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 years.
STATE OF NEW YORK
________________________________________________________________________
6749--B
Cal. No. 1056
2023-2024 Regular Sessions
IN SENATE
May 8, 2023
___________
Introduced by Sens. RIVERA, MAY, WEBB -- read twice and ordered printed,
and when printed to be committed to the Committee on Health -- commit-
tee discharged, bill amended, ordered reprinted as amended and recom-
mitted to said committee -- reported favorably from said committee,
ordered to first and second report, ordered to a third reading,
amended and ordered reprinted, retaining its place in the order of
third reading
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.
19 4. Such program shall include but not be limited to:
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD11015-11-3
S. 6749--B 2
1 (a) authorizing emergency medical services personnel to provide
2 services within their scope of practice beyond settings currently
3 authorized.
4 (b) authorizing emergency medical service personnel to provide commu-
5 nity paramedicine, use alternative destinations, telemedicine to facili-
6 tate treatment of persons in place, and such other services as may be
7 approved by the commissioner.
8 (c) authorizing emergency medical services personnel providing commu-
9 nity paramedicine services, with prior approval of the department, to
10 administer vaccinations against influenza and COVID-19 pursuant to non-
11 patient specific orders and under the medical direction of a licensed
12 physician.
13 (d) nothing in this section shall be deemed to allow a person to
14 provide any service for which a license, registration, certification or
15 other authorization under title eight of the education law is required
16 and which the person does not possess, provided that any service being
17 excluded pursuant to this paragraph shall not include a service that is
18 within the scope of practice for the respective emergency medical
19 services personnel.
20 5. Upon the effective date of this section, the department shall
21 convene a stakeholder advisory panel including patient representatives,
22 health care facilities operating or utilizing community paramedicine
23 programs, emergency medical services providers and labor organizations
24 representing emergency medical services personnel, and labor organiza-
25 tions representing nursing and other healthcare professional titles
26 affected by the demonstration program flexibilities to advise the
27 department to make recommendations on regulations and guidance that
28 will:
29 (a) evaluate patient safety and standards of care for community param-
30 edicine programs participating in the demonstration program;
31 (b) establish criteria setting forth permitted tasks that can be
32 performed by each category of emergency medical services personnel;
33 (c) establish minimum training and competencies required for emergency
34 medical services personnel to provide patient care services; and
35 (d) work with the department to issue such regulations and guidelines
36 within ninety days following the assembly of the advisory panel.
37 6. The department shall submit a report on the demonstration program
38 on an annual basis to the speaker of the assembly, the temporary presi-
39 dent of the senate, the chairs of the assembly and senate health commit-
40 tees, and the governor.
41 § 2. This act shall take effect immediately and shall expire and be
42 deemed repealed 2 years after such date; provided, however, that if this
43 act shall have become a law on or after May 22, 2023 this act shall take
44 effect immediately and shall be deemed to have been in full force and
45 effect on and after May 22, 2023.
