Healthcare (Telehealth · Public Safety)

S 825 requires the Justice Department to develop a report within 150 days on programs providing evidence-based mental health care for public safety officers, including police, firefighters, EMTs, and 911 dispatchers. The report must outline how to deliver trauma-informed care, peer support, and family services through in-person or telehealth options, while ensuring confidentiality for officers seeking help. It also needs to detail administrative efficiency across states and territories, draft necessary grant conditions, and estimate annual funding needs. This bill does not fund programs but sets a framework for future action based on the high rates of PTSD and suicide among these frontline workers.

S 3145, the CARE Act of 2025, creates a new Medicare payment model for ground ambulance services provided during emergencies without patient transport. It directly affects Medicare beneficiaries who receive emergency medical dispatch services (like on-site care) and ambulance providers who serve them. The bill requires Medicare to pay for these non-transport services at rates aligned with traditional transport payments, while allowing telehealth services provided alongside them to count as originating sites. The model will operate for five years, with a mandatory report after four years evaluating its impact on beneficiary access, outcomes, and regional variations in emergency services.