IB 
Union Calendar No. 588 
118TH CONGRESS 
2D SESSION 
H. R. 2574 
[Report No. 118–694] 
To require the Secretary of Labor to revise the Standard Occupational Classi-
fication System to accurately count the number of emergency medical 
services practitioners in the United States. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 10, 2023 
Ms. WILD (for herself, Mr. THOMPSON of Pennsylvania, and Ms. NORTON) 
introduced the following bill; which was referred to the Committee on 
Education and the Workforce 
SEPTEMBER 19, 2024 
Additional sponsors: Ms. PINGREE, Mr. MOLINARO, Mr. GOLDMAN of New 
York, and Mr. FITZPATRICK 
SEPTEMBER 19, 2024 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
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[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on April 10, 2023] 
A BILL 
To require the Secretary of Labor to revise the Standard 
Occupational Classification System to accurately count 
the number of emergency medical services practitioners 
in the United States. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘EMS Counts Act’’. 
SEC. 2. FINDINGS. 
Congress finds the following: 
(1) Emergency medical services (in this Act re-
ferred to as ‘‘EMS’’) personnel provide a critical role 
in emergency response. EMS consists of a diverse 
group of health care practitioners, such as para-
medics, emergency medical technicians (in this Act 
referred to as ‘‘EMTs’’), dual-role firefighter/EMTs, 
firefighter/paramedics, and volunteer personnel serv-
ing in each of such roles. 
(2) EMS is an integral component of the re-
sponse capacity of the United States to disasters and 
public health crises, such as outbreaks of infectious 
diseases, bombings, mass shootings, earthquakes, tor-
nadoes, and hurricanes. EMS personnel respond to 
more than 22,000,000 emergency calls each year in-
cluding strokes, heart attacks, cardiac arrest, and 
trauma. 
(3) The Bureau of Labor Statistics compiles in-
formation on the number of individuals working in 
roles across the entire United States workforce. The 
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Bureau of Labor Statistics completes this work by 
maintaining the Standard Occupational Classifica-
tion system which classifies workers and jobs into oc-
cupational categories for the purpose of collecting, cal-
culating, analyzing, or disseminating data. 
(4) The BLS fails to accurately count EMS 
practitioners because of its failure to include dual-role 
firefighter/EMTs and firefighter/paramedics in their 
count of EMS personnel. 
(5) Accurately counting the EMS workforce is 
critical for government agencies in determining the 
needs of EMS agencies and practitioners. These data 
are also crucial for informing many aspects of policy 
including preparedness for natural disasters, public 
health emergencies, and acts of terrorism. 
SEC. 3. REVISION OF STANDARD OCCUPATIONAL CLASSI-
FICATION SYSTEM. 
(a) IN GENERAL.—The Director of the Office of Man-
agement and Budget (in this Act referred to as the ‘‘Direc-
tor’’) shall, as part of the first revision process of the Stand-
ard Occupational Classification system occurring after the 
date of enactment of this Act, consider establishing a sepa-
rate code, as a subset of firefighter occupations, for each 
of the following: 
(1) Firefighters. 
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(2) Firefighter/EMTs. 
(3) Firefighter/Paramedics. 
(4) Firefighters, All Other. 
(b) REPORT TO CONGRESS.—If the Director decides 
not to establish the separate codes described in subsection 
(a), the Director shall, not later than 60 days after the Di-
rector announces in the Federal Register the final decision 
of the revision process described in such subsection, submit 
to the Committee on Homeland Security and Governmental 
Affairs of the Senate and the Committee on Education and 
the Workforce of the House of Representatives a report ex-
plaining why such separate codes were not established. 
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Union Calendar No. 588 
118TH CONGRESS 
2D SESSION 
H. R. 2574 
[Report No. 118–694] 
A BILL 
To require the Secretary of Labor to revise the 
Standard Occupational Classification System to 
accurately count the number of emergency med-
ical services practitioners in the United States. 
SEPTEMBER 19, 2024 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
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00:26 Sep 20, 2024
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