Bill Text: NY A03392 | 2023-2024 | General Assembly | Amended
Bill Title: Relates to emergency medical services; establishes a special district for the financing and operation of general ambulance services; provides for a statewide comprehensive emergency medical system plan.
Spectrum: Slight Partisan Bill (Democrat 16-10)
Status: (Introduced) 2024-03-20 - print number 3392c [A03392 Detail]
Download: New_York-2023-A03392-Amended.html
STATE OF NEW YORK ________________________________________________________________________ 3392--C 2023-2024 Regular Sessions IN ASSEMBLY February 2, 2023 ___________ Introduced by M. of A. OTIS, BUTTENSCHON, CLARK, LUPARDO, SANTABARBARA, EACHUS, LEVENBERG, SILLITTI, KELLES, BENDETT, LUNSFORD, MCGOWAN, BURDICK, MAHER, SIMPSON, ANGELINO, NORRIS, SHIMSKY, GUNTHER, FAHY, BARRETT, McDONALD, J. M. GIGLIO, BLUMENCRANZ, FLOOD, DeSTEFANO -- read once and referred to the Committee on Local Governments -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee -- recommitted to the Committee on Local Governments in accordance with Assembly Rule 3, sec. 2 -- again reported from said committee with amendments, ordered reprinted as amended and recommit- ted to said committee -- again reported from said committee with amendments, ordered reprinted as amended and recommitted to said committee AN ACT to amend the general municipal law and the public health law, in relation to emergency medical services The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. The opening paragraph of subdivision 1 of section 122-b of 2 the general municipal law, as amended by chapter 471 of the laws of 3 2011, is amended and a new paragraph (g) is added to read as follows: 4 [Any] General ambulance services are an essential service. Every 5 county, city, town [or] and village, acting individually or jointly or 6 in conjunction with a special district, [may provide] shall ensure that 7 an emergency medical service, a general ambulance service or a combina- 8 tion of such services are provided for the purpose of providing prehos- 9 pital emergency medical treatment or transporting sick or injured 10 persons found within the boundaries of the municipality or the munici- 11 palities acting jointly to a hospital, clinic, sanatorium or other place 12 for treatment of such illness or injury, [and for] provided, however, 13 that the provisions of this subdivision shall not apply to a city with a 14 population of one million or more. In furtherance of that purpose, a 15 county, city, town or village may: EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD05007-13-4A. 3392--C 2 1 (g) Establish a special district for the financing and operation of 2 general ambulance services, including support for agencies currently 3 providing EMS services, as set forth by this section, whereby any coun- 4 ty, city, town or village, acting individually, or jointly with any 5 other county, city, town and/or village, through its governing body or 6 bodies, following applicable procedures as are required for the estab- 7 lishment of fire districts in article eleven of the town law or follow- 8 ing applicable procedures as are required for the establishment of joint 9 fire districts in article eleven-A of the town law, with such special 10 district being authorized by this section to be established in all or 11 any part of any such participating county or counties, town or towns, 12 city or cities and/or village or villages. Notwithstanding any 13 provision of this article, rule or regulation to the contrary, any 14 special district created under this section shall not overlap with a 15 pre-existing city, town or village ambulance district unless such exist- 16 ing district is merged into the newly created district. No city, town 17 or village shall eliminate or dissolve a pre-existing ambulance district 18 without express approval and consent by the county to assume responsi- 19 bility for the emergency medical services previously provided by such 20 district. When a special district is established pursuant to this arti- 21 cle, the cities, towns, or villages contained within the county shall 22 not reduce current ambulance funding without such changes being incorpo- 23 rated into the comprehensive county emergency medical system plan. 24 § 2. Section 3000 of the public health law, as amended by chapter 804 25 of the laws of 1992, is amended to read as follows: 26 § 3000. Declaration of policy and statement of purpose. The furnishing 27 of medical assistance in an emergency is a matter of vital concern 28 affecting the public health, safety and welfare. Emergency medical 29 services and ambulance services are essential services and shall be 30 available to every person in the state of New York in a reliable manner. 31 Prehospital emergency medical care, other emergency medical services, 32 the provision of prompt and effective communication among ambulances and 33 hospitals and safe and effective care and transportation of the sick and 34 injured are essential public health services and shall be available to 35 every person in the state of New York in a reliable manner. 36 It is the purpose of this article to promote the public health, safety 37 and welfare by providing for certification of all advanced life support 38 first response services and ambulance services; the creation of regional 39 emergency medical services councils; and a New York state emergency 40 medical services council to develop minimum training standards for 41 certified first responders, emergency medical technicians and advanced 42 emergency medical technicians and minimum equipment and communication 43 standards for advanced life support first response services and ambu- 44 lance services. 45 § 3. Subdivision 1 of section 3001 of the public health law, as 46 amended by chapter 804 of the laws of 1992, is amended to read as 47 follows: 48 1. "Emergency medical service" means [initial emergency medical49assistance including, but not limited to, the treatment of trauma,50burns, respiratory, circulatory and obstetrical emergencies] a coordi- 51 nated system of healthcare delivery that responds to the needs of sick 52 and injured adults and children, by providing: essential care at the 53 scene of an emergency, non-emergency, specialty need or public event; 54 community education and prevention programs; ground and air ambulance 55 services; centralized access and emergency medical dispatch; training 56 for emergency medical services practitioners; medical first response;A. 3392--C 3 1 mobile trauma care systems; mass casualty management; medical direction; 2 or quality control and system evaluation procedures. 3 § 4. The public health law is amended by adding a new section 3019 to 4 read as follows: 5 § 3019. Statewide comprehensive emergency medical system plan. 1. The 6 state emergency medical services council, in collaboration and with 7 final approval of the department, shall develop and maintain a statewide 8 comprehensive emergency medical system plan that shall provide for a 9 coordinated emergency medical system within the state, which shall 10 include but not be limited to: 11 (a) establishing a comprehensive statewide emergency medical system, 12 consisting of facilities, transportation, workforce, communications, and 13 other components to improve the delivery of emergency medical service 14 and thereby decrease morbidity, hospitalization, disability, and mortal- 15 ity; 16 (b) improving the accessibility of high-quality emergency medical 17 service; 18 (c) coordinating professional medical organizations, hospitals, and 19 other public and private agencies in developing alternative delivery 20 models for persons who are presently using emergency departments for 21 routine, nonurgent and primary medical care to be served appropriately 22 and economically, provided, however, that the provisions of this subdi- 23 vision shall not apply to a city with a population of one million or 24 more; and 25 (d) conducting, promoting, and encouraging programs of education and 26 training designed to upgrade the knowledge and skills of emergency 27 medical service practitioners throughout the state with emphasis on 28 regions underserved by or with limited access to emergency medical 29 services. 30 2. The statewide comprehensive emergency medical system plan shall be 31 reviewed, updated if necessary, and published every five years on the 32 department's website, or at such earlier times as may be necessary to 33 improve the effectiveness and efficiency of the state's emergency 34 medical service system. 35 3. Each regional emergency medical services council shall develop and 36 maintain a comprehensive regional emergency medical system plan or adopt 37 the statewide comprehensive emergency medical service system plan, to 38 provide for a coordinated emergency medical system within the region. 39 Such plans shall incorporate all ambulance services with a current EMS 40 operating certificate for response to calls in their designated operat- 41 ing territory and shall be subject to review by the state emergency 42 medical services council and final approval by the department. Any 43 proposed permanent changes to the regional emergency medical system 44 plan, including the dissolution of an ambulance services district or 45 other significant modification of existing coverage shall be submitted 46 in writing to the department no later than one hundred eighty days 47 before the change shall take effect. Such changes shall not be made 48 until receipt of the appropriate departmental approvals. 49 4. Each county shall develop and maintain a comprehensive county emer- 50 gency medical system plan that shall provide for a coordinated emergency 51 medical system within the county, to provide essential emergency medical 52 services for all residents within the county. The county office of emer- 53 gency medical services shall be responsible for the development, imple- 54 mentation, and maintenance of the comprehensive county emergency medical 55 system plan. Such plans may require review and approval, as determined 56 by the state emergency medical services council, by such council, theA. 3392--C 4 1 regional emergency medical services council and approval by the depart- 2 ment. Such plan shall incorporate all ambulance services with a current 3 EMS operating certificate for response to calls in their designated 4 operating territory and shall outline the primary responding agency for 5 requests for service for each part of the county. Any proposed perma- 6 nent changes to the county emergency medical system plan, including the 7 dissolution of an ambulance services district or other significant 8 modification of existing coverage shall be submitted in writing to the 9 department no later than one hundred eighty days before the change shall 10 take effect. Such changes shall not be made until receipt of the appro- 11 priate approvals. No county shall remove or reassign an area served by 12 an existing medical emergency response agency where such agency is 13 compliant with all statutory and regulatory requirements, and has agreed 14 to the provision of the approved plan. 15 § 5. The public health law is amended by adding a new section 3019-a 16 to read as follows: 17 § 3019-a. Emergency medical systems training program. 1. The state 18 emergency medical services council shall make recommendations to the 19 department for the department to implement standards related to the 20 establishment of training programs for emergency medical systems that 21 include but are not limited to students, emergency medical service prac- 22 titioners, emergency medical services agencies, approved educational 23 institutions, geographic areas, facilities, and personnel, and the 24 commissioner shall fund such training programs in full or in part based 25 on state appropriations. Until such time as the department announces 26 the training program established pursuant to this section is in effect, 27 all current standards, curricula, and requirements for students, emer- 28 gency medical service practitioners, agencies, facilities, and personnel 29 shall remain in effect. 30 2. The state emergency medical services council, with final approval 31 of the department, shall establish minimum education standards, curric- 32 ula, and requirements for all emergency medical system educational 33 institutions. No person or educational institution shall profess to 34 provide emergency medical system training without meeting the require- 35 ments set forth in regulation and only after approval of the department. 36 3. The department is authorized to provide, either directly or through 37 contract, for local or statewide initiatives, emergency medical system 38 training for emergency medical service practitioners and emergency 39 medical system agency personnel, using funding including but not limited 40 to allocations to aid to localities for emergency medical services 41 training. 42 4. Notwithstanding any other provisions of this section, the regional 43 emergency medical services council with jurisdiction over the city of 44 New York shall have authority to establish, subject to the approval of 45 the commissioner, training and educational requirements which shall 46 apply to all emergency medical practitioners working in the 911 system 47 of the city of New York and to determine protocols for the delivery of 48 emergency medical care, including those related to staffing, in the 911 49 system of the city of New York. Such training and educational require- 50 ments and protocols for the delivery of care shall be at least equal or 51 comparable to those applicable to emergency medical service practition- 52 ers in other areas of the state. 53 5. The department may visit and inspect any emergency medical system 54 training program or training center operating under this article to 55 ensure compliance. The department may request the state or regional 56 emergency medical services council's assistance to ensure the compli-A. 3392--C 5 1 ance, maintenance, and coordination of training programs. Emergency 2 medical services institutions that fail to meet applicable standards and 3 regulations may be subject to enforcement action, including but not 4 limited to revocation, suspension, performance improvement plans, or 5 restriction from specific types of education. 6 § 6. Section 3020 of the public health law is amended by adding three 7 new subdivisions 3, 4 and 5 to read as follows: 8 3. The department, with the approval of the state emergency medical 9 services council, may create or adopt additional standards, training and 10 criteria to become an emergency medical service practitioner credent- 11 ialled to provide specialized, advanced, or other services that further 12 support or advance the emergency medical system. The department, with 13 approval of the state emergency medical services council may also set 14 standards and requirements to require specialized credentials to perform 15 certain functions in the emergency medical services system. 16 4. The department, with approval of the state emergency medical 17 services council may also set standards for emergency medical system 18 agencies to become accredited in a specific area to increase system 19 performance and agency recognition. 20 5. Notwithstanding any other provisions of this section, the regional 21 emergency medical services council with jurisdiction over the city of 22 New York shall have authority to establish, subject to the approval of 23 the commissioner, training and educational requirements which shall 24 apply to all emergency medical practitioners working in the 911 system 25 of the city of New York and to determine protocols for the delivery of 26 emergency medical care, including those related to staffing, in the 911 27 system of the city of New York. Such training and educational require- 28 ments and protocols for the delivery of care shall be at least equal or 29 comparable to those applicable to emergency medical service practition- 30 ers in other areas of the state. 31 § 7. This act shall take effect six months after it shall have become 32 a law.
