The New York State Senate

                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  7503

                       2015-2016 Regular Sessions

                          I N  A S S E M B L Y

                              May 13, 2015
                               ___________

Introduced  by  M.  of  A.  GOTTFRIED  --  read once and referred to the
  Committee on Health

AN ACT to amend the public health law, in relation to community paramed-
  icine services provided by emergency medical providers

  THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section  1. Section 3000 of the public health law is amended by adding
a third undesignated paragraph to read as follows:
  THE PURPOSE OF THIS ARTICLE IS ALSO TO IMPROVE THE HEALTH OF  INDIVID-
UALS IN COMMUNITY SETTINGS BY AUTHORIZING EMERGENCY MEDICAL TECHNICIANS,
WORKING UNDER MEDICAL CONTROL, TO PERFORM SERVICES THAT ARE WITHIN THEIR
SCOPE  OF  PRACTICE, EDUCATION AND TRAINING, IN CIRCUMSTANCES OTHER THEN
THE INITIAL EMERGENCY MEDICAL CARE AND TRANSPORTATION OF SICK OR INJURED
PERSONS.
  S 2. Subdivision 15 of section 3001  of  the  public  health  law,  as
amended  by  chapter  445  of  the  laws  of 1993, is amended to read as
follows:
  15. "Medical control" means: (a) advice and direction  provided  by  a
physician  or  under  the  direction  of  a physician to certified first
responders, emergency medical technicians or advanced emergency  medical
technicians  who are providing medical care at the scene of an emergency
or en route to a health care facility, OR IN COMMUNITY PARAMEDICINE; and
(b) indirect medical control including the written policies, procedures,
and protocols for prehospital emergency medical care and transportation,
OR IN COMMUNITY PARAMEDICINE, developed by the state  emergency  medical
advisory  committee,  approved  by  the state emergency medical services
council and the commissioner, and implemented by regional medical  advi-
sory committees.
  S  3. Section 3001 of the public health law is amended by adding a new
subdivision 22 to read as follows:

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD10804-03-5

A. 7503                             2

  22. "COMMUNITY  PARAMEDICINE"  MEANS  THE  PRACTICE  BY  AN  EMERGENCY
MEDICAL  TECHNICIAN,  IN THE COURSE OF HIS OR HER WORK AS AN EMPLOYEE OR
MEMBER OF AN AMBULANCE SERVICE OR ADVANCED LIFE SUPPORT  FIRST  RESPONSE
SERVICE,  IN  A SETTING OTHER THAN A GENERAL HOSPITAL, AND UNDER MEDICAL
CONTROL, OF EVALUATING, PREVENTING, OR IMPROVING THE HEALTH CONDITION OF
AN  INDIVIDUAL,  WITHIN THE SCOPE OF PRACTICE, EDUCATION AND TRAINING OF
THE EMERGENCY  MEDICAL  TECHNICIAN,  IN  CIRCUMSTANCES  OTHER  THAN  THE
INITIAL  EMERGENCY  MEDICAL  CARE  AND TRANSPORTATION OF SICK OR INJURED
PERSONS.
  S 4. The public health law is amended by adding a new  section  3005-c
to read as follows:
  S  3005-C. COMMUNITY PARAMEDICINE. AN EMERGENCY MEDICAL TECHNICIAN MAY
PROVIDE COMMUNITY PARAMEDICINE SERVICES PURSUANT TO REGULATIONS  BY  THE
COMMISSIONER PROVIDING FOR OVERSIGHT OF A COMMUNITY PARAMEDICINE PROGRAM
TO  BE  PROVIDED  BY AN AMBULANCE SERVICE OR ADVANCED LIFE SUPPORT FIRST
RESPONSE SERVICE; GOVERNING COMMUNITY PARAMEDICINE; AND REQUIREMENTS FOR
COMMUNITY PARAMEDICINE PROGRAMS TO  PROVIDE  DATA  AND  REPORTS  TO  THE
COMMISSIONER  CONCERNING  COMMUNITY PARAMEDICINE.  IN MAKING REGULATIONS
UNDER THIS SECTION, THE  COMMISSIONER  SHALL  CONSULT  WITH  APPROPRIATE
STAKEHOLDERS.
  S 5. This act shall take effect immediately.