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A06683 Summary:

BILL NOA06683B
 
SAME ASSAME AS S06749-B
 
SPONSORPaulin
 
COSPNSRStirpe, Wallace, Woerner, Lupardo, McDonald, Zebrowski, Lunsford, Bronson, Buttenschon, Fahy, Fall, Levenberg, Walsh, Meeks, Gunther, McMahon, Kelles
 
MLTSPNSR
 
Add 3018, Pub Health L
 
Establishes a community-based paramedicine demonstration program to operate with the flexibility authorized under Executive Order Number 4 of 2021, and in the same manner and capacity as currently approved for a period of two year.
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A06683 Actions:

BILL NOA06683B
 
04/28/2023referred to health
05/12/2023amend and recommit to health
05/12/2023print number 6683a
05/23/2023reported referred to ways and means
05/30/2023reported referred to rules
06/05/2023amend and recommit to rules 6683b
06/07/2023reported
06/07/2023rules report cal.649
06/07/2023ordered to third reading rules cal.649
06/09/2023substituted by s6749b
 S06749 AMEND=B RIVERA
 05/08/2023REFERRED TO HEALTH
 05/10/2023AMEND AND RECOMMIT TO HEALTH
 05/10/2023PRINT NUMBER 6749A
 05/17/20231ST REPORT CAL.1056
 05/18/20232ND REPORT CAL.
 05/22/2023ADVANCED TO THIRD READING
 06/05/2023AMENDED ON THIRD READING 6749B
 06/09/2023PASSED SENATE
 06/09/2023DELIVERED TO ASSEMBLY
 06/09/2023referred to ways and means
 06/09/2023substituted for a6683b
 06/09/2023ordered to third reading rules cal.649
 06/09/2023passed assembly
 06/09/2023returned to senate
 06/22/2023DELIVERED TO GOVERNOR
 06/22/2023SIGNED CHAP.137
 05/08/2023REFERRED TO HEALTH
 05/10/2023AMEND AND RECOMMIT TO HEALTH
 05/10/2023PRINT NUMBER 6749A
 05/17/20231ST REPORT CAL.1056
 05/18/20232ND REPORT CAL.
 05/22/2023ADVANCED TO THIRD READING
 06/05/2023AMENDED ON THIRD READING 6749B
 06/09/2023PASSED SENATE
 06/09/2023DELIVERED TO ASSEMBLY
 06/09/2023referred to ways and means
 06/09/2023substituted for a6683b
 06/09/2023ordered to third reading rules cal.649
 06/09/2023passed assembly
 06/09/2023returned to senate
 06/22/2023DELIVERED TO GOVERNOR
 06/22/2023SIGNED CHAP.137
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A06683 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A6683B
 
SPONSOR: Paulin
  TITLE OF BILL: 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   PURPOSE OR GENERAL IDEA OF BILL: To allow the current community-based paramedicine programs to continue for an additional two years; require an expert advisory panel and evalu- ation by the Department of Health   SUMMARY OF PROVISIONS: Section 1 amends Public Health Law to establish a community paramedicine demonstration program. This program will allow the current programs operating under the authority of Executive order 4 of 2021 to continue and provide the same flexibilities allowed under such order. Nothing in this section shall be deemed to allow a person to provide any service for which a license, registration, certification or other authorization under title 8 of the education law is required and which the person does not possess, provided that any services being excluded shall not include a service that is within the scope of practice for the respective EMS personnel. Additionally, the bill provides for an expert advisory panel as well as an evaluation of the demonstration program. Section 2 provides the effective date.   JUSTIFICATION: Many communities around New York have established community paramedicine programs that allow for EMT's and advanced EMT's to better serve the public. These programs have grown organically and are very specific to the needs of the specific service area. Under Executive order 4. of 2021 and its subsequent extensions issued by Governor Hochul, there is specific flexibilities allowed to help facilitate these programs. If and when the Executive order authority expires the programs will lose their ability to operate in many instances. This legislation allows for the continuation of the existing programs.   PRIOR LEGISLATIVE HISTORY: None   EFFECTIVE DATE: This act shall take effect immediately and shall expire and be deemed repealed 2 years after such date
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A06683 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         6683--B
 
                               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, MEEKS, GUNTHER, McMAHON -- read once and referred to the
          Committee on Health -- committee  discharged,  bill  amended,  ordered
          reprinted as amended and recommitted to said committee -- reported and
          referred  to  the Committee on Ways and Means -- reported and referred
          to the Committee on Rules -- Rules Committee discharged, bill amended,
          ordered reprinted as amended and recommitted to the Committee on Rules
 
        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  3018 to read as follows:
     3    § 3018. Community-based paramedicine  demonstration  program.  1.  The
     4  department   shall  establish  a  community  paramedicine  demonstration
     5  program to evaluate the role of emergency medical services personnel  in
     6  the  delivery  of  health care services in the community in non-emergent
     7  settings.
     8    2. For purposes of this section, "emergency medical  services  person-
     9  nel" shall mean an emergency medical technician, or an advanced emergen-
    10  cy medical technician as defined in this article.
    11    3. This program shall authorize mobile integrated and community param-
    12  edicine  programs  presently operating and approved by the department as
    13  of May eleventh, two thousand twenty-three, under the authority of Exec-
    14  utive Order Number 4 of two thousand twenty-one, entitled  "Declaring  a
    15  Statewide Disaster Emergency Due to Healthcare staffing shortages in the
    16  State  of  New  York"  to  continue  in  the same manner and capacity as
    17  currently approved for a period of two  years  following  the  effective
    18  date of this section.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD11015-10-3

        A. 6683--B                          2
 
     1    4. Such program shall include but not be limited to:
     2    (a)  authorizing  emergency  medical  services  personnel  to  provide
     3  services within  their  scope  of  practice  beyond  settings  currently
     4  authorized.
     5    (b)  authorizing emergency medical service personnel to provide commu-
     6  nity paramedicine, use alternative destinations, telemedicine to facili-
     7  tate treatment of persons in place, and such other services  as  may  be
     8  approved by the commissioner.
     9    (c)  authorizing emergency medical services personnel providing commu-
    10  nity paramedicine services, with prior approval of  the  department,  to
    11  administer  vaccinations against influenza and COVID-19 pursuant to non-
    12  patient specific orders and under the medical direction  of  a  licensed
    13  physician.
    14    (d)  nothing  in  this  section  shall  be deemed to allow a person to
    15  provide any service for which a license, registration, certification  or
    16  other  authorization  under title eight of the education law is required
    17  and which the person does not possess, provided that any  service  being
    18  excluded  pursuant to this paragraph shall not include a service that is
    19  within the scope  of  practice  for  the  respective  emergency  medical
    20  services personnel.
    21    5.  Upon  the  effective  date  of  this section, the department shall
    22  convene a stakeholder advisory panel including patient  representatives,
    23  health  care  facilities  operating  or utilizing community paramedicine
    24  programs, emergency medical services providers and  labor  organizations
    25  representing  emergency  medical services personnel, and labor organiza-
    26  tions representing nursing  and  other  healthcare  professional  titles
    27  affected  by  the  demonstration  program  flexibilities  to  advise the
    28  department to make recommendations  on  regulations  and  guidance  that
    29  will:
    30    (a) evaluate patient safety and standards of care for community param-
    31  edicine programs participating in the demonstration program;
    32    (b)  establish  criteria  setting  forth  permitted  tasks that can be
    33  performed by each category of emergency medical services personnel;
    34    (c) establish minimum training and competencies required for emergency
    35  medical services personnel to provide patient care services; and
    36    (d) work with the department to issue such regulations and  guidelines
    37  within ninety days following the assembly of the advisory panel.
    38    6.  The  department shall submit a report on the demonstration program
    39  on an annual basis to the speaker of the assembly, the temporary  presi-
    40  dent of the senate, the chairs of the assembly and senate health commit-
    41  tees, and the governor.
    42    §  2.  This  act shall take effect immediately and shall expire and be
    43  deemed repealed 2 years after such date; provided, however, that if this
    44  act shall have become a law on or after May 22, 2023 this act shall take
    45  effect immediately and shall be deemed to have been in  full  force  and
    46  effect on and after May 22, 2023.
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