119th Congress · introduced in the Senate · Nov 6, 2025
CARE Act of 2025
Official title from Congress.gov
Latest action (Nov 6, 2025): Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S7964)
View on Congress.govPolicy area: Health
Congressional Research Service summary, version: Introduced in Senate (Nov 6, 2025)
Comprehensive Alternative Response for Emergencies Act of 2025 or the CARE Act of 2025
This bill requires the Center for Medicare and Medicaid Innovation (CMMI) to test a five-year model that provides for Medicare payment for ground ambulance services that do not result in the transport of the patient.
Under the model, Medicare payment may be furnished for ground ambulance services when an ambulance is dispatched in response to an emergency medical call but the ambulance does not end up transporting the patient. Payment rates under the model must generally align with the payment rates that apply when there is an actual transport.
The Government Accountability Office must report on the general access of Medicare beneficiaries to emergency medical services, including the impact of the model on beneficiary access and outcomes.
Includes amendment, cloture, and procedural votes. Each is labeled with its exact question; only a passage question is a vote to pass the bill.
No recorded roll calls on this bill in coverage.
Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S7964)
Introduced in Senate
Actions from Congress.gov, newest first.
LD-2 reports whose issue descriptions explicitly cite this bill (bill type and number validated against Congress.gov records). A citation does not establish the client's position or any contact with a member.
Loading lobbying reportsCoverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 23, 2026.
28 citations; showing the 25 most recently posted.
INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS · lobbying firm or registrant: INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Health Issues
$204,309
Spent on own lobbying
H.R. 1610, FIRE Cancer Act of 2025 H.R. 1902, Helping Emergency Responders Overcome (HERO) Act H.R. 2538/S. 3145, CARE Act of 2025 H.R. 2921/S. 2745, Federal Firefighter Cancer Detection and Prevention Act of 2025 H.R. 3791, EMS Counts Act H.R. 4453/S. 4658, Parkinson's P…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
SARNOVA, LLC · lobbying firm or registrant: WHITMER & WORRALL, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Health Issues
$30,000
Paid to lobbying firm
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…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL VOLUNTEER FIRE COUNCIL · lobbying firm or registrant: NATIONAL VOLUNTEER FIRE COUNCIL
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$10,000
Spent on own lobbying
H.R. 2232/S. 1643, Protecting Access to Ground Ambulance Medical Services Act H.R. 2538/S. 3145, Comprehensive Alternative Response for Emergencies (CARE) Act Issues regarding the reimbursement of treatment in place care provided by EMS Proposed rule on M…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL VOLUNTEER FIRE COUNCIL · lobbying firm or registrant: NATIONAL VOLUNTEER FIRE COUNCIL
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$10,000
Spent on own lobbying
…gram, Emergency Response Support, and Health Hazard Evaluation Program. H.R. 2232/S. 1643, Protecting Access to Ground Ambulance Medical Services Act H.R. 2538/S. 3145, Comprehensive Alternative Response for Emergencies (CARE) Act H.R. 10116/S. 4819, Lifeline for First Responders Act Issues relating to volunteer firefighter s…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN AMBULANCE ASSOCIATION · lobbying firm or registrant: ALSTON & BIRD LLP
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$70,000
Paid to lobbying firm
…ve Access to Rapid Ambulance Medical Treatment Act (H.R.2220) and the PARA-EMT Act; The Comprehensive Alternative Response for Emergencies (CARE) Act (H.R.2538/S.3145); Appropriations requests for grant funding under the ASPR; NDAA - military to civilian workforce transition; Relief for private ground ambulance providers fro…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
INTERNATIONAL ASSOCIATION OF FIRE CHIEFS · lobbying firm or registrant: INTERNATIONAL ASSOCIATION OF FIRE CHIEFS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Health Issues
$30,000
Spent on own lobbying
…cer. Issues relating to the acquisition of medications and medical equipment used by EMS. The Comprehensive Alternative Response for Emergencies Act (H.R. 2538/S. 3145), provisions to reimburse fire and EMS departments for treating Medicare patients in place. The Community Paramedicine Act (H.R. 4011), provisions to fund Comm…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
INTERNATIONAL ASSOCIATION OF FIRE CHIEFS · lobbying firm or registrant: INTERNATIONAL ASSOCIATION OF FIRE CHIEFS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$30,000
Spent on own lobbying
…re safety of home oxygen systems and reimbursement for the installation of thermal fuses. The Comprehensive Alternative Response for Emergencies Act (H.R. 2538/S. 3145), provisions to relating to reimbursement of fire and EMS departments for treating Medicare patients in place. The Protecting Access to Ground Ambulance Medica…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
SARNOVA, LLC · lobbying firm or registrant: WHITMER & WORRALL, LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 22, 2026 · issue area: Health Issues
$30,000
Paid to lobbying firm
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…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL VOLUNTEER FIRE COUNCIL · lobbying firm or registrant: NATIONAL VOLUNTEER FIRE COUNCIL
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 21, 2026 · issue area: Medicare/Medicaid
$10,000
Spent on own lobbying
H.R. 2232/S. 1643, Protecting Access to Ground Ambulance Medical Services Act H.R. 2538/S. 3145, Comprehensive Alternative Response for Emergencies (CARE) Act Issues regarding the reimbursement of treatment in place care provided by EMS
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL VOLUNTEER FIRE COUNCIL · lobbying firm or registrant: NATIONAL VOLUNTEER FIRE COUNCIL
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 21, 2026 · issue area: Health Issues
$10,000
Spent on own lobbying
…gram, Emergency Response Support, and Health Hazard Evaluation Program. H.R. 2232/S. 1643, Protecting Access to Ground Ambulance Medical Services Act H.R. 2538/S. 3145, Comprehensive Alternative Response for Emergencies (CARE) Act Issues relating to volunteer firefighter status being added to the U.S. Standard Certificate of…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN AMBULANCE ASSOCIATION · lobbying firm or registrant: ALSTON & BIRD LLP
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Health Issues
$70,000
Paid to lobbying firm
…ve Access to Rapid Ambulance Medical Treatment Act (H.R.2220) and the PARA-EMT Act; The Comprehensive Alternative Response for Emergencies (CARE) Act (H.R.2538/S.3145); Appropriations requests for grant funding under the ASPR; NDAA - military to civilian workforce transition; Relief for private ground ambulance providers fro…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS · lobbying firm or registrant: INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Health Issues
$196,000
Spent on own lobbying
H.R. 1610, FIRE Cancer Act of 2025 H.R. 1902, Helping Emergency Responders Overcome (HERO) Act H.R. 2538/S. 3145, CARE Act of 2025 H.R. 2921/S. 2745, Federal Firefighter Cancer Detection and Prevention Act of 2025 H.R. 3791, EMS Counts Act H.R. 4453/S. 4658, Parkinson's P…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
INTERNATIONAL ASSOCIATION OF FIRE CHIEFS · lobbying firm or registrant: INTERNATIONAL ASSOCIATION OF FIRE CHIEFS
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 17, 2026 · issue area: Health Issues
$30,000
Spent on own lobbying
…cer. Issues relating to the acquisition of medications and medical equipment used by EMS. The Comprehensive Alternative Response for Emergencies Act (H.R. 2538/S. 3145), provisions to reimburse fire and EMS departments for treating Medicare patients in place. The Community Paramedicine Act (H.R. 4011), provisions to fund Comm…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
INTERNATIONAL ASSOCIATION OF FIRE CHIEFS · lobbying firm or registrant: INTERNATIONAL ASSOCIATION OF FIRE CHIEFS
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 17, 2026 · issue area: Medicare/Medicaid
$30,000
Spent on own lobbying
…re safety of home oxygen systems and reimbursement for the installation of thermal fuses. The Comprehensive Alternative Response for Emergencies Act (H.R. 2538/S. 3145), provisions to relating to reimbursement of fire and EMS departments for treating Medicare patients in place. The Protecting Access to Ground Ambulance Medica…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN AMBULANCE ASSOCIATION · lobbying firm or registrant: AMERICAN AMBULANCE ASSOCIATION
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 10, 2026 · issue area: Medicare/Medicaid
$350,000
Spent on own lobbying
…r 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-S…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
SARNOVA, LLC · lobbying firm or registrant: WHITMER & WORRALL, LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 21, 2026 · issue area: Health Issues
$30,000
Paid to lobbying firm
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…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL VOLUNTEER FIRE COUNCIL · lobbying firm or registrant: NATIONAL VOLUNTEER FIRE COUNCIL
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 21, 2026 · issue area: Medicare/Medicaid
$10,000
Spent on own lobbying
H.R. 2232/S. 1643, Protecting Access to Ground Ambulance Medical Services Act H.R. 2538/S. 3145, Comprehensive Alternative Response for Emergencies (CARE) Act
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL VOLUNTEER FIRE COUNCIL · lobbying firm or registrant: NATIONAL VOLUNTEER FIRE COUNCIL
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 21, 2026 · issue area: Health Issues
$10,000
Spent on own lobbying
…gram, Emergency Response Support, and Health Hazard Evaluation Program. H.R. 2232/S. 1643, Protecting Access to Ground Ambulance Medical Services Act H.R. 2538/S. 3145, Comprehensive Alternative Response for Emergencies (CARE) Act Issues relating to volunteer firefighter status being added to the U.S. Standard Certificate of…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN AMBULANCE ASSOCIATION · lobbying firm or registrant: ALSTON & BIRD LLP
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Health Issues
$70,000
Paid to lobbying firm
…ve Access to Rapid Ambulance Medical Treatment Act (H.R.2220) and the PARA-EMT Act; The Comprehensive Alternative Response for Emergencies (CARE) Act (H.R.2538/S.3145); Appropriations requests for grant funding under the ASPR; NDAA - military to civilian workforce transition; Relief for private ground ambulance providers fro…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
INTERNATIONAL ASSOCIATION OF FIRE CHIEFS · lobbying firm or registrant: INTERNATIONAL ASSOCIATION OF FIRE CHIEFS
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 19, 2026 · issue area: Health Issues
$60,000
Spent on own lobbying
…cer. Issues relating to the acquisition of medications and medical equipment used by EMS. The Comprehensive Alternative Response for Emergencies Act (H.R. 2538/S. 3145), provisions to reimburse fire and EMS departments for treating Medicare patients in place. The Community Paramedicine Act (H.R. 4011), provisions to fund Comm…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
INTERNATIONAL ASSOCIATION OF FIRE CHIEFS · lobbying firm or registrant: INTERNATIONAL ASSOCIATION OF FIRE CHIEFS
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 19, 2026 · issue area: Medicare/Medicaid
$60,000
Spent on own lobbying
…re safety of home oxygen systems and reimbursement for the installation of thermal fuses. The Comprehensive Alternative Response for Emergencies Act (H.R. 2538/S. 3145), provisions to relating to reimbursement of fire and EMS departments for treating Medicare patients in place. The Protecting Access to Ground Ambulance Medica…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN AMBULANCE ASSOCIATION · lobbying firm or registrant: AMERICAN AMBULANCE ASSOCIATION
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 13, 2026 · issue area: Medicare/Medicaid
$350,000
Spent on own lobbying
…tend and increase the Medicare payments to ground ambulance services. 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-S…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL VOLUNTEER FIRE COUNCIL · lobbying firm or registrant: NATIONAL VOLUNTEER FIRE COUNCIL
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 30, 2026 · issue area: Medicare/Medicaid
$10,000
Spent on own lobbying
H.R. 2232/S. 1643, Protecting Access to Ground Ambulance Medical Services Act H.R. 2538/S. 3145, Comprehensive Alternative Response for Emergencies (CARE) Act
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL VOLUNTEER FIRE COUNCIL · lobbying firm or registrant: NATIONAL VOLUNTEER FIRE COUNCIL
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 30, 2026 · issue area: Health Issues
$10,000
Spent on own lobbying
…vention Program and National Personal Protective Technology Laboratory. H.R. 2232/S. 1643, Protecting Access to Ground Ambulance Medical Services Act H.R. 2538/S. 3145, Comprehensive Alternative Response for Emergencies (CARE) Act Issues relating to volunteer firfighter status being added to the U.S. Standard Certificate of D…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN AMBULANCE ASSOCIATION · lobbying firm or registrant: ALSTON & BIRD LLP
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Health Issues
$70,000
Paid to lobbying firm
…ve Access to Rapid Ambulance Medical Treatment Act (H.R.2220) and the PARA-EMT Act; The Comprehensive Alternative Response for Emergencies (CARE) Act (H.R.2538/S.3145).
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing