Yes, it's a rip off. Yes, it is a money making scheme set up by the city in order to exercise its own absolutely redundant regulations over the private ambulance industry, and yes it unfairly punishes the EMTs who are paid basically minimum wage.
No, there is nothing you can do about it, expect to pay it like the rest of us. I just had to pay 200 to renew it and my company would not reimburse a cent of it.
You will not have to take a urine drug screen. You will, however, wait in line with 20 smelly taxi cab drivers who are regulated out of the same office who will touch you and bump you and cut in front of you. You will also be fingerprinted and your picture taken.