The "EMS Counts Act" requires the Secretary of Labor to update the Standard Occupational Classification System to ensure a more accurate count of emergency medical services (EMS) practitioners. This legislation addresses a current deficiency where the Bureau of Labor Statistics does not fully account for dual-role firefighter/EMTs and firefighter/paramedics . Within 120 days of enactment, the Secretary must revise the 2018 system to specifically include these dual-role professionals under the "Firefighters" occupational series. This change is deemed critical for government agencies to assess the needs of EMS agencies and practitioners, thereby informing policy decisions related to disaster preparedness and public health emergencies. Additionally, the Secretary must report to Congress on the implementation of these revisions and past efforts to categorize EMTs and paramedics.