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<bill bill-stage="Introduced-in-House" dms-id="HA35EB88DA71248A78CC0E1082D83D298" public-private="public" key="H" bill-type="olc"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
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<dc:title>119 HR 5575 IH: Firefighters Assisting Seniors To Emergency Response Act</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2025-09-26</dc:date>
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<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">I</distribution-code><congress display="yes">119th CONGRESS</congress><session display="yes">1st Session</session><legis-num display="yes">H. R. 5575</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20250926">September 26, 2025</action-date><action-desc><sponsor name-id="F000462">Ms. Lois Frankel of Florida</sponsor> (for herself, <cosponsor name-id="C001133">Mr. Ciscomani</cosponsor>, <cosponsor name-id="M001223">Mr. Magaziner</cosponsor>, and <cosponsor name-id="N000147">Ms. Norton</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HSY00">Committee on Science, Space, and Technology</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To authorize grants to fire departments to conduct activities with the goals of reducing falls among older adults and reducing response time when responding to in-home emergencies, and for other purposes.</official-title></form><legis-body id="HA7FCC825F53B47CBAF0462D9435671AF" style="OLC"> 
<section id="H23632389AE9449C1B427B315CBAD35E7" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Firefighters Assisting Seniors To Emergency Response Act</short-title></quote> or the <quote><short-title>FASTER Act</short-title></quote>.</text></section> <section id="H95F2DC5683914B13B6F527634F88FE69"><enum>2.</enum><header>Findings</header><text display-inline="no-display-inline">Congress finds the following:</text> 
<paragraph id="H6BEBCF49CBC34E058E313A5B64D89DC5"><enum>(1)</enum><text>According to the Centers for Disease Control and Prevention (CDC), about 14,000,000 falls are reported each year nationwide among adults age 65 and over.</text></paragraph> <paragraph id="H1FE2FAD7B1644F8AAB5AB552468D1A78"><enum>(2)</enum><text>These falls result in 38,000 deaths.</text></paragraph> 
<paragraph id="H1061552B6C8F46D7BEEB3D6C6A92DFC9"><enum>(3)</enum><text>Each year, approximately 3,000,000 older adults are treated in emergency departments for a fall injury.</text></paragraph> <paragraph id="H8A267D153B4944C59A44081862620497"><enum>(4)</enum><text>Falls are the top cause of injury and injury-related deaths for adults over 65.</text></paragraph> 
<paragraph id="H672AED06AA404B0D8006F020E737909E"><enum>(5)</enum><text>Falls among adults aged 65 and above result in over $80,000,000,000 per year in medical expenses.</text></paragraph> <paragraph id="H0808F783F1ED4C2BBD1F4F116F153885"><enum>(6)</enum><text>More than 95 percent of hip fractures are caused by falling.</text></paragraph> 
<paragraph id="H67982788E916401982B39F00D8E94D78"><enum>(7)</enum><text>Falls are the most common cause of traumatic brain injuries.</text></paragraph> <paragraph id="H5DB7C7EE7AEB4861BD29C118F4D83D79"><enum>(8)</enum><text>According to the National Institutes of Health (NIH), over 70 percent of falls occur in the home.</text></paragraph> 
<paragraph id="H8DFFEB3CBE824A1581AACB4AA89D55E3"><enum>(9)</enum><text>Falls can often be prevented, including by implementing simple home modifications.</text></paragraph> <paragraph id="H100DEC78F895483FB87988D9DBFAD602"><enum>(10)</enum><text>Fire department personnel can play an important role in preventing and responding to falls.</text></paragraph></section> 
<section id="H7E99CF5267F24E8792B5C2FDAE5A10C0"><enum>3.</enum><header>Firefighters assisting seniors to emergency response</header> 
<subsection id="H377A296A5C9D4438A592A22486BC242C"><enum>(a)</enum><header>Fall prevention and home safety grants</header> 
<paragraph id="H79E73BB741BC4A0ABB1C236D44F67F7B"><enum>(1)</enum><header>In general</header><text>The Administrator of FEMA shall make grants directly to career fire departments, combination fire departments, and volunteer fire departments for the purpose of implementing programs to improve home safety and prevent falls for older adults, including through fall prevention programs.</text></paragraph> <paragraph id="H5C9E00D3F2F94679B682D4F56E706351" commented="no"><enum>(2)</enum><header>Period of performance</header><text>Grants made under this subsection shall be for three years.</text></paragraph> 
<paragraph id="H50767E4CA30B4EE9A65EDC0C47E6376C" commented="no"><enum>(3)</enum><header>Consideration</header><text>In awarding grants under this subsection, the Administrator of FEMA may give preferential consideration to applications that involve non-Federal contributions that exceed the difference between 100 percent and the maximum percentage allowable Federal contribution specified in paragraph (5) for a year.</text></paragraph> <paragraph id="H47D885E49756493883CBD34D53FE9973"><enum>(4)</enum><header>Technical assistance</header><text>The Administrator of FEMA may provide technical assistance to States, units of local government, Tribal governments, and other public entities in furtherance of the purposes of this section.</text></paragraph> 
<paragraph id="H50061D23976241EBBD423FAAAE84A0F3"><enum>(5)</enum><header>Limitation on costs</header><text display-inline="yes-display-inline">The portion of the costs of implementing programs to improve home safety and prevent falls for older adults provided by a grant under this paragraph may not exceed the following:</text> <subparagraph id="HF1C75C3405F74588890046E0A508AE21"><enum>(A)</enum><text>Seventy-five percent in the first year of such grant.</text></subparagraph> 
<subparagraph id="HE71EA7F74AB74BB9AC4C49BACE4C14A4"><enum>(B)</enum><text>Seventy-five percent in the second year of such grant.</text></subparagraph> <subparagraph id="HE3F58F738F6E4A55B9159F5040CD5FC8"><enum>(C)</enum><text>Thirty-five percent in the third year of such grant.</text></subparagraph></paragraph> 
<paragraph id="H2C0E38D005804FAA86C65C5524FB8A83"><enum>(6)</enum><header>Administration</header><text>Grants made pursuant to this subsection shall be awarded on a competitive basis through a neutral peer review process.</text></paragraph></subsection> <subsection id="H6539E71C9D2941939C721C1F42887974"><enum>(b)</enum><header>Applications</header> <paragraph id="H00F06024AB5449D3859DB0D08BBBEC64" display-inline="no-display-inline"><enum>(1)</enum><header>Restriction</header><text>No grant may be made under this section unless an application has been submitted to, and approved by, the Administrator of FEMA.</text></paragraph> 
<paragraph id="HEEE7BCE7DED9406B9B8F49ED9C0AF95A"><enum>(2)</enum><header>Form</header><text>An application for a grant under this section shall be submitted to the Administrator of FEMA in such form, and containing such information, as the Administrator of FEMA may prescribe.</text></paragraph> <paragraph id="H196579BB643645139EFA88DA70389331"><enum>(3)</enum><header>Contents</header><text>At a minimum, each application for a grant under this section shall—</text> 
<subparagraph id="H842ED6F9F6E54493911C52CFDCCE449E"><enum>(A)</enum><text display-inline="yes-display-inline">explain the applicant’s inability or challenges to implement without Federal assistance a program to improve home safety and prevent falls for older adults; and</text></subparagraph> <subparagraph id="H1780340EAAFF446AB90EE5DBB2C7A8A3"><enum>(B)</enum><text>specify long-term plans for continuing such a program following the conclusion of Federal support provided under this section.</text></subparagraph> </paragraph></subsection> 
<subsection id="H44A54BA8C8A8458E91A54DE675C7C2DC" display-inline="no-display-inline" commented="no"><enum>(c)</enum><header>Allowable use of funds</header><text>Grants under this section shall be used for any of the following purposes:</text> <paragraph id="H3DC1565FB9F44FE2B4DB9ECA771811CD" commented="no"><enum>(1)</enum><text>Procurement and installation of devices, including lock boxes, that can be installed on homes in order to allow emergency responders quicker access to a home in case of an emergency.</text></paragraph> 
<paragraph id="H5B3BAB957EA7423AAFC866487696098E" commented="no"><enum>(2)</enum><text display-inline="yes-display-inline">Recruitment, retention, salaries, and benefits of community paramedicine personnel, including firefighters, paramedics, EMTs, social workers, case managers, administrators, or other professionals for the purpose described in subsection (a)(1).</text></paragraph> <paragraph id="H57ADE6B33C234B4CA1E63B9763423EC3" commented="no"><enum>(3)</enum><text>Installation and replacement of smoke detectors and batteries.</text></paragraph> 
<paragraph id="HEF8D73DED7C1481186E5AFFE6D311BFF" commented="no"><enum>(4)</enum><text>Compilation of health information to permit emergency responders ready access to vital health data in case of an emergency.</text></paragraph> <paragraph id="H3C93FE3E3B6F4D1099B18F091B0ABA78" commented="no"><enum>(5)</enum><text>Minor home modifications to reduce fall risks, including the following:</text> 
<subparagraph id="H866ADE49643B4963A79B83CF8475D0EF" commented="no"><enum>(A)</enum><text>Flattening of rugs.</text></subparagraph> <subparagraph id="HE600A07FAE4F40E8BCA505181B6D16AD" commented="no"><enum>(B)</enum><text>Removal of tripping hazards.</text></subparagraph> 
<subparagraph id="HE78865A36F4844C6983B9BB35B60BE8E" commented="no"><enum>(C)</enum><text>Installation of hand rails and grab bars, including supplies, labor, and insurance.</text></subparagraph></paragraph> <paragraph id="H221AA2165AE2421EB43F7F81DCDF740A" commented="no"><enum>(6)</enum><text>Risk assessment and reconciliation of medications.</text></paragraph> 
<paragraph id="H64F3A608990B43EE861439051FFFFBFC" commented="no"><enum>(7)</enum><text>Referral to classes, medical professionals, and other community resources that educate seniors on reducing fall risks.</text></paragraph></subsection> <subsection id="HF497D417096A4EBEA14DCB7BA701EE7A"><enum>(d)</enum><header>Rules regarding use of funds</header> <paragraph id="H24D8059F857D41DF8BFBCBCF019B42A3" display-inline="no-display-inline" commented="no"><enum>(1)</enum><header>Limitation</header><text>Funds made available under this section to fire departments may not be used to supplant State or local funds, or, in the case of Tribal governments, funds supplied by the Bureau of Indian Affairs, but shall be used to increase the amount of funds that would, in the absence of Federal funds received under this section, be made available from State or local sources, or in the case of Tribal governments, from funds supplied by the Bureau of Indian Affairs.</text></paragraph> 
<paragraph id="H214DEA8455D448B5909E850E2077EA13"><enum>(2)</enum><header>Relating to prior reductions</header><text>No grant shall be awarded pursuant to this section to a municipality or other recipient whose annual budget at the time of the application for fire-related programs and emergency response has been reduced below 80 percent of the average funding level in the three years immediately preceding the date of the application for the grant.</text></paragraph> <paragraph id="H2CEDD91C48F2444CA70F21C116CFA249"><enum>(3)</enum><header>Permitted</header><text>Funds appropriated by Congress for the activities of any agency of a Tribal government or the Bureau of Indian Affairs may be used to provide the non-Federal share of the cost of programs or projects funded under this section.</text></paragraph></subsection> 
<subsection id="H47C18991B17C4812ACCE47157D94BB1C" commented="no"><enum>(e)</enum><header>Waivers</header> 
<paragraph id="HE95EF43507C949BCAA94BFBB2C2F5E50" commented="no"><enum>(1)</enum><header>In general</header><text>In a case of demonstrated economic hardship of an applicant for a grant under this section, the Administrator of FEMA may—</text> <subparagraph id="H33CEF3E7135E4EAD97D79919CA540422" commented="no"><enum>(A)</enum><text>waive the requirements of subsection (d)(1); or</text></subparagraph> 
<subparagraph id="HC594C283F2A24669879ACEA0595F3AA4" commented="no"><enum>(B)</enum><text>waive or reduce the application of subsection (a)(5) or (d)(2).</text></subparagraph></paragraph> <paragraph id="H2AEC565838B345648D06438D5998D1E3" commented="no"><enum>(2)</enum><header>Guidelines</header> <subparagraph id="H9A870012EB0A43D09542D24241CC144C" commented="no"><enum>(A)</enum><header>In general</header><text>The Administrator of FEMA shall establish and publish guidelines for determining what constitutes economic hardship for purposes of paragraph (1).</text></subparagraph> 
<subparagraph id="HAAC15CDE3B804625B2D6017875344CE2" commented="no"><enum>(B)</enum><header>Consultation</header><text>In developing guidelines under subparagraph (A), the Administrator of FEMA shall consult with individuals who are—</text> <clause id="H98406980F38B4BE58BC294DD61776815" commented="no"><enum>(i)</enum><text>recognized for expertise in emergency medical services provided by fire services, community paramedicine, fall prevention, or the economic affairs of State or local governments; and</text></clause> 
<clause id="H28EFE6013CBB4397831513D42D2027C8" commented="no"><enum>(ii)</enum><text>members of national fire service organizations or national organizations representing the interests of State or local governments.</text></clause></subparagraph> <subparagraph id="HEA47A4A5904340B58C6E52D7B310D61E" commented="no"><enum>(C)</enum><header>Considerations</header><text>In developing guidelines under subparagraph (A), the Administrator of FEMA shall consider, with respect to relevant communities, the following:</text> 
<clause id="H73B93C0D8F8F447794ABDD2FC67094CE" commented="no"><enum>(i)</enum><text>Changes in rates of unemployment from previous years.</text></clause> <clause id="HD18E0DFF4A0F49F582AC4C5438F93CB4" commented="no"><enum>(ii)</enum><text>Whether the rates of unemployment of the relevant communities are currently and have consistently exceeded the annual national average rates of unemployment.</text></clause> 
<clause id="HD7F3B5C96BBA4961847BBF8B6EBFEE3C" commented="no"><enum>(iii)</enum><text>Changes in percentages of individuals eligible to receive food stamps from previous years.</text></clause> <clause id="H355AD0B69DD147C9A12BFC12DDCEA03A" commented="no"><enum>(iv)</enum><text>Such other factors as the Administrator of FEMA considers appropriate.</text></clause></subparagraph></paragraph></subsection> 
<subsection id="H27694CCA1DEB416A8794B01E6878574F"><enum>(f)</enum><header>Performance evaluation</header> 
<paragraph id="H762F9FB4C0684EF095AEEDA2309BCDA0"><enum>(1)</enum><header>In general</header><text>The Administrator of FEMA shall establish a performance assessment system, including quantifiable performance metrics, to evaluate the extent to which grants awarded under this section are furthering the purposes of this section.</text></paragraph> <paragraph id="H996683517CDF4B9285B5472C42855244" commented="no"><enum>(2)</enum><header>Submittal of information</header><text display-inline="yes-display-inline">The Administrator of FEMA may require a grant recipient to submit to the Administrator of FEMA any information the Administrator of FEMA considers reasonably necessary to evaluate the implementation of programs to improve home safety and prevent falls for older adults.</text></paragraph></subsection> 
<subsection id="H91FB6A8DA9C14E069F5215A7611EC645" commented="no"><enum>(g)</enum><header>Report</header><text>Not later than two years after the date of the enactment of this Act, the Administrator of FEMA shall submit to Congress a report on the experience with, and effectiveness of, grants awarded under this section in meeting the objectives of this section. Such report may include any recommendations the Administrator of FEMA may have for amendments to this section and related provisions of law.</text></subsection> <subsection id="HCB1358F1D8CA4384ADD9A217E2E3DB3D"><enum>(h)</enum><header>Revocation or suspension of funding</header><text>If the Administrator of FEMA determines that a grant recipient under this section is not in substantial compliance with the terms and requirements of an approved grant application submitted under this section, the Administrator of FEMA may revoke or suspend funding of such grant, in whole or in part.</text></subsection> 
<subsection id="H248023A144644DBAB1A6910990F2D7F4"><enum>(i)</enum><header>Access to documents</header> 
<paragraph id="HB5EE9E7E90CB4FA09A16F75DFEF7F573" display-inline="no-display-inline"><enum>(1)</enum><header>In general</header><text>The Administrator of FEMA shall have access for the purpose of audit and examination to any pertinent books, documents, papers, or records of a grant recipient under this section and to the pertinent books, documents, papers, or records of State and local governments, persons, businesses, and other entities that are involved in programs, projects, or activities for which assistance is provided under this section.</text></paragraph> <paragraph id="HEDF5A7F4DD374650B04FC5DF496BE544"><enum>(2)</enum><header>Application</header><text>Paragraph (1) shall apply with respect to audits and examinations conducted by the Comptroller General of the United States or by an authorized representative of the Comptroller General.</text></paragraph></subsection> 
<subsection id="HD94A705A5F5A4A3EA6B872E8CB39251E"><enum>(j)</enum><header>Definitions</header><text>In this section:</text> <paragraph id="H0C716CE8B9BD453A9DDD365AA3DEC133"><enum>(1)</enum><header>Administrator of FEMA; career fire department; combination fire department; volunteer fire department</header><text>The terms <term>Administrator of FEMA</term>, <term>career fire department</term>, <term>combination fire department</term>, and <term>volunteer fire department</term> have the meanings given such terms in section 33(a) of the Federal Fire Prevention and Control Act of 1974 (<external-xref legal-doc="usc" parsable-cite="usc/15/2229">15 U.S.C. 2229(a)</external-xref>).</text></paragraph> 
<paragraph id="H206C0E296A784A52B62922B0D9966DB3"><enum>(2)</enum><header>Community paramedicine</header><text>The term <term>community paramedicine</term> means the operation of first responders, including firefighters, emergency medical technicians (EMTs), and paramedics, in roles that serve to proactively make communities, homes, and residents safer and prevent future medical emergencies.</text></paragraph> <paragraph id="H1474733271E34F83A0F2E46F24B7CE4A"><enum>(3)</enum><header>Fall prevention</header><text>The term <term>fall prevention</term> means the use of evidence-based measures that decrease fall risks in older adults.</text></paragraph> 
<paragraph id="HC5ED4BEE104243D2ACB242F117775F66"><enum>(4)</enum><header>Fire service; local</header><text display-inline="yes-display-inline">The terms <term>fire service</term> and <term>local</term> have the meanings given such terms in section 4 of the Federal Fire Prevention and Control Act of 1974 (<external-xref legal-doc="usc" parsable-cite="usc/15/2203">15 U.S.C. 2203</external-xref>).</text></paragraph> <paragraph id="HD5EF641F73DF4F5081290E359A434D06"><enum>(5)</enum><header>Firefighter</header><text>The term <term>firefighter</term> has the meaning given the term <term>employee in fire protection activities</term> in section 3(y) of the Fair Labor Standards Act of 1938 (<external-xref legal-doc="usc" parsable-cite="usc/29/203">29 U.S.C. 203(y)</external-xref>).</text></paragraph> 
<paragraph id="H13358E83D2304FB3BC339FB72D5B159B"><enum>(6)</enum><header>State</header><text>The term <term>State</term> has the meaning given such term in section 2 of the Homeland Security Act of 2002 (<external-xref legal-doc="usc" parsable-cite="usc/6/101">6 U.S.C. 101</external-xref>).</text></paragraph></subsection> <subsection id="H064031C7ACDA4976932A828CD6E21AEB"><enum>(k)</enum><header>Authorization of appropriations</header> <paragraph id="H800BC3EAE7544BA5807FB07AC135E171"><enum>(1)</enum><header>In general</header><text>There are authorized to be appropriated for the purposes of carrying out this section, the following:</text> 
<subparagraph id="H901EAA1F68DC40F08D2344EA85ACC98E" commented="no"><enum>(A)</enum><text>$1,000,000 for each of fiscal years 2026, 2027, and 2028.</text></subparagraph> <subparagraph id="H73DD2BD563DF47D8AA285768E37B9730" commented="no"><enum>(B)</enum><text>$2,000,000 for each of fiscal years 2029, 2030, and 2031.</text></subparagraph> 
<subparagraph id="H9E325E8A5C8B4FD98BCE8CB741A2851C" commented="no"><enum>(C)</enum><text>$4,000,000 for each of fiscal years 2032, 2033, and 2034.</text></subparagraph> <subparagraph id="H7184811B751F4552A8187E2D5E76252D"><enum>(D)</enum><text>$7,000,000 for fiscal year 2035.</text></subparagraph></paragraph> 
<paragraph id="HE631E3D4DEE34D7D9E2ADDB08083F350"><enum>(2)</enum><header>Administrative expenses</header><text>Of the amounts authorized to be appropriated pursuant to paragraph (1) for a fiscal year, the Administrator of FEMA may use not more than five percent of such amounts to cover salaries and expenses and other administrative costs incurred by the Administrator of FEMA to make grants and provide assistance under this section.</text></paragraph></subsection> <subsection id="HE8B51157F5FA415580462C05D21FF1DE"><enum>(l)</enum><header>Sunset of authorities</header><text>This section expires on September 30, 2036.</text></subsection></section> 
</legis-body></bill>

