Iowa Emergency Medical Services Association Iowa Legislator Listing by IEMSA Region

Transcription

1 Iowa Emergency Medical Services Association 2016 Iowa Legislator Listing by IEMSA Region

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3 Table of Contents Iowa Legislator A-Z Listing with IEMSA Regions IEMSA Administrative Team/Executive Board Page 4 Page 8 Iowa EMS Association Regions 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 Page 33 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

4 NW: L. Crilly, T. Foltz, J. Jorgensen NC: G. Merrill, M. Sachen, OPEN 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 Name IEMSA Region Legislative District 2016 Iowa Legislators Title Par ty County Address Home Phone Ako Abdul-Samad SC 35 Representative D Polk ako.abdul-samad@legis.iowa.gov Chaz Allen SC 15 Senator D Jasper chaz.allen@legis.iowa.gov chazallen4senate@gmail.com Marti Anderson SC 36 Representative D Polk marti.anderson@legis.iowa.gov Bill Anderson NW 3 Senator R Woodbury bill.anderson@legis.iowa.gov Mary Ann Hanusa SW 16 Representative R Pottawatta mie maryann.hanusa@legis.iowa.gov Robert Bacon NC/SC 48 Representative R Story rob.bacon@legis.iowa.gov Chip Baltimore SW/SC 47 Representative R Boone chip.baltimore@legis.iowa.gov Clel Baudler SW/SC 20 Representative R Adair clel.baudler@legis.iowa.gov Terry Baxter NC/SC 8 Representative R Hancock terry.baxter@legis.iowa.gov terry.flyagain@gmail.com Bruce Bearinger NE 64 Representative D Fayette bruce.bearinger@legis.iowa.gov NC/S Jerry Behn W/SC 24 Senator R Boone jerry.behn@legis.iowa.gov Liz Bennett NE 65 Representative D Linn liz.bennett@legis.iowa.gov elizabeth@elizabethbennett.org Deborah Berry NE 62 Representative D Black Hawk deborah.berry@legis.iowa.gov Rick Bertrand NW 7 Senator R Woodbury rick.bertrand@legis.iowa.gov Brian Best SW 12 Representative R Carroll Tony Bisignano SC 17 Senator D Polk brian.best@legis.iowa.gov bestforhouse@gmail.com tony.bisignano@legis.iowa.gov biz.tony@gmail.com Joe Bolkcom SE 43 Senator D Johnson joe.bolkom@legis.iowa.gov Tod Bowman NE 29 Senator D Jackson tod.bowman@legis.iowa.gov Darrel Branhagen NE 55 Representative R Winneshiek Chris Brase SE 46 Senator D Muscatine darrel.branhagen@legis.iowa.gov branhagenforiowa@gmail.com chris.brase@legis.iowa.gov cbrase27@gmail.com Michael Breitbach NE 28 Senator R Clayton michael.breitbach@legis.iowa.gov Timi Brown-Powers NE 61 Representative D Black Hawk timi.brown-peters@legis.iowa.gov timi4iowa@gmail.com Josh Byrnes NC/NE 51 Representative R Mitchell josh.byrnes@legis.iowa.gov Gary Carlson SE 91 Representative R Muscatine gary.carlson@legis.iowa.gov carlson4house@gmail.com Jake Chapman SW/SC 10 Senator R Dallas jake.chapman@legis.iowa.gov Mark Chelgren SE 41 Senator R Wapello mark.chelgren@legis.iowa.gov Dennis Cohoon SE 87 Representative D Des Moines dennis.cohoon@legis.iowa.gov Mark Costello SW/SC 12 Senator R Mills mark.costello@legis.iowa.gov Tom Courtney SE 44 Senator D Des Moines thomas.courtney@legis.iowa.gov Peter Cownie SC 42 Representative R Polk peter.cownie@legis.iowa.gov Jeff Danielson NE 30 Senator D Black Hawk jeff.danielson@legis.iowa.gov David Dawson NW 14 Representative D Woodbury dave.dawson@legis.iowa.gov Dick Dearden SC 16 Senator D Polk dick.dearden@legis.iowa.gov Dave Deyoe NC/SC 49 Representative R Story dave.deyoe@legis.iowa.gov Bill Dix NC/SC 25 Senator R Butler bill.dix@legis.iowa.gov Cecil Dolecheck SW/SC 24 Representative R Ringgold cecil.dolecheck@legis.iowa.gov Bill Dotzler NE 31 Senator D Black Hawk bill.dotzler@legis.iowa.gov Page 4

5 Nancy Dunkel NE 57 Representative D Dubuque nancy.dunkel@legis.iowa.gov Bob Dvorsky SE 37 Senator D Johnson robert.dvorsky@legis.iowa.gov Randy Feenstra NW 2 Senator R Sioux randy.feenstra@legis.iowa.gov Abby Finkenauer NE 99 Representative D Dubuque abby.finkenauer@legis.iowa.gov abby4iowahouse@gmail.com Dean Fisher NE/SC 72 Representative R Tama dean.fisher@legis.iowa.gov John Forbes SC 40 Representative D Polk john.forbes@legis.iowa.gov Greg Forristall SW 22 Representative R Pottawatta mie greg.forristall@legis.iowa.gov Joel Fry SC 27 Representative R Clarke joel.fry@legis.iowa.gov Ruth Ann Gaines SC 32 Representative D Polk ruthann.gaines@legis.iowa.gov Julian Garrett SC 13 Senator R Warren julian.garrett@legis.iowa.gov Mary Gaskill SE 81 Representative D Wapello mary.gaskill@legis.iowa.gov NW/N Tedd Gassman C 7 Representative R Winnebago tedd.gassman@legis.iowa.gov Pat Grassley NC 50 Representative R Butler pat.grassley@legis.iowa.gov Mike Gronstal SW 8 Senator D Pottawatta mie mike.gronstal@legis.iowa.gov Stan Gustafson SC 25 Representative R Madison Stan.Gustafson@legis.iowa.gov NW/N Dennis Guth C 4 Senator R Hancock dennis.guth@legis.iowa.gov Chris Hagenow SC 43 Representative R Polk chris.hagenow@legis.iowa.gov Chris Hall NW 13 Representative D Woodbury chris.hall@legis.iowa.gov Curt Hanson SE 82 Representative D Jefferson curt.hanson@legis.iowa.gov Rita Hart SE 49 Senator D Clinton rita.hart@legis.iowa.gov hart4senate@gmail.com Greg Heartsill SC 28 Representative R Marion greg.heartsill@legis.iowa.gov Dave Heaton SE 84 Representative R Henry dave.heaton@legis.iowa.gov Lisa Heddens SC 46 Representative D Story lisa.heddens@legis.iowa.gov Lee Hein NE 96 Representative R Jones lee.hein@legis.iowa.gov Megan Hess Jones NW 2 Representative R Clay megan.hess@legis.iowa.gov megan@meganhess.us Jake Highfill SC 39 Representative R Polk jake.highfill@legis.iowa.gov Rob Hogg NE 33 Senator D Linn rob.hogg@legis.iowa.gov Steven Holt SW 18 Representative R Crawford Chuck Holz NW 5 Representative R Plymouth chuck.holz@legis.iowa.gov steven.holt@legis.iowa.gov holtforhouse@gmail.com Wally Horn NE 35 Senator D Linn wally.horn@legis.iowa.gov Bruce Hunter SC 34 Representative D Polk bruce.hunter@legis.iowa.gov Dan Huseman NW 3 Representative R Cherokee dan.huseman@legis.iowa.gov Chuck Isenhart NE 100 Representative D Dubuque charles.isenhart@legis.iowa.gov Dave Jacoby SE 74 Representative D Johnson david.jacoby@legis.iowa.gov Mary Jo Wilhelm NC/NE 26 Senator D Howard mary.jo.wilhelm@legis.iowa.gov Pam Jochum NE 50 Senator D Dubuque pam.jochum@legis.iowa.gov David Johnson NW 1 Senator R Osceola david.johnson@legis.iowa.gov Ron Jorgensen NW 6 Representative R Woodbury ron.jorgensen@legis.iowa.gov Page 5

6 NW: L. Crilly, T. Foltz, J. Jorgensen SW: R. Marsh, N. Seivert, S. Solt Name IEMSA Region NC: G. Merrill, M. Sachen, OPEN SC: K. Hill, M. McCulloch, B. VandeLune 2016 Iowa Legislators (Continued) NE: B. Buck, A. Gehrke, R. Morgan, B. Rechkemmer, L. Ridge SE: M. Briones, J. Ewers, L. Frederiksen, M. Fults, B. Smith, T. Summitt Legislative District Title Party County Address Home Phone Tim Kapucian NE/SE 38 Senator R Benton tim.kapucian@legis.iowa.gov Bobby Kaufman SE 73 Representative R Cedar bobby.kaufmann@legis.iowa.gov Jerry Kearns SE 83 Representative D Lee jerry.kearns@legis.iowa.gov Dan Kelley SC 29 Representative D Jasper dan.kelley@legis.iowa.gov Kevin Kinney SE 39 Senator D Johnson kevin.kinney@legis.iowa.gov kinneyforsenate@gmail.com Jarad Klein SE 78 Representative R Washington jarad.klein@legis.iowa.gov Kevin Koester SC 38 Representative R Polk kevin.koester@legis.iowa.gov John Kooiker NW 4 Representative R Sioux john.kooiker@legisliowa.gov Tim Kraayenbrink NW/N C 5 Senator R Webster tim.kraayenbrink@legis.iowa.gov tim.kbrink@gmail.com Bob Kressig NE 59 Representative D Black Hawk bob.kressig@legis.iowa.gov John Landon SC 37 Representative R Polk john.landon@legis.iowa.gov willsforiowa@gmail.com Vicki Lensing SE 85 Representative D Johnson vicki.lensing@legis.iowa.gov Jim Lykam SE 89 Representative D Scott jim.lykam@legis.iowa.gov Mary Mascher SE 86 Representative D Johnson mary.mascher@legis.iowa.gov Liz Mathis NE 34 Senator D Linn liz.mathis@legis.iowa.gov David Maxwell SE 76 Representative R Poweshiek david.maxwell@legis.iowa.gov Charlie McConkey SW 15 Representative-Elect D Pottawattam ie charlie.mcconkey@legis.iowa.gov cmcconkey32@gmail.com Matt McCoy SC 21 Senator D Polk matt.mccoy@legis.iowa.gov Brian Meyer SC 33 Representative D Polk brian.meyer@legis.iowa.gov Helen Miller NC 9 Representative D Webster helen.miller@legis.iowa.gov Linda Miller SE 94 Representative R Scott linda.miller@legis.iowa.gov Norlin Mommsen SE 97 Representative R Clonton norlin.mommsen@legis.iowa.gov norlinmommsen@yahoo.com Brian Moore NE 58 Representative R Jackson brian.moore@legis.iowa.gov Tom Moore SW/SC 21 Representative R Cass tom.moore@legis.iowa.gov Zach Nunn SC 30 Representative R Polk zach.nunn@legis.iowa.gov zach@zachnunn.com Jo Oldson SC 41 Representative D Polk jo.oldson@legis.iowa.gov Rick Olson SC 31 Representative D Polk rick.olson@legis.iowa.gov Scott Ourth SC 26 Representative D Warren scott.ourth@legis.iowa.gov Kraig Paulsen NE 67 Representative R Linn kraig.paulsen@legis.iowa.gov Ross Paustian SE 92 Representative R Scott ross.paustian@legis.iowa.gov rosspaustian@hotmail.com Janet Petersen SC 18 Senator D Polk janet.petersen@legis.iowa.gov Dawn Pettengill NE/SE 75 Representative R Benton dawn.pettengill@legis.iowa.gov Todd Prichard NC/NE 52 Representative D Floyd Todd.Prichard@legis.iowa.gov Herman Quirmbach SC 23 Senator D Story herman.quirmbach@legis.iowa.gov Amanda Ragan NC 27 Senator D Cerro Gordo amanda.ragan@legis.iowa.gov Ken Rizer NE 68 Representative R Linn ken.rizer@legis.iowa.gov rizerforhouse@outlook.com Walt Rogers NE 60 Representative R Black Hawk walt.rogers@legis.iowa.gov Page 6

7 Ken Rozenboom SC/SE 40 Senator R Mahaska ken.rozenboom@legis.iowa.gov Patti Ruff NE 56 Representative D Clayton patti.ruff@legis.iowa.gov kirsten.runningmarquardt@legis.iowa.gov Kirsten Running-Marquardt NE 69 Representative D Linn Sandy Salmon NE 63 Representative R Black Hawk sandy.salmon@legis.iowa.gov Tom Sands SE 88 Representative R Louisa tom.sands@legis.iowa.gov Charles Schneider SC 22 Senator R Dallas charles.schneider@legis.iowa.gov Brian Schoenjahn NE 32 Senator D Fayette brian.schoenjahn@legis.iowa.gov Jason Schultz NW/S W 9 Senator R Crawford jason.schultz@legis.iowa.gov Mark Segebart NW/S W 6 Senator R Crawford mark.segebart@legis.iowa.gov Joe Seng SE 45 Senator D Scott joe.seng@legis.iowa.gov Mike Sexton NW/N C 10 Representative R Calhoun mike.sexton@legis.iowa.gov mike@twinlakesenviro.com Larry Sheets SC/SE 80 Representative R Appanoose larry.sheets@legis.iowa.gov Tom Shipley SW 11 Senator R Adams tom.shipley@legis.iowa.gov tomshipley71@yahoo.com David Sieck SW 23 Representative R Mills david.sieck@legis.iowa.gov Amy Sinclair SC 14 Senator R Wayne amy.sinclair@legis.iowa.gov Mark Smith SC 71 Representative D Marshall mark.smith@legis.iowa.gov Roby Smith SE 47 Senator R Scott roby.smith@legis.iowa.gov Steve Sodders NE/SC 36 Senator D Marshall steve.sodders@legis.iowa.gov Art Staed NE 66 Representative D Linn art.staed@legis.iowa.gov Quentin Stanerson NE 95 Representative R Linn quentin.stanerson@legis.iowa.gov Sharon Steckman NC 53 Representative D Cerro Gordo sharon.steckman@legis.iowa.gov Sally Stutsman SE 77 Representative D Johnson sally.stutsman@legis.iowa.gov Rob Taylor SC 44 Representative R Dallas rob.taylor@legis.iowa.gov Todd Taylor NE 70 Representative D Linn todd.taylor@legis.iowa.gov Rich Taylor SE 42 Senator D Henry rich.taylor@legis.iowa.gov Phyllis Thede SE 93 Representative D Scott phyllis.thede@legis.iowa.gov Linda Upmeyer NC 54 Representative R Cerro Gordo linda.upmeyer@legis.iowa.gov Guy Vander Linden SC/SE 79 Representative R Mahaska guy.vander.linden@legis.iowa.gov Ralph Watts SC 19 Representative R Dallas ralph.watts@legis.iowa.gov Beth Wessel-Kroeschell SC 45 Representative D Story beth.wessel-kroeschell@legis.iowa.gov Jack Whitver SC 19 Senator R Polk jack.whitver@legis.iowa.gov John Wills NW 1 Representative R Dickinson john.wills@legis.iowa.gov Cindy Winckler SE 90 Representative D Scott cindy.winckler@legis.iowa.gov Matt Windschitl NW 17 Representative R Harrison matt.windschitl@legis.iowa.gov Mary Wolfe SE 98 Representative D Clinton mary.wolfe@legis.iowa.gov Gary Worthan NW 11 Representative R Buena Vista gary.worthan@legis.iowa.gov Brad Zaun SC 20 Senator R Polk brad.zaun@legis.iowa.gov Dan Zumbach NE 48 Senator R Delaware dan.zumbach@legis.iowa.gov shelldan6@gmail.com Page 7

8 Administrative Team Lisa Arndt IEMSA Office Manager Dr. Josh Stilley Medical Director IEMSA Lobbyist Michael Triplett Lobbyist Eric Goranson Lobbyist Karla Fultz McHenry Lobbyist Executive Board Linda Frederiksen President Mark McCulloch Vice President Brandon Smith Treasurer Katy Hill Secretary Jerry Ewers Past President 8

9 Northwest Region IEMSA Board Members North West Region LaDonna Crilly Tracy Foltz John Jorgensen 9

10 IEMSA Region: NORTHWEST District: 4 Address:3421 Jay Avenue Boyden, IA john.kooiker@legis.iowa.gov John Kooiker Phone: IEMSA Region: NORTHWEST District: 3 Address:1138 Mason Ave Pierson, IA bill.anderson@legis.iowa.gov Bill Anderson Home Phone: IEMSA Region: NORTHWEST District: 5 Address:1561 National Ave Fort Dodge, IA tim.kraayenbrink@legis.iowa.gov IEMSA Region: NORTHWEST District: 7 Address:1501 Peavey St Sioux City, IA rick.bertrand@legis.iowa.gov Senator Home Phone: Tim Kraayenbrink Cell Phone: IEMSA Region: NORTHWEST District: 9 Address:611 Cedar St., P.O. Box 75 Schleswig, IA jason.schultz@legis.iowa.gov Jason Schultz Cell Phone: Rick Bertrand Home Phone: IEMSA Region: NORTHWEST District: 14 Address:400 Essex Street Sioux City, Iowa dave.dawson@legis.iowa.gov David Dawson Phone: North West Region IEMSA Region: NORTHWEST District: 2 Address:641 Second St. Hull, IA randy.feenstra@legis.iowa.gov IEMSA Region: NORTHWEST District: 7 Address: th St Scarville, Iowa tedd.gassman@legis.iowa.gov Randy Home Phone: Feenstra Tedd Gassman Phone: IEMSA Region: NORTHWEST District: 4 Address:1770 Taft Ave Klemme, IA dennis.guth@legis.iowa.gov IEMSA Region: NORTHWEST District: 13 Address:3246 Douglas St. Sioux City, Iowa chris.hall@legis.iowa.gov Dennis Guth Cell Phone: Chris Hall Phone:

11 IEMSA Region: NORTHWEST District: 2 Address:4470 Highway 71 Sioux Rapids, Iowa megan.jones@legis.iowa.gov IEMSA Region: NORTHWEST District: 3 Address:304 East 6th St., Box 398 Aurelia, Iowa dan.huseman@legis.iowa.gov Megan Jones Phone: Dan Huseman Phone: IEMSA Region: NORTHWEST District: 1 Address:PO Box 279 Ocheyedan, IA david.johnson@legis.iowa.gov IEMSA Region: NORTHWEST District: 6 Address:5921 Pine View Dr. Sioux City, Iowa ron.jorgensen@legis.iowa.gov David Johnson Cell Phone: IEMSA Region: NORTHWEST District: 10 Address:2202 Ogden Ave Rockwell City, Iowa mike.sexton@legis.iowa.gov Mike Sexton Phone: Ron Jorgensen Phone: IEMSA Region: NORTHWEST District: 1 Address:15732 Tradewind Drive Spirit Lake, Iowa jeff.smith@legis.iowa.gov John Wills Phone: North West Region IEMSA Region: NORTHWEST District: 5 Address:17585 Lake Avenue Le Mars, Iowa chuck.holz@legis.iowa.gov IEMSA Region: NORTHWEST District: 17 Address:222 West Huron St Missouri Valley, Iowa matt.windschitl@legis.iowa.gov Representative Chuck Holz Capitol Phone: Matt Phone: Windschitl IEMSA Region: NORTHWEST District: 11 Address: th Ave Storm Lake, Iowa gary.worthan@leg IEMSA Region: NORTHWEST District: 6 Address: th Street Vail, IA mark.segebart@legis.iowa.gov is.iowa.gov Gary Worthan Phone: Mark Segebart Cell Phone:

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13 Gary Merrill North Central Region IEMSA Board Members OPEN SEAT Mark Sachen North Central Region North C en North Central Region IEMSA Board Members tral Region IEMSA Board Members 13

14 IEMSA Region: NORTH CENTRAL District: 48 Address:302 3 rd Avenue, Apt. 1, P.O. Box 485 Slater, Iowa rob.bacon@legis.iowa.gov IEMSA Region: NORTH CENTRAL District: 5 Address:1561 National Ave Fort Dodge, IA tim.kraayenbrink@legis.iowa.gov Rob Bacon Phone: Senator Work Phone: Tim Kraayenbrink Cell Phone: IEMSA Region: NORTH CENTRAL District: 24 Address:1313 Quill Ave Boone, IA jerry.behn@legis.iowa.gov IEMSA Region: NORTH CENTRAL District: 51 Address: th St. Osage, Iowa josh.byrnes@legis.iowa.gov Jerry Behn Phone: IEMSA Region: NORTH CENTRAL District: 49 Address:911 Shagbark Drive Nevada, Iowa dave.deyoe@legis.iowa.gov Dave Deyoe Phone: Josh Byrnes Phone: IEMSA Region: NORTH CENTRAL District: 25 Address:317 S Walnut St, PO Box 220 Shell Rock, IA bill.dix@legis.iowa.gov Bill Dix Phone: North Central Region IEMSA Region: NORTH CENTRAL District: 7 Address: th St Scarville, Iowa tedd.gassman@legis.iowa.gov IEMSA Region: NORTH CENTRAL District: 50 Address:30601 Deer Trail Dr. New Hartford, Iowa pat.grassley@legis.iowa.gov Tedd Gassman Phone: Patrick Grassley Phone: IEMSA Region: NORTH CENTRAL District: 4 Address:1770 Taft Ave Klemme, IA dennis.guth@legis.iowa.gov IEMSA Region: NORTH CENTRAL District: 9 Address: th Ave. Fort Dodge, Iowa helen.miller@legis.iowa.gov Dennis Guth Phone: Helen Miller Phone:

15 IEMSA Region: NORTH CENTRAL District: 52 Address:107 Ferguson St Charles City, IA IEMSA Region: NORTH CENTRAL District: 27 Address:361 S Pennsylvania Ave 1-D Mason City, IA amanda.ragan@legis.iowa.gov Todd Prichard Phone: Senator Work Phone: Amanda Ragan Home Phone: IEMSA Region: NORTH CENTRAL District: 8 Address: th St. S Garner, Iowa terry.baxter@legis.iowa.gov Terry C. Baxter Phone: A IEMSA Region: NORTH CENTRAL District: 53 Address: th St SW Mason City, Iowa sharon.steckman@legis.iowa.gov Sharon Phone: Steckman IEMSA Region: NORTH CENTRAL District: 10 Address: 2202 Ogden Ave Rockwell City, IA mike.sexton@legis.iowa.gov Mike Sexton Phone: IEMSA Region: NORTH CENTRAL District: 54 Address:1811 N. 8 th Street Clear Lake, Iowa linda.upmeyer@legis.iowa.gov Linda Upmeyer Phone: North Central Region IEMSA Region: NORTH CENTRAL District: 26 Address:414 N Elm Cresco, IA mary.jo.wilhelm@legis.iowa.gov Mary Jo Phone: Wilhelm 15

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17 Northeast Region IEMSA Board Members Northeast Region IEMSA Board Mem North East Region Brad Buck Amy Gehrke Rick Morgan Brian Rechkemmer Lee Ridge 17 Members

18 District: 64 Address:500-7th Ave SE Oelwein, Iowa District: 62 Address:208 Greenbrier Rd. Waterloo, Iowa Bruce Phone: Bearinger Deborah Berry Phone: District: 29 Address:812 Grant St Maquoketa, IA District: 28 Address:301 W Mission St Strawberry Point, IA michael.breitbach@legis.iowa.gov Senator Home Phone: Tod Bowman Cell Phone: District: 51 Address: th St. Osage, Iowa josh.byrnes@legis.iowa.gov Josh Byrnes Phone: Senator Cell Phone: Michael Breitbach Phone: District: 30 Address:PO Box 1191 Cedar Falls, IA jeffdanielson@gmail.com Jeff Danielson Phone: North East Region District: 31 Address:2837 Cedar Terrace Dr Waterloo, IA bill.dotzler@legis.iowa.gov District: 57 Address:11764 Hickory Lane Dyersville, Iowa nancy.dunkel@legis.iowa.gov William Dotzler Cell Phone: Nancy Dunkel Phone: District: 72 Address: 2859 C Ave. Garwin, Iowa dean.fisher@legis.iowa.gov District: 96 Address:17358 County Road E-16 Monticello, Iowa lee.hein@legis.iowa.gov Dean Fisher Cell Phone: Lee Hein Phone:

19 District: 33 Address:2750 Otis Rd SE Cedar Rapids, IA District: 35 Address:101 Stoney Point Rd SW Cedar Rapids, IA Robert Hogg Home Phone: Wally E. Horn Home Phone: District: 100 Address: P.O. Box 3353 Dubuque, Iowa District: 50 Address:2368 Jackson St Dubuque, IA Charles Phone: Isenhart District: 61 Address:1920 W. 7 th St. Waterloo, Iowa timi.brown-powers@legis.iowa.gov Timi Phone: Brown-Powers Pam Jochum Home Phone: District: 38 Address: th St Keystone, IA tim.kapucian@legis.iowa.gov Senator Home Phone: Tim L. Cell Phone: Kapucian North East Region District: 59 Address:3523 Veralta Drive Cedar Falls, Iowa bob.kressig@legis.iowa.gov District: 68 Address:2503 White Eagle Trail SE Cedar Rapids, Iowa ken.rizer@legis.iowa.gov Bob Kressig Phone: Ken Rizer Phone: District: 34 Address:1725 MacKenzie Dr NE Cedar Rapids, IA liz.mathis@legis.iowa.gov District: 58 Address:36630 River Point Ct Bellevue, Iowa brian.moore@legis.iowa.gov Liz Mathis Home Phone: Brian Moore Phone:

20 District: 99 Address:1040 Rush Street Dubuque, Iowa District: 65 Address: st Ave NE Apt. 206 Cedar Rapids, Iowa liz.bennett@legis.iowa.gov Abby Finkenauer Phone: Liz Bennett Phone: District: 67 Address:1305 Cress Parkway Hiawatha, Iowa kraig.paulsen@legis.iowa.gov District: 75 Address: P.O. Box A Mount Auburn, Iowa dawn.pettengill@legis.iowa.gov Kraig Paulsen Phone: District: 52 Address: 107 Ferguson St. Charles City, Iowa todd.prichard@legis.iowa.gov Todd Prichard Phone: Dawn Phone: Pettengill District: 60 Address: 4209 S Main Cedar Falls, Iowa walt.rogers@legis.iowa.gov Walt Rogers Phone: North East Region District: 56 Address:13331 Jade Ave. McGregor, Iowa patti.ruff@legis.iowa.gov Patti Ruff Phone: District: 69 Address:3515 Field Stone Place SW Cedar Rapids, Iowa kirsten.runningmarquardt@legis.iowa.gov Kirsten Running- Phone: Marquardt District: 63 Address:9711 Streeter Road Janesville, Iowa sandy.salmon@legis.iowa.gov Sandy Salmon Phone: District: 32 Address:221 Park Ave Arlington, IA brian.schoenjahn@legis.iowa.gov Senator Work Phone: Brian Home Phone: Schoenjahn 20

21 District: 55 Address:1796 Lincoln Highway Road Decorah, Iowa Capitol Phone: Phone: Darrel Branhagen Phone: District: 36 Address:PO Box 723, 202 Fifth Ave SE State Center, IA Senator Cell Phone: Steven Sodders Home Phone: District: 66 Address:2141 Coldstream Ave. NE Cedar Rapids, Iowa District: 95 Address:624 E. Terrace Dr. Center Point, Iowa Art Staed Phone: District: 70 Address:1416 A Avenue NW Cedar Rapids, Iowa todd.taylor@legis.iowa.gov Todd Taylor Phone: Quentin Phone: Stanerson District: 26 Address:414 N Elm Cresco, IA mary.jo.wilhelm@legis.iowa.gov Capitol Phone: Senator Capitol Home Phone: Phone: Mary Jo Phone: Wilhelm North East Region District: 48 Address: th Ave Ryan, IA Senator Dan Zumbach dan.zumbach@legis.iowa.gov Capitol Phone: Cell Phone:

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23 ou Southwest Region IEMSA Board Members South West Region Rob Marsh Nella Seivert Sarah Solt 23

24 IEMSA Region: SOUTHWEST District: 47 Address:P.O. Box 367 Boone, Iowa IEMSA Region: SOUTHWEST District: 20 Address:2260 Hwy 25 Greenfield, Iowa Chip Baltimore Phone: Clel Baudler Phone: IEMSA Region: SW District: District: 24 Address:1313 Quill Ave Boone, IA IEMSA Region: SW District: 9 Address:611 Cedar St., P.O. Box 75 Schleswig, IA jason.schultz@legis.iowa.gov Jerry Behn Home Phone: IEMSA Region: SW District: 15 Address:2222 Avenue L Council Bluffs, Iowa mark.brandenburg@legis.iowa.gov Charlie Phone: McConkey Jason Schultz Cell Phone: IEMSA Region: SW District: 10 Address: P.O. Box 265 Adel, IA jake.chapman@legis.iowa.gov Senator Capitol Phone: Jake Chapman Phone: South West Region IEMSA Region: SW District: 23 Address:1710 Timber LN Glenwood, IA david.sieck@legis.iowa.gov IEMSA Region: SW District: 24 Address:703 N. Fillmore St. Mount Ayr, Iowa cecil.dolecheck@legis.iowa.gov David Sieck Phone: Cecil Dolecheck Phone: IEMSA Region: SW District: 21 Address:600 Mills Street, P.O. Box 224 Griswold, Iowa tom.moore@legis.iowa.gov Tom Moore IEMSA Region: SW District: 12 Address: Rains Avenue Imogene, Iowa mark.costello@legis.iowa.gov Mark Costello Cell Phone:

25 IEMSA Region: SOUTHWEST District: 22 Address: th St Macedonia, Iowa Greg Forristall Phone: IEMSA Region: SOUTHWEST District: 8 Address:220 Bennettt Ave Council Bluffs, IA mike.gronstal@legis.iowa.gov Senator Work Phone: Michael Home Phone: Gronstal IEMSA Region: SOUTHWEST District: 16 Address:121 Fox Haven Drive Council Bluffs, Iowa maryann.hanusa@legis.iowa.gov IEMSA Region: SOUTHWEST District: 11 Address:2425 Birch Ave Nodaway, IA tom.shipley@legis.iowa.gov Mary Ann Phone: Hanusa IEMSA Region: SOUTHWEST District: 12 Address:P.O. Box 450 Glidden, Iowa brian.best@legis.iowa.gov Brian Best Phone: Tom Shipley Home Phone: IEMSA Region: SOUTHWEST District: 18 Address: rd Ave S Denison, Iowa steven.holt@legis.iowa.gov Steven Holt Phone: South West Region IEMSA Region: SOUTHWEST District: 6 Address: th Street Vail, IA mark.segebart@legis.iowa.gov Mark Segebart Cell Phone:

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27 South Central Region IEMSA Board Members South Central Region Katy Hill Mark McCulloch Brad Vande Lune 27

28 District: 35 Address: th St. Des Moines, Iowa Ako Abdul- Phone: Samad District: 36 Address:1717 Mar Ella Trail Des Moines, Iowa Marti Home Phone: Anderson District: 48 Address:302 3 rd Ave, Apt. 1, P.O. Box 485 Slater, Iowa rob.bacon@legis.iowa.gov District: 47 Address:P.O. Box 367 Boone, Iowa chip.baltimore@legis.iowa.gov Rob Bacon Phone: District: 20 Address:2260 Hwy 25 Greenfield, Iowa clel.baudler@legis.iowa.gov Clel Baudler Phone: District: 15 Address:1438 North 7 th Ave E Newton, IA chas.allen@legis.iowa.gov Chip Baltimore Phone: District: 24 Address:1313 Quill Ave Boone, IA jerry.behn@legis.iowa.gov Jerry Behn Home Phone: District: 10 Address:P.O. Box 265 Adel, IA jake.chapman@legis.iowa.gov South Central Region Chaz Allen Home Phone: Jake Chapman Phone: District: 42 Address:P.O. Box 110 West Des Moines, Iowa peter.cownie@legis.iowa.gov Peter Cownie Phone: District: 16 Address:3113 Kinsey Des Moines, IA dick.dearden@legis.iowa.gov Dick L. Phone: Dearden 28

29 District: 49 Address:911 Shagbark Drive Nevada, Iowa District: 25 Address:317 S Walnut St, PO Box 220 Shell Rock, IA bill.dix@legis.iowa.gov Dave Deyoe Phone: Bill Dix Cell Phone: District: 24 Address:703 N. Fillmore St. Mt Ayr, Iowa cecil.dolecheck@legis.iowa.gov District: 21 Address:600 Mills Street, P.O. Box 224 Griswold, Iowa tom.moore@legis.iowa.gov Cecil Dolecheck Phone: District: 12 Address:37265 Rains Ave Imogene, IA mark.costello@legis.iowa.gov Mark Costello Cell Phone: Tom Moore District: 72 Address:2859 C Ave. Garwin, Iowa dean.fisher@legis.iowa.gov Dean Fisher Cell Phone: South Central Region District: 40 Address:12816 Cardinal Ln Urbandale, Iowa john.forbes@legis.iowa.gov District: 27 Address: th Ave Osceola, Iowa joel.fry@legis.iowa.gov John Forbes Phone: Joel Fry Phone: District: 32 Address:3501 Oxford St Des Moines, Iowa ruthann.gaines@legis.iowa.gov District: 13 Address: th Ave Indianola, IA julian.garrett@legis.iowa.gov Ruth Ann Gaines Phone: Julian B. Cell Phone: Garrett 29

30 District: 25 Address:3139 Cumming Road Cumming, Iowa District: 43 Address: th Street Windsor Heights, Iowa Stan Gustafson Phone: Chris Hagenow Phone: District: 17 Address:2618 Leach Ave Des Moines, IA District: 28 Address:831 Wyoming Street Chariton, Iowa Senator Home Phone: Tony Bisignano Cell Phone: District: 46 Address:2401 Westwind Dr Ames, Iowa Lisa Heddens Phone: Greg Heartsill Phone: District: 39 Address:5202 NW 62 nd Ave Johnston, Iowa Jake Highfill Phone: South Central Region District: 34 Address:452 Wilmers Ave Des Moines, Iowa District: 29 Address:P.O. Box 333 Newton, Iowa Bruce Hunter Phone: Dan Kelley Cell Phone: District: 38 Address:3514 SW Edgewood Lane Ankeny, Iowa District: 37 Address:2905 NE Trilein Dr. Ankeny, Iowa Kevin Koester Phone: John Landon Phone:

31 District: 21 Address:1717 Ingersoll Ave Ste 115 Des MoiNortheasts, IA District: 33 th St Address:5417 SE 29 Des Moines, Iowa Matt McCoy Cell Phone: Brian Meyer Phone: District: 41 Address:4004 Grand Ave. #302 Des Moines, Iowa District: 31 Address:3012 E. 31st Ct. Des Moines, Iowa Jo Oldson Home Phone: District: 26 Address:110 Timber Lane Ackworth, Iowa Scott Ourth Phone: Rick Olson Phone: District: 18 Address:4300 Beaver Hills Dr Des Moines, IA Janet Petersen Cell Phone: South Central Region District: 23 Address:1002 Jarrett Circle Ames, IA District: 30 Address: P.O. Box 105 Altoona, Iowa Herman Quirmbach Home Phone: Zach Nunn Phone: District: 40 Address:2200 Oxford Ave Oskaloosa, IA Ken Cell Phone: Rozenboom District: 22 Address:7887 Cody Dr West Des Moines, IA Charles Cell Phone: Schneider 31

32 District: 80 Address: th Ave Moulton, Iowa District: 14 Address:1255 King Rd Allerton, IA Larry Sheets Phone: Amy Sinclair Cell Phone: District: 71 Address:816 Roberts Terrace Marshalltown, Iowa District: 36 Address:PO Box 723, 202 Fifth Ave SE State Center, IA Mark Smith Work Phone: District: 44 Address:495-77th Place West Des Moines, Iowa Rob Taylor Phone: Senator Cell Phone: Steven Sodders Home Phone: District: 79 Address:1610 Carbonado Road Oskaloosa, Iowa Guy Vander Phone: Linden South Central Region District: 19 Address:28232 Prospect Ave Adel, Iowa Ralph Watts Home Phone: District: 45 Address:518 Ash Ames, Iowa Beth Wessell- Phone: Kroeschell District: 19 Address:4019 Bellagio Cir Ankeny, IA District: 20 Address:7032 Holcomb Ave Urbandale, IA Jack Whitver Cell Phone: Senator Work Phone: Brad Zaun Home Phone:

33 Southeast Region IEMSA Board Members South East Region Mary Briones Jerry Ewers Linda Frederiksen Matt Fults Brandon Smith Tom Summitt 33

34 District: 43 Address:1235 Oakes Dr Iowa City, IA District: 46 Address:972 Newell Ave Muscatine, IA Joe Bolkcom Home Phone: Chris Brase Cell Phone: District: 41 Address:819 Hutchinson Ottumwa, IA District: 87 Address: th St Burlington, Iowa Mark Chelgren Cell Phone: District: 44 Address:2609 Clearview Burlington, IA Thomas Cell Phone: Courtney Dennis M. Cohoon Phone: District: 37 Address:450 Third Ave #3 Coralville, IA Robert Dvorsky Home Phone: South East Region District: 81 Address:509 E 4th Street Ottumwa, Iowa mary.gaskill@legis.iowa.gov District: 39 Address: 4321 Calkins Ave SW Oxford, IA kevin.kinney@legis.iowa.gov Mary Gaskill Phone: Kevin Kinney Home Phone: (319) District: 82 Address:801 N Court St Fairfield, Iowa curt.hanson@legis.iowa.gov District: 49 Address: th Ave Wheatland, IA rita.hart@legis.iowa.gov Curt Hanson Cell Phone: Senator Cell Phone: Rita Hart Home Phone:

35 District: 84 Address:510 E Washington Mount Pleasant, Iowa dave.heaton@legis.iowa.gov District: 74 Address:2308 North Ridge Drive Coralville, Iowa david.jacoby@legis.iowa.gov Dave Heaton Phone: Dave Jacoby Phone: District: 38 Address: th St KeystoNortheast, IA tim.kapucian@legis.iowa.gov Tim L. Phone: Kapucian District: 83 Address:402 Hickory Terrace Keokuk, Iowa jerry.kearns@legis.iowa.gov Jerry Kearns Phone: District: 73 Address: th St. Wilton, Iowa bobby.kaufmann@legis.iowa.gov Bobby Phone: Kaufmann District: 78 Address:1744 Keokuk Washington Rd Keota, Iowa jarad.klein@legis.iowa.gov Jarad Klein Phone: South East Region IEMSA Region: SE District: 85 Address:2408 Mayfield Rd. Iowa City, Iowa vicki.lensing@legis.iowa.gov IEMSA Region: SE District: 91 Address:104 Deerpath Lane Muscatine, Iowa gary.carlson@legis.iowa.gov Vicki Lensing Phone: Gary Carlson Phone: District: 89 Address:2906 W 35th St Davenport, Iowa jim.lykam@legis.iowa.gov District: 86 Address:2012 Sherman Dr Iowa City, Iowa mary.mascher@legis.iowa.gov Jim Lykam Phone: Mary Mascher Phone:

36 District: 76 Address: th Ave. Gibson, Iowa District: 94 Address:6766 Ridges Court Bettendorf, Iowa David Maxwell Phone: Linda Miller Work Phone: District: 97 Address: th St Ct DeWitt, Iowa District: 75 Address:P.O. Box A Mount Auburn, Iowa dawn.pettengill@legis.iowa.gov Norlin Mommsen Phone: District: 40 Address:2200 Oxford Ave Oskaloosa, IA ken.rozenboom@legis.iowa.gov Ken Cell Phone: Rozenboom Dawn Pettengill Phone: District: 88 Address: th St. Wapello, Iowa tom.sands@legis.iowa.gov Tom Sands Home Phone: South East Region District: 45 Address:4804 Northwest Blvd Davenport, IA joe.seng@legis.iowa.gov District: 80 Address: th Ave Moulton, Iowa Larry.Sheets@legis.iowa.gov Senator Home Phone: Joe M. Seng Cell Phone: Larry Sheets Phone: District: 47 Address:2036 E 48th St Davenport, IA roby.smith@legis.iowa.gov District: 77 Address: th Street SW Riverside, Iowa sally.stutsman@legis.iowa.gov Roby Smith Home Phone: Sally Stutsman Phone:

37 District: 42 Address:2667 Iowa Ave Mt Pleasant, IA District: 93 Address:2342 Hawthorne Ct Bettendorf, Iowa Rich Taylor Cell Phone: Phyllis Thede Phone: District: 79 Address:1610 Carbonado Road Oskaloosa, Iowa District: 90 Address:6 Thode Court Davenport, Iowa Guy Vander Linden Phone: District: 98 Address:337-4th Avenue South Clinton, Iowa Mary Wolfe Phone: Cindy Winckler Phone: District: 92 Address:389 W. Parkview Drive Walcott, Iowa Ross Paustian Phone: South East Region 37

38 IOWA SENATE DISTRICTS The 86th General Assembly ( ) 7 LYON Rick Bertrand (R) SIOUX PLYMOUTH Bill Anderson (R) 3 MONONA Michael E. Gronstal (D) WOODBURY HARRISON 8 OSCEOLA David Johnson (R) O'BRIEN 2 Randy Feenstra (R) CHEROKEE 9 Jason Schultz (R) 16 - Dick L. Dearden (D) 17 - Tony Bisignano (D) 18 - Janet Petersen (D) 19 - Jack Whitver (R) 20 - Brad Zaun (R) 21 - Matt McCoy (D) 22 - Charles Schneider (R) MILLS IDA CRAWFORD POTTAWATTAMIE FREMONT SHELBY DICKINSON CLAY SAC 1 BUENA VISTA CARROLL CASS MONTGOMERY 12 6 EMMET Mark Segebart (R) AUDUBON 11 PALO ALTO Tom Shipley (R) POCAHONTAS PAGE TAYLOR Mark Costello (R) GREENE GUTHRIE KOSSUTH WEBSTER CALHOUN Tim Kraayenbrink (R) ADAMS 5 HUMBOLDT 10 UNION HANCOCK WRIGHT HAMILTON BOONE Jerry Behn (R) DALLAS WORTH FRANKLIN HARDIN POLK STORY ADAIR MADISON WARREN Jake Chapman 13 (R) Julian B. Garrett (R) RINGGOLD 4 Dennis Guth (R) WINNEBAGO 24 Herman C. Quirmbach (D) CLARKE DECATUR 21 Page CERRO GORDO 14 WAYNE 27 Amanda Ragan (D) 25 Bill Dix (R) JASPER MARION LUCAS Amy Sinclair (R) MITCHELL FLOYD BUTLER GRUNDY Jeff Danielson (D) MARSHALL Chaz Allen (D) MONROE APPANOOSE 26 Mary Jo Wilhelm (D) TAMA MAHASKA HOWARD BREMER POWESHIEK CHICKASAW BENTON IOWA KEOKUK WINNESHIEK FAYETTE BLACK HAWK BUCHANAN William A. Dotzler Jr. (D) 30 Steven J. Sodders (D) Ken Rozenboom (R) WAPELLO Brian Schoenjahn (D) Robert Hogg (D) 33 Wally E. Horn (D) Tim L. Kapucian (R) Kevin Kinney (D) JEFFERSON DAVIS VAN BUREN Mark Chelgren (R) LINN 35 JOHNSON 43 LEE CLAYTON JONES Liz Mathis (D) HENRY ALLAMAKEE 28 DELAWARE LOUISA CEDAR Joe MUSCATINE Bolkcom (D) WASHINGTON 39 Michael Breitbach (R) Dan Zumbach (R) Rich Taylor (D) DES MOINES Thomas G. Courtney (D) DUBUQUE Robert E. Dvorsky (D) 29 JACKSON CLINTON 46 Pam Jochum (D) Tod Bowman (D) 49 Rita Hart (D) SCOTT Chris Joe M. Brase (D) Seng (D) 47 Roby Smith (R) Senate District County Prepared by the Iowa Legislative Services Agency, Updated 1/9/2015

39 IOWA HOUSE DISTRICTS The 86th General Assembly ( ) 44 Dave Dawson (D) 14 Chris Hall (D) LYON Ron Jorgensen (R) SIOUX 4 John Kooiker (R) PLYMOUTH Chuck Holz (R) 13 6 John H. Wills (R) 5 MONONA Charlie McConkey (D) Polk County Inset Mary Ann Hanusa (R) 30 WOODBURY HARRISON OSCEOLA O'BRIEN CHEROKEE 17 Matt W. Windschitl (R) MILLS 3 IDA CRAWFORD SHELBY POTTAWATTAMIE FREMONT DICKINSON CLAY BUENA VISTA SAC PAGE 2 CARROLL CASS MONTGOMERY EMMET AUDUBON PALO ALTO POCAHONTAS CALHOUN GREENE GUTHRIE KOSSUTH 1 Tedd 7 Gassman (R) Daniel A. Huseman (R) Greg Forristall (R) 23 David Sieck (R) Steve Holt (R) Gary Worthan (R) 11 Brian Best (R) 12 Megan Jones (R) 10 Mike Sexton (R) HUMBOLDT WEBSTER 9 47 Chip Baltimore (R) Clel Baudler (R) DALLAS WINNEBAGO HANCOCK 8 Terry C. Baxter (R) 44 WRIGHT HAMILTON 19 Helen Miller (D) 48 Rob Bacon (R) BOONE 46 POLK WORTH CERRO GORDO FRANKLIN 54 Linda L. Upmeyer (R) HARDIN STORY Dave Deyoe (R) JASPER 29 MITCHELL 51 Josh Byrnes (R) FLOYD Sharon S. Steckman (D) BUTLER GRUNDY MARSHALL 71 Mark D. Smith (D) 50 Pat 59 Grassley (R) Daniel Kelley (D) TAMA HOWARD BREMER POWESHIEK CHICKASAW 52 Todd Prichard (D) 63 Sandy Salmon (R) 72 BLACK HAWK 60 Dean Fisher (R) Dave Maxwell (R) BENTON IOWA WINNESHIEK FAYETTE Darrel Branhagen (R) BUCHANAN Bruce Bearinger (D) Dawn E. Pettengill (R) 70 LINN 66 ALLAMAKEE 56 Patti Ruff (D) CLAYTON DELAWARE Lee Hein (R) JONES MUSCATINE DUBUQUE Nancy Dunkel (D) CEDAR JOHNSON Bobby Kaufmann (R) Bob Kressig (D) 60 - Walt Rogers (R) 61 - Timi Brown-Powers (D) 62 - Deborah L. Berry (D) 65 - Liz Bennett (D) 66 - Art Staed (D) 67 - Kraig Paulsen (R) 68 - Ken Rizer (R) 69 - Kirsten Running- Marquardt (D) 70 - Todd E. Taylor (D) 95 - Quentin Stanerson (R) JACKSON 58 Brian Moore (R) Norlin Mommsen (R) CLINTON Charles Isenhart (D) Abby Finkenauer (D) SCOTT Mary Lynn Wolfe (D) ADAIR MADISON MARION MAHASKA KEOKUK WASHINGTON WARREN Stan Gustafson Greg Thomas R. 79 Jarad J. (R) LOUISA Scott Heartsill Sands (R) Klein (R) 74 - Dave Jacoby (D) Ourth (D) (R) 77 - Sally Stutsman (D) ADAMS UNION CLARKE LUCAS MONROE WAPELLO JEFFERSON HENRY 85 - Vicki S. Lensing (D) Tom DES MOINES 86 - Mary Mascher (D) Moore (R) Larry 81 David E. Sheets (R) Heaton 89 - Jim Lykam (D) TAYLOR RINGGOLD DECATUR WAYNE APPANOOSE DAVIS VAN BUREN (R) 90 - Cindy Winckler (D) 24 Curt Joel 82 LEE 91 - Gary Carlson (R) Hanson Cecil Fry (R) 92 - Ross Paustian (R) (D) Dolecheck (R) 93 - Phyllis Thede (D) 83 Dennis M Linda J. Miller (R) 19 - Ralph C. Watts (R) 37 - John Landon (R) Cohoon (D) 30 - Zach Nunn (R) 38 - Kevin Koester (R) 45 - Beth Wessel-Kroeschell (D) 31 - Rick Olson (D) 39 - Jake Highfill (R) 46 - Lisa Heddens (D) 79 - Guy Vander Linden (R) 32 - Ruth Ann Gaines (D) 40 - John Forbes (D) Jerry A Mary Gaskill (D) 33 - Brian Meyer (D) 41 - Jo Oldson (D) Kearns (D) House District 34 - Bruce L. Hunter (D) 42 - Peter Cownie (R) County 35 - Ako Abdul-Samad (D) 43 - Chris Hagenow (R) 36 - Marti Anderson (D) 44 - Rob Taylor (R) Page 39 Prepared by the Iowa Legislative Services Agency, Updated 12/22/2015

40 Emergency Medical Services Interim Legislative Study 2013 NW REGION NC REGION NE REGION SW REGION SC REGION SE REGION Iowa Emergency Medical Services Association Page 40 1

41 State of Iowa 85th General Assembly Interim Emergency Medical Services Study Committee Co-Chair Representative Watts, Ralph C. Co-Chair Senator Wilhelm, Mary Jo Senator Breitbach, Michael Senator Chapman, Jake Representative Kaufmann, Bobby Representative Prichard, Todd Representative Salmon, Sandy Senator Sodders, Steven J. Representative Staed, Art Senator Taylor, Rich

42 FINAL REPORT Emergency Medical Services Study Committee January 2014 Senator Mary Jo Wilhelm, Co-chairperson Senator Michael Breitbach Senator Jake Chapman Senator Steven J. Sodders Senator Rich Taylor MEMBERS: Representative Ralph C. Watts, Co-chairperson Representative Bobby Kaufmann Representative Todd Prichard Representative Sandy Salmon Representative Art Staed Staff Contacts: Nicole Hoffman, Legal Editor, (515) Michael Duster, Legal Counsel, (515) 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. Contents: I. Proceedings II. Bureau of Emergency Medical Services, Iowa Department of Public Health III. Iowa Emergency Medical Services Association IV. Emergency Medical Services Training Programs V. Emergency Medical Services Reimbursement VI. Public Comment and Committee Discussion, November 6, 2013 VII. EMS Provider Perspective VIII. EMS Advisory Council, Quality Assurance, Standards and Protocols Subcommittee IX. Public Comment and Committee Discussion, November 7, 2013 X. Materials Filed With the Legislative Services Agency

43 Emergency Medical Services Study Committee I. Proceedings The 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 Public Health 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, 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. Page 43 January 2014

44 Emergency Medical Services Study Committee 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 Association Mr. 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 Page 44

45 Emergency Medical Services Study Committee 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 hours engaged in EMS Page 45 January 2014

46 Emergency Medical Services Study Committee training per year. Respondents receive an average of hours of continuing education per year. The average survey respondent spends 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 hours fund-raising annually and dedicates 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 Programs Ms. 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), clock hours; (2) emergency medical technician (EMT), clock hours; (3) advanced EMT, requiring a prerequisite EMT certification, clock hours; and (4) paramedic, requiring a prerequisite EMT certification, 1,000-1,300 clock hours. Most educational programs have both part-time and full-time options. In terms of the number of weeks necessary to complete such courses, the EMR program typically takes 10 weeks part-time, the EMT program takes 34 weeks part-time or one month full-time, the advanced EMT program takes 40 weeks part-time, and the paramedic program takes two years part-time or 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 Page 46

47 Emergency Medical Services Study Committee 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 Reimbursement Ms. 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 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 Page 47 January 2014

48 Emergency Medical Services Study Committee 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 , 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, 2013 Committee 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 timeconsuming 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. January 2014 Page 48

49 VII. Emergency Medical Services Study Committee EMS Provider Perspective Mr. 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 allinclusive. 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 Protocols Subcommittee 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 Page 49 January 2014

50 Emergency Medical Services Study Committee 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, 2013 The 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 January 2014 Page 50

51 Emergency Medical Services Study Committee 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 Agency The 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: 1. Draft Minutes 2. EMS Bureau Presentation Materials Provided Subsequent to Meeting 3. Mr. Brian Donaldson, SEMS Paramedic Services, Presentation 4. Iowa EMS Association Presentation Additional Materials 5. Iowa EMS Association Presentation 6. EMS Training Programs Presentation 7. Attachment A: Authorized EMS Agencies (2013) map 8. Attachment B Authorized Iowa EMS Agencies List 9. 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 Attachment G EMS Response Times Per County, EMS Bureau Data 14. Attachment H EMS Service Level Response Times, EMS Bureau Data 15. Background Information, Legislative Services Agency 16. Legislative Services Agency, Fiscal Services Division, Background Information on EMS Services in Iowa 17. DHS Medicaid Presentation 18. EMS Bureau Quality Assurance, Standards, and Protocols Subcommittee, Document EMS Bureau Quality Assurance, Standards, and Protocols Subcommittee, Document IC Page 51 January 2014

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