Emergency Medical Services Association

2016 Iowa Legislator Listing by IEMSA Region

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

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 Page 41 Study Committee – Legislator Photos

Final Report: EMS Study Committee, Page 42 Nov. 6-7, 2013 NC: G. Merrill, M. Sachen, NW: L. Crilly, T. Foltz, J. Jorgensen 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 2016 Iowa Legislators

IEMSA Legislative Par Name Region District Title ty County E-mail Address Home Phone

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

Chaz Allen SC 15 Senator D Jasper [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 Pottawatta

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

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 [email protected]

Terry Baxter NC/SC 8 Representative R Hancock [email protected] 641.829.3580

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

Jerry Behn W/SC 24 Senator R Boone [email protected] 515-432-7327 [email protected]

Liz Bennett NE 65 Representative D Linn [email protected] 319.431.1656

Deborah Berry NE 62 Representative D Black Hawk [email protected] 319-233-9934

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

Brian Best SW 12 Representative R Carroll [email protected] 712.830.1844 [email protected]

Tony Bisignano SC 17 Senator D Polk [email protected] 515.371.5990

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

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

Darrel Branhagen NE 55 Representative R Winneshiek [email protected] 563.419.9991 [email protected]

Chris Brase SE 46 Senator D Muscatine [email protected] 563-260-5416

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

Timi Brown-Powers NE 61 Representative D Black Hawk [email protected] 319.404.338

Josh Byrnes NC/NE 51 Representative R Mitchell [email protected] 641-220-3812 [email protected]

Gary Carlson SE 91 Representative R Muscatine [email protected] 563.288.4211

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]

Tom Courtney SE 44 Senator D Des Moines [email protected] 319-759-5334

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

David Dawson NW 14 Representative D Woodbury [email protected] 712-898-5804

Dick Dearden SC 16 Senator D Polk [email protected] 515-362-1203

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 Page 4 Nancy Dunkel NE 57 Representative D Dubuque [email protected] 563-599-7094

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

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

Abby Finkenauer NE 99 Representative D Dubuque [email protected] 563.580.0553

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 Pottawatta

Greg Forristall SW 22 Representative R mie [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 NW/N

Tedd Gassman C 7 Representative R Winnebago [email protected] 641-568-3761

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

Mike Gronstal SW 8 Senator D mie [email protected] 712-328-2808

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

Dennis Guth C 4 Senator R Hancock [email protected] 641-430-0424

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

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

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

Rita Hart SE 49 Senator D Clinton [email protected] 563-210-1252

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 [email protected]

Megan Hess Jones NW 2 Representative R Clay [email protected] 712-260-6362

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

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

Steven Holt SW 18 Representative R Crawford [email protected] 712.263.8347

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

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

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

Mary Jo Wilhelm NC/NE 26 Senator D Howard [email protected] 563-547-4156

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

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

Ron Jorgensen NW 6 Representative R Woodbury [email protected] 712-276-0470

Page 5 NW: NC: NE: L. Crilly, T. Foltz, J. Jorgensen G. Merrill, M. Sachen, OPEN B. Buck, A. Gehrke, R. Morgan, B. Rechkemmer, L. Ridge SW: SC: SE: R. Marsh, N. Seivert, S. Solt K. Hill, M. McCulloch, B. VandeLune M. Briones, J. Ewers, L. Frederiksen, M. Fults, B. Smith, T. Summitt 2016 Iowa Legislators (Continued)

IEMSA Legislative Name Region District Title Party County E-Mail Address Home Phone

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

Dan Kelley SC 29 Representative D Jasper [email protected] 641-521-9260 [email protected]

Kevin Kinney SE 39 Senator D Johnson [email protected] 319.631.4667

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

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

John Kooiker NW 4 Representative R Sioux [email protected] 515-281-3221 NW/N [email protected]

Tim Kraayenbrink C 5 Senator R Webster [email protected] 515-408-4770

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

John Landon SC 37 Representative R Polk [email protected] 515-635-1737

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

Jim Lykam SE 89 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

Pottawattam [email protected]

Charlie McConkey SW 15 Representative-Elect D ie [email protected] 402.676.0105

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

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

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

Linda Miller SE 94 Representative R Scott [email protected] 563-449-9956 [email protected]

Norlin Mommsen SE 97 Representative R Clonton [email protected] 563.357.9826

Brian Moore NE 58 Representative R Jackson [email protected] 563-528-0837

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

Zach Nunn SC 30 Representative R Polk [email protected] 515.868.2046

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

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

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

Kraig Paulsen NE 67 Representative R Linn [email protected] 319-294-2062 [email protected]

Ross Paustian SE 92 Representative R Scott [email protected] 563.284.6783

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 [email protected]

Ken Rizer NE 68 Representative R Linn [email protected] 319.651.7316

Walt Rogers NE 60 Representative R Black Hawk [email protected] 319-504-1193 Page 6 SC/SE 40 Senator R Mahaska [email protected] 641-295-6551

Patti Ruff NE 56 Representative D Clayton [email protected] 563-873-1592 kirsten.running-

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

Tom Sands SE 88 Representative R Louisa [email protected] 319-750-1423

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

Brian Schoenjahn NE 32 Senator D Fayette [email protected] 563-633-4065 NW/S

Jason Schultz W 9 Senator R Crawford [email protected] 712.676.2109 NW/S

Mark Segebart W 6 Senator R Crawford [email protected] 712-677-5547

Joe Seng SE 45 Senator D Scott [email protected] 563-391-1627 NW/N [email protected]

Mike Sexton C 10 Representative R Calhoun [email protected] 712.297.8720

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

Tom Shipley SW 11 Senator R Adams [email protected] 712.621.3276

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

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

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

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

Steve Sodders NE/SC 36 Senator D Marshall [email protected] 641-483-2383

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

Quentin Stanerson NE 95 Representative R Linn [email protected] 319-330-7211

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

Sally Stutsman SE 77 Representative D Johnson [email protected] 319-679-2347

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

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 [email protected]

Dan Zumbach NE 48 Senator R Delaware [email protected] 563-920-5094

Page 7 Administrative Team

Lisa Arndt Dr. Josh Stilley IEMSA Office Manager Medical Director [email protected] [email protected]

IEMSA Lobbyist

Michael Triplett Eric Goranson Karla Fultz McHenry Lobbyist Lobbyist Lobbyist [email protected] [email protected] [email protected]

Executive Board

Linda Frederiksen Mark McCulloch Brandon Smith Katy Hill Jerry Ewers President Vice President Treasurer Secretary Past President [email protected] [email protected] [email protected] [email protected] [email protected]

8

Northwest Region IEMSA Board Members Region

West North North

LaDonna Crilly John Jorgensen [email protected] [email protected] Tracy Foltz [email protected]

9

IEMSA Region: NORTHWEST IEMSA Region: NORTHWEST District: 4 District: 3 Party: Republican Party: Republican

Address:3421 Jay Avenue Address:1138 Mason Ave Boyden, IA 51234 Pierson, IA 51048

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3371 Representative Capitol Phone: 515-281-3221 Senator Home Phone: 712-898-2505 John Kooiker Phone: Bill Anderson

IEMSA Region: NORTHWEST IEMSA Region: NORTHWEST District: 5 District: 7 Party: Republican Party: Republican

Address:1561 National Ave Address:1501 Peavey St Fort Dodge, IA 50501 Sioux City, IA 51105

Email: [email protected] Email: [email protected]

Senator Capitol Phone: 515-281-3371 Home Phone: 515-576-0417 Senator Home Phone: 712-253-7096 Cell Phone: 515-408-4770

IEMSA Region: NORTHWEST IEMSA Region: NORTHWEST District: 9 District: 14 Region Party: Republican Party: Democrat

Address:611 Cedar St., P.O. Box 75 Address:400 Essex Street Schleswig, IA 51461 Sioux City, Iowa 51103

Email: [email protected] Email: [email protected] West

Capitol Phone: 515-281-3221 Senator Capitol Phone: 515-281-3371 Representative Cell Phone: 712-269-2178 David Dawson Phone: 712-898-5804 North

IEMSA Region: NORTHWEST IEMSA Region: NORTHWEST District: 2 District: 7 Party : Republican Party: Republican

Address:641 Second St. Address:14519- 490th St Hull, IA 51239 Scarville, Iowa 50473

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3371 Senator Representative Capitol Phone: 515-281-3221 Home Phone: 712-439-1244 Randy Tedd Gassman Phone: 641-568-3761 Feenstra

IEMSA Region: NORTHWEST IEMSA Region: NORTHWEST

District: 4 District: 13 Party: Republican Party: Democrat

Address:1770 Taft Ave Address:3246 Douglas St. Klemme, IA 50449 Sioux City, Iowa 51104

Email: [email protected] Email: [email protected]

Senator Capitol Phone: 515-281-3371 Representative Capitol Phone: 515-281-3221 Cell Phone: 641-430-0424 Phone: 712-490-2088 10

IEMSA Region: NORTHWEST IEMSA Region: NORTHWEST District: 2 District: 3 Party: Republican Party: Republican

Address:4470 Highway 71 Address:304 East 6th St., Box 398 Sioux Rapids, Iowa 50585 Aurelia, Iowa 51005

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Phone: 712-260-6362 Phone: 712-434-5880

IEMSA Region: NORTHWEST IEMSA Region: NORTHWEST District: 1 District: 6 Party: Republican Party: Republican

Address:PO Box 279 Address:5921 Pine View Dr. Ocheyedan, IA 51354 Sioux City, Iowa 51106

Email: [email protected] Email: [email protected]

Senator Capitol Phone: 515-281-3371 Representative Capitol Phone: 515-281-3221 David Johnson Cell Phone: 712-348-2953 Phone: 712-276-0470

IEMSA Region: NORTHWEST IEMSA Region: NORTHWEST District: 10 District: 1 Region Party: Republican Party: Republican

Address:2202 Ogden Ave Rockwell City, Iowa 50579 Address:15732 Tradewind Drive Spirit Lake, Iowa 51360

Email: [email protected] West Email: [email protected]

Representative Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Mike Sexton Phone: 712-297-8720 Phone: 712-330-9492 North

IEMSA Region: NORTHWEST IEMSA Region: NORTHWEST District: 5 District: 17 Party: Republican Party: Republican

Address:17585 Lake Avenue Address:222 West Huron St Le Mars, Iowa 51031 Missouri Valley, Iowa 51555

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Matt Phone: 712-642-4334 Representative Windschitl

IEMSA Region: NORTHWEST IEMSA Region: NORTHWEST

District: 11 District: 6 Party: Republican Party: Republican

th Address:5647 105 Ave Address:1820 350th Street Storm Lake, Iowa 50588 Vail, IA 51465

Email: gary.worthan@leg Email: [email protected]

is.iowa.gov

Representative Capitol Phone: 515-281-3221 Senator Capitol Phone: 515-281-3371 Phone: 712-732-6340 Cell Phone: 712-269-4519 11

North Central Region IEMSA Board Members n

OPEN SEAT

Mark Sachen North Regio Central Gary Merrill [email protected] [email protected]

IEMSA Board Members tral Region North C IEMSA Board Members en North Central Region

13

IEMSA Region: NORTH CENTRAL IEMSA Region: NORTH CENTRAL District: 48 District: 5 Party: Republican Party: Republican

Address:302 3rd Avenue, Apt. 1, P.O. Box 485 Address:1561 National Ave Slater, Iowa 50244 Fort Dodge, IA 50501

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Senator Work Phone: 515-576-0444 Rob Bacon Phone: 515-460-8885 Tim Kraayenbrink Cell Phone: 515-408-4770

IEMSA Region: NORTH CENTRAL IEMSA Region: NORTH CENTRAL District: 24 District: 51 Party: Republican Party: Republican

Address:1313 Quill Ave Address:1479 - 380th St. Boone, IA 50036 Osage, Iowa 50461

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3221 Senator Capitol Phone: 515-281-3371 Representative Phone: 641-220-3812 Phone: 515-432-7327

IEMSA Region: NORTH CENTRAL IEMSA Region: NORTH CENTRAL District: 49 District: 25 Party: Republican Party: Republican

Address:911 Shagbark Drive Address:317 S Walnut St, PO Box 220 Nevada, Iowa 50201 Shell Rock, IA 50670

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3371 Representative Capitol Phone: 515-281-3221 Senator Phone: 319-269-3664 Phone: 515-291-3289 Bill Dix

North Region Central

IEMSA Region: NORTH CENTRAL IEMSA Region: NORTH CENTRAL District: 7 District: 50 Party: Republican Party: Republican

Address:14519- 490th St Address:30601 Deer Trail Dr. Scarville, Iowa 50473 New Hartford, Iowa 50660

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Tedd Gassman Phone: 641-568-3761 Patrick Grassley Phone: 319-983-9019

IEMSA Region: NORTH CENTRAL IEMSA Region: NORTH CENTRAL District: 4 District: 9 Party: Republican Party: Democrat

Address:1770 Taft Ave Address:1936 15th Ave. Klemme, IA 50449 Fort Dodge, Iowa 50501

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3371 Senator Representative Capitol Phone: 515-281-3221 14 Dennis Guth Phone: 641-430-0424 Phone: 515-570-3535

IEMSA Region: NORTH CENTRAL IEMSA Region: NORTH CENTRAL District: 52 District: 27 Party: Democrat Party: Democrat

Address:107 Ferguson St Address:361 S Pennsylvania Ave 1-D Charles City, IA 50616 Mason City, IA 50401

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Senator Work Phone: 641-424-2316 Phone: 641-228-4500 Home Phone: 641-424-0874

IEMSA Region: NORTH CENTRAL IEMSA Region: NORTH CENTRAL District: 8 District: 10 Party: Republican Party: Republican

Address: 2395 290th St. S Address: 2202 Ogden Ave Garner, Iowa 50438 Rockwell City, IA 50579

Email: [email protected] Email: [email protected]

: 515-281-3221 Representative Capitol Phone: 515-281-3221 Representative Capitol Phone Terry C. Baxter Phone: 641-829-3580A Mike Sexton Phone: 712-297-8720

IEMSA Region: NORTH CENTRAL IEMSA Region: NORTH CENTRAL District: 53 District: 54 Party: Democrat Party: Republican

th th Address:1685 10 St SW Address:1811 N. 8 Street Mason City, Iowa 50401 Clear Lake, Iowa 50428

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Sharon Phone: 641-583-2484 Phone: 641-923-3398 Steckman

North Region Central

IEMSA Region: NORTH CENTRAL

District: 26 Party: Democrat

Address:414 N Elm Cresco, IA 52136

Email: [email protected]

Senator Capitol Phone: 515-281-3371 Mary Jo Phone: 563-547-4156 Wilhelm

15

Northeast Region IEMSA Board Members Northeast Region IEMSA Board Region Mem East East North North

Brad Buck Amy Gehrke Rick Morgan [email protected] [email protected] [email protected]

Brian Rechkemmer Lee Ridge 17 [email protected] [email protected]

Members IEMSA Region: NORTHEAST IEMSA Region: NORTHEAST District: 64 District: 62 Party: Democrat Party: Democrat

Address:500- 7th Ave SE Address:208 Greenbrier Rd. Oelwein, Iowa 50662 Waterloo, Iowa 50703

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3221 Representative Representative Capitol Phone: 515-281-3221 Phone: 319-283-5349 Bruce Deborah Berry Phone: 319-233-9934 Bearinger

IEMSA Region: NORTHEAST IEMSA Region: NORTHEAST District: 29 District: 28 Party: Democrat Party: Republican

Address:812 Grant St Address:301 W Mission St Maquoketa, IA 52060 Strawberry Point, IA 52076

Email: [email protected] Email: [email protected]

Cell Phone: 563-920-7399 Senator Home Phone: 563-652-5499 Senator Phone: 563-933-6486 Cell Phone: 563-370-2422

IEMSA Region: NORTHEAST IEMSA Region: NORTHEAST Region

District: 51 District: 30 Party: Republican Party: Democrat

Address:1479 - 380th St. Address:PO Box 1191

Osage, Iowa 50461 Cedar Falls, IA 50613 East

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3371 Representative Capitol Phone: 515-281-3221 Senator North Josh Byrnes Phone: 641-220-3812 Jeff Danielson Phone: 319-231-7192

IEMSA Region: NORTHEAST IEMSA Region: NORTHEAST District: 31 District: 57 Party: Democrat Party: Democrat

Address:2837 Cedar Terrace Dr Address:11764 Hickory Lane Waterloo, IA 50702 Dyersville, Iowa 52040

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3221 Senator Capitol Phone: 515-281-3371 Representative William Dotzler Cell Phone: 319-296-2947 Nancy Dunkel Phone: 563-599-7094

IEMSA Region: NORTHEAST IEMSA Region: NORTHEAST District: 72 District: 96 Party: Republican Party: Republican

Address: 2859 C Ave. Address:17358 County Road E-16 Garwin, Iowa 50632 Monticello, Iowa 52310

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 18 Cell Phone: 641-750-3594 Phone: 319-465-5805

IEMSA Region: NORTHEAST IEMSA Region: NORTHEAST District: 33 District: 35 Party: Democrat Party: Democrat

Address:2750 Otis Rd SE Address:101 Stoney Point Rd SW Cedar Rapids, IA 52403 Cedar Rapids, IA 52404

Email: [email protected] Email: [email protected]

Senator Capitol Phone: 515-281-3371 Senator Capitol Phone: 515-281-3371 Robert Hogg Home Phone: 319-247-0223 Wally E. Horn Home Phone: 319-396-3131

IEMSA Region: NORTHEAST IEMSA Region: NORTHEAST District: 100 District: 50 Party: Democrat Party: Democrat

Address: P.O. Box 3353 Address:2368 Jackson St Dubuque, Iowa 52004-3353 Dubuque, IA 52001

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Senator Capitol Phone: 515-281-3371 Charles Phone: 563-557-1261 Home Phone: 563-556-6530 Isenhart

IEMSA Region: NORTHEAST IEMSA Region: NORTHEAST District: 61 District: 38

Party: Democrat Party: Republican Region

Address:1920 W. 7th St. Address:1275 69th St Waterloo, Iowa 50702 Keystone, IA 52249

[email protected] Email: [email protected] East

Representative Capitol Phone: 515-281-3221 Senator Home Phone: 319-442-5337 Timi Phone: Tim L. Cell Phone: 515-250-7769

Brown-Powers Kapucian North

IEMSA Region: NORTHEAST IEMSA Region: NORTHEAST District: 59 District: 68 Party: Democrat Party: Republican

Address:3523 Veralta Drive Address:2503 White Eagle Trail SE Cedar Falls, Iowa 50613 Cedar Rapids, Iowa 52403

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Phone: 319-651-7316 Phone: 319-266-9021

IEMSA Region: NORTHEAST IEMSA Region: NORTHEAST District: 34 District: 58 Party: Democrat Party: Republican

Address:1725 MacKenzie Dr NE Address:36630 River Point Ct Cedar Rapids, IA 52411 Bellevue, Iowa 52031

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3371 Senator Representative Capitol Phone: 515-281-3221 Home Phone: 319-361-1725 Brian Moore Phone: 563-528-0837 19

IEMSA Region: NORTHEAST IEMSA Region: NORTHEAST District: 99 District: 65 Party: Democrat Party: Democrat

Address:1040 Rush Street Address:1834 1st Ave NE Apt. 206 Dubuque, Iowa 52003 Cedar Rapids, Iowa 52404

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Representative Phone: 319-431-1656 Abby Finkenauer Phone: 563-580-0553

IEMSA Region: NORTHEAST IEMSA Region: NORTHEAST District: 67 District: 75 Party: Republican Party: Republican

Address:1305 Cress Parkway Address: P.O. Box A Hiawatha, Iowa 52233 Mount Auburn, Iowa 52313

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Representative Phone: 319-610-3412 Phone: 319-294-2062

IEMSA Region: NORTHEAST IEMSA Region: NORTHEAST

District: 52 District: 60 Region Party: Democrat Party: Republican

Address: 107 Ferguson St. Address: 4209 S Main Charles City, Iowa 50616 Cedar Falls, Iowa 50613 East Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221

Todd Prichard Phone: 641-228-4500 Walt Rogers Phone: 319-504-1193 North

IEMSA Region: NORTHEAST IEMSA Region: NORTHEAST District: 56 District: 69 Party: Democrat Party: Democrat

Address:13331 Jade Ave. Address:3515 Field Stone Place SW McGregor, Iowa 52157 Cedar Rapids, Iowa 52404

Email: [email protected] Email: kirsten.running- [email protected]

Representative Capitol Phone: 515-281-3221

Representative Capitol Phone: 515-281-3221 Kirsten Running- Phone: 319-330-9899 Phone: 563-873-1592 Marquardt

IEMSA Region: NORTHEAST IEMSA Region: NORTHEAST District: 63 District: 32 Party: Republican Party: Democrat

Address:9711 Streeter Road Address:221 Park Ave Janesville, Iowa 50647 Arlington, IA 50606

Email: [email protected] Email: [email protected]

Senator Work Phone: 563-633-4065

Representative Capitol Phone: 515-281-3221 Brian Home Phone: 563-633-4065 Phone: 319-987-3021 Schoenjahn 20

IEMSA Region: NORTHEAST IEMSA Region: NORTHEAST District: 55 District: 36 Party: Republican Party: Democrat

Address:1796 Lincoln Highway Road Address:PO Box 723, 202 Fifth Ave SE Decorah, Iowa 52101 State Center, IA 50247

Email: [email protected] Email: [email protected] Capitol Phone: 515-281-3221 Phone: 563-419-9991

Cell Phone: 641-751-4140 Representative Capitol Phone: 515-281-3221 Senator Darrel Branhagen Phone: 563-419-9991 Steven Sodders Home Phone: 641-483-2383

IEMSA Region: NORTHEAST IEMSA Region: NORTHEAST

District: 66 District: 95

Party: Democrat Party: Republican

Address:2141 Coldstream Ave. NE Address:624 E. Terrace Dr. Cedar Rapids, Iowa 52402 Center Point, Iowa 52213

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Representative Phone: 319-330-7211 Phone: 319-899-4365 Quentin Stanerson

IEMSA Region: NORTHEAST IEMSA Region: NORTHEAST District: 70 District: 26 Region

Party: Democrat Party: Democrat

Address:1416 A Avenue NW Address:414 N Elm Cedar Rapids, Iowa 52405-4834 Cresco, IA 52136

East Email: [email protected] Email: [email protected] Capitol Phone: 515-281-3371

: 563-547-4156 Senator CapitolHome Phone Phone: 515-281-3371

: 563-547-4156 Representative Capitol Phone: 515-281-3221 Mary Jo Phone North Phone: 319-396-8587 Wilhelm

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

Senator

Dan Zumbach

21

ou Southwest Region IEMSA Board Members Region

West

South

Rob Marsh Nella Seivert Sarah Solt [email protected] [email protected] [email protected]

23 IEMSA Region: SOUTHWEST IEMSA Region: SOUTHWEST District: 47 District: 20 Party: Republican Party: Republican

Address:P.O. Box 367 Address:2260 Hwy 25 Boone, Iowa 50036 Greenfield, Iowa 50849-8100

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Phone: 515-709-0325 Phone: 641-743-6327

IEMSA Region: SW IEMSA Region: SW District: District: 24 District: 9 Party: Republican Party: Democrat

Address:1313 Quill Ave Address:611 Cedar St., P.O. Box 75 Boone, IA 50036 Schleswig, IA 51461

Email: [email protected] Email: [email protected]

Senator Capitol Phone: 515-281-3371 Senator Capitol Phone: 515-281-3371 Jerry Behn Home Phone: 515-432-7327 Jason Schultz Cell Phone: 712-269-2178

IEMSA Region: SW IEMSA Region: SW

District: 15 District: 10 Region

Party: Democrat Party: Republican

Address:2222 Avenue L Address: P.O. Box 265 Council Bluffs, Iowa 51501 Adel, IA 50003 West Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Capitol Phone: 515-650-3942 Charlie Phone: 402-676-0105 Senator McConkey Jake Chapman Phone: South

IEMSA Region: SW IEMSA Region: SW District: 23 District: 24 Party: Republican Party: Republican

Address:1710 Timber LN Address:703 N. Fillmore St. Glenwood, IA 51534 Mount Ayr, Iowa 50854

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3221 Representative Phone: Representative Capitol Phone: 515-281-3221 Phone: 641-464-2913

IEMSA Region: SW IEMSA Region: SW District: 21 District: 12 Party: Republican Party: Republican

Address:600 Mills Street, P.O. Box 224 Address: 37265 Rains Avenue Griswold, Iowa 51535 Imogene, Iowa 51645

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3221 Representative Senator Capitol Phone: 515-281-3371 Mark Costello Cell Phone: 712-520-0303 24

IEMSA Region: SOUTHWEST IEMSA Region: SOUTHWEST District: 22 District: 8 Party: Republican Party: Democrat

Address:11917- 370th St Address:220 Bennettt Ave Macedonia, Iowa 51549 Council Bluffs, IA 51503

Email: [email protected] Email: [email protected]

Work Phone: 515-281-4610 Senator Representative Capitol Phone: 515-281-3221 Michael Home Phone: 712-328-2808 Greg Forristall Phone: 712-486-2271 Gronstal

IEMSA Region: SOUTHWEST IEMSA Region: SOUTHWEST District: 16 District: 11 Party: Republican Party: Republican

Address:121 Fox Haven Drive Address:2425 Birch Ave Council Bluffs, Iowa 51503 Nodaway, IA 50857

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3371 Mary Ann Phone: 712-256-5159 Senator Hanusa Home Phone: 712-785-3583

IEMSA Region: SOUTHWEST IEMSA Region: SOUTHWEST

District: 12 District: 18 Region Party: Republican Party: Republican

Address:P.O. Box 450 Address:1430 3rd Ave S Glidden, Iowa 51443 Denison, Iowa 51442 West Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Brian Best Phone: 712-830-1844 Steven Holt Phone: 712-263-8347 South

IEMSA Region: SOUTHWEST District: 6 Party: Republican

Address:1820 350th Street Vail, IA 51465

Email: [email protected]

Senator Capitol Phone: 515-281-3371 Mark Segebart Cell Phone: 712-269-4519

25

South Central Region IEMSA Board Members Region

Central

South

Katy Hill Mark McCulloch Brad Vande Lune [email protected] [email protected] [email protected]

27

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL District: 35 District: 36 Party: Democrat Party: Democrat

Address:1506- 18th St. Address:1717 Mar Ella Trail Des Moines, Iowa 50314 Des Moines, Iowa 50310-3823

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Ako Abdul- Phone: 515-202-3531 Marti Home Phone: 515-255-2314 Samad Anderson

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL District: 48 District: 47 Party: Republican Party: Republican

Address:302 3rd Ave, Apt. 1, P.O. Box 485 Address:P.O. Box 367 Slater, Iowa 50244 Boone, Iowa 50036

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Rob Bacon Phone: 515-460-8885 Chip Baltimore Phone: 515-709-0325

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL Region District: 20 District: 24 Party: Republican Party: Republican

Address:2260 Hwy 25 Address:1313 Quill Ave Greenfield, Iowa 50849-8100 Boone, IA 50036

Email: [email protected] Email: [email protected] Central

Representative Capitol Phone: 515-281-3221 Senator Capitol Phone: 515-281-3371 Clel Baudler Phone: 641-743-6327 Jerry Behn Home Phone: 515-432-7327

South

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL District: 15 District: 10 Party: Democrat Party: Republican

Address:1438 North 7th Ave E Address:P.O. Box 265 Newton, IA 50208 Adel, IA 50003

Email: [email protected] Email: [email protected]

Senator Capitol Phone: 515-281-3371 Senator Capitol Phone: 515-281-3371 Chaz Allen Home Phone: 641-521-6297 Jake Chapman Phone: 515-650-3942

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL District: 42 District: 16 Party: Republican Party: Democrat

Address:P.O. Box 110 Address:3113 Kinsey West Des Moines, Iowa 50266 Des Moines, IA 50317

Email: [email protected] Email: [email protected]

Senator Capitol Phone: 515-281-3371

Representative Capitol Phone: 515-281-3221 Dick L. Phone: 515-262-1203 Phone: 515-664-8341 Dearden 28

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL District: 49 District: 25 Party: Republican Party: Republican

Address:911 Shagbark Drive Address:317 S Walnut St, PO Box 220 Nevada, Iowa 50201 Shell Rock, IA 50670

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Senator Capitol Phone: 515-281-3371 Dave Deyoe Phone: 515-291-3289 Bill Dix Cell Phone: 319-269-3664

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL District: 24 District: 21 Party: Republican Party: Republican

Address:703 N. Fillmore St. Address:600 Mills Street, P.O. Box 224 Mt Ayr, Iowa 50854 Griswold, Iowa 51535

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Cecil Dolecheck Phone: 641-464-2913 Tom Moore

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL Region

District: 12 District: 72 Party: Republican Party: Republican

Address:37265 Rains Ave Address:2859 C Ave. Imogene, IA 51645 Garwin, Iowa 50632

Email: [email protected] Email: [email protected] Central

Senator Capitol Phone: 515-281-3371 Representative Capitol Phone: 515-281-3221 Mark Costello Cell Phone: 712-520-0303 Dean Fisher Cell Phone: 641-750-3594

South

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL District: 40 District: 27 Party: Democrat Party: Republican

Address:12816 Cardinal Ln Address:1473- 195th Ave Urbandale, Iowa 50323 Osceola, Iowa 50213

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3221 Representative Representative Capitol Phone: 515-281-3221 Phone: 515-778-7699 John Forbes Phone: 641-342-1017

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL District: 32 District: 13 Party: Democrat Party: Republican

Address:3501 Oxford St Address:19978 115th Ave Des Moines, Iowa 50313 Indianola, IA 50125

Email: [email protected] Email: [email protected]

Senator Capitol Phone: 515-281-3371

Representative Capitol Phone: 515-281-3221 Julian B. Cell Phone: 515-971-0883 Phone: 515-210-7216 Garrett 29

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL District: 25 District: 43 Party: Republican Party: Republican

Address:3139 Cumming Road Address:1915- 69th Street Cumming, Iowa 50061 Windsor Heights, Iowa 50324

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Phone: 515-559-4702 Phone: 515-274-1652

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL District: 17 District: 28 Party: Democrat Party: Republican

Address:2618 Leach Ave Address:831 Wyoming Street Des Moines, IA 50320 Chariton, Iowa 50049

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Home Phone: 515-244-9530 Senator Phone: 641-218-0185 Cell Phone: 515-371-5990

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL Region

District: 46 District: 39 Party: Democrat Party: Republican

Address:2401 Westwind Dr Address:5202 NW 62nd Ave Ames, Iowa 50010 Johnston, Iowa 50131

Email: [email protected] Email: [email protected] Central

Representative Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Phone: 515-450-2957 Phone: 515-681-2621

South

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL District: 34 District: 29 Party: Democrat Party: Democrat

Address:452 Wilmers Ave Address:P.O. Box 333 Des Moines, Iowa 50315 Newton, Iowa 50208

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Capitol Phone: 515-281-3221 Bruce Hunter Phone: 515-256-8010 Representative : 641-521-9260 Dan Kelley Cell Phone

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL District: 38 District: 37 Party: Republican Party: Republican

Address:3514 SW Edgewood Lane Address:2905 NE Trilein Dr. Ankeny, Iowa 50023-9565 Ankeny, Iowa 50021

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Phone: 515-963-9996 Phone: 515-635-1737 30

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL District: 21 District: 33 Party: Democrat Party: Democrat

Address:1717 Ingersoll Ave Ste 115 Address:5417 SE 29th St Des MoiNortheasts, IA 50309 Des Moines, Iowa 50320

Email: [email protected] Email: [email protected]

Senator Capitol Phone: 515-281-3371 Representative Capitol Phone: 515-281-3221 Matt McCoy Cell Phone: 515-681-9327 Phone: 515-999-0590

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL District: 41 District: 31 Party: Democrat Party: Democrat

Address:4004 Grand Ave. #302 Address:3012 E. 31st Ct. Des Moines, Iowa 50312 Des Moines, Iowa 50317

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Representative Phone: 515-778-4521 Home Phone: 515-255-2805 Rick Olson

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL Region

District: 26 District: 18 Party: Democrat Party: Democrat

Address:110 Timber Lane Address:4300 Beaver Hills Dr Ackworth, Iowa 50001 Des Moines, IA 50310

Email: [email protected] Email: [email protected] Central

Capitol Phone: 515-281-3371 Representative Capitol Phone: 515-281-3221 Senator Cell Phone: 515-442-0120 Phone: 515-208-7281

South

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL District: 23 District: 30 Party: Democrat Party: Republican

Address:1002 Jarrett Circle Address: P.O. Box 105 Ames, IA 50014 Altoona, Iowa 50009

Email: [email protected] Email: [email protected]

Senator Capitol Phone: 515-281-3371 Representative Capitol Phone: 515-281-3221 Home Phone: 515-292-8984 Phone: 515-868-2046

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL District: 40 District: 22 Party: Republican Party: Republican

Address:2200 Oxford Ave Address:7887 Cody Dr Oskaloosa, IA 52577 West Des Moines, IA 50266

Email: [email protected] Email: [email protected]

Senator Capitol Phone: 515-281-3371 Capitol Phone: 515-281-3371 Ken Cell Phone: 641-295-6551 Senator Cell Phone: 515-657-7375 Rozenboom Charles Schneider 31

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL District: 80 District: 14 Party: Republican Party: Republican

Address:27043- 264th Ave Address:1255 King Rd Moulton, Iowa 52572 Allerton, IA 50008

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Senator Capitol Phone: 515-281-3371 Larry Sheets Phone: 641-895-6153 Cell Phone: 641-870-0199

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL District: 71 District: 36 Party: Democrat Party: Democrat

Address:816 Roberts Terrace Address:PO Box 723, 202 Fifth Ave SE Marshalltown, Iowa 50158 State Center, IA 50247

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3221 Representative Senator Cell Phone: 641-751-4140 Mark Smith Work Phone: 515-281-3054 Steven Sodders Home Phone: 641-483-2383

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL Region

District: 44 District: 79 Party: Republican Party: Republican

Address:495 - 77th Place Address:1610 Carbonado Road West Des Moines, Iowa 50266 Oskaloosa, Iowa 52577

Email: [email protected] Email: [email protected] Central

Capitol Phone: 515-281-3221 Representative Representative Capitol Phone: 515-281-3221 Guy Vander Phone: 641-569-3373 Phone: 515-240-7019 Linden

South

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL District: 19 District: 45 Party: Republican Party: Democrat

Address:28232 Prospect Ave Address:518 Ash Adel, Iowa 50003 Ames, Iowa 50014

Email: [email protected] Email: beth.wessel- [email protected]

Representative Capitol Phone: 515-281-3221 Capitol Phone: 515-281-3221 Representative Beth Wessell- Phone: 515-451-4307 Home Phone: 515-993-4850 Kroeschell

IEMSA Region: SOUTH CENTRAL IEMSA Region: SOUTH CENTRAL District: 19 District: 20 Party: Republican Party: Republican

Address:4019 Bellagio Cir Address:7032 Holcomb Ave Ankeny, IA 50021 Urbandale, IA 50322

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3371 Senator Cell Phone: 515-865-6394 Senator Work Phone: 515-777-2939 Home Phone: 515-276-2025 32

Southeast Region IEMSA Board Members Region

East

South

Mary Briones Jerry Ewers Linda Frederiksen [email protected] [email protected] [email protected]

Matt Fults Brandon Smith Tom Summitt [email protected] [email protected] [email protected]

33

IEMSA Region: SOUTHEAST IEMSA Region: SOUTHEAST District: 43 District: 46 Party: Democrat Party: Democrat

Address:1235 Oakes Dr Address:972 Newell Ave Iowa City, IA 52245 Muscatine, IA 52761

Email: [email protected] Email: [email protected]

Senator Capitol Phone: 515-281-3371 Senator Capitol Phone: 515-281-3371 Home Phone: 319-337-6280 Chris Brase Cell Phone: 563-260-5416

IEMSA Region: SOUTHEAST IEMSA Region: SOUTHEAST District: 41 District: 87 Party: Republican Party: Democrat

Address:819 Hutchinson Address:8151 138th St Ottumwa, IA 52501 Burlington, Iowa 52601

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3371

Senator

Mark Chelgren Cell Phone: 641-777-7047 Representative Capitol Phone: 515-281-3221 Dennis M. Cohoon Phone: 319-752-5057

IEMSA Region: SOUTHEAST IEMSA Region: SOUTHEAST District: 44 District: 37 Region

Party: Democrat Party: Democrat

Address:2609 Clearview Address:450 Third Ave #3 Burlington, IA 52601 Coralville, IA 52241

East Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3371 Senator Thomas Cell Phone: 319-759-5334 Senator Capitol Phone: 515-281-3371 : 319-351-0988 Courtney Home Phone South

IEMSA Region: SOUTHEAST IEMSA Region: SOUTHEAST District: 81 District: 39 Party: Democrat Party: Democrat

Address:509 E 4th Street Address: 4321 Calkins Ave SW Ottumwa, Iowa 52501 Oxford, IA 52322

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Senator Capitol Phone: 515-281-3371 Phone: 641-682-6417 Kevin Kinney Home Phone: (319)631-4667

IEMSA Region: SOUTHEAST IEMSA Region: SOUTHEAST District: 82 District: 49 Party: Democrat Party: Democrat

Address:801 N Court St Address:2764 130th Ave Fairfield, Iowa 52556 Wheatland, IA 52777

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Senator Cell Phone: 563-210-1252 Curt Hanson Cell Phone: 641-919-2314 Rita Hart Home Phone: 563-374-1368 34

IEMSA Region: SOUTHEAST IEMSA Region: SOUTHEAST District: 84 District: 74 Party: Republican Party: Democrat

Address:510 E Washington Address:2308 North Ridge Drive Mount Pleasant, Iowa 52641 Coralville, Iowa 52241

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Phone: 319-385-9342 Dave Jacoby Phone: 319-358-8538

IEMSA Region: SOUTHEAST IEMSA Region: SOUTHEAST District: 38 District: 73 Party: Republican Party: Republican

Address:1275 69th St Address:1527- 330th St. KeystoNortheast, IA 52249 Wilton, Iowa 52778

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3371 Senator Representative Capitol Phone: 515-281-3221 Phone: 515-250-7769 Tim L. Bobby Phone: 563-260-3355 Kapucian Kaufmann

IEMSA Region: SOUTHEAST IEMSA Region: SOUTHEAST District: 83 District: 78 Region

Party: Democrat Party: Republican

Address:402 Hickory Terrace Address:1744 Keokuk Washington Rd Keokuk, Iowa 52632 Keota, Iowa 52248 East Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221

Jerry Kearns Phone: 319-524-1570 Jarad Klein Phone: 641-636-2082 South

IEMSA Region: SE IEMSA Region: SE District: 85 District: 91 Party: Democrat Party: Republican

Address:2408 Mayfield Rd. Address:104 Deerpath Lane Iowa City, Iowa 52245 Muscatine, Iowa 52761

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Representative Phone: 563-288-4211 Phone: 319-338-6148 Gary Carlson

IEMSA Region: SOUTHEAST IEMSA Region: SOUTHEAST District: 89 District: 86 Party: Democrat Party: Democrat

Address:2906 W 35th St Address:2012 Sherman Dr Davenport, Iowa 52806 Iowa City, Iowa 52240

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3221 Representative Representative Capitol Phone: 515-281-3221 Phone: 563-391-1919 Phone: 319-351-2826 35 IEMSA Region: SOUTHEAST IEMSA Region: SOUTHEAST District: 76 District: 94 Party: Republican Party: Republican

Address:2171- 540th Ave. Address:6766 Ridges Court Gibson, Iowa 50104 Bettendorf, Iowa 52722

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 David Maxwell Phone: 641-595-2283 Linda Miller Work Phone: 563-650-9539

IEMSA Region: SOUTHEAST IEMSA Region: SOUTHEAST District: 97 District: 75 Party: Republican Party: Republican

Address:2308 15th St Ct Address:P.O. Box A DeWitt, Iowa 52742 Mount Auburn, Iowa 52313

Email: [email protected] Email: [email protected]

Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Representative Phone: 319-610-3412 Phone: 563-357-9826 Dawn Pettengill

IEMSA Region: SOUTHEAST IEMSA Region: SOUTHEAST

District: 40 District: 88 Region Party: Republican Party: Republican

Address:2200 Oxford Ave Address:13247 - 130th St. Oskaloosa, IA 52577 Wapello, Iowa 52653 East

Email: [email protected] Email: [email protected]

Senator Capitol Phone: 515-281-3371 Ken Cell Phone: 641-295-6551 Representative Capitol Phone: 515-281-3221

Rozenboom South Home Phone: 319-729-2280

IEMSA Region: SOUTHEAST IEMSA Region: SOUTHEAST District: 45 District: 80 Party: Democrat Party: Republican

Address:4804 Northwest Blvd Address:27043- 264th Ave Davenport, IA 52806 Moulton, Iowa 52572

Email: [email protected] Email: [email protected]

Senator Home Phone: 563-391-1627 Representative Capitol Phone: 515-281-3221 Joe M. Seng Cell Phone: 563-940-0671 Larry Sheets Phone: 641-895-6153

IEMSA Region: SOUTHEAST IEMSA Region: SOUTHEAST District: 47 District: 77 Party: Republican Party: Democrat

Address:2036 E 48th St Address:3754 - 500th Street SW Davenport, IA 52807 Riverside, Iowa 52327

Email: [email protected] Email: [email protected]

Senator Capitol Phone: 515-281-3371 Capitol Phone: 515-281-3221 Home Phone: 563-386-0179 Representative Sally Stutsman Phone: 319-679-2347 36

IEMSA Region: SOUTHEAST IEMSA Region: SOUTHEAST District: 42 District: 93 Party: Democrat Party: Democrat

Address:2667 Iowa Ave Address:2342 Hawthorne Ct Mt Pleasant, IA 52641 Bettendorf, Iowa 52722

Email: [email protected] Email: [email protected]

Senator Capitol Phone: 515-281-3371 Representative Capitol Phone: 515-281-3221 Rich Taylor Cell Phone: 319-931-1568 Phone: 563-441-0630

IEMSA Region: SOUTHEAST IEMSA Region: SOUTHEAST District: 79 District: 90 Party: Republican Party: Democrat

Address:1610 Carbonado Road Address:6 Thode Court Oskaloosa, Iowa 52577 Davenport, Iowa 52802

Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Phone: 641-569-3373 Phone: 563-324-7927

IEMSA Region: SOUTHEAST IEMSA Region: SOUTHEAST

District: 98 District: 92 Region Party: Democrat Party: Republican

Address:337- 4th Avenue South Address:389 W. Parkview Drive Clinton, Iowa 52732 Walcott, Iowa 52773

East Email: [email protected] Email: [email protected]

Representative Capitol Phone: 515-281-3221 Representative Capitol Phone: 515-281-3221 Phone: 563-243-4652 Phone: 563-284-6783 South

37 DISTRICTS The 86th General Assembly (2015-2016)

LYON OSCEOLA DICKINSON EMMET KOSSUTH WINNEBAGO WORTH MITCHELL HOWARD WINNESHIEK ALLAMAKEE David 26 Johnson (R) 1 Mary Jo Wilhelm (D) SIOUX O'BRIEN CLAY PALO ALTO 4 HANCOCK CERRO GORDO Dennis FLOYD CHICKASAW 28 2 Guth (R) Randy FAYETTE CLAYTON Feenstra (R) Michael PLYMOUTH CHEROKEE BUENA VISTA POCAHONTAS HUMBOLDT WRIGHT FRANKLIN BUTLER BREMER Breitbach (R) Bill Anderson (R) 27 32 Amanda Brian Schoenjahn (D) Pam Ragan (D) 3 5 WEBSTER BLACK HAWK BUCHANAN DELAWARE DUBUQUE Jochum (D) William A. WOODBURY IDA SAC CALHOUN HAMILTON HARDIN GRUNDY Dotzler Jr. (D) 7 Tim Jeff 48Dan 50 Rick 30 Kraayenbrink Danielson Zumbach Bertrand 25 (R) (D) 31 (R) (R) Bill 29 Dix (R) 6 TAMA BENTON LINN JONES JACKSON 24 34 Liz MONONA CRAWFORD CARROLL GREENE BOONE STORY MARSHALL Robert Mathis (D) Jerry Tod 9 Mark Hogg (D) Bowman (D) Jason Behn (R) 36 Segebart Steven J. Schultz 33 CLINTON (R) Herman C. 23 Sodders (D) Wally E. (R) Quirmbach (D) Horn (D) 35 CEDAR Rita49 HARRISON SHELBY AUDUBON GUTHRIE DALLAS POLK JASPER POWESHIEK IOWA JOHNSON 37 Hart (D) Chaz Allen (D) Robert E. 20 19 Tim38 L. 18 Dvorsky (D) SCOTT 16 15 Kapucian (R) 43 46 10 Joe MUSCATINE 22 17 Bolkcom (D) POTTAWATTAMIE CASS ADAIR MADISON WARREN MARION MAHASKA KEOKUK WASHINGTON 47 Jake 21 Roby Kevin 39 45 11 Chapman Ken Chris Joe M. Smith (R) (R) 13 Rozenboom Kinney (D) LOUISA Brase (D) Tom Shipley Julian B. Garrett (R) Seng (D) Michael E. (R) (R) Gronstal (D) 8 UNION HENRY MILLS MONTGOMERY ADAMS CLARKE 14 LUCAS MONROE 40 WAPELLO JEFFERSON 44 Amy DES MOINES 42Rich Thomas G. Sinclair (R) 12 41 Taylor Courtney FREMONT PAGE TAYLOR RINGGOLD DECATUR WAYNE APPANOOSE DAVIS VAN BUREN (D) (D) Mark Mark LEE Costello (R) Chelgren 16 - Dick L. Dearden (D) (R) ¨ 17 - Tony Bisignano (D) 18 - Janet Petersen (D) 19 - Jack Whitver (R) Senate District 20 - Brad Zaun (R) County 21 - Matt McCoy (D) Page 38 22 - Charles Schneider (R) Prepared by the Iowa Legislative Services Agency, Updated 1/9/2015 IOWA HOUSE DISTRICTS The 86th General Assembly (2015-2016)

59 - Bob Kressig (D) LYON OSCEOLA DICKINSON EMMET KOSSUTH WINNEBAGO WORTH MITCHELL HOWARD WINNESHIEK ALLAMAKEE 60 - Walt Rogers (R) 61 - Timi Brown-Powers (D) John H. 51 1 Tedd 7 62 - Deborah L. Berry (D) Wills (R) Josh Gassman (R) 56 Byrnes (R) 55 SIOUX O'BRIEN CLAY PALO ALTO HANCOCK CERRO GORDO Patti 65 - Liz Bennett (D) FLOYD CHICKASAW Ruff (D) 66 - Art Staed (D) 4 2 Megan 8 53 John Sharon S. 52 Todd 67 - Kraig Paulsen (R) Jones (R) Terry C. FAYETTE CLAYTON 68 - Ken Rizer (R) Kooiker (R) Steckman Prichard Darrel 3 Baxter (R) 69 - Kirsten Running- (D) (D) Branhagen (R) Marquardt (D) BUENA VISTA POCAHONTAS PLYMOUTH CHEROKEE HUMBOLDT WRIGHT FRANKLIN BUTLER BREMER 70 - Todd E. Taylor (D) Chuck Gary 63 Daniel A. 54 95 - Quentin Stanerson (R) Worthan Sandy Holz Huseman (R) 10 Linda L. (R) Helen Salmon (R) 64 (R) Upmeyer (R) Charles Dave 5 Miller (D) 13 11 WEBSTER 50 BLACK HAWK BUCHANAN DELAWARE DUBUQUE Isenhart (D) Dawson Bruce Nancy (D) 14 WOODBURY IDA SAC CALHOUN 9 HAMILTON HARDIN GRUNDY 62 96 100 Pat 59 Bearinger Dunkel 99 Abby Mike 60 (D) (D) Finkenauer Chris 48 Grassley Lee Hein 57 6 Sexton 61 (D) Rob (R) (R) Hall (D) (R) Dave Bacon (R) Deyoe (R) TAMA BENTON LINN JONES JACKSON 95 Ron MONONA CRAWFORD CARROLL GREENE BOONE STORY MARSHALL Dawn E. 58 Brian 17 67 Jorgensen 47 49 71 Pettengill 66 Moore (R) Matt W. Brian 46 72 (R) Chip (R) 70 65 Windschitl Best (R) 45 Dean CLINTON 98 (R) Baltimore (R) Mark D. 18 12 Fisher (R) 75 CEDAR 97 Smith (D) 69 68 Norlin HARRISON SHELBY AUDUBON GUTHRIE DALLAS POLK JASPER POWESHIEK IOWA JOHNSON 73 Mommsen Steve Daniel 74 Bobby 19 Kelley (R) Mary Holt (R) Clel 39 Dave Kaufmann SCOTT 29 77 85 Lynn Baudler 30 (D) Maxwell 76 (R) 92 89 44 Wolfe (D) (R) (R) 86 MUSCATINE

POTTAWATTAMIE CASS ADAIR MADISON MARION MAHASKA KEOKUK WASHINGTON 91 94 Charlie 20 WARREN 93 Stan 28 78 McConkey 22 Greg 26 Thomas R. 88 90 Gustafson Greg 79 Forristall Jarad J. LOUISA (D) (R) Scott Heartsill Sands (R) 15 Klein (R) 74 - Dave Jacoby (D) (R) 21 25 16 Ourth (D) (R) 77 - Sally Stutsman (D) Mary Ann MILLS MONTGOMERY ADAMS UNION CLARKE LUCAS MONROE WAPELLO JEFFERSON HENRY 85 - Vicki S. Lensing (D) 23 Tom 80 84 86 - Mary Mascher (D) Hanusa (R) Larry DES MOINES David Moore (R) 81 David E. Sieck (R) Sheets (R) Polk County Inset Heaton 89 - Jim Lykam (D) FREMONT PAGE APPANOOSE DAVIS VAN BUREN 87 TAYLOR RINGGOLD DECATUR 27 WAYNE (R) 90 - Cindy Winckler (D) Curt 24 Joel 82 LEE 91 - Gary Carlson (R) 19 Hanson Cecil Fry (R) 92 - Ross Paustian (R) (D) Dolecheck (R) 93 - Phyllis Thede (D) 37 83 Dennis M. 94 - Linda J. Miller (R) 19 - Ralph C. Watts (R) 37 - John Landon (R) Cohoon (D) 45 - Beth Wessel-Kroeschell (D) 39 38 30 - Zach Nunn (R) 38 - Kevin Koester (R) 31 - Rick Olson (D) 39 - Jake Highfill (R) 46 - Lisa Heddens (D) 30 79 - Guy Vander Linden (R) 40 32 - Ruth Ann Gaines (D) 40 - John Forbes (D) Jerry A. 36 35 32 81 - Mary Gaskill (D) 44 43 31 33 - Brian Meyer (D) 41 - Jo Oldson (D) Kearns (D) House District 41 33 34 - Bruce L. Hunter (D) 42 - Peter Cownie (R) County 42 35 - Ako Abdul-Samad (D) 43 - Chris Hagenow (R) ¨ 36 - (D) 44 - Rob Taylor (R) Page 39 34 26 Prepared by the Iowa Legislative Services Agency, Updated 12/22/2015 Emergency Medical Services Interim Legislative Study 2013 NW REGION NC REGION NE REGION

SW REGION SC REGION SE REGION

1 Iowa Emergency Medical Services Association

Page 40 State of Iowa 85th General Assembly Interim Emergency Medical Services Study Committee

Co-Chair Co-Chair Representative Senator Senator Senator Representative Representative Watts, Ralph C. Wilhelm, Mary Jo Breitbach, Michael Chapman, Jake Kaufmann, Bobby Prichard, Todd

Representative Senator Representative Senator Salmon, Sandy Sodders, Steven J. Staed, Art Taylor, Rich FINAL REPORT Emergency Medical Services Study Committee January 2014

MEMBERS: Senator Mary Jo Wilhelm, Co-chairperson Representative Ralph C. Watts, Co-chairperson Senator Michael Breitbach Representative Senator Jake Chapman Representative Todd Prichard Senator Steven J. Sodders Representative Sandy Salmon Senator Rich Taylor Representative Art Staed

Staff Contacts: AUTHORIZATION AND APPOINTMENT Nicole Hoffman, Legal Editor, The Emergency Medical Services Study Committee was created by the (515) 281-6329 Legislative Council for the 2013 Legislative Interim and authorized to [email protected] hold two meetings. The charge of the committee was to research the current status of Iowa’s emergency medical services (EMS) and make Michael Duster, Legal Counsel, recommendations to ensure the future availability of EMS statewide. (515) 281-4800 The committee was required to consult with stakeholders in conducting [email protected] 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 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, 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.

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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 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 59.29 hours engaged in EMS

Page 45 January 2014 Emergency Medical Services Study Committee 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 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), 48-60 clock hours; (2) emergency medical technician (EMT), 150-190 clock hours; (3) advanced EMT, requiring a prerequisite EMT certification, 150-250 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 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.

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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 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

Page 47 January 2014 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 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, 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 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 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 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 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 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 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: https://www.legis.iowa.gov/committees/committee?ga=85&groupID=19058 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 2012-2014 13. 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 1 19. EMS Bureau Quality Assurance, Standards, and Protocols Subcommittee, Document 2

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