2017 iowa legislator listing by iemsa region

2017 Iowa Legislator Listing by IEMSA Region

Table of Contents

Iowa Legislator A-Z Listing with IEMSA Regions

Page 4

IEMSA Administrative Team/Executive Board Page 8

North West Region Page 9

North Central Region Page 13

North East Region Page 17

South West Region Page 23

South Central Region Page 27

South East Region 3

Iowa Senate District Map Page 38

Iowa House District Map Page 39

IEMSA Region Map Page 40 Interim Emergency Medical Services Study Committee – Legislator Photos Page 41

Final Report: EMS Study Committee, Nov. 6-7, 2013 Page 42

NW: L. Crilly, T. Foltz, J. Jorgensen NC: G. Merrill, M. Sachen, T. Evans NE: B. Buck, A. Gehrke, R. Morgan, B. Rechkemmer, L. Ridge

SW: R. Marsh, N. Seivert, S. Solt SC: K. Hill, M. McCulloch, B. VandeLune SE: M. Briones, J. Ewers, L. Frederiksen, M. Fults, B. Smith, T. Summitt

2017 Iowa Legislators Name

IEMSA Region

Legislative District Title

Party County E-mail Address Home Phone

Ako Abdul-Samad SC 35 Representative D Polk [email protected] 515-202-3531

Chaz Allen SC 15 Senator D Jasper

[email protected] [email protected] 641-521-6297

Marti Anderson SC 36 Representative D Polk [email protected] 515-255-2314

Bill Anderson NW 3 Senator R Woodbury [email protected] 712-898-2505

Robert Bacon NC/SC 48 Representative R Story [email protected] 515-460-8885

Chip Baltimore SW/SC 47 Representative R Boone [email protected] 515-709-0325

Clel Baudler SW/SC 20 Representative R Adair [email protected] 641-743-6327

Terry Baxter NC/SC 8 Representative R Hancock

[email protected] [email protected] 641.829.3580

Bruce Bearinger NE 64 Representative D Fayette [email protected] 319-283-5349

Jerry Behn NC/SW/

SC 24 Senator R Boone [email protected] 515-432-7327

Liz Bennett NE 65 Representative D Linn


Michael Bergen NE 55 Representative R Winneshiek [email protected] 563.419.9991

Rick Bertrand NW 7 Senator R Woodbury [email protected] 712-235-7096

Brian Best SW 12 Representative R Carroll


Tony Bisignano SC 17 Senator D Polk


Jane Bloomingdale NC/NE 51 Representative R Mitchell [email protected] 641-390-0837

Joe Bolkcom SE 43 Senator D Johnson [email protected] 319-337-6280

Nate Boulton SC 16 Senator D Polk [email protected] 515-265-1389

Tod Bowman NE 29 Senator D Jackson [email protected] 563-652-5499

Wesley Breckenridge SC 29 Representative D Jasper [email protected] 641-521-6714

Michael Breitbach NE 28 Senator R Clayton [email protected] 563-933-6486

Waylon Brown NC/NE 26 Senator R Howard [email protected] 641-590-0610

Timi Brown-Powers NE 61 Representative D Black Hawk


Jim Carlin NW 6 Representative R Woodbury [email protected] 712-276-0470

Gary Carlson SE 91 Representative R Muscatine


Jake Chapman SW/SC 10 Senator R Dallas [email protected] 515-402-3203

Mark Chelgren SE 41 Senator R Wapello [email protected] 641-777-7047

Dennis Cohoon SE 87 Representative D Des Moines [email protected] 319-759-2168

Mark Costello SW/SC 12 Senator R Mills [email protected]

Peter Cownie SC 42 Representative R Polk [email protected] 515-664-8341

Jeff Danielson NE 30 Senator D Black Hawk [email protected] 319-231-7192

Dan Dawson SW 8 Senator R Pottawattamie [email protected] 712-256-1199

Dave Deyoe NC/SC 49 Representative R Story [email protected] 515-291-3289

Bill Dix NC/SC 25 Senator R Butler [email protected] 319-885-6790

Cecil Dolecheck SW/SC 24 Representative R Ringgold [email protected] 641-464-2913

Bill Dotzler NE 31 Senator D Black Hawk [email protected] 319-296-2947

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NW: L. Crilly, T. Foltz, J. Jorgensen

NC: G. Merrill, M. Sachen, T. Evans

NE: B. Buck, A. Gehrke, R. Morgan, B. Rechkemmer, L. Ridge

SW: N. Seivert, S. Solt

SC: K. Hill, M. McCulloch, B. VandeLune

SE: M. Briones, J. Ewers, L. Frederiksen, M. Fults, B. Smith, T. Summitt

2017 Iowa Legislators (Continued)

Name IEMSA Region

Legislative District Title Party County E-Mail Address Home Phone

Bob Dvorsky SE 37 Senator D Johnson [email protected] 319-351-0988

Jeff Edler NE/SC 36 Senator R Marshall [email protected] 515-281-3221

Randy Feenstra NW 2 Senator R Sioux [email protected] 712-439-1244

Abby Finkenauer NE 99 Representative D Dubuque


Dean Fisher NE/SC 72 Representative R Tama [email protected] 641-750-3594

John Forbes SC 40 Representative D Polk [email protected] 515-778-7699

Greg Forristall SW 22 Representative R Pottawattamie [email protected] 712-486-2271

Joel Fry SC 27 Representative R Clarke [email protected] 641-342-1017

Ruth Ann Gaines SC 32 Representative D Polk [email protected] 515-210-7216

Julian Garrett SC 13 Senator R Warren [email protected] 515-971-0883

Mary Gaskill SE 81 Representative D Wapello [email protected] 641-682-6417

Tedd Gassman NW/NC 7 Representative R Winnebago [email protected] 641-568-3761

Pat Grassley NC 50 Representative R Butler [email protected] 319-983-9019

Tom Greene SE 44 Senator R Des Moines [email protected] 319-750-6579

Stan Gustafson SC 25 Representative R Madison [email protected] 515-559-4702

Dennis Guth NW/NC 4 Senator R Hancock [email protected] 641-430-0424

Chris Hagenow SC 43 Representative R Polk [email protected] 515-274-1652

Kristi Hager NE 56 Representative R Clayton [email protected] 563-568-1084

Chris Hall NW 13 Representative D Woodbury [email protected] 712-490-2088

Curt Hanson SE 82 Representative D Jefferson [email protected] 641-472-3349

Mary Ann Hanusa SW 16 Representative R Pottawattamie [email protected] 712-256-5159

Rita Hart SE 49 Senator D Clinton


Greg Heartsill SC 28 Representative R Marion [email protected] 641-218-0185

Dave Heaton SE 84 Representative R Henry [email protected] 319-385-9342

Lisa Heddens SC 46 Representative D Story [email protected] 515-292-1748

Lee Hein NE 96 Representative R Jones [email protected] 319-465-5805

Jake Highfill SC 39 Representative R Polk [email protected] 515-681-2621

Ashley Hinson NE 67 Representative R Linn [email protected] 319-431-6556

Rob Hogg NE 33 Senator D Linn [email protected] 310-247-0223

Steven Holt SW 18 Representative R Crawford


Chuck Holz NW 5 Representative R Plymouth [email protected]

Wally Horn NE 35 Senator D Linn [email protected] 319-396-3131

Bruce Hunter SC 34 Representative D Polk [email protected] 515-256-8010

Dan Huseman NW 3 Representative R Cherokee [email protected] 712-434-5880

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Chuck Isenhart NE 100 Representative D Dubuque [email protected] 563-557-1261

Dave Jacoby SE 74 Representative D Johnson [email protected] 319-358-8538

Pam Jochum NE 50 Senator D Dubuque [email protected] 563-556-6530

David Johnson NW 1 Senator I Osceola [email protected] 712-758-3280

Craig Johnson NE 32 Senator R Fayette [email protected] 563-633-4065

Megan Hess Jones NW 2 Representative R Clay


Timothy H. Kacena NW 14 Representative D Woodbury [email protected] 712--251-0375

Tim Kapucian NE/SE 38 Senator R Benton [email protected] 319-442-5337

Bobby Kaufman SE 73 Representative R Cedar [email protected] 563-260-3355

Jerry Kearns SE 83 Representative D Lee [email protected] 319-524-1570

David Kerr SE 88 Representative R Louisa [email protected] 319-759-1563

Kevin Kinney SE 39 Senator D Johnson


Jarad Klein SE 78 Representative R Washington [email protected] 641-636-2082

Kevin Koester SC 38 Representative R Polk [email protected] 515-963-9996

Tim Kraayenbrink NW/NC 5 Senator R Webster


Bob Kressig NE 59 Representative D Black Hawk [email protected] 319-266-9021

John Landon SC 37 Representative R Polk


Vicki Lensing SE 85 Representative D Johnson [email protected] 319-338-6148

Mark Lofgren SE 46 Senator R Muscatine [email protected] 563-272-8683

Shannon Lundgren NE 57 Representative R Dubuque [email protected] 563-451-6200

Jim Lykam SE 45 Representative D Scott [email protected] 563-391-1919

Mary Mascher SE 86 Representative D Johnson [email protected] 319-351-2826

Liz Mathis NE 34 Senator D Linn [email protected] 319-361-1725

David Maxwell SE 76 Representative R Poweshiek [email protected] 641-595-2283

Charlie McConkey SW 15 Representative D Pottawattamie


Matt McCoy SC 21 Senator D Polk [email protected] 515-681-9327

Andy McKean NE 58 Representative R Jackson [email protected] 319-462-5432

Brian Meyer SC 33 Representative D Polk [email protected] 515-999-0590

Helen Miller NC 9 Representative D Webster [email protected] 515-570-3535

Gary Mohr SE 94 Representative R Scott [email protected] 563-332-8377

Norlin Mommsen SE 97 Representative R Clonton


Tom Moore SW/SC 21 Representative R Cass [email protected]

Amy Nielsen SE 77 Representative D Johnson [email protected] 319-541-8019

Zach Nunn SC 30 Representative R Polk


Jo Oldson SC 41 Representative D Polk [email protected] 515-664-8341

Rick Olson SC 31 Representative D Polk [email protected] 515-778-4521

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NW: L. Crilly, T. Foltz, J. Jorgensen

NC: G. Merrill, M. Sachen, T. Evans

NE: B. Buck, A. Gehrke, R. Morgan, B. Rechkemmer, L. Ridge

SW: N. Seivert, S. Solt

SC: K. Hill, M. McCulloch, B. VandeLune

SE: M. Briones, J. Ewers, L. Frederiksen, M. Fults, B. Smith, T. Summitt

2017 Iowa Legislators (Continued)

Name IEMSA Region

Legislative District Title Party County E-Mail Address Home Phone

Scott Ourth SC 26 Representative D Warren [email protected] 515-208-7281

Ross Paustian SE 92 Representative R Scott


Janet Petersen SC 18 Senator D Polk [email protected] 515-279-9063

Dawn Pettengill NE/SE 75 Representative R Benton [email protected] 319-610-3412

Todd Prichard NC/NE 52 Representative D Floyd [email protected] 641-228-4500

Herman Quirmbach SC 23 Senator D Story [email protected] 515-292-8984

Amanda Ragan NC 27 Senator D Cerro Gordo [email protected] 641-424-0874

Ken Rizer NE 68 Representative R Linn


Walt Rogers NE 60 Representative R Black Hawk [email protected] 319-504-1193

Ken Rozenboom SC/SE 40 Senator R Mahaska [email protected] 641-295-6551 Kirsten Running-Marquardt NE 69 Representative D Linn

[email protected] 319-330-9899

Sandy Salmon NE 63 Representative R Black Hawk [email protected] 319-987-3021

Charles Schneider SC 22 Senator R Dallas [email protected] 515-554-3213

Jason Schultz NW/SW 9 Senator R Crawford [email protected] 712-676-2109

Mark Segebart NW/SW 6 Senator R Crawford [email protected] 712-677-5547

Mike Sexton NW/NC 10 Representative R Calhoun


Larry Sheets SC/SE 80 Representative R Appanoose [email protected] 641-895-6153

Tom Shipley SW 11 Senator R Adams


David Sieck SW 23 Representative R Mills [email protected] 515-281-3221

Amy Sinclair SC 14 Senator R Wayne [email protected] 641-870-0199

Ras Smith NE 62 Representative D Black Hawk [email protected] 319-830-9028

Mark Smith SC 71 Representative D Marshall [email protected] 641-750-9278

Roby Smith SE 47 Senator R Scott [email protected] 563-386-0179

Art Staed NE 66 Representative D Linn [email protected] 319-899-4365

Sharon Steckman NC 53 Representative D Cerro Gordo [email protected] 641-583-2484

Rob Taylor SC 44 Representative R Dallas [email protected] 515-240-7019

Todd Taylor NE 70 Representative D Linn [email protected] 319-396-8587

Rich Taylor SE 42 Senator D Henry [email protected] 319-931-1568

Phyllis Thede SE 93 Representative D Scott [email protected] 563-441-0630

Linda Upmeyer NC 54 Representative R Cerro Gordo [email protected] 641-923-3398

Guy Vander Linden SC/SE 79 Representative R Mahaska [email protected] 641-569-3373

Ralph Watts SC 19 Representative R Dallas [email protected] 515-993-4850

Beth Wessel-Kroeschell SC 45 Representative D Story [email protected] 515-451-4307

Skyler Wheeler NW 4 Representative R Sioux [email protected] 712-441-7444

Jack Whitver SC 19 Senator R Polk [email protected] 515-865-6394

John Wills NW 1 Representative R Dickinson [email protected] 712.330.9492

Cindy Winckler SE 90 Representative D Scott [email protected] 563-324-7927

Matt Windschitl NW 17 Representative R Harrison [email protected] 712-642-4334

Mary Wolfe SE 98 Representative D Clinton [email protected] 563-243-4652

Gary Worthan NW 11 Representative R Buena Vista [email protected] 712-732-6340

Brad Zaun SC 20 Senator R Polk [email protected] 515-276-2025

Dan Zumbach NE 48 Senator R Delaware


Louis Zumbach NE 95 Representative R Linn [email protected] 319-350-9760

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Administrative Team

Lisa Arndt

IEMSA Office Manager [email protected]

Dr. Josh Stilley Medical Director

[email protected]

IEMSA Lobbyist

Michael Triplett

Lobbyist [email protected]

Eric Goranson

Lobbyist [email protected]

Karla Fultz McHenry

Lobbyisst [email protected]

Executive Board

Mark McCulloch President

[email protected]

Jerry Ewers Vice President

[email protected]

Brandon Smith

Treasurer [email protected]

Katy Hill

Secretary [email protected]

Linda Frederiksen Past President

[email protected]




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https://www.linkedin.com/reg/join-pprofile?_ed=0_1juIla4xhA4CFr0Cj73Lsht1xr0t0ZUqIgoujj7RAh3uhQ1DSxnDKpBizJzrc-yAUd1bqK9MADkv9a6wJj1ILS&trk=pprof-0-ts-view_full-0

Northwest Region IEMSA Board Members

LaDonna Crilly [email protected]

Tracy Foltz [email protected]

John Jorgensen [email protected]

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IEMSA Region: NORTHWEST District: 4 Party: Republican Address: 602 2nd St. SE Apt 4 Orange City, IA 51041 Email: [email protected] [email protected]

Representative

Skyler Wheeler Phone: 712-441-7444

IEMSA Region: NORTHWEST District: 3 Party: Republican Address:1138 Mason Ave Pierson, IA 51048 Email: [email protected]

Senator Capitol Phone: 515-281-3371

Bill Anderson Home Phone: 712-898-2505

IEMSA Region: NORTHWEST District: 5 Party: Republican Address:1561 National Ave Fort Dodge, IA 50501 Email: [email protected]

Senator Home Phone: 515-576-0417 Tim Kraayenbrink Cell Phone: 515-408-4770

IEMSA Region: NORTHWEST District: 7 Party: Republican Address:1501 Peavey St Sioux City, IA 51105 Email: [email protected]


Rick Bertrand Home Phone: 712-253-7096

IEMSA Region: NORTHWEST District: 9 Party: Republican Address:611 Cedar St., P.O. Box 75 Schleswig, IA 51461 Email: [email protected]


Jason Schultz Cell Phone: 712-269-2178

IEMSA Region: NORTHWEST District: 14 Party: Democrat Address: 121 S. Dorman St. Sioux City, Iowa 51103 Email: [email protected] [email protected]

Representative

Timothy Kacena Phone: 712-251-0375

IEMSA Region: NORTHWEST District: 2 Party: Republican Address:641 Second St. Hull, IA 51239 Email: [email protected]


Randy Feenstra Home Phone: 712-439-1244

IEMSA Region: NORTHWEST District: 7 Party: Republican Address:14519- 490th St Scarville, Iowa 50473 Email: [email protected]

Representative Capitol Phone: 515-281-3221

Tedd Gassman Phone: 641-568-3761

IEMSA Region: NORTHWEST District: 4 Party: Republican Address:1770 Taft Ave Klemme, IA 50449 Email: [email protected]


Dennis Guth Cell Phone: 641-430-0424

IEMSA Region: NORTHWEST District: 13 Party: Democrat Address:3246 Douglas St. Sioux City, Iowa 51104 Email: [email protected]


Chris Hall Phone: 712-490-2088

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IEMSA Region: NORTHWEST District: 2 Party: Republican Address:4470 Highway 71 Sioux Rapids, Iowa 50585 Email: [email protected]


Megan Jones Phone: 712-260-6362

IEMSA Region: NORTHWEST District: 3 Party: Republican Address:304 East 6th St., Box 398 Aurelia, Iowa 51005 Email: [email protected]


Dan Huseman Phone: 712-434-5880

IEMSA Region: NORTHWEST District: 1 Party: Republican Address:PO Box 279 Ocheyedan, IA 51354 Email: [email protected]


David Johnson Cell Phone: 712-348-2953

IEMSA Region: NORTHWEST District: 6 Party: Republican Address: 43 Arlington Rd. Sioux City, IA 51106 Email: [email protected]

Representative

Jim Carlin Phone

IEMSA Region: NORTHWEST District: 10 Party: Republican Address:2202 Ogden Ave Rockwell City, Iowa 50579 Email: [email protected]


Mike Sexton Phone: 712-297-8720

IEMSA Region: NORTHWEST

District: 1 Party: Republican Address:15732 Tradewind Drive Spirit Lake, Iowa 51360 Email: [email protected]


John Wills Phone: 712-330-9492

IEMSA Region: NORTHWEST District: 5 Party: Republican Address:17585 Lake Avenue Le Mars, Iowa 51031 Email: [email protected]

Representative Capitol Phone: 515-281-3221 Chuck Holz

IEMSA Region: NORTHWEST District: 17 Party: Republican Address:222 West Huron St Missouri Valley, Iowa 51555 Email: [email protected]


Matt Windschil Phone: 712-642-4334

IEMSA Region: NORTHWEST District: 11 Party: Republican Address:5647 105th Ave Storm Lake, Iowa 50588 Email: gary.worthan@leg is.iowa.gov


Gary Worthan Phone: 712-732-6340

IEMSA Region: NORTHWEST District: 6 Party: Republican Address:1820 350th Street Vail, IA 51465 Email: [email protected]


Mark Segebart Cell Phone: 712-269-4519

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Gary Merrill [email protected]

Terry Evans [email protected]

Mark Sachen [email protected]

North C en North Central Region

IEMSA Board Members tral Region IEMSA Board Members

North Central Region IEMSA Board Members

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IEMSA Region: NORTH CENTRAL District: 48 Party: Republican Address:302 3rd Avenue, Apt. 1, P.O. Box 485 Slater, Iowa 50244 Email: [email protected]

Representative Capitol Phone: 515-281-3221 Rob Bacon Phone: 515-460-8885

IEMSA Region: NORTH CENTRAL District: 5 Party: Republican Address:1561 National Ave Fort Dodge, IA 50501 Email: [email protected]

Senator Work Phone: 515-576-0444

Tim Kraayenbrink Cell Phone: 515-408-4770

IEMSA Region: NORTH CENTRAL District: 24 Party: Republican Address:1313 Quill Ave Boone, IA 50036 Email: [email protected]


Jerry Behn Phone: 515-432-7327

IEMSA Region: NORTH CENTRAL District: 51 Party: Republican Address: 501 2nd Ave. N Northwood, IA 50459 Email: [email protected] [email protected]

Representative JaneBloomingdale Phone: 641-390-0837

IEMSA Region: NORTH CENTRAL District: 49 Party: Republican Address:911 Shagbark Drive Nevada, Iowa 50201 Email: [email protected]


Dave Deyoe Phone: 515-291-3289

IEMSA Region: NORTH CENTRAL District: 25 Party: Republican Address:317 S Walnut St, PO Box 220 Shell Rock, IA 50670 Email: [email protected]


Bill Dix Phone: 319-269-3664

IEMSA Region: NORTH CENTRAL District: 7 Party: Republican Address:14519- 490th St Scarville, Iowa 50473 Email: [email protected]


Tedd Gassman Phone: 641-568-3761

IEMSA Region: NORTH CENTRAL District: 50 Party: Republican Address:30601 Deer Trail Dr. New Hartford, Iowa 50660 Email: [email protected]


Patrick Grassley Phone: 319-983-9019

IEMSA Region: NORTH CENTRAL District: 4 Party: Republican Address:1770 Taft Ave Klemme, IA 50449 Email: [email protected]


Dennis Guth Phone: 641-430-0424

IEMSA Region: NORTH CENTRAL District: 9 Party: Democrat Address:1936 15th Ave. Fort Dodge, Iowa 50501 Email: [email protected]


Helen Miller Phone: 515-570-3535

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IEMSA Region: NORTH CENTRAL District: 52 Party: Democrat Address:107 Ferguson St Charles City, IA 50616 Email: [email protected]


Todd Prichard Phone: 641-228-4500

IEMSA Region: NORTH CENTRAL District: 27 Party: Democrat Address:361 S Pennsylvania Ave 1-D Mason City, IA 50401 Email: [email protected]


Amanda Ragan Home Phone: 641-424-0874

IEMSA Region: NORTH CENTRAL District: 8 Party: Republican Address: 2395 290th St. S Garner, Iowa 50438 Email: [email protected]


Terry C. Baxter Phone: 641-829-3580A

IEMSA Region: NORTH CENTRAL District: 10 Party: Republican Address: 2202 Ogden Ave Rockwell City, IA 50579 Email: [email protected]


Mike Sexton Phone: 712-297-8720

IEMSA Region: NORTH CENTRAL District: 53 Party: Democrat Address:1685 10th St SW Mason City, Iowa 50401 Email: [email protected]


SharonSteckmn Phone: 641-583-2484

IEMSA Region: NORTH CENTRAL District: 54 Party: Republican Address:1811 N. 8th Street Clear Lake, Iowa 50428 Email: [email protected]


Linda Upmeyer Phone: 641-923-3398

IEMSA Region: NORTH CENTRAL District: 26 Party: Republican Address: 109 S Summer St St. Ansgar, IA 50472 Email: [email protected]

Senator

Waylon Brown Phone: 641-590-0610

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Northeast Region IEMSA Board

Mem

Brad Buck [email protected]

Amy Gehrke [email protected]

Rick Morgan [email protected]

Brian Rechkemmer [email protected]

Lee Ridge [email protected]

Members

Northeast Region IEMSA Board Members

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IEMSA Region: NORTHEAST District: 64 Party: Democrat Address:500- 7th Ave SE Oelwein, Iowa 50662 Email: [email protected]


Bruce Bearinger

Phone: 319-283-5349

IEMSA Region: NORTHEAST District: 62 Party: Democrat Address: 324 Madison St. Waterloo, Iowa 50703 Email: [email protected]

Representative

Ras Smith Phone: 319-830-9028

IEMSA Region: NORTHEAST District: 29 Party: Democrat Address:812 Grant St Maquoketa, IA 52060 Email: [email protected]

Senator Home Phone: 563-652-5499

Tod Bowman Cell Phone: 563-370-2422

IEMSA Region: NORTHEAST District: 28 Party: Republican Address:301 W Mission St Strawberry Point, IA 52076 Email: [email protected]

Senator Cell Phone: 563-920-7399 Michael Breitbach Phone: 563-933-6486

IEMSA Region: NORTHEAST District: 51 Party: Republican Address: 501 2nd Ave. N Northwood, IA 50459 Email: [email protected] [email protected]

Representative Jane Bloomingdale Phone: 641-390-0837

IEMSA Region: NORTHEAST District: 30 Party: Democrat Address:PO Box 1191 Cedar Falls, IA 50613 Email: [email protected]


Jeff Danielson Phone: 319-231-7192

IEMSA Region: NORTHEAST District: 31 Party: Democrat Address:2837 Cedar Terrace Dr Waterloo, IA 50702 Email: [email protected]


William Dotzler Cell Phone: 319-296-2947

IEMSA Region: NORTHEAST District: 57 Party: Republican Address: 918 Heather Dr. Peosta, Iowa 52068 Email: [email protected]

Representative Shannon Lundgren Phone: 563-451-6200

IEMSA Region: NORTHEAST District: 72 Party: Republican Address: 2859 C Ave. Garwin, Iowa 50632 Email: [email protected]


Dean Fisher Cell Phone: 641-750-3594

IEMSA Region: NORTHEAST District: 96 Party: Republican Address:17358 County Road E-16 Monticello, Iowa 52310 Email: [email protected]


Lee Hein Phone: 319-465-5805

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IEMSA Region: NORTHEAST District: 33 Party: Democrat Address:2750 Otis Rd SE Cedar Rapids, IA 52403 Email: [email protected]


Robert Hogg Home Phone: 319-247-0223

IEMSA Region: NORTHEAST District: 35 Party: Democrat Address:101 Stoney Point Rd SW Cedar Rapids, IA 52404 Email: [email protected]


Wally E. Horn Home Phone: 319-396-3131

IEMSA Region: NORTHEAST District: 100 Party: Democrat Address: P.O. Box 3353 Dubuque, Iowa 52004-3353 Email: [email protected]


CharlesIsenhart Phone: 563-557-1261

IEMSA Region: NORTHEAST District: 50 Party: Democrat Address:2368 Jackson St Dubuque, IA 52001 Email: [email protected]


Pam Jochum Home Phone: 563-556-6530

IEMSA Region: NORTHEAST District: 61 Party: Democrat Address:1920 W. 7th St. Waterloo, Iowa 50702 [email protected]


Timi Brown-Powers

Phone:

IEMSA Region: NORTHEAST District: 38 Party: Republican Address:1275 69th St Keystone, IA 52249 Email: [email protected]


Tim L. Kapucian

Cell Phone: 515-250-7769

IEMSA Region: NORTHEAST District: 59 Party: Democrat Address:3523 Veralta Drive Cedar Falls, Iowa 50613 Email: [email protected]


Bob Kressig Phone: 319-266-9021

IEMSA Region: NORTHEAST District: 68 Party: Republican Address:2503 White Eagle Trail SE Cedar Rapids, Iowa 52403 Email: [email protected]


Ken Rizer Phone: 319-651-7316

IEMSA Region: NORTHEAST District: 34 Party: Democrat Address:1725 MacKenzie Dr NE Cedar Rapids, IA 52411 Email: [email protected]


Liz Mathis Home Phone: 319-361-1725

IEMSA Region: NORTHEAST District: 58 Party: Republican Address:509 South Oak Street Anamosa, Iowa 52205 Email: [email protected]

Representative

Andy McKean Phone: 319-462-5432

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IEMSA Region: NORTHEAST District: 99 Party: Democrat Address:1040 Rush Street Dubuque, Iowa 52003 Email: [email protected]

Representative Capitol Phone: 515-281-3221 Abby Finkenauer Phone: 563-580-0553

IEMSA Region: NORTHEAST District: 65 Party: Democrat Address:1834 1st Ave NE Apt. 206 Cedar Rapids, Iowa 52404 Email: [email protected]


Liz Bennett Phone: 319-431-1656

IEMSA Region: NORTHEAST District: 67 Party: Republican Address:1637 Hunters Field Lane Marion, Iowa 52302 Email: [email protected]

Representative

Ashley Hinson Phone: 319-431-6556

IEMSA Region: NORTHEAST District: 75 Party: Republican Address: P.O. Box A Mount Auburn, Iowa 52313 Email: [email protected]


Dawn Pettengill Phone: 319-610-3412

IEMSA Region: NORTHEAST District: 52 Party: Democrat Address: 107 Ferguson St. Charles City, Iowa 50616 Email: [email protected]


Todd Prichard Phone: 641-228-4500

IEMSA Region: NORTHEAST District: 60 Party: Republican Address: 4209 S Main Cedar Falls, Iowa 50613 Email: [email protected]


Walt Rogers Phone: 319-504-1193

IEMSA Region: NORTHEAST District: 56 Party: Republican Address: 2026 Lycurgus Road Waukon, Iowa 52172 Email: [email protected]

Representative

Kristi Hager Phone: 563-568-1084

IEMSA Region: NORTHEAST District: 69 Party: Democrat Address:3515 Field Stone Place SW Cedar Rapids, Iowa 52404 Email: [email protected]

Representative Capitol Phone: 515-281-3221 Kirsten Running-Marquardt

Phone: 319-330-9899

IEMSA Region: NORTHEAST District: 63 Party: Republican Address:9711 Streeter Road Janesville, Iowa 50647 Email: [email protected]


Sandy Salmon Phone: 319-987-3021

IEMSA Region: NORTHEAST District: 32 Party: Republican Address: 413- 13th Ave. NE Independence, IA 50644 Email: [email protected]

Senator

Craig Johnson Home Phone: 319-334-2413

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IEMSA Region: NORTHEAST District: 55 Party: Republican Address:1796 Lincoln Highway Road Decorah, Iowa 52101 Email: [email protected]


Michael Bergan Phone: 563-419-9991

IEMSA Region: NORTHEAST District: 55 Party: Republican Address: 1204 N. Bear Rd. Dorchester, IA 52140 Email: [email protected] [email protected] Phone: 563-380-3974

IEMSA Region: NORTHEAST District: 36 Party: Republican Address: 1554 - 200th St State Center, IA 50247 Email: [email protected]

Senator

Jeff Edler Phone: 515-281-3221

IEMSA Region: NORTHEAST District: 66 Party: Democrat Address:2141 Coldstream Ave. NE Cedar Rapids, Iowa 52402 Email: [email protected]


Art Staed Phone: 319-899-4365

IEMSA Region: NORTHEAST District: 95 Party: Republican Address: 558 Monticello Rd Coggon, Iowa 52218 Email: [email protected]

Representative

LouieZumbach Phone: 319-350-9760

IEMSA Region: NORTHEAST District: 70 Party: Democrat Address:1416 A Avenue NW Cedar Rapids, Iowa 52405-4834 Email: [email protected]


Todd Taylor Phone: 319-396-8587

IEMSA Region: NORTHEAST District: 26 Party: Democrat Address:414 N Elm Cresco, IA 52136 Email: [email protected]


Waylon Brown Phone: 563-547-4156

IEMSA Region: NORTHEAST District: 26 Party: Republican Address: 109 S Summer St St Ansgar, IA 50472 Email: waylon.brown @legis.iowa.gov Home Phone: 641-590-0610

Senator Dan Zumbach

IEMSA Region: NORTHEAST District: 48 Party: Republican Address:2618 140th Ave Ryan, IA 52330 Email: [email protected] Capitol Phone: 515-281-3371 Cell Phone: 563-920-5094

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ou Southwest Region

IEMSA Board Members

Nella Seivert

[email protected]

OPEN SEAT

Sarah Solt

[email protected]

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IEMSA Region: SOUTHWEST District: 47 Party: Republican Address:P.O. Box 367 Boone, Iowa 50036 Email: [email protected]


Chip Baltimore Phone: 515-709-0325

IEMSA Region: SOUTHWEST District: 20 Party: Republican Address:2260 Hwy 25 Greenfield, Iowa 50849-8100 Email: [email protected]


Clel Baudler Phone: 641-743-6327

IEMSA Region: SW District: District: 24 Party: Republican Address:1313 Quill Ave Boone, IA 50036 Email: [email protected]


Jerry Behn Home Phone: 515-432-7327

IEMSA Region: SW District: 9 Party: Democrat Address:611 Cedar St., P.O. Box 75 Schleswig, IA 51461 Email: [email protected]


Jason Schultz Cell Phone: 712-269-2178

IEMSA Region: SW District: 15 Party: Democrat Address:2222 Avenue L Council Bluffs, Iowa 51501 Email: [email protected]

Representative Capitol Phone: 515-281-3221 Charlie McConkey Phone: 402-676-0105

IEMSA Region: SW District: 10 Party: Republican Address: P.O. Box 265 Adel, IA 50003 Email: [email protected]


Jake Chapman Phone:

IEMSA Region: SW District: 23 Party: Republican Address:1710 Timber LN Glenwood, IA 51534 Email: [email protected]


David Sieck Phone:

IEMSA Region: SW District: 24 Party: Republican Address:703 N. Fillmore St. Mount Ayr, Iowa 50854 Email: [email protected]


Cecil Dolecheck Phone: 641-464-2913

IEMSA Region: SW District: 21 Party: Republican Address:600 Mills Street, P.O. Box 224 Griswold, Iowa 51535 Email: [email protected]


Tom Moore

IEMSA Region: SW District: 12 Party: Republican Address: 37265 Rains Avenue Imogene, Iowa 51645 Email: [email protected]


Mark Costello Cell Phone: 712-520-0303

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IEMSA Region: SOUTHWEST District: 22 Party: Republican Address:11917- 370th St Macedonia, Iowa 51549 Email: [email protected]


Greg Forristall Phone: 712-486-2271

IEMSA Region: SOUTHWEST District: 8 Party: Republican Address: 213 Upland Dr Council Bluffs, IA 51503 Email: [email protected]

Senator

Dan Dawson Home Phone: 712-256-1199

IEMSA Region: SOUTHWEST District: 16 Party: Republican Address:121 Fox Haven Drive Council Bluffs, Iowa 51503 Email: [email protected]


Mary Ann Hanusa

Phone: 712-256-5159

IEMSA Region: SOUTHWEST District: 11 Party: Republican Address:2425 Birch Ave Nodaway, IA 50857 Email: [email protected]


Tom Shipley Home Phone: 712-785-3583

IEMSA Region: SOUTHWEST District: 12 Party: Republican Address:P.O. Box 450 Glidden, Iowa 51443 Email: [email protected]


Brian Best Phone: 712-830-1844

IEMSA Region: SOUTHWEST District: 18 Party: Republican Address:1430 3rd Ave S Denison, Iowa 51442 Email: [email protected]


Steven Holt Phone: 712-263-8347

IEMSA Region: SOUTHWEST District: 6 Party: Republican Address:1820 350th Street Vail, IA 51465 Email: [email protected]


Mark Segebart Cell Phone: 712-269-4519

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South Central Region

IEMSA Board Members

Katy Hill

[email protected]

Mark McCulloch

[email protected]

Brad Vande Lune

[email protected]

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IEMSA Region: SOUTH CENTRAL District: 35 Party: Democrat Address:1506- 18th St. Des Moines, Iowa 50314 Email: [email protected]


Ako Abdul-Samad

Phone: 515-202-3531

IEMSA Region: SOUTH CENTRAL District: 36 Party: Democrat Address:1717 Mar Ella Trail Des Moines, Iowa 50310-3823 Email: [email protected]


Marti Anderson

Home Phone: 515-255-2314

IEMSA Region: SOUTH CENTRAL District: 48 Party: Republican Address:302 3rd Ave, Apt. 1, P.O. Box 485 Slater, Iowa 50244 Email: [email protected]


Rob Bacon Phone: 515-460-8885

IEMSA Region: SOUTH CENTRAL District: 47 Party: Republican Address:P.O. Box 367 Boone, Iowa 50036 Email: [email protected]


Chip Baltimore Phone: 515-709-0325

IEMSA Region: SOUTH CENTRAL District: 20 Party: Republican Address:2260 Hwy 25 Greenfield, Iowa 50849-8100 Email: [email protected]


Clel Baudler Phone: 641-743-6327

IEMSA Region: SOUTH CENTRAL District: 24 Party: Republican Address:1313 Quill Ave Boone, IA 50036 Email: [email protected]


Jerry Behn Home Phone: 515-432-7327

IEMSA Region: SOUTH CENTRAL District: 15 Party: Democrat Address:1438 North 7th Ave E Newton, IA 50208 Email: [email protected]


Chaz Allen Home Phone: 641-521-6297

IEMSA Region: SOUTH CENTRAL District: 10 Party: Republican Address:P.O. Box 265 Adel, IA 50003 Email: [email protected]


Jake Chapman Phone: 515-650-3942

IEMSA Region: SOUTH CENTRAL District: 42 Party: Republican Address:P.O. Box 110 West Des Moines, Iowa 50266 Email: [email protected]


Peter Cownie Phone: 515-664-8341

IEMSA Region: SOUTH CENTRAL District: 16 Party: Democrat Address: 2670 Wisconsin Ave Des Moines, IA 50317 Email: [email protected] [email protected]

Senator Business Phone: 515-288-4148

Nate Boulton Phone: 515-265-1389

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IEMSA Region: SOUTH CENTRAL District: 49 Party: Republican Address:911 Shagbark Drive Nevada, Iowa 50201 Email: [email protected]


Dave Deyoe Phone: 515-291-3289

IEMSA Region: SOUTH CENTRAL District: 25 Party: Republican Address:317 S Walnut St, PO Box 220 Shell Rock, IA 50670 Email: [email protected]


Bill Dix Cell Phone: 319-269-3664

IEMSA Region: SOUTH CENTRAL District: 24 Party: Republican Address:703 N. Fillmore St. Mt Ayr, Iowa 50854 Email: [email protected]


Cecil Dolecheck Phone: 641-464-2913

IEMSA Region: SOUTH CENTRAL District: 21 Party: Republican Address:600 Mills Street, P.O. Box 224 Griswold, Iowa 51535 Email: [email protected]


Tom Moore

IEMSA Region: SOUTH CENTRAL District: 12 Party: Republican Address:37265 Rains Ave Imogene, IA 51645 Email: [email protected]


Mark Costello Cell Phone: 712-520-0303

IEMSA Region: SOUTH CENTRAL District: 72 Party: Republican Address:2859 C Ave. Garwin, Iowa 50632 Email: [email protected]


Dean Fisher Cell Phone: 641-750-3594

IEMSA Region: SOUTH CENTRAL District: 40 Party: Democrat Address:12816 Cardinal Ln Urbandale, Iowa 50323 Email: [email protected]


John Forbes Phone: 515-778-7699

IEMSA Region: SOUTH CENTRAL District: 27 Party: Republican Address:1473- 195th Ave Osceola, Iowa 50213 Email: [email protected]


Joel Fry Phone: 641-342-1017

IEMSA Region: SOUTH CENTRAL District: 32 Party: Democrat Address:3501 Oxford St Des Moines, Iowa 50313 Email: [email protected]


Ruth Ann Gaines Phone: 515-210-7216

IEMSA Region: SOUTH CENTRAL District: 13 Party: Republican Address:19978 115th Ave Indianola, IA 50125 Email: [email protected]


Julian B. Garrett

Cell Phone: 515-971-0883

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IEMSA Region: SOUTH CENTRAL District: 25 Party: Republican Address:3139 Cumming Road Cumming, Iowa 50061 Email: [email protected]


Stan Gustafson Phone: 515-559-4702

IEMSA Region: SOUTH CENTRAL District: 43 Party: Republican Address:1915- 69th Street Windsor Heights, Iowa 50324 Email: [email protected]


Chris Hagenow Phone: 515-274-1652

IEMSA Region: SOUTH CENTRAL District: 17 Party: Democrat Address:2618 Leach Ave Des Moines, IA 50320 Email: [email protected]


Tony Bisignano Cell Phone: 515-371-5990

IEMSA Region: SOUTH CENTRAL District: 28 Party: Republican Address:831 Wyoming Street Chariton, Iowa 50049 Email: [email protected]


Greg Heartsill Phone: 641-218-0185

IEMSA Region: SOUTH CENTRAL District: 46 Party: Democrat Address:2401 Westwind Dr Ames, Iowa 50010 Email: [email protected]


Lisa Heddens Phone: 515-450-2957

IEMSA Region: SOUTH CENTRAL District: 39 Party: Republican Address:5202 NW 62nd Ave Johnston, Iowa 50131 Email: [email protected]


Jake Highfill Phone: 515-681-2621

IEMSA Region: SOUTH CENTRAL District: 34 Party: Democrat Address:452 Wilmers Ave Des Moines, Iowa 50315 Email: [email protected]


Bruce Hunter Phone: 515-256-8010

IEMSA Region: SOUTH CENTRAL District: 29 Party: Democrat Address:1419 N. 23rd Ave. W Newton, Iowa 50208 Email: [email protected] [email protected]

Representative Capitol Phone: 515-281-3221 Wesley Breckenridge

Phone: 641-521-6714

IEMSA Region: SOUTH CENTRAL District: 38 Party: Republican Address:3514 SW Edgewood Lane Ankeny, Iowa 50023-9565 Email: [email protected]


Kevin Koester Phone: 515-963-9996

IEMSA Region: SOUTH CENTRAL District: 37 Party: Republican Address:2905 NE Trilein Dr. Ankeny, Iowa 50021 Email: [email protected]


John Landon Phone: 515-635-1737

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IEMSA Region: SOUTH CENTRAL District: 21 Party: Democrat Address:1717 Ingersoll Ave Ste 115 Des Moines, IA 50309 Email: [email protected]


Matt McCoy Cell Phone: 515-681-9327

IEMSA Region: SOUTH CENTRAL District: 33 Party: Democrat Address:5417 SE 29th St Des Moines, Iowa 50320 Email: [email protected]


Brian Meyer Phone: 515-999-0590

IEMSA Region: SOUTH CENTRAL District: 41 Party: Democrat Address:4004 Grand Ave. #302 Des Moines, Iowa 50312 Email: [email protected]


Jo Oldson Home Phone: 515-255-2805

IEMSA Region: SOUTH CENTRAL District: 31 Party: Democrat Address:3012 E. 31st Ct. Des Moines, Iowa 50317 Email: [email protected]


Rick Olson Phone: 515-778-4521

IEMSA Region: SOUTH CENTRAL District: 26 Party: Democrat Address:110 Timber Lane Ackworth, Iowa 50001 Email: [email protected]


Scott Ourth Phone: 515-208-7281

IEMSA Region: SOUTH CENTRAL District: 18 Party: Democrat Address:4300 Beaver Hills Dr Des Moines, IA 50310 Email: [email protected]


Janet Petersen Cell Phone: 515-442-0120

IEMSA Region: SOUTH CENTRAL District: 23 Party: Democrat Address:1002 Jarrett Circle Ames, IA 50014 Email: [email protected]

Senator Capitol Phone: 515-281-3371 Herman Quirmbach Home Phone: 515-292-8984

IEMSA Region: SOUTH CENTRAL District: 30 Party: Republican Address: P.O. Box 105 Altoona, Iowa 50009 Email: [email protected]


Zach Nunn Phone: 515-868-2046

IEMSA Region: SOUTH CENTRAL District: 40 Party: Republican Address:2200 Oxford Ave Oskaloosa, IA 52577 Email: [email protected]


KenRozenboom Cell Phone: 641-295-6551

IEMSA Region: SOUTH CENTRAL District: 22 Party: Republican Address:7887 Cody Dr West Des Moines, IA 50266 Email: [email protected]

Senator Capitol Phone: 515-281-3371 CharlesSchneider Cell Phone: 515-657-7375

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IEMSA Region: SOUTH CENTRAL District: 80 Party: Republican Address:27043- 264th Ave Moulton, Iowa 52572 Email: [email protected]


Larry Sheets Phone: 641-895-6153

IEMSA Region: SOUTH CENTRAL District: 14 Party: Republican Address:1255 King Rd Allerton, IA 50008 Email: [email protected]


Amy Sinclair Cell Phone: 641-870-0199

IEMSA Region: SOUTH CENTRAL District: 71 Party: Democrat Address:816 Roberts Terrace Marshalltown, Iowa 50158 Email: [email protected]


Mark Smith Work Phone: 515-281-3054

IEMSA Region: SOUTH CENTRAL District: 36 Party: Republican Address: 1554- 200th St State Center, IA 50247 Email: [email protected]

Senator Phone: 641-751-5902

Jeff Edler

IEMSA Region: SOUTH CENTRAL District: 44 Party: Republican Address:495 - 77th Place West Des Moines, Iowa 50266 Email: [email protected]


Rob Taylor Phone: 515-240-7019

IEMSA Region: SOUTH CENTRAL District: 79 Party: Republican Address:1610 Carbonado Road Oskaloosa, Iowa 52577 Email: [email protected]


Guy Vander Linden

Phone: 641-569-3373

IEMSA Region: SOUTH CENTRAL District: 19 Party: Republican Address:28232 Prospect Ave Adel, Iowa 50003 Email: [email protected]


Ralph Watts Home Phone: 515-993-4850

IEMSA Region: SOUTH CENTRAL District: 45 Party: Democrat Address:518 Ash Ames, Iowa 50014 Email: [email protected]


Beth Wessell-Kroeschell

Phone: 515-451-4307

IEMSA Region: SOUTH CENTRAL District: 19 Party: Republican Address:4019 Bellagio Cir Ankeny, IA 50021 Email: [email protected]


Jack Whitver Cell Phone: 515-865-6394

IEMSA Region: SOUTH CENTRAL District: 20 Party: Republican Address:7032 Holcomb Ave Urbandale, IA 50322 Email: [email protected]


Brad Zaun Home Phone: 515-276-2025

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Southeast Region IEMSA Board Members

Mary Briones [email protected]

Jerry Ewers [email protected]

Linda Frederiksen [email protected]

Matt Fults [email protected]

Brandon Smith [email protected]

Tom Summitt [email protected]

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IEMSA Region: SOUTHEAST District: 43 Party: Democrat Address:1235 Oakes Dr Iowa City, IA 52245 Email: [email protected]


Joe Bolkcom Home Phone: 319-337-6280

IEMSA Region: SOUTHEAST District: 46 Party: Republican Address: 3025 Provence Lane Muscatine, IA 52761 Email: [email protected]

Senator

Mark Lofgren Phone: 563-272-8683

IEMSA Region: SOUTHEAST District: 41 Party: Republican Address:819 Hutchinson Ottumwa, IA 52501 Email: [email protected]


Mark Chelgren Cell Phone: 641-777-7047

IEMSA Region: SOUTHEAST District: 87 Party: Democrat Address:8151 138th St Burlington, Iowa 52601 Email: [email protected]

Representative Capitol Phone: 515-281-3221 Dennis M. Cohoon Phone: 319-752-5057

IEMSA Region: SOUTHEAST District: 44 Party: Republican Address: 5763 Hartman Rd Burlington, IA 52601 Email: [email protected]

Senator

Thomas Greene Cell Phone: 319-750-6579

IEMSA Region: SOUTHEAST District: 37 Party: Democrat Address:450 Third Ave #3 Coralville, IA 52241 Email: [email protected]


Robert Dvorsky Home Phone: 319-351-0988

IEMSA Region: SOUTHEAST District: 81 Party: Democrat Address:509 E 4th Street Ottumwa, Iowa 52501 Email: [email protected]


Mary Gaskill Phone: 641-682-6417

IEMSA Region: SOUTHEAST District: 39 Party: Democrat Address: 4321 Calkins Ave SW Oxford, IA 52322 Email: [email protected]


Kevin Kinney Home Phone: (319)631-4667

IEMSA Region: SOUTHEAST District: 82 Party: Democrat Address:801 N Court St Fairfield, Iowa 52556 Email: [email protected]


Curt Hanson Cell Phone: 641-919-2314

IEMSA Region: SOUTHEAST District: 49 Party: Democrat Address:2764 130th Ave Wheatland, IA 52777 Email: [email protected]

Senator Cell Phone: 563-210-1252

Rita Hart Home Phone: 563-374-1368

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IEMSA Region: SOUTHEAST District: 84 Party: Republican Address:510 E Washington Mount Pleasant, Iowa 52641 Email: [email protected]


Dave Heaton Phone: 319-385-9342

IEMSA Region: SOUTHEAST District: 74 Party: Democrat Address:2308 North Ridge Drive Coralville, Iowa 52241 Email: [email protected]


Dave Jacoby Phone: 319-358-8538

IEMSA Region: SOUTHEAST District: 38 Party: Republican Address:1275 69th St KeystoNortheast, IA 52249 Email: [email protected]


Tim L. Kapucian

Phone: 515-250-7769

IEMSA Region: SOUTHEAST District: 73 Party: Republican Address:1527- 330th St. Wilton, Iowa 52778 Email: [email protected]


Bobby Kaufmann

Phone: 563-260-3355

IEMSA Region: SOUTHEAST District: 83 Party: Democrat Address:402 Hickory Terrace Keokuk, Iowa 52632 Email: [email protected]


Jerry Kearns Phone: 319-524-1570

IEMSA Region: SOUTHEAST District: 78 Party: Republican Address:1744 Keokuk Washington Rd Keota, Iowa 52248 Email: [email protected]


Jarad Klein Phone: 641-636-2082

IEMSA Region: SE District: 85 Party: Democrat Address:2408 Mayfield Rd. Iowa City, Iowa 52245 Email: [email protected]


Vicki Lensing Phone: 319-338-6148

IEMSA Region: SE District: 91 Party: Republican Address:104 Deerpath Lane Muscatine, Iowa 52761 Email: [email protected]


Gary Carlson Phone: 563-288-4211

IEMSA Region: SOUTHEAST District: 45 Party: Democrat Address:2906 W 35th St Davenport, Iowa 52806 Email: [email protected]


Jim Lykam Phone: 563-391-1919

IEMSA Region: SOUTHEAST District: 86 Party: Democrat Address:2012 Sherman Dr Iowa City, Iowa 52240 Email: [email protected]


Mary Mascher Phone: 319-351-2826

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IEMSA Region: SOUTHEAST District: 76 Party: Republican Address:2171- 540th Ave. Gibson, Iowa 50104 Email: [email protected]


David Maxwell Phone: 641-595-2283

IEMSA Region: SOUTHEAST District: 94 Party: Republican Address: PO Box 1556 Bettendorf, Iowa 52722 Email: [email protected]


Gary Mohr Work Phone: 563-332-8377

IEMSA Region: SOUTHEAST District: 97 Party: Republican Address:2308 15th St Ct DeWitt, Iowa 52742 Email: [email protected]

Representative Capitol Phone: 515-281-3221 Norlin Mommsen Phone: 563-357-9826

IEMSA Region: SOUTHEAST District: 75 Party: Republican Address:P.O. Box A Mount Auburn, Iowa 52313 Email: [email protected]


Dawn Pettengill Phone: 319-610-3412

IEMSA Region: SOUTHEAST District: 40 Party: Republican Address:2200 Oxford Ave Oskaloosa, IA 52577 Email: [email protected]


Ken Rozenboom

Cell Phone: 641-295-6551

IEMSA Region: SOUTHEAST District: 88 Party: Republican Address: 19798 90th Street Morning Sun, Iowa 52640 Email: [email protected]


David Kerr Home Phone: 319-759-1563

IEMSA Region: SOUTHEAST District: 45 Party: Democrat Address: 2906 W. 35th St. Davenport, IA 52806 Email: [email protected]

Senator

Jim Lykam Phone: 563-391-1919

IEMSA Region: SOUTHEAST District: 80 Party: Republican Address:27043- 264th Ave Moulton, Iowa 52572 Email: [email protected]


Larry Sheets Phone: 641-895-6153

IEMSA Region: SOUTHEAST District: 47 Party: Republican Address:2036 E 48th St Davenport, IA 52807 Email: [email protected]


Roby Smith Home Phone: 563-386-0179

IEMSA Region: SOUTHEAST District: 77 Party: Democrat

Address: 168 Lockmoor Cr North Liberty, Iowa 52317 Email: [email protected]


Amy Nielsen Phone: 319-541-8019

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IEMSA Region: SOUTHEAST District: 42 Party: Democrat Address:2667 Iowa Ave Mt Pleasant, IA 52641 Email: [email protected]


Rich Taylor Cell Phone: 319-931-1568

IEMSA Region: SOUTHEAST District: 93 Party: Democrat Address:2342 Hawthorne Ct Bettendorf, Iowa 52722 Email: [email protected]


Phyllis Thede Phone: 563-441-0630

IEMSA Region: SOUTHEAST District: 79 Party: Republican Address:1610 Carbonado Road Oskaloosa, Iowa 52577 Email: [email protected]

Representative Capitol Phone: 515-281-3221 Guy Vander Linden Phone: 641-569-3373

IEMSA Region: SOUTHEAST District: 90 Party: Democrat Address:6 Thode Court Davenport, Iowa 52802 Email: [email protected]


Cindy Winckler Phone: 563-324-7927

IEMSA Region: SOUTHEAST District: 98 Party: Democrat Address:337- 4th Avenue South Clinton, Iowa 52732 Email: [email protected]


Mary Wolfe Phone: 563-243-4652

IEMSA Region: SOUTHEAST District: 92 Party: Republican Address:389 W. Parkview Drive Walcott, Iowa 52773 Email: [email protected]


Ross Paustian Phone: 563-284-6783

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State of Iowa85th General Assembly

IInter im Emergency Medical Services Study Committee

Watts, Ralph C.Representative

Co-Chair

Wilhelm, Mary JoSenatorCo-Chair

Breitbach, MichaelSenator

Chapman, JakeSenator

Kaufmann, BobbyRepresentative

Prichard, ToddRepresentative

Salmon, SandyRepresentative

Sodders, Steven J.Senator

Staed, ArtRepresentative

Taylor, RichSenator

lf247

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Typewritten Text

FINAL REPORT Emergency Medical Services Study Committee January 2014

MEMBERS: Senator Mary Jo Wilhelm, Co-chairperson Senator Michael Breitbach Senator Jake Chapman Senator Steven J. Sodders Senator Rich Taylor

Representative Ralph C. Watts, Co-chairperson Representative Bobby Kaufmann Representative Todd Prichard Representative Sandy Salmon Representative Art Staed

AUTHORIZATION AND APPOINTMENT

The Emergency Medical Services Study Committee was created by the Legislative Council for the 2013 Legislative Interim and authorized to hold two meetings. The charge of the committee was to research the current status of Iowa’s emergency medical services (EMS) and make recommendations to ensure the future availability of EMS statewide. The committee was required to consult with stakeholders in conducting the study.

Staff Contacts:

Nicole Hoffman, Legal Editor, (515) [email protected]

Michael Duster, Legal Counsel, (515) [email protected]

Contents: I. ProceedingsII. Bureau of Emergency Medical

Services, Iowa Department ofPublic Health

III. Iowa Emergency MedicalServices Association

IV. Emergency Medical ServicesTraining Programs

V. Emergency Medical ServicesReimbursement

VI. Public Comment andCommittee Discussion,November 6, 2013

VII. EMS Provider PerspectiveVIII. EMS Advisory Council,

Quality Assurance, Standardsand Protocols Subcommittee

IX. Public Comment andCommittee Discussion,November 7, 2013

X. Materials Filed With theLegislative Services Agency



Emergency Medical Services Study Committee

I. ProceedingsThe committee met on Wednesday, November 6, 2013, and Thursday, November 7, 2013, to hear testimony from various EMS experts and interested parties and received public comment. The committee did not make recommendations.

II. Bureau of Emergency Medical Services, Iowa Department of PublicHealth

Mr. Ken Sharp, Division Director for Acute Disease Prevention, Emergency Response, and Environmental Health, Ms. Rebecca Curtiss, Interim Emergency Medical Services (EMS) Bureau Chief, and Mr. Joe Ferrell, EMS Regulations Manager, provided an overview of the EMS Bureau structure and role in regulating EMS throughout the state. Ms. Curtiss discussed the recent reorganization within the Iowa Department of Public Health (department), including a reorganization of the EMS Bureau. Ms. Curtiss was named interim bureau chief on September 23, 2013. Following the reorganization, the EMS Bureau consists of 11 full-time staff, of which 5.5 are funded through state resources. The additional 5.5 positions are funded through other sources, primarily federal grants. Ms. Curtiss outlined the EMS Bureau’s areas of responsibility for coordinating and implementing the provision of emergency medical services in this state. Ms. Curtiss discussed the EMS Bureau’s staffing and budget reductions that have occurred over the past five years. During that time, the EMS Bureau’s staffing level has been reduced by 3.3 employees and the EMS Bureau currently employs only one clerical staff person. The number of regional coordinators has been reduced from six to four. Mr. Ferrell identified short-term delays in inspections as one consequence of the reduction in regional coordinators. The EMS Bureau’s current operating budget, excluding the Emergency Medical Services System Development Grants Fund is $1.2 million. The EMS Bureau is no longer receiving funding from the Tobacco Settlement Fund and funding from federal grants has also decreased during that time. Ms. Curtiss also discussed the EMS Bureau’s ongoing expenses relating to the maintenance of computer software packages and the bureau’s efforts to move some computer support services to the Department of Administrative Services. Mr. Ferrell provided an overview of the EMS Bureau’s duties relating to the authorization and regulation of emergency medical service programs, the certification of emergency medical care providers, and the operation of training programs. Currently, the EMS Bureau is responsible for such activities for the 17 training centers, 781 authorized EMS agencies, and approximately 12,000 individual EMS providers in Iowa. Information was presented to the committee detailing the types of and requirements for authorization of EMS service programs. Authorization is required to establish a service program using certified emergency medical care providers for the delivery of care at the scene of an emergency or nonemergency, during transportation to a hospital, during transfer from one medical care facility to another or to a private home, or while in the hospital emergency department and until care is directly assumed by a physician or by authorized hospital personnel.

January 2014


An overview of the new levels of certification for individual EMS providers was presented, including Iowa’s recent adoption of the National Registry of Emergency Medical Technicians (NREMT) practical and cognitive examinations. Mr. Ferrell also provided information relating to how the continuing education requirements for biennial renewal of a provider’s certification vary based on the level of certification. The duties of the EMS Bureau’s regional coordinators were discussed. The bureau’s representatives stressed the importance of the regional coordinators’ work in conducting on-site periodic inspections, providing follow-up and guidance for EMS agencies, and performing other duties relating to compliance. The EMS Bureau also has duties undertaken by a program planner relating to the Iowa Statewide Emergency Registry for Volunteers. The bureau’s representative also described the bureau’s role in administering the Emergency Medical Services System Development Grants Fund, which consists of moneys appropriated by the General Assembly and other moneys available from federal or private sources. Moneys in the fund are to be used to match, on a dollar-for-dollar basis, moneys spent by a county for the acquisition of equipment for the provision of EMS and to provide grants to counties for education and training in the delivery of EMS. A list of grant amounts by county over the three previous fiscal years was distributed to the committee. Mr. Ferrell also discussed the composition, structure, and role of the Emergency Medical Services Advisory Council (EMSAC). Mr. Ferrell discussed how the bureau has engaged and worked with the council in recent years, including during the bureau’s revisions of its administrative rules relating to scope of practice. Discussion. Members of the committee questioned the continued efficiency of the EMS Bureau following the funding and staffing cuts over the past five years. Mr. Sharp indicated that conclusions regarding the continued efficacy of the EMS Bureau could not yet be reached and that a continued review of the bureau’s operations was needed. Mr. Sharp further discussed the need to determine the EMS Bureau’s role in addressing issues in the EMS industry in the future. EMS Bureau representatives also responded to questions from the committee relating to the cost of provider certification and to what extent such costs are causing a shortage in providers, the recent modifications to scope of practice rules, and the methods of providing and approving training and continuing education. In responding to committee questions relating to the EMS Bureau’s process for addressing complaints and deficiencies involving providers and services, Mr. Ferrell stated that disciplinary processes across states vary greatly and he estimated that the bureau addresses between 250 and 375 deficiency and complaint reports annually. Members of the committee also raised concerns and requested additional information relating to the data reporting requirements and run sheet collection activities of the EMS Bureau.

III. Iowa Emergency Medical Services AssociationMr. Jerry Ewers, President, and Ms. Linda Frederiksen, Vice President, from the Iowa Emergency Medical Services Association (IEMSA), provided background information on IEMSA and how EMS is provided in Iowa. Additionally, the results of an EMS provider survey were presented to the committee. The survey resulted in approximately 900 responses.

January 2014


Founded in 1987, IEMSA has been actively involved in emergency medical care in Iowa. IEMSA represents 12,000 EMS providers and has a 23-member board of directors. The Iowa EMS Association has been involved in initiating and supporting EMS legislation, representing its members on task forces, advisory groups, and boards, addressing issues that affect EMS services through service director meetings and educational programs, and facilitating communication between members. In Iowa, EMS is delivered via a variety of types of service programs including volunteer, career, hospital-based, fire-based, third-service, private, and governmental. According to data provided by the EMS Bureau, 57 percent of EMS is provided through fire departments, 16 percent is provided by private companies, 13 percent is provided through hospital services, and 14 percent is provided by public entities. In Iowa, 64 percent of EMS providers are volunteers. IEMSA conducted a survey of EMS providers and presented the results to the committee. The data collected included the type of EMS delivery model under which the provider works or volunteers, the number of EMS agencies for which the provider works or volunteers, the education background of the provider, the age of the provider, and the number of years that the provider has been an EMS provider. IEMSA also provided a map detailing the regions of the state where the survey respondents were located. IEMSA’s survey also focused on the attitudes and concerns of EMS providers. Staffing, recruitment, and retention of EMS providers, EMS not being considered an essential service, and inadequate funding were identified most often as concerns among the survey respondents. Respondents most often identified burnout, unreasonable time commitment, and wage and benefit concerns as the reasons for allowing EMS certification to lapse. Respondents were also asked to identify the most difficult times of day for providing EMS coverage and the number of hours per day that EMS coverage was unavailable. Interfacility transports, including behavioral transports, were identified as an area of concern for EMS agencies. Most survey respondents indicated that behavioral transports caused a strain on their EMS system. The survey also sought information on the attitudes relating to the EMS education and certification process. Seventy-six percent of respondents thought that the time spent on EMS education was reasonable. The survey also requested provider attitudes on the cost and accessibility of EMS education and continuing education resources. Respondents provided a variety of ideas to help EMS provider retention efforts, including better pay, specifying EMS as an essential service, better pension and benefit options, state and local support in funding and planning, sustainable funding sources, provider education assistance, and better development of EMS career paths. Ninety-nine percent of respondents believe that EMS should be an essential service. According to Mr. Ewers, EMS not being designated as an essential service has resulted in EMS being underfunded in order to preserve those services that have received such a designation. Approximately 1/4 of respondents have out-of-pocket expenses of less than $100 annually. Over 1/3 of the respondents also indicated that their out-of-pocket expenses are between $100 and $500 annually. In addition, approximately 1/4 of EMS providers have annual out-of-pocket expenses between $500 and $2,000. The survey also detailed the compensation status of EMS providers, ranging from full compensation to no compensation. The average respondent spends 59.29 hours engaged in EMS

January 2014


training per year. Respondents receive an average of 44.36 hours of continuing education per year. The average survey respondent spends 23.23 hours per year raising funds for EMS. The average survey respondent spends 230 hours per year engaged as an EMS volunteer. Among respondents who work for volunteer EMS agencies, the average volunteer spends 30.56 hours fund-raising annually and dedicates 344.25 hours engaged as an EMS volunteer annually. Data was also presented on the trends in the number of EMS services and providers in the state over the last five years. Mr. Ewers and Ms. Frederiksen also provided the written comments of EMS providers that were received as part of the survey.

IV. Emergency Medical Services Training ProgramsMs. Rosemary Adam, EMS Learning Resource Center, University of Iowa Hospitals and Clinics, and Ms. Tina Young, Southeastern Iowa Community College, provided the committee with information relating to the levels and types of training currently required for various levels of EMS providers. Iowa adopted national standards in 2011 for EMS providers. The initial educational requirements for the different levels of certification are: (1) emergency medical responder (EMR), 48-60 clock hours; (2) emergency medical technician (EMT), 150-190 clock hours; (3) advancedEMT, requiring a prerequisite EMT certification, 150-250 clock hours; and (4) paramedic, requiringa prerequisite EMT certification, 1,000-1,300 clock hours. Most educational programs have bothpart-time and full-time options. In terms of the number of weeks necessary to complete suchcourses, the EMR program typically takes 10 weeks part-time, the EMT program takes 34 weekspart-time or one month full-time, the advanced EMT program takes 40 weeks part-time, and theparamedic program takes two years part-time or 10-12 months full-time.According to Ms. Adam, the initial costs of such education programs are as follows: (1) EMR, approximately $400; (2) EMT, approximately $1,030-$1,800; (3) advanced EMT, approximately $1,400 (following EMT prerequisite); and (4) paramedic, approximately $6,171-$12,000 (following EMT prerequisite). The estimated costs, however, do not include student fees, if applicable, or testing fees. According to Ms. Adam and Ms. Young, the initial education for EMR, EMT, and advanced EMT can be offered in the provider’s hometown, in a location such as the local fire department. The EMS Bureau is responsible for the authorization of training programs in the state. The 17 current EMS training programs are dispersed throughout Iowa, including one private college training program in Des Moines, two hospital-based training programs, and 14 community-college-based training programs. Eleven of the sites have paramedic education in the state and six sites have nonparamedic education. The presenters also provided an overview of the continuing education requirements for the various EMS provider certifications. Such requirements include 50 percent formal classroom instruction and 50 percent informal instruction. The biennial hourly continuing education requirements are as follows: (1) EMR, 12 hours; (2) EMT, 24 hours; (3) advanced EMT, 36 hours; and (4) paramedic, 60 hours. There is a wide range of costs for formal continuing education courses, typically ranging from free to $20 per hour. Most continuing education occurs in fire departments or ambulance services and each EMS training program offers formal continuing education courses.

January 2014


Discussion. Committee members questioned the current requirement that such training courses be approved and coordinated with one of the 17 approved EMS training programs. Ms. Adam and Ms. Young cited the need for structured and consistent quality assurance for the training and continuing education courses as the primary reason for requiring EMS training program approval for those courses conducted by persons other than the training programs. Committee members, however, continued to question the process of allowing the EMS training programs to establish the fees to be charged for such approved courses. Ms. Adam detailed the 2012 enrollment and graduation data for each of the EMS certification levels in the state and described the enrollment trends in the state over the last 10 years. Areas of improvement for the EMS industry were also identified, including continued outreach to inform potential applicants in the EMS field, determining whether certain EMS provider positions should require a degree, and whether the return on investment is sufficient for those who enter the field. Committee members inquired about the current reimbursement or financial assistance available for both initial certification and continuing education, including whether local governments reimbursed or paid for those costs, particularly for volunteers. Committee members also asked about the training programs’ efforts to adapt the curriculum for military personnel who worked as combat medics. Ms. Adam indicated that because of the specific skills taught to the military combat medics and the need to teach the content covered by the national exam, the traditional training of such enrollees must be completed in its entirety.

V. Emergency Medical Services ReimbursementMs. Jennifer Vermeer, Director, Iowa Medicaid Enterprise, Iowa Department of Human Services, provided information to the committee relating to the reimbursement paid to ambulance providers for services provided to Medicaid members. Medicaid managed care plans cover ambulance services through their contracts with ambulance providers. Medicaid pays a capitation payment to the managed care plan to cover all services included in the contract and the plan negotiates rates with providers. Ambulance services are provided through two contracted managed care providers, Magellan Behavioral Health (ambulance services relating to mental health or substance abuse conditions) and Meridian Health Plan (primary and preventive health care). Both managed care providers negotiate and contract with individual ambulance providers to form ambulance networks. Medicaid contracts with and pays ambulance providers directly through Fee-For-Service (FFS) for members who require emergency medical transportation or transport because medical conditions preclude any other method of transportation. Reimbursement rates for such service are set by the Legislature’s annual appropriations bill and a 10 percent increase was enacted for fiscal year 2013-2014. The Iowa Medicaid Enterprise conducts medical services and program integrity reviews. IowaCare, the program which provides low income adults with limited health care benefits, does not cover ambulance services, but will be replaced by the Iowa Health and Wellness Program, which does cover ambulance services at the same rate as Medicaid. Medicaid providers must be enrolled as Medicare providers, have an EMS Bureau certification, sign a Medicaid provider agreement, make certain federally required disclosures, and have a verified ambulance

January 2014


compliance form. Ambulance programs are designated as moderate risk programs for fraud and require an Iowa Medicaid Enterprise site visit. Ms. Vermeer also provided examples of Medicaid reimbursement rates and stated that there is an interest in changing from the Medicaid reimbursement rates to the more complex Medicare reimbursement methodology. It was noted, however, that even the Medicare reimbursement does not cover the ambulance service costs in all instances. Under the ambulance state plan for Medicaid, for the fiscal year 2012-2013, the total Medicaid expenditure was $5.1 million, which included a total of 43,996 ambulance trips. The average number of trips per Medicaid member was approximately 2.5 trips.

VI. Public Comment and Committee Discussion, November 6, 2013Committee members discussed whether the recent changes to the EMS certification levels and training requirements have pushed applicants into higher levels of training than what is necessary for the EMS that they are providing. Committee members raised concerns with the training availability in rural areas of Iowa and the lack of funding for reimbursement of training for EMS providers, particularly in the extremely rural areas. Mr. Gary Merrill, Director, Algona Emergency Medical Service, opined that standards for EMS providers should be high as they are medical providers who need to provide quality care and that background checks should be required. Mr. Merrill also stated his opposition to reducing the training requirements in order to recruit more EMS providers. Mr. Jeff Burkett, a volunteer EMS provider from Prairie City, stated that identifying resources and complying with the requirements for obtaining grant moneys for training is confusing and time-consuming for smaller EMS agencies that are already time-constrained. Mr. Jacob Mayer, a recently certified EMT from Lake City whose training was paid for by the hospital by which he is employed in exchange for a two-year employment commitment, stated that people need to understand that EMS providers are medical professionals and that training for such is going to cost money. Mr. Mayer also detailed his personal time commitment for performing his EMT duties as well as being a full-time community college student. Mr. Scott Nelson, Director of Operations, Midwest Ambulance Services, opined that in adopting the national standards for the scope of practice for EMS providers, the ability to consider state and local needs in determining scope of practice was lost. In particular, Mr. Nelson identified the revisions to the scope of practice for critical care paramedics as a problem not just for the level of care provided to patients but also for reimbursement rates. Mr. Nelson also detailed his experience working in other states and how that experience has allowed him a better understanding of what is successful in providing EMS. Committee members also questioned the EMS Bureau representatives about future plans to name a permanent EMS Bureau Chief and a state medical director for EMS. Iowa has been without a state medical director for 10 years and committee members questioned the rationale and impact that vacancy has had and what role EMSAC has played during that time. Members of the committee acknowledged that despite the lack of a state medical director, local EMS services are required to have a medical director who is a physician.

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VII. EMS Provider PerspectiveMr. Brian Donaldson, Director, SEMS Paramedic Services, Sumner, Iowa, has worked in the EMS field for over 30 years. He discussed various issues relating to the EMS system in Iowa. Mr. Donaldson noted the difficulties faced by rural EMS providers and the lack of change in the EMS system design since its inception. Mr. Donaldson does not believe that the current design of the EMS system is supported by scientific evidence and that changes should be undertaken. He opined that consolidation, regionalization, and partnerships are key in regard to the future development of the EMS system, which should be led and supported by the state including the EMS Bureau. In particular, he noted that not every locality may require a transport ambulance service and that such service could be regionalized. Instead, he noted that the cost savings of investing in rapid response vehicles rather than ambulance vehicles could be substantial. Mr. Donaldson also indicated that the approach to Medicaid reimbursement needs to be revised as Iowa has the lowest reimbursement rate in the upper Midwest and the fee schedule is not all-inclusive. Mr. Donaldson opined that there should be a mechanism in place for annual review of reimbursement rates. He also stated that behavioral health transport requirements and reimbursement need to be reevaluated. Such transports take EMS personnel out of service for a significant period of time and reimbursement does not follow the same Medicaid fee schedule. Mr. Donaldson addressed the status of EMS and opined that EMS should be considered an essential service. Although townships and counties have the ability to tax for such services, no entity has the responsibility to provide service or funding. Mr. Donaldson noted that only Appanoose County is utilizing the one percent EMS income surtax. Committee members requested additional information in regard to the number of local governments that were currently imposing the maximum property tax levy. Mr. Donaldson also expressed his desire to see implementation of a Blue Ribbon Task Force to allow expert guidance from leaders in the industry for the creation of a plan to develop a sustainable system to provide quality care. Mr. Donaldson also addressed the possible use of EMS providers to provide follow-up services to patients recently discharged from hospitals in order to reduce the likelihood of being readmitted to the hospital and consequently impacting the hospital’s reimbursement. Committee members asked Mr. Donaldson to identify examples of these types of services and questioned whether such services would encroach on home health care providers. Mr. Donaldson noted that only about five percent of services provided are life-threatening emergencies and EMS should be viewed instead as mobile health care. Discussion. In response to committee questioning, Mr. Donaldson stated his uncertainty about whether existing recruitment efforts are successful and urged the further easing of the financial burden on EMS providers, including an increase in the existing $50 income tax credit. Committee members also discussed the use of local law enforcement in behavioral transport cases.

VIII. EMS Advisory Council, Quality Assurance, Standards and ProtocolsSubcommittee

Mr. Gerd Clabaugh, Deputy Director, Iowa Department of Public Health, discussed the Quality Assurance, Standards and Protocols (QASP) Subcommittee’s review of the administrative rules governing the authorization of EMS service programs. The subcommittee has several areas to

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focus on in its review, which began in August 2013: the authorization levels for service programs, medical director training requirements, continuous quality improvement, data-related issues, and disciplinary procedures. According to Mr. Clabaugh, the goal at the end of the review process is to have the Department of Public Health synthesize the feedback and recommendations and then present the proposed changes to EMSAC again. The presenters noted the overall concern that the administrative rules have not remained current with practices of the EMS industry. However, specific issues were addressed by Mr. Clabaugh including simplifying authorizations, providing the ability for EMS providers to perform tasks at different levels, revision and improvement of medical director training and transition, and addressing the frequency of inspections. Ms. Frederiksen acknowledged the importance of the data being collected by the EMS Bureau for both the bureau and the EMS services. EMS services utilize the data to improve their services and increase efficiencies. Ms. Frederiksen noted, however, that the EMS Bureau’s data collection system is 10 years old and may need revision. Discussion. Mr. Clabaugh identified system development grants as a possible source of funding to help facilitate regionalization of EMS in the state. The subcommittee representatives also addressed committee questions relating to the implementation of proposals relating to the use of paramedicine and the use of transportation methods other than ambulances. Committee members also questioned the current practice of requiring training centers to serve as clearinghouses for EMS training being provided in the state.

IX. Public Comment and Committee Discussion, November 7, 2013The co-chairs opened the meeting for public comment and several EMS providers made remarks to the committee. Mr. Orville Randolph, the mayor of Bennett and the director of the city’s volunteer ambulance service, discussed the financial and other concerns of smaller volunteer services like Bennett’s, including problems finding daytime coverage with volunteers who have full-time jobs, the dwindling funds for EMS System Development Grants, and the high turnover rate for service directors. Mr. Randolph provided details of his community’s EMS system. He also stated that his city is already at its $8.10 levy limit and that grant money has decreased in recent years. He identified the existing income tax credit as a positive move but asked if it could be increased. Cost-saving measures, such as sharing local medical directors, were discussed. Mr. Randolph acknowledged the good work provided by the EMS Bureau but identified the reduced EMS Bureau staffing as a problem. Committee members had further discussions on the issues of background checks, what an EMS mandate to local governments would include, the long-term consequences of reduced staffing at the EMS Bureau, the use of law enforcement officers as EMRs, the role of the EMS Bureau in facilitating solutions, and the trend of increased EMS call response times. Co-chairperson Wilhelm requested the members of the committee to each discuss a few issues that they felt should be addressed. Several members commented that EMS should be made an essential service just as law enforcement and fire service are, but that how such service is paid for also needs to be addressed. Other issues raised included behavioral health transport

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requirements and reimbursement; providing funding for EMS provider training, possibly through the community colleges; requiring background checks; increasing the income tax credit for volunteer providers; establishing a Blue Ribbon Task Force to further study the EMS system; increasing Medicaid reimbursements; increasing funding for and staffing of the EMS Bureau, including the addition of a State Medical Director; incentivizing the transition from EMT to paramedic; and determining whether personal medical information in data should be collected or retained.

X. Materials Filed With the Legislative Services AgencyThe following materials were distributed at or in connection with the meeting and are filed with the Legislative Services Agency. The materials may be accessed from the “Committee Documents” link on the committee’s Internet site: https://www.legis.iowa.gov/committees/committee?ga=85&groupID=19058

1. Draft Minutes2. EMS Bureau Presentation — Materials Provided Subsequent to Meeting3. Mr. Brian Donaldson, SEMS Paramedic Services, Presentation4. Iowa EMS Association Presentation — Additional Materials5. Iowa EMS Association Presentation6. EMS Training Programs Presentation7. Attachment A: Authorized EMS Agencies (2013) map8. Attachment B — Authorized Iowa EMS Agencies List9. Attachment C: Iowa Emergency Medical Care Provider Scope of Practice (April

2012) 10. Attachment D — Authorized Iowa EMS Training Programs (July 2013)11. Attachment E — Property Tax Rates for Fire and Emergency Medical Services (FY

2014) 12. Attachment F — Emergency Medical Services System Development Grants FY

2012-2014 13. Attachment G — EMS Response Times Per County, EMS Bureau Data14. Attachment H — EMS Service Level Response Times, EMS Bureau Data15. Background Information, Legislative Services Agency16. Legislative Services Agency, Fiscal Services Division, Background Information on

EMS Services in Iowa17. DHS Medicaid Presentation18. EMS Bureau Quality Assurance, Standards, and Protocols Subcommittee, Document

119. EMS Bureau Quality Assurance, Standards, and Protocols Subcommittee, Document

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https://www.legis.iowa.gov/committees/committee?ga=85&groupID=19058