NJ EMS Redesign: Just the Facts, Ma'am

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Explains the changes to existing NJ law proposed in legislation pending in the NJ Senate and Assembly

Explains the changes to existing NJ law proposed in legislation pending in the NJ Senate and Assembly

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  • 1. NJ EMS Redesign Bills S818 and A2095
  • 2. What’s New?
    • New definitions for
      • Agency
      • Air Medical Unit
      • Basic Life Support
      • Clinician
      • EMCAB
      • Emergency Medical Responder
      • EMS Personnel
      • Emergency Medical Technician
      • EMS Training Fund
      • EMSC: Coordinator, Advisory Council, Program
      • Health Care Facility
      • Inter-facility Care
      • 9-1-1 Call
      • Paramedic
      • Regional Trauma Center
  • 3. 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
  • 4. 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
    • Board of Medical Examiners or Consumer Affairs?
  • 5. What’s New?
    • ALS Medical Command
      • Standing Orders permitted
    • New regs for MICU program licensure
      • Revocation for programs not in compliance
  • 6. What’s New?
    • Criminal Records
      • Regs within 4 years
    • Only a licensed agency may operate an ambulance service (pre-hospital or interfacility)
  • 7. 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.
  • 8. 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…”
  • 9. What’s New?
    • State EMS Medical Director
    • EMCAB
  • 10. What’s New?
    • Data Collection
    • Municipalities required to ensure BLS
      • State ensures ALS
      • Minimum standards to be established
        • Education, response times, EMS agencies
        • Dispatch agencies
    • Commissioner’s Annual Report
  • 11. Medevac: Side by Side Comparison
    • Current Law
    • “ NJ Emergency Medical Service Helicopter Response Program”
    • Div of Local and Community Health Services
    • Regional trauma or critical care center
    • Proposed Law
    • “ NJ Air Medical Response Program”
    • Commissioner/OEMS
    • Trauma center
    • State police submit operating costs to DHSS for funding
  • 12. Medevac Fund: Side by Side Comparison
    • Current Law
    • “ NJ Emergency Medical Service Helicopter Response Program Fund”
    • After helicopter expenses paid, money used for capital replacement (“ reappropriated ”)
    • Proposed Law
    • “ NJ Emergency Medical Services System Support Fund”
    • BLS services, ALS services, NJ Air Medical Response Program, NJ PIES, EMSC, EMS health information technology initiatives, recruitment and retention of EMS providers, EMS training and education, other activities or initiatives in support of the EMS system, and department administrative costs in connection with the EMS system (not to exceed 8%).
  • 13. 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
  • 14. The Training Fund: Side by Side Comparison
    • Current Law
    • "Emergency Medical Technician Training Fund“
    • 5% for administration
    • Money at discretion of Commissioner
    • Proposed Law
    • "Emergency Medical Services Training Fund“
    • 8% for administration
    • Money for:
      • Basic EMT training
      • EMT and medic CEUs
      • Paramedic school loans
      • Recruitment and retention
  • 15. The Training Fund: Side by Side Comparison
    • Current Law
    • Add fifty cents to every fine for a motor vehicle violation for the EMT Training Fund
    • Proposed Law
    • Add five dollars to every fine for a motor vehicle violation for the EMS Training Fund
  • 16. 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
  • 17. What’s New?
    • EMS Task Force
      • Legislature charges commissioner to establish the EMS Task Force (that we already have)
  • 18. 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
  • 19. 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
  • 20. 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 2 EMTs
    • Need a license to respond to 9-1-1 call
  • 21. What’s Missing?
    • New telecommunications standards
    • EMCAB specifics
  • 22. This Presentation Endorsed by: New Jersey Emergency Medical Services Educator's Association
  • 23. For More Information @keavneylaw www.linkedin.com/in/margaretkeavney www.facebook.com/margaret.a.keavney Margaret A. Keavney [email_address] 732-610-7100 www.njemslaw.com