR","general_issue_code_display":"Labor Issues/Antitrust/Workplace","description":"Lobbied to raise the profile of the severe shortage of paramedics and emergency medical technicians (EMTs) in the U.S. and address the problem through emergency medical service training programs, and retaining current paramedics and EMTs through access to first responder benefits. Lobbied on the PARA-EMT Act (H.R. 2220), Apprenticeship Pathways Act of 2025 (S. 235), Homes for Every Local Protector, Educator, and Responder Act (S. 978, H.R. 2094), Pathways to Health Careers Act (H.R. 5370), MEDIC Careers Act (S. 2673, H.R. 9140) and draft Supporting our First Responders Act. Lobbied on the National Defense Reauthorization Act of 2027 (H.R. 8800) to include language to facilitate the transition of medics leaving the armed forces to transition to the civilian healthcare workforce.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":38039,"prefix":null,"prefix_display":null,"first_name":"TRISTAN","nickname":null,"middle_name":null,"last_name":"NORTH","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":153332,"prefix":null,"prefix_display":null,"first_name":"SHAWN","nickname":null,"middle_name":null,"last_name":"BAIRD","suffix":null,"suffix_display":null},"covered_position":null,"new":true}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"},{"id":12,"name":"White House Office"}]},{"general_issue_code":"BUD","general_issue_code_display":"Budget/Appropriations","description":"Lobbied on the Senate and House FY2027 Labor, HHS, Education and Related Agencies (H.R. 9260) and Transportation HUD (H.R. 9170) Appropriations Bills for funding for the Administration for Strategic Preparedness and Response, NHTSA EMS Office and Department of Labor for paramedic and EMT training grants to help address the emergency medical service workforce shortage to ensure sufficient EMS capabilities to address responses to national health emergencies and terrorism incidents. Lobbied on funding for the SIREN Act and EMS for Children programs and language in support of future data collection by CMS on ground ambulance services.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":38039,"prefix":null,"prefix_display":null,"first_name":"TRISTAN","nickname":null,"middle_name":null,"last_name":"NORTH","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":153332,"prefix":null,"prefix_display":null,"first_name":"SHAWN","nickname":null,"middle_name":null,"last_name":"BAIRD","suffix":null,"suffix_display":null},"covered_position":null,"new":true}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/574f5e76-53ed-4a66-86ae-f237d9fa574c/","filing_uuid":"574f5e76-53ed-4a66-86ae-f237d9fa574c","filing_type":"Q2","filing_type_display":"2nd Quarter - Report","filing_year":2026,"filing_period":"second_quarter","filing_period_display":"2nd Quarter (Apr 1 - June 30)","filing_document_url":"https://lda.gov/filings/public/filing/574f5e76-53ed-4a66-86ae-f237d9fa574c/print/","filing_document_content_type":"text/html","income":"31000.00","expenses":null,"expenses_method":null,"expenses_method_display":null,"posted_by_name":"Kimberly Champi Krenik","dt_posted":"2026-07-20T20:04:38-04:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":null,"registrant_address_1":"717 Putnam Pl","registrant_address_2":"null","registrant_different_address":false,"registrant_city":"Alexandria","registrant_state":"VA","registrant_zip":"22302","registrant":{"id":401104002,"url":"https://lda.gov/api/v1/registrants/401104002/","house_registrant_id":null,"name":"KIM KRENIK","description":"self employed lobbyist","address_1":"717 Putnam Pl","address_2":"null","address_3":null,"address_4":null,"city":"Alexandria","state":"VA","state_display":"Virginia","zip":"22302","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"KIM CHAMPI KRENIK","contact_telephone":"+1 202-365-8342","dt_updated":"2026-07-30T20:28:41.286275-04:00"},"client":{"id":200611,"url":"https://lda.gov/api/v1/clients/200611/","client_id":12,"name":"NATIONAL ASSOCIATION OF EMERGENCY MEDICAL TECHNICIANS (NAEMT)","general_description":"An organization dedicated to representing the interests of all EMS practitioners.","client_government_entity":false,"client_self_select":null,"state":"MS","state_display":"Mississippi","country":"US","country_display":"United States of America","ppb_state":"MS","ppb_state_display":"Mississippi","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2016-03-07"},"lobbying_activities":[{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"Support Medicare Reimbursement for EMS Treatment in Place (TIP); Support S. 2196/H.R. 2538, the CARE Act; Support S. 3730/H.R. 7277, EMS ROCs Act; Support Mobile Integrated Healthcare (MIH) Community Paramedicine (CP) Programs; Support introduction of legislation to provide grants to communities to create and maintain/sustain MIH-CP programs;H.R. 4011. Support FY2027 Funding for SIREN Act Grants in FY27 Labor HHS Appropriations bill; Support the H.R. 3791, EMS Counts Act; Support H.R. 7386, FirstNet Reauthorization; Support H.R. 2196/S.2546, reauthorization of an extension of the Commemorative Works Act (CWA) to build an EMS Memorial in DC; Support H.R. 7623, the Freedom House Ambulance Services Congressional Gold Medal Act; Support H.R. 2220, the PARA-EMT Act; Support language in the FY27 NDAA on the transition of military medics; Support S. 1643/H.R. 2232, the Protecting Access to Ground Ambulance Medical Services Act; Support participation of the Congressional EMS Caucus; Support S.315/H.R. 979, the AM Radio for Every Vehicle; Support S. 4819, Lifeline for First Responders Act; Support H.R. 8789, Volunteer First Responder Housing Act; Oppose the Centers for Medicare & Medicaid Services (CMS) Proposed Rule CMS-2449-P, specifically the provisions that would limit Ground Emergency Medical Transportation (GEMT) supplemental payments; Oppose H.R.7739, Rural Emergency Response Support Act;","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":64364,"prefix":null,"prefix_display":null,"first_name":"KIMBERLY","nickname":null,"middle_name":"CHAMPI","last_name":"KRENIK","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/aecd5bdf-581f-45f4-b685-a250c5ab77e7/","filing_uuid":"aecd5bdf-581f-45f4-b685-a250c5ab77e7","filing_type":"Q2","filing_type_display":"2nd Quarter - Report","filing_year":2026,"filing_period":"second_quarter","filing_period_display":"2nd Quarter (Apr 1 - June 30)","filing_document_url":"https://lda.gov/filings/public/filing/aecd5bdf-581f-45f4-b685-a250c5ab77e7/print/","filing_document_content_type":"text/html","income":"30000.00","expenses":null,"expenses_method":null,"expenses_method_display":null,"posted_by_name":"Thomas Worrall, Partner","dt_posted":"2026-07-22T11:25:05-04:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":null,"registrant_address_1":"1401 H Street, NW","registrant_address_2":"Suite 525","registrant_different_address":false,"registrant_city":"Washington","registrant_state":"DC","registrant_zip":"20005","registrant":{"id":292892,"url":"https://lda.gov/api/v1/registrants/292892/","house_registrant_id":37346,"name":"WHITMER & WORRALL, LLC","description":"A government relations and consulting firm.","address_1":"1401 H Street, NW","address_2":"Suite 525","address_3":null,"address_4":null,"city":"Washington","state":"DC","state_display":"District of Columbia","zip":"20005","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"MARTIN WHITMER","contact_telephone":"+1 202-558-6000","dt_updated":"2026-07-22T13:56:32.152773-04:00"},"client":{"id":204780,"url":"https://lda.gov/api/v1/clients/204780/","client_id":1003061,"name":"SARNOVA, LLC","general_description":"A nationwide distributor of emergency medical equipment, supplies and pharmaceuticals.","client_government_entity":false,"client_self_select":null,"state":"OH","state_display":"Ohio","country":"US","country_display":"United States of America","ppb_state":"OH","ppb_state_display":"Ohio","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2020-02-01"},"lobbying_activities":[{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"Issues related to H.R. 2538 & S. 3145, the CARE Act of 2025. Issues related to H.R. 7277 & S. 3730, the Emergency Medical Services Reimbursement for On-Scene Care and Support Act. Issues related to H.R. 4011, the Community Paramedicine Act of 2025. Issues related to the Supporting Our First Responders Act. Issues related to H.R. 2220, the PARA-EMT Act of 2025. Issues related to H.R. 2232 & S. 1643, Protecting Access to Ground Ambulance Medical Services Act of 2025.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":16844,"prefix":null,"prefix_display":null,"first_name":"THOMAS","nickname":null,"middle_name":null,"last_name":"WORRALL","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":144086,"prefix":null,"prefix_display":null,"first_name":"ERIK","nickname":null,"middle_name":null,"last_name":"KOMENDANT","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"TRD","general_issue_code_display":"Trade (domestic/foreign)","description":"Issues surrounding tariffs on EMS and pharmaceutical industry products, including medical supplies.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":16844,"prefix":null,"prefix_display":null,"first_name":"THOMAS","nickname":null,"middle_name":null,"last_name":"WORRALL","suffix":null,"suffix_display":null},"covered_position":null,"new":false},{"lobbyist":{"id":144086,"prefix":null,"prefix_display":null,"first_name":"ERIK","nickname":null,"middle_name":null,"last_name":"KOMENDANT","suffix":null,"suffix_display":null},"covered_position":"Legislative Correspondent, Rep. Zoe Lofgren (CA); Legislative Director, Rep. Jason Altmire (PA); Policy Director, Blue Dog Coalition","new":false}],"government_entities":[{"id":24,"name":"Commerce, Dept of (DOC)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"},{"id":22,"name":"U.S. Trade Representative (USTR)"},{"id":12,"name":"White House Office"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]},{"url":"https://lda.gov/api/v1/filings/0a80da3a-0e2d-4020-9d18-0b64c91e7a66/","filing_uuid":"0a80da3a-0e2d-4020-9d18-0b64c91e7a66","filing_type":"Q2","filing_type_display":"2nd Quarter - Report","filing_year":2026,"filing_period":"second_quarter","filing_period_display":"2nd Quarter (Apr 1 - June 30)","filing_document_url":"https://lda.gov/filings/public/filing/0a80da3a-0e2d-4020-9d18-0b64c91e7a66/print/","filing_document_content_type":"text/html","income":"60000.00","expenses":null,"expenses_method":null,"expenses_method_display":null,"posted_by_name":"Kathy Lester","dt_posted":"2026-08-10T08:23:33-04:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":null,"registrant_address_1":"601 13th Street, NW","registrant_address_2":"11th Floor","registrant_different_address":false,"registrant_city":"Washington","registrant_state":"DC","registrant_zip":"20005","registrant":{"id":401103249,"url":"https://lda.gov/api/v1/registrants/401103249/","house_registrant_id":null,"name":"LESTER HEALTH LAW PLLC","description":"law firm","address_1":"601 13th Street, NW","address_2":"12th Floor","address_3":null,"address_4":null,"city":"Washington","state":"DC","state_display":"District of Columbia","zip":"20005","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"KATHY LESTER","contact_telephone":"+1 202-534-1773","dt_updated":"2026-06-30T19:34:55.623104-04:00"},"client":{"id":198297,"url":"https://lda.gov/api/v1/clients/198297/","client_id":12,"name":"AMERICAN AMBULANCE ASSOCIATION","general_description":"Health services","client_government_entity":false,"client_self_select":null,"state":"VA","state_display":"Virginia","country":"US","country_display":"United States of America","ppb_state":"VA","ppb_state_display":"Virginia","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2014-01-06"},"lobbying_activities":[{"general_issue_code":"MMM","general_issue_code_display":"Medicare/Medicaid","description":"H.R. 2232 and S. 1643 - Extension of the ground ambulance add-ons; Medicare update of the ambulance fee schedule definitions of urban, rural, and super-rural; treatment in place; MedPAC report on Ground Ambulance Data Collection System.","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":60099,"prefix":null,"prefix_display":null,"first_name":"KATHLEEN","nickname":null,"middle_name":null,"last_name":"LESTER","suffix":null,"suffix_display":null},"covered_position":null,"new":false}],"government_entities":[{"id":136,"name":"Centers For Medicare and Medicaid Services (CMS)"},{"id":34,"name":"Health & Human Services, Dept of (HHS)"},{"id":2,"name":"HOUSE OF REPRESENTATIVES"},{"id":1,"name":"SENATE"}]},{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"Followed up with Members on the CMS Ground Ambulance Data Collection System. 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