US Federal 2025-2026 Regular Session

US Federal House Bill HB3791

Introduced
 
Introduced
6/5/25  

Caption

EMS Counts Act

Summary

HB3791, the “EMS Counts Act,” would require the Secretary of Labor to revise the Bureau of Labor Statistics’ Standard Occupational Classification System so that emergency medical services personnel are more accurately counted in federal workforce data. The bill is aimed at correcting how EMS practitioners are classified, with particular attention to dual-role firefighter/EMTs and firefighter/paramedics, who the bill says are currently omitted from the EMS count. The bill directs the Labor Secretary to update the occupational description for the firefighter category within 120 days of enactment to explicitly include firefighters, firefighter/EMTs, firefighter/paramedics, and firefighters classified as “all other.” It also requires a report to Congress within 270 days describing prior 2015 changes that separated EMTs and paramedics and explaining implementation of the new revisions. The stated purpose is to improve the accuracy of labor statistics used by government agencies, EMS organizations, and policymakers. Its practical impact would be limited to federal occupational classification and reporting, but it could affect how EMS workforce size is measured in federal data sets and how agencies assess staffing, funding needs, and emergency preparedness. The bill does not create new benefits or regulatory duties for EMS workers directly; instead, it changes how the federal government counts and categorizes certain workers under BLS classification standards. The general sentiment reflected in the bill text is supportive of EMS personnel and focused on data accuracy, workforce recognition, and public safety planning. The findings emphasize EMS’s role in disasters, public health crises, and emergency response, suggesting a broadly favorable framing. No committee transcript or recorded votes were provided, so there is no evidence of formal opposition or bipartisan debate in the available materials. The main point of potential contention is the scope of the reclassification, especially whether dual-role firefighters should be counted as EMS practitioners for workforce statistics. Supporters appear to view this as a necessary correction to undercounting, while any concern would likely center on classification methodology, overlap between fire service and EMS roles, and whether the change could complicate comparisons with prior labor data.

Impact

The bill would amend federal workforce classification practice by requiring the Department of Labor and BLS to revise the Standard Occupational Classification System, specifically the firefighter occupational series, to include firefighter/EMTs and firefighter/paramedics in the relevant EMS-related accounting. It would also require a congressional report on prior classification changes and implementation of the new revisions. The bill affects federal statistical reporting rather than state law, but it could influence how EMS workforce data are used by states, local governments, and emergency response agencies for planning, staffing, and preparedness.

Sentiment

The bill appears to have a positive, pro-EMS sentiment, with findings emphasizing the essential role of EMS in emergency response, disaster response, and public health crises. The measure is framed as a technical correction to improve accuracy in federal labor statistics and better recognize dual-role responders. No votes or committee discussion were provided, so there is no recorded opposition or detailed legislative debate in the available context.

Contention

The likely point of contention is whether dual-role firefighter/EMTs and firefighter/paramedics should be counted as EMS practitioners for purposes of the federal occupational classification system. Supporters argue the current system undercounts EMS personnel and obscures workforce needs, while any skeptics may question whether including these roles in the EMS count could blur distinctions between fire service and EMS occupations or affect comparability of labor data over time. No explicit opposition is shown in the provided materials.

Companion Bills

No companion bills found.

Previously Filed As

US HB2220

PARA–EMT Act of 2025 Preserve Access to Rapid Ambulance Emergency Medical Treatment Act of 2025

US S07501

Directs counties, in coordination with their regional emergency medical services councils, to develop and maintain comprehensive county emergency medical system plans that provide for coordinated emergency medical systems within such counties.

US A08086

Directs counties, in coordination with their regional emergency medical services councils, to develop and maintain comprehensive county emergency medical system plans that provide for coordinated emergency medical systems within such counties.

US HB4477

EMS SYSTEMS-VARIOUS

US HB5524

To permit paid county EMS workers to join the Emergency Medical Services Retirement System.

US HB3443

When Minutes Count for Emergency Medical Patients Act

US H0693

Health and Human Services

US SB1235

EMS reciprocity; compact.

US HB52

Rural Health Care Tax Credit Eligibility

US H0519

Administration of Controlled Substances by Paramedics

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