At the request of Congress, the U.S. Department of Transportation’s inspector general’s (IG) office has launched an audit into FAA efforts to improve the safety of helicopter emergency medical services (HEMS) operations. The FAA issued a notice of proposed rulemaking in 2009–but never a final rule–to address HEMS safety concerns and the FAA Modernization and Reform Act of 2012 requires that the FAA take specific actions to improve HEMS safety, including promotion of the use of night-vision goggles.