STATE OF NEW YORK ________________________________________________________________________ 6683--A 2023-2024 Regular Sessions IN ASSEMBLY April 28, 2023 ___________ Introduced by M. of A. PAULIN, STIRPE, WALLACE, WOERNER, LUPARDO, McDO- NALD, ZEBROWSKI, LUNSFORD, BRONSON, BUTTENSCHON, FAHY, FALL, LEVEN- BERG, WALSH -- read once and referred to the Committee on Health -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the public health law, in relation to establishing a community-based paramedicine demonstration program; and providing for the repeal of such provisions upon expiration thereof The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. The public health law is amended by adding a new section 2 2805-aa to read as follows: 3 § 2805-aa. Community-based paramedicine demonstration program. 1. The 4 department shall establish a community-based paramedicine demonstration 5 program to evaluate the concept of community paramedicine in different 6 communities in the state. 7 2. This program shall only allow for mobile integrated and community 8 paramedicine programs presently operating and approved by the department 9 as of May eleventh, two thousand twenty-three, under the authority of 10 Executive Order Number 4 of two thousand twenty-one, entitled "Declaring 11 a Statewide Disaster Emergency Due to Healthcare staffing shortages in 12 the State of New York" to continue in the same manner and capacity as 13 currently approved for a period of one year following the effective date 14 of this section. 15 3. Such program shall include but not be limited to: 16 (a) authorizing EMTs and advance EMTs to provide emergent and non-em- 17 ergent services within their scope of practice beyond settings currently 18 authorized. 19 (b) permitting emergency medical service personnel to provide communi- 20 ty paramedicine, use alternative destinations, telemedicine to facili- EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD11015-05-3A. 6683--A 2 1 tate treatment of persons in place, and such other services as may be 2 approved by the commissioner. 3 (c) authorizing certified emergency medical technicians and/or 4 paramedics providing community paramedicine services, with prior 5 approval of the department, to administer vaccinations against influenza 6 and COVID-19 pursuant to non-patient specific orders and under the 7 medical direction of a licensed physician. 8 4. Upon the effective date of this section, the department shall 9 convene an advisory panel including stakeholders representing patients, 10 health care facilities operating or utilizing community paramedicine 11 programs, EMS providers and unions representing EMS, nursing and other 12 healthcare professional titles affected by the demonstration program 13 flexibilities to help formulate regulations and guidance that will: 14 (a) evaluate patient safety and standards of care for community param- 15 edicine programs participating in the demonstration program; 16 (b) establish criteria setting forth permitted tasks that can be 17 performed by each category of EMS personnel; 18 (c) establish minimum training and competencies required for EMS 19 personnel to provide patient care services; and 20 (d) work with the department to issue such regulations and guidelines 21 within ninety days following the assembly of the advisory panel. 22 5. The department shall evaluate and report on the demonstration 23 program ninety days after the completion of the demonstration program. 24 § 2. This act shall take effect immediately and shall expire and be 25 deemed repealed 1 year after such date; provided, however, that if this 26 act shall have become a law on or after May 22, 2023 this act shall take 27 effect immediately and shall be deemed to have been in full force and 28 effect on and after May 22, 2023.