; (4) the availability of appropriate training and education programs in the United States sufficient to meet the projected demand for emergency medical technician and paramedic jobs from 2023 through 2032; and (5) the projected shortage of emergency medical technicians and paramedics from 2023 through 2032. (b) Report to congress Not later than one year after the date of the enactment of this Act, the Secretary of Labor, in coordination with the Secretary of Health and Human Services, shall submit to Congress a report on the study conducted under subsection (a) together with such recommendations that the Secretaries determine are appropriate to address the projected shortage of emergency medical technicians and paramedics, including whether Schedule A should be expanded to include these occupations.