Amended IN Senate June 14, 2023 Amended IN Assembly March 23, 2023 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 379Introduced by Assembly Member RodriguezFebruary 02, 2023 An act to amend Sections 1797.225, 1797.250, and 1797.254 of the Health and Safety Code, relating to emergency medical services. LEGISLATIVE COUNSEL'S DIGESTAB 379, as amended, Rodriguez. Emergency medical services.Existing law, the Emergency Medical Services System and the Prehospital Emergency Medical Care Personnel Act, governs local emergency medical services (EMS) systems. The existing act establishes the Emergency Medical Services Authority (authority), which is responsible for the coordination and integration of all emergency medical services. Existing law authorizes each county to develop an emergency medical services program and requires a county that does so to designate a local EMS agency (LEMSA).Existing law authorizes a LEMSA to adopt policies and procedures for calculating and reporting ambulance patient offload times. Existing law authorizes a LEMSA to develop and submit an emergency medical services system plan to the authority and requires the LEMSA to annually submit its emergency medical services plan for the EMS area to the authority. authority, according to EMS Systems, Standards, and Guidelines established by the authority.This bill would make these authorizations mandatory. The bill would require an LEMSA to include its annual budget and any exemptions from meeting 911 response times in the previous calendar year with its annual emergency medical services plan submission. The bill would also require LEMSAs and the authority to make the plans accessible on the LEMSAs and the authoritys internet websites within 30 days of approval by the authority. The bill would require the EMS Systems, Standards, and Guidelines to include a standardized list of exemptions from meeting 911 response times and would require a LEMSAs 911-response-time exemption to conform to the standardized list once the authority has established the list.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 1797.225 of the Health and Safety Code is amended to read:1797.225. (a) A local EMS agency shall adopt policies and procedures for calculating and reporting ambulance patient offload time, as defined in subdivision (b) of Section 1797.120.(b) A local EMS agency that adopts policies and procedures for calculating and reporting ambulance patient offload time pursuant to subdivision (a) shall do all of the following:(1) Use the statewide standard methodology for calculating and reporting ambulance patient offload time developed by the authority pursuant to Section 1797.120.(2) Establish criteria for the reporting of, and quality assurance followup for, a nonstandard patient offload time, as defined in subdivision (c).(3) Establish a process for hospitals and ambulance providers to review and validate the reported data, including arrival, transfer of care, and ambulance back-in-service times, and to dispute the reported data as well as a process to correct this data within 30 days.(c) (1) For the purposes of this section, a nonstandard patient offload time means that the ambulance patient offload time for a patient exceeds a period of time designated in the criteria established by the local EMS agency pursuant to paragraph (2) of subdivision (b).(2) Nonstandard patient offload time does not include instances when the ambulance patient offload time exceeds the period set by the local EMS agency due to acts of God, natural disasters, or manmade disasters.SEC. 2. Section 1797.250 of the Health and Safety Code is amended to read:1797.250. (a) In each designated EMS area, the local EMS agency shall develop and submit a plan to the authority for an emergency medical services system according to the guidelines prescribed pursuant to Section 1797.103.(b) (1) Each local EMS agency shall make the plan accessible on the agencys internet website within 30 days of approval by the authority.(2) The authority shall make each local EMS agency plan submitted to them accessible on the authoritys internet website within 30 days of approval by the authority.(3) The Emergency Medical Services Authority shall approve or request changes to the proposed plans within 90 days of receipt.SEC. 3. Section 1797.254 of the Health and Safety Code is amended to read:1797.254. (a) Local EMS agencies shall annually submit an emergency medical services plan plan, that includes the local EMS agencys annual budget and any exemptions from meeting 911 response times in the previous calendar year, for the EMS area to the authority, according to EMS Systems, Standards, and Guidelines established by the authority.(b) (1) Each local EMS agency shall make the plan accessible on the agencys internet website within 30 days of approval by the authority.(2) The authority shall make each local EMS agency plan submitted to them accessible on the authoritys internet website within 30 days of approval by the authority.(c) The EMS Systems, Standards, and Guidelines shall include a standardized list of exemptions from meeting 911 response times.(d) The exemptions described in subdivision (a) shall conform to the standardized list described in subdivision (c) once the authority has established a standardized list.
Amended IN Senate June 14, 2023 Amended IN Assembly March 23, 2023 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 379Introduced by Assembly Member RodriguezFebruary 02, 2023 An act to amend Sections 1797.225, 1797.250, and 1797.254 of the Health and Safety Code, relating to emergency medical services. LEGISLATIVE COUNSEL'S DIGESTAB 379, as amended, Rodriguez. Emergency medical services.Existing law, the Emergency Medical Services System and the Prehospital Emergency Medical Care Personnel Act, governs local emergency medical services (EMS) systems. The existing act establishes the Emergency Medical Services Authority (authority), which is responsible for the coordination and integration of all emergency medical services. Existing law authorizes each county to develop an emergency medical services program and requires a county that does so to designate a local EMS agency (LEMSA).Existing law authorizes a LEMSA to adopt policies and procedures for calculating and reporting ambulance patient offload times. Existing law authorizes a LEMSA to develop and submit an emergency medical services system plan to the authority and requires the LEMSA to annually submit its emergency medical services plan for the EMS area to the authority. authority, according to EMS Systems, Standards, and Guidelines established by the authority.This bill would make these authorizations mandatory. The bill would require an LEMSA to include its annual budget and any exemptions from meeting 911 response times in the previous calendar year with its annual emergency medical services plan submission. The bill would also require LEMSAs and the authority to make the plans accessible on the LEMSAs and the authoritys internet websites within 30 days of approval by the authority. The bill would require the EMS Systems, Standards, and Guidelines to include a standardized list of exemptions from meeting 911 response times and would require a LEMSAs 911-response-time exemption to conform to the standardized list once the authority has established the list.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
Amended IN Senate June 14, 2023 Amended IN Assembly March 23, 2023
Amended IN Senate June 14, 2023
Amended IN Assembly March 23, 2023
CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION
Assembly Bill
No. 379
Introduced by Assembly Member RodriguezFebruary 02, 2023
Introduced by Assembly Member Rodriguez
February 02, 2023
An act to amend Sections 1797.225, 1797.250, and 1797.254 of the Health and Safety Code, relating to emergency medical services.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
AB 379, as amended, Rodriguez. Emergency medical services.
Existing law, the Emergency Medical Services System and the Prehospital Emergency Medical Care Personnel Act, governs local emergency medical services (EMS) systems. The existing act establishes the Emergency Medical Services Authority (authority), which is responsible for the coordination and integration of all emergency medical services. Existing law authorizes each county to develop an emergency medical services program and requires a county that does so to designate a local EMS agency (LEMSA).Existing law authorizes a LEMSA to adopt policies and procedures for calculating and reporting ambulance patient offload times. Existing law authorizes a LEMSA to develop and submit an emergency medical services system plan to the authority and requires the LEMSA to annually submit its emergency medical services plan for the EMS area to the authority. authority, according to EMS Systems, Standards, and Guidelines established by the authority.This bill would make these authorizations mandatory. The bill would require an LEMSA to include its annual budget and any exemptions from meeting 911 response times in the previous calendar year with its annual emergency medical services plan submission. The bill would also require LEMSAs and the authority to make the plans accessible on the LEMSAs and the authoritys internet websites within 30 days of approval by the authority. The bill would require the EMS Systems, Standards, and Guidelines to include a standardized list of exemptions from meeting 911 response times and would require a LEMSAs 911-response-time exemption to conform to the standardized list once the authority has established the list.
Existing law, the Emergency Medical Services System and the Prehospital Emergency Medical Care Personnel Act, governs local emergency medical services (EMS) systems. The existing act establishes the Emergency Medical Services Authority (authority), which is responsible for the coordination and integration of all emergency medical services. Existing law authorizes each county to develop an emergency medical services program and requires a county that does so to designate a local EMS agency (LEMSA).
Existing law authorizes a LEMSA to adopt policies and procedures for calculating and reporting ambulance patient offload times. Existing law authorizes a LEMSA to develop and submit an emergency medical services system plan to the authority and requires the LEMSA to annually submit its emergency medical services plan for the EMS area to the authority. authority, according to EMS Systems, Standards, and Guidelines established by the authority.
This bill would make these authorizations mandatory. The bill would require an LEMSA to include its annual budget and any exemptions from meeting 911 response times in the previous calendar year with its annual emergency medical services plan submission. The bill would also require LEMSAs and the authority to make the plans accessible on the LEMSAs and the authoritys internet websites within 30 days of approval by the authority. The bill would require the EMS Systems, Standards, and Guidelines to include a standardized list of exemptions from meeting 911 response times and would require a LEMSAs 911-response-time exemption to conform to the standardized list once the authority has established the list.
## Digest Key
## Bill Text
The people of the State of California do enact as follows:SECTION 1. Section 1797.225 of the Health and Safety Code is amended to read:1797.225. (a) A local EMS agency shall adopt policies and procedures for calculating and reporting ambulance patient offload time, as defined in subdivision (b) of Section 1797.120.(b) A local EMS agency that adopts policies and procedures for calculating and reporting ambulance patient offload time pursuant to subdivision (a) shall do all of the following:(1) Use the statewide standard methodology for calculating and reporting ambulance patient offload time developed by the authority pursuant to Section 1797.120.(2) Establish criteria for the reporting of, and quality assurance followup for, a nonstandard patient offload time, as defined in subdivision (c).(3) Establish a process for hospitals and ambulance providers to review and validate the reported data, including arrival, transfer of care, and ambulance back-in-service times, and to dispute the reported data as well as a process to correct this data within 30 days.(c) (1) For the purposes of this section, a nonstandard patient offload time means that the ambulance patient offload time for a patient exceeds a period of time designated in the criteria established by the local EMS agency pursuant to paragraph (2) of subdivision (b).(2) Nonstandard patient offload time does not include instances when the ambulance patient offload time exceeds the period set by the local EMS agency due to acts of God, natural disasters, or manmade disasters.SEC. 2. Section 1797.250 of the Health and Safety Code is amended to read:1797.250. (a) In each designated EMS area, the local EMS agency shall develop and submit a plan to the authority for an emergency medical services system according to the guidelines prescribed pursuant to Section 1797.103.(b) (1) Each local EMS agency shall make the plan accessible on the agencys internet website within 30 days of approval by the authority.(2) The authority shall make each local EMS agency plan submitted to them accessible on the authoritys internet website within 30 days of approval by the authority.(3) The Emergency Medical Services Authority shall approve or request changes to the proposed plans within 90 days of receipt.SEC. 3. Section 1797.254 of the Health and Safety Code is amended to read:1797.254. (a) Local EMS agencies shall annually submit an emergency medical services plan plan, that includes the local EMS agencys annual budget and any exemptions from meeting 911 response times in the previous calendar year, for the EMS area to the authority, according to EMS Systems, Standards, and Guidelines established by the authority.(b) (1) Each local EMS agency shall make the plan accessible on the agencys internet website within 30 days of approval by the authority.(2) The authority shall make each local EMS agency plan submitted to them accessible on the authoritys internet website within 30 days of approval by the authority.(c) The EMS Systems, Standards, and Guidelines shall include a standardized list of exemptions from meeting 911 response times.(d) The exemptions described in subdivision (a) shall conform to the standardized list described in subdivision (c) once the authority has established a standardized list.
The people of the State of California do enact as follows:
## The people of the State of California do enact as follows:
SECTION 1. Section 1797.225 of the Health and Safety Code is amended to read:1797.225. (a) A local EMS agency shall adopt policies and procedures for calculating and reporting ambulance patient offload time, as defined in subdivision (b) of Section 1797.120.(b) A local EMS agency that adopts policies and procedures for calculating and reporting ambulance patient offload time pursuant to subdivision (a) shall do all of the following:(1) Use the statewide standard methodology for calculating and reporting ambulance patient offload time developed by the authority pursuant to Section 1797.120.(2) Establish criteria for the reporting of, and quality assurance followup for, a nonstandard patient offload time, as defined in subdivision (c).(3) Establish a process for hospitals and ambulance providers to review and validate the reported data, including arrival, transfer of care, and ambulance back-in-service times, and to dispute the reported data as well as a process to correct this data within 30 days.(c) (1) For the purposes of this section, a nonstandard patient offload time means that the ambulance patient offload time for a patient exceeds a period of time designated in the criteria established by the local EMS agency pursuant to paragraph (2) of subdivision (b).(2) Nonstandard patient offload time does not include instances when the ambulance patient offload time exceeds the period set by the local EMS agency due to acts of God, natural disasters, or manmade disasters.
SECTION 1. Section 1797.225 of the Health and Safety Code is amended to read:
### SECTION 1.
1797.225. (a) A local EMS agency shall adopt policies and procedures for calculating and reporting ambulance patient offload time, as defined in subdivision (b) of Section 1797.120.(b) A local EMS agency that adopts policies and procedures for calculating and reporting ambulance patient offload time pursuant to subdivision (a) shall do all of the following:(1) Use the statewide standard methodology for calculating and reporting ambulance patient offload time developed by the authority pursuant to Section 1797.120.(2) Establish criteria for the reporting of, and quality assurance followup for, a nonstandard patient offload time, as defined in subdivision (c).(3) Establish a process for hospitals and ambulance providers to review and validate the reported data, including arrival, transfer of care, and ambulance back-in-service times, and to dispute the reported data as well as a process to correct this data within 30 days.(c) (1) For the purposes of this section, a nonstandard patient offload time means that the ambulance patient offload time for a patient exceeds a period of time designated in the criteria established by the local EMS agency pursuant to paragraph (2) of subdivision (b).(2) Nonstandard patient offload time does not include instances when the ambulance patient offload time exceeds the period set by the local EMS agency due to acts of God, natural disasters, or manmade disasters.
1797.225. (a) A local EMS agency shall adopt policies and procedures for calculating and reporting ambulance patient offload time, as defined in subdivision (b) of Section 1797.120.(b) A local EMS agency that adopts policies and procedures for calculating and reporting ambulance patient offload time pursuant to subdivision (a) shall do all of the following:(1) Use the statewide standard methodology for calculating and reporting ambulance patient offload time developed by the authority pursuant to Section 1797.120.(2) Establish criteria for the reporting of, and quality assurance followup for, a nonstandard patient offload time, as defined in subdivision (c).(3) Establish a process for hospitals and ambulance providers to review and validate the reported data, including arrival, transfer of care, and ambulance back-in-service times, and to dispute the reported data as well as a process to correct this data within 30 days.(c) (1) For the purposes of this section, a nonstandard patient offload time means that the ambulance patient offload time for a patient exceeds a period of time designated in the criteria established by the local EMS agency pursuant to paragraph (2) of subdivision (b).(2) Nonstandard patient offload time does not include instances when the ambulance patient offload time exceeds the period set by the local EMS agency due to acts of God, natural disasters, or manmade disasters.
1797.225. (a) A local EMS agency shall adopt policies and procedures for calculating and reporting ambulance patient offload time, as defined in subdivision (b) of Section 1797.120.(b) A local EMS agency that adopts policies and procedures for calculating and reporting ambulance patient offload time pursuant to subdivision (a) shall do all of the following:(1) Use the statewide standard methodology for calculating and reporting ambulance patient offload time developed by the authority pursuant to Section 1797.120.(2) Establish criteria for the reporting of, and quality assurance followup for, a nonstandard patient offload time, as defined in subdivision (c).(3) Establish a process for hospitals and ambulance providers to review and validate the reported data, including arrival, transfer of care, and ambulance back-in-service times, and to dispute the reported data as well as a process to correct this data within 30 days.(c) (1) For the purposes of this section, a nonstandard patient offload time means that the ambulance patient offload time for a patient exceeds a period of time designated in the criteria established by the local EMS agency pursuant to paragraph (2) of subdivision (b).(2) Nonstandard patient offload time does not include instances when the ambulance patient offload time exceeds the period set by the local EMS agency due to acts of God, natural disasters, or manmade disasters.
1797.225. (a) A local EMS agency shall adopt policies and procedures for calculating and reporting ambulance patient offload time, as defined in subdivision (b) of Section 1797.120.
(b) A local EMS agency that adopts policies and procedures for calculating and reporting ambulance patient offload time pursuant to subdivision (a) shall do all of the following:
(1) Use the statewide standard methodology for calculating and reporting ambulance patient offload time developed by the authority pursuant to Section 1797.120.
(2) Establish criteria for the reporting of, and quality assurance followup for, a nonstandard patient offload time, as defined in subdivision (c).
(3) Establish a process for hospitals and ambulance providers to review and validate the reported data, including arrival, transfer of care, and ambulance back-in-service times, and to dispute the reported data as well as a process to correct this data within 30 days.
(c) (1) For the purposes of this section, a nonstandard patient offload time means that the ambulance patient offload time for a patient exceeds a period of time designated in the criteria established by the local EMS agency pursuant to paragraph (2) of subdivision (b).
(2) Nonstandard patient offload time does not include instances when the ambulance patient offload time exceeds the period set by the local EMS agency due to acts of God, natural disasters, or manmade disasters.
SEC. 2. Section 1797.250 of the Health and Safety Code is amended to read:1797.250. (a) In each designated EMS area, the local EMS agency shall develop and submit a plan to the authority for an emergency medical services system according to the guidelines prescribed pursuant to Section 1797.103.(b) (1) Each local EMS agency shall make the plan accessible on the agencys internet website within 30 days of approval by the authority.(2) The authority shall make each local EMS agency plan submitted to them accessible on the authoritys internet website within 30 days of approval by the authority.(3) The Emergency Medical Services Authority shall approve or request changes to the proposed plans within 90 days of receipt.
SEC. 2. Section 1797.250 of the Health and Safety Code is amended to read:
### SEC. 2.
1797.250. (a) In each designated EMS area, the local EMS agency shall develop and submit a plan to the authority for an emergency medical services system according to the guidelines prescribed pursuant to Section 1797.103.(b) (1) Each local EMS agency shall make the plan accessible on the agencys internet website within 30 days of approval by the authority.(2) The authority shall make each local EMS agency plan submitted to them accessible on the authoritys internet website within 30 days of approval by the authority.(3) The Emergency Medical Services Authority shall approve or request changes to the proposed plans within 90 days of receipt.
1797.250. (a) In each designated EMS area, the local EMS agency shall develop and submit a plan to the authority for an emergency medical services system according to the guidelines prescribed pursuant to Section 1797.103.(b) (1) Each local EMS agency shall make the plan accessible on the agencys internet website within 30 days of approval by the authority.(2) The authority shall make each local EMS agency plan submitted to them accessible on the authoritys internet website within 30 days of approval by the authority.(3) The Emergency Medical Services Authority shall approve or request changes to the proposed plans within 90 days of receipt.
1797.250. (a) In each designated EMS area, the local EMS agency shall develop and submit a plan to the authority for an emergency medical services system according to the guidelines prescribed pursuant to Section 1797.103.(b) (1) Each local EMS agency shall make the plan accessible on the agencys internet website within 30 days of approval by the authority.(2) The authority shall make each local EMS agency plan submitted to them accessible on the authoritys internet website within 30 days of approval by the authority.(3) The Emergency Medical Services Authority shall approve or request changes to the proposed plans within 90 days of receipt.
1797.250. (a) In each designated EMS area, the local EMS agency shall develop and submit a plan to the authority for an emergency medical services system according to the guidelines prescribed pursuant to Section 1797.103.
(b) (1) Each local EMS agency shall make the plan accessible on the agencys internet website within 30 days of approval by the authority.
(2) The authority shall make each local EMS agency plan submitted to them accessible on the authoritys internet website within 30 days of approval by the authority.
(3) The Emergency Medical Services Authority shall approve or request changes to the proposed plans within 90 days of receipt.
SEC. 3. Section 1797.254 of the Health and Safety Code is amended to read:1797.254. (a) Local EMS agencies shall annually submit an emergency medical services plan plan, that includes the local EMS agencys annual budget and any exemptions from meeting 911 response times in the previous calendar year, for the EMS area to the authority, according to EMS Systems, Standards, and Guidelines established by the authority.(b) (1) Each local EMS agency shall make the plan accessible on the agencys internet website within 30 days of approval by the authority.(2) The authority shall make each local EMS agency plan submitted to them accessible on the authoritys internet website within 30 days of approval by the authority.(c) The EMS Systems, Standards, and Guidelines shall include a standardized list of exemptions from meeting 911 response times.(d) The exemptions described in subdivision (a) shall conform to the standardized list described in subdivision (c) once the authority has established a standardized list.
SEC. 3. Section 1797.254 of the Health and Safety Code is amended to read:
### SEC. 3.
1797.254. (a) Local EMS agencies shall annually submit an emergency medical services plan plan, that includes the local EMS agencys annual budget and any exemptions from meeting 911 response times in the previous calendar year, for the EMS area to the authority, according to EMS Systems, Standards, and Guidelines established by the authority.(b) (1) Each local EMS agency shall make the plan accessible on the agencys internet website within 30 days of approval by the authority.(2) The authority shall make each local EMS agency plan submitted to them accessible on the authoritys internet website within 30 days of approval by the authority.(c) The EMS Systems, Standards, and Guidelines shall include a standardized list of exemptions from meeting 911 response times.(d) The exemptions described in subdivision (a) shall conform to the standardized list described in subdivision (c) once the authority has established a standardized list.
1797.254. (a) Local EMS agencies shall annually submit an emergency medical services plan plan, that includes the local EMS agencys annual budget and any exemptions from meeting 911 response times in the previous calendar year, for the EMS area to the authority, according to EMS Systems, Standards, and Guidelines established by the authority.(b) (1) Each local EMS agency shall make the plan accessible on the agencys internet website within 30 days of approval by the authority.(2) The authority shall make each local EMS agency plan submitted to them accessible on the authoritys internet website within 30 days of approval by the authority.(c) The EMS Systems, Standards, and Guidelines shall include a standardized list of exemptions from meeting 911 response times.(d) The exemptions described in subdivision (a) shall conform to the standardized list described in subdivision (c) once the authority has established a standardized list.
1797.254. (a) Local EMS agencies shall annually submit an emergency medical services plan plan, that includes the local EMS agencys annual budget and any exemptions from meeting 911 response times in the previous calendar year, for the EMS area to the authority, according to EMS Systems, Standards, and Guidelines established by the authority.(b) (1) Each local EMS agency shall make the plan accessible on the agencys internet website within 30 days of approval by the authority.(2) The authority shall make each local EMS agency plan submitted to them accessible on the authoritys internet website within 30 days of approval by the authority.(c) The EMS Systems, Standards, and Guidelines shall include a standardized list of exemptions from meeting 911 response times.(d) The exemptions described in subdivision (a) shall conform to the standardized list described in subdivision (c) once the authority has established a standardized list.
1797.254. (a) Local EMS agencies shall annually submit an emergency medical services plan plan, that includes the local EMS agencys annual budget and any exemptions from meeting 911 response times in the previous calendar year, for the EMS area to the authority, according to EMS Systems, Standards, and Guidelines established by the authority.
(b) (1) Each local EMS agency shall make the plan accessible on the agencys internet website within 30 days of approval by the authority.
(2) The authority shall make each local EMS agency plan submitted to them accessible on the authoritys internet website within 30 days of approval by the authority.
(c) The EMS Systems, Standards, and Guidelines shall include a standardized list of exemptions from meeting 911 response times.
(d) The exemptions described in subdivision (a) shall conform to the standardized list described in subdivision (c) once the authority has established a standardized list.