NJ EMS Redesign Legislation in Senate

NJ EMS Redesign Bills

S818 and A2095

UPDATED!

[Second Reprint]

March 31, 2011

Page 2-4 of A2095 Second Reprint

What’s New? New definitions for

Agency Basic Life Support Clinician EMCAB Emergency Medical

Responder EMS Personnel Emergency Medical

Technician

EMSC: Coordinator, Advisory Council, Program

Health Care Facility Inter-facility Care 9-1-1 Call Paramedic Regional Trauma

Center

Pages 2-4

Side by Side Comparison Current Law

ALS limited to “pre-hospital, inter-hospital, and emergency service”

Defines “inter-hospital care”

“MICP” “Prehospital care”

is ALS EMS

Proposed Law ALS defined by level

of care, not place of care

Deletes definition because it was never used in law

“Paramedic” “Prehospital care” is

all levels of care before & during transportation

Page 4-5

What’s New?

Licensure: (Is it Only Semantics?) Instead of certification Medics and EMTs Ambulances and facilities Emergency Medical Responders

Current list on DHSS website

Page 6-7

What’s New?

ALS Medical Command Standing Orders permitted

New regs for MICU program licensure Revocation for programs not in

compliance

Pages 7-10

What’s New?

Criminal Records Regs within 4 years

Only a licensed agency may operate an ambulance service (pre-hospital or interfacility)

Page 10

What’s New?

Expanded prohibition on false advertising to BLS

Expanded impersonation of MICP to EMT and EMR

Expanded immunity provision to BLS clinicians, employees, agencies.

Page 10-11

What’s New?

OEMS is lead state agency for EMS, including 9-1-1 dispatch of EMS “…shall have as its basic purpose to

ensure the continuous and timely Statewide availability and dispatch of basic life support and advanced life support…”

Page 11-13

What’s New?

State EMS Medical Director EMCAB

Page 13

What’s New?

Data Collection Minimum standards to be established

Education, response times, EMS agencies Dispatch agencies

Commissioner’s Annual Report

Pages 17-19

EMS for Children

Added 10 members Commissioner appoints (not Gov.) Added trauma surgeon, GP pediatrician Added injury prevention specialist Took EMT off Added school nurse Added MTANJ appointee Added more gov’t representatives

Page 21

Mutual Aid

Removed the term “volunteer” and expanded the permission to any BLS service In other words, you are still an employee

or volunteer of your own agency when you do a mutual aid call in another town.

Towns can have mutual aid even if they do not have volunteers

Page 21-22

What’s New?

EMS Task Force Legislature charges commissioner to

establish the EMS Task Force (that we already have)

Page 23-24

Highway Traffic Safety Act:Side by Side Comparison

Current Law The Governor shall

adopt training programs, guidelines, and standards for members of nonvolunteer first aid, rescue, and ambulance squads providing emergency medical service programs

Proposed Law Commissioner of Health

and Senior Services shall adopt training programs, guidelines, and standards for members of basic life support service first aid, rescue, and ambulance squads and agencies providing emergency medical service programs or pre-hospital or inter-facility care as defined in NJSA 26:2K-7

Page 24

Highway Traffic Safety Act:Side by Side Comparison

Current Law New Jersey Highway

Traffic Safety Program includes only NJSFAC training program

Proposed Law New Jersey Highway

Traffic Safety Program includes all training for EMRs, EMTs, and medics

Page 25

Highway Traffic Safety Act:Side by Side Comparison

Current Law Squad officers are

responsible for training members and getting annual certification from town

Proposed Law BLS agencies and staff

are subject to licensure by DHSS

Ambulance needs at least one EMT

Need a license to respond to 9-1-1 call

Page 21

This Presentation Endorsed by:

New Jersey Emergency Medical Services Educator's Association

Page 21

For More Information

@keavneylaw www.linkedin.com/in/margaretkeavney

www.facebook.com/margaret.a.keavney

Margaret A. Keavney [email protected]

www.njemslaw.com