Sets minimum staffing standards for employees performing emergency medical services in the 911 system in a city with a population of over one million people.
NEW YORK STATE ASSEMBLY MEMORANDUM IN SUPPORT OF LEGISLATION submitted in accordance with Assembly Rule III, Sec 1(f)
BILL NUMBER: A9528
SPONSOR: Pheffer Amato TITLE OF BILL:
An act to amend the public health law, in relation to staffing standards
for employees performing emergency medical services in the 911 system in
a city with a population of over one million people
PURPOSE::
This bill would ensure that ambulances responding to calls for emergency
medical services in a city with a population of more than one million
people will be adequately staffed to provide necessary care and to '
ensure the safety and security of the EMTs, Paramedic and their Supervi-
sors who respond to those calls.
SUMMARY OF PROVISIONS::
Section 1 of the bill amends Subsection 1 of Section 3005-a of the
Public Health Law to add a new paragraph (c).The new paragraph specifies
that the minimum staffing standard for EMS units responding to calls for
emergency medical services in the 911 system in a City with a population
of over one million people shall be (i) a team of two certified EMTs; or
(ii) a team of two certified Advanced EMTs
(also referred to as Paramedics); or (iii) a team of one supervisor who
is certified either as an EMT or as an Advanced EMT, paired with one
certified EMT or Advanced EMT.
Section 2 provides that the law shall take effect immediately.
JUSTIFICATION::
Public Health Law Section 3005-a specifies minimum staffing services for
ambulance units that respond to calls for emergency medical services in
the State. The minimum levels specified are the same for communities
with few residents and embryonic emergency medical services as they are
for communities with highly sophisticated emergency medical services
systems and complex demographic issues. The law should be updated to
ensure that the provision of services in those more complex environments
corresponds to the reality of service needs there. The current law spec-
ifies that the minimum staffing level of EMS units is limited to a
single responder. In fact, in more complex environments like New York
City, standard protocol calls for ambulances to be staffed with two
responders. Section 3005-a is just not consonant with the standard
protocols in effect there.
This bill would mandate that EMS units responding to calls for 911 emer-
gency medical services in cities with more than a million persons be
staffed by two qualified responders - two EMTs, two Advanced EMTs
Paramedics), or a supervisor with another who is an EMT of Advanced EMT
(i.e., Paramedics).This is necessary not only for the provision of need-
ed medical services, but also for the safety and security of the respon-
ders.
On October 7, 2022, FDNY Lieutenant Allison Russo, a Supervisor Paramed-
ic, was brutally murdered while she was on duty. Lt. Russo was in
uniform when her attacker fatally stabbed her multiple times in the neck
and chest. She was working alone and was waiting for roadside assistance
to come and repair her FDNY vehicle. While she waited, a civilian told
her there was someone having a medical emergency. She responded to
investigate the report when the murderer walked up to her and ended her
life. While EMTs and Paramedics in New York City's FDNY work with part-
ners, Supervisors generally do not. Yet, they are subject to the same.
incredibly difficult working conditions and the same serious dangers
that EMTs and Paramedics face. This bill would ensure that the current
protocol for staffing levels for 911 EMT and Paramedic ambulances - two
responders in each ambulance - is not eroded; and it would ensure that
Supervisors working in 911 EMS vehicles work in teams just as EMTs and
Paramedics do. For all these reasons, the bill is a just and equitable
measure and should be enacted.
LEGISLATIVE HISTORY::
2025-A.7356 (VETO)
EFFECTIVE DATE::
This act shall take effect immediately.
STATE OF NEW YORK
________________________________________________________________________
9528
IN ASSEMBLY
January 14, 2026
___________
Introduced by M. of A. PHEFFER AMATO -- read once and referred to the
Committee on Health
AN ACT to amend the public health law, in relation to staffing standards
for employees performing emergency medical services in the 911 system
in a city with a population of over one million people
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Subdivision 1 of section 3005-a of the public health law,
2 as amended by chapter 445 of the laws of 1993, is amended to read as
3 follows:
4 1. The following staffing standards shall be in effect unless other-
5 wise provided by this section:
6 (a) effective January first, nineteen hundred ninety-seven the minimum
7 staffing standard for a registered ambulance service shall be a certi-
8 fied first responder with the patient;
9 (b) effective January first, two thousand, the minimum staffing stand-
10 ard for a voluntary ambulance service shall be an emergency medical
11 technician with the patient;
12 (c) (i) the minimum staffing standard for ambulance units responding
13 to calls for emergency medical services in the 911 system in a city with
14 a population of over one million people shall be (1) a team of two
15 certified emergency medical technicians; or (2) a team of two certified
16 advanced emergency medical technicians.
17 (ii) the minimum standard for staffing supervisors' vehicles respond-
18 ing to calls for emergency medical services in the 911 system in a city
19 with a population of over one million people shall be a team of one
20 supervisor who is certified either as an emergency medical technician or
21 as an advanced emergency medical technician, paired with one certified
22 emergency medical technician or advanced emergency medical technician;
23 (d) the minimum staffing standard for all other ambulance services
24 shall be an emergency medical technician with the patient; and
25 [(d)] (e) the minimum staffing standard for an advanced life support
26 first response service shall be an advanced emergency medical technician
27 with the patient. Circumstances permitting other than advanced life
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD11189-04-5
A. 9528 2
1 support care by an advanced life support first response service may be
2 established by rule by the state council, subject to the approval of the
3 commissioner.
4 § 2. This act shall take effect immediately.
