Connecticut 2023 Regular Session

Connecticut Senate Bill SB01229 Compare Versions

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Version 2 (New)

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7	5		General Assembly Raised Bill No. 1229
8	6		January Session, 2023
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12	10		Referred to Committee on PUBLIC HEALTH
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15	13		Introduced by:
16	14		(PH)
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20	19		AN ACT CONCERNING EMERGENCY MEDICAL SERVICES.
21	20		Be it enacted by the Senate and House of Representatives in General
22	21		Assembly convened:
23	22
24	23		Section 1. Subdivision (8) of section 19a-177 of the general statutes is 1
25	24		repealed and the following is substituted in lieu thereof (Effective October 2
26	25		1, 2023): 3
27	26		(8) (A) Develop an emergency medical services data collection 4
28	27		system. Each emergency medical service organization licensed or 5
29	28		certified pursuant to this chapter shall submit data to the commissioner, 6
30	29		on a quarterly basis, from each licensed ambulance service, certified 7
31	30		ambulance service or paramedic intercept service that provides 8
32	31		emergency medical services. Such submitted data shall include, but not 9
33	32		be limited to: (i) The total number of and reasons for calls for emergency 10
34	33		medical services received by such licensed ambulance service, certified 11
35	34		ambulance service or paramedic intercept service through the 9-1-1 12
36	35		system during the reporting period; (ii) each level of emergency medical 13
37	36		services, as defined in regulations adopted pursuant to section 19a-179, 14
38	37		required for each such call; (iii) the response time for each licensed 15
39		-	ambulance service, certified ambulance service or paramedic intercept 16 Bill No. 1229
	38	+	ambulance service, certified ambulance service or paramedic intercept 16 Raised Bill No. 1229
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46	44		service during the reporting period; (iv) the number of passed calls, 17
47	45		cancelled calls and mutual aid calls, both made and received, during the 18
48	46		reporting period; and (v) for the reporting period, the prehospital data 19
49	47		for the nonscheduled transport of patients required by regulations 20
50	48		adopted pursuant to subdivision (6) of this section. The data required 21
51	49		under this subdivision may be submitted in any electronic form selected 22
52	50		by such licensed ambulance service, certified ambulance service or 23
53	51		paramedic intercept service and approved by the commissioner, 24
54	52		provided the commissioner shall take into consideration the needs of 25
55	53		such licensed ambulance service, certified ambulance service or 26
56	54		paramedic intercept service in approving such electronic form. The 27
57	55		commissioner may conduct an audit of any such licensed ambulance 28
58	56		service, certified ambulance service or paramedic intercept service as 29
59	57		the commissioner deems necessary in order to verify the accuracy of 30
60	58		such reported data. 31
61	59		(B) On or before June 1, 2023, and annually thereafter, the 32
62	60		commissioner shall prepare a report to the Emergency Medical Services 33
63	61		Advisory Board, established pursuant to section 19a-178a, as amended 34
64	62		by this act, that shall include, but not be limited to, the following data: 35
65	63		(i) The total number of calls for emergency medical services received 36
66	64		during the reporting year by each licensed ambulance service, certified 37
67	65		ambulance service or paramedic intercept service; (ii) the level of 38
68	66		emergency medical services required for each such call; (iii) the name of 39
69	67		the emergency medical service organization that provided each such 40
70	68		level of emergency medical services furnished during the reporting 41
71	69		year; (iv) the response time, by time ranges or fractile response times, 42
72	70		for each licensed ambulance service, certified ambulance service or 43
73	71		paramedic intercept service, using a common definition of response 44
74	72		time, as provided in regulations adopted pursuant to section 19a-179; 45
75	73		and (v) the number of passed calls, cancelled calls and mutual aid calls 46
76	74		during the reporting year. The commissioner shall prepare such report 47
77	75		in a format that categorizes such data for each municipality in which the 48
78	76		emergency medical services were provided, with each such 49
79		-	municipality grouped according to urban, suburban and rural 50 Bill No. 1229
	77	+	municipality grouped according to urban, suburban and rural 50 Raised Bill No. 1229
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86	83		classifications. 51
87	84		(C) If any licensed ambulance service, certified ambulance service or 52
88	85		paramedic intercept service does not submit the data required under 53
89	86		subparagraph (A) of this subdivision for a period of six consecutive 54
90	87		months, or if the commissioner believes that such licensed ambulance 55
91	88		service, certified ambulance service or paramedic intercept service 56
92	89		knowingly or intentionally submitted incomplete or false data, the 57
93	90		commissioner shall issue a written order directing such licensed 58
94	91		ambulance service, certified ambulance service or paramedic intercept 59
95	92		service to comply with the provisions of subparagraph (A) of this 60
96	93		subdivision and submit all missing data or such corrected data as the 61
97	94		commissioner may require. If such licensed ambulance service, certified 62
98	95		ambulance service or paramedic intercept service fails to fully comply 63
99	96		with such order not later than three months from the date such order is 64
100	97		issued, the commissioner (i) shall conduct a hearing, in accordance with 65
101	98		chapter 54, at which such licensed ambulance service, certified 66
102	99		ambulance service or paramedic intercept service shall be required to 67
103	100		show cause why the primary service area assignment of such licensed 68
104	101		ambulance service, certified ambulance service or paramedic intercept 69
105	102		service should not be revoked, and (ii) may take such disciplinary action 70
106	103		under section 19a-17 as the commissioner deems appropriate. 71
107	104		(D) The commissioner shall collect the data required by 72
108	105		subparagraph (A) of this subdivision, in the manner provided in said 73
109	106		subparagraph, from each emergency medical service organization 74
110	107		licensed or certified pursuant to this chapter. Any such emergency 75
111	108		medical service organization that fails to comply with the provisions of 76
112	109		this section shall be liable for a civil penalty not to exceed one hundred 77
113	110		dollars per day for each failure to report the required data regarding 78
114	111		emergency medical services provided to a patient, as determined by the 79
115	112		commissioner. The civil penalties set forth in this subparagraph shall be 80
116	113		assessed only after the department provides a written notice of 81
117	114		deficiency and the organization is afforded the opportunity to respond 82
118		-	to such notice. An organization shall have not more than fifteen business 83 Bill No. 1229
	115	+	to such notice. An organization shall have not more than fifteen business 83
	116	+	days after the date of receiving such notice to provide a written response 84 Raised Bill No. 1229
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125		-	days after the date of receiving such notice to provide a written response 84
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126	122		to the department. The commissioner may adopt regulations, in 85
127	123		accordance with chapter 54, concerning the development, 86
128	124		implementation, monitoring and collection of emergency medical 87
129	125		service system data. All state agencies licensed or certified as emergency 88
130	126		medical service organizations shall be exempt from the civil penalties 89
131	127		set forth in this subparagraph. 90
132	128		(E) The commissioner shall, with the recommendation of the 91
133	129		Connecticut Emergency Medical Services Advisory Board established 92
134	130		pursuant to section 19a-178a, as amended by this act, adopt for use in 93
135	131		trauma data collection the most recent version of the National Trauma 94
136	132		Data Bank's National Trauma Data Standards and Data Dictionary and 95
137	133		nationally recognized guidelines for field triage of injured patients. 96
138	134		(F) On or before June 1, 2024, and annually thereafter, the 97
139	135		commissioner shall submit the report described in subparagraph (B) of 98
140	136		this subdivision, in accordance with the provisions of section 11-4a, to 99
141	137		the joint standing committee of the General Assembly having 100
142	138		cognizance of matters relating to public health; 101
143	139		Sec. 2. Section 19a-178a of the general statutes is repealed and the 102
144	140		following is substituted in lieu thereof (Effective October 1, 2023): 103
145	141		(a) There is established within the Department of Public Health an 104
146	142		Emergency Medical Services Advisory Board. 105
147	143		(b) The advisory board shall consist of members appointed in 106
148	144		accordance with the provisions of this subsection and shall include the 107
149	145		Commissioner of Public Health, the department's emergency medical 108
150	146		services medical director and the president of each of the regional 109
151	147		emergency medical services councils, or their designees. The Governor 110
152	148		shall appoint the following members: (1) One person from the 111
153	149		Connecticut Association of Directors of Health; (2) three persons from 112
154	150		the Connecticut College of Emergency Physicians; (3) one person from 113
155		-	the Connecticut Committee on Trauma of the American College of 114 Bill No. 1229
	151	+	the Connecticut Committee on Trauma of the American College of 114
	152	+	Surgeons; (4) one person from the Connecticut Medical Advisory 115
	153	+	Committee; (5) one person from the Emergency Nurses Association; (6) 116 Raised Bill No. 1229
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162		-	~~Surgeons; (4) one person from the Connecticut Medical Advisory 115~~
163		-	~~Committee; (5) one person from the Emergency Nurses Association; (6) 116~~
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164	159		one person from the Connecticut Association of Emergency Medical 117
165	160		Services Instructors; (7) one person from the Connecticut Hospital 118
166	161		Association; (8) two persons representing commercial ambulance 119
167	162		services; (9) one person from the Connecticut State Firefighters 120
168	163		Association; (10) one person from the Connecticut Fire Chiefs 121
169	164		Association; (11) one person from the Connecticut Police Chiefs 122
170	165		Association; (12) one person from the Connecticut State Police; and (13) 123
171	166		one person from the Connecticut Commission on Fire Prevention and 124
172	167		Control. An additional eighteen members shall be appointed as follows: 125
173	168		(A) Three by the president pro tempore of the Senate; (B) three by the 126
174	169		majority leader of the Senate; (C) four by the minority leader of the 127
175	170		Senate; (D) three by the speaker of the House of Representatives; (E) two 128
176	171		by the majority leader of the House of Representatives; and (F) three by 129
177	172		the minority leader of the House of Representatives. The appointees 130
178	173		shall include a person with experience in municipal ambulance services; 131
179	174		a person with experience in for-profit ambulance services; three persons 132
180	175		with experience in volunteer ambulance services; a paramedic; an 133
181	176		emergency medical technician; an advanced emergency medical 134
182	177		technician; a person from an association in the state representing 135
183	178		paramedics and emergency medical technicians; three consumers and 136
184	179		four persons from state-wide organizations with interests in emergency 137
185	180		medical services as well as any other areas of expertise that may be 138
186	181		deemed necessary for the proper functioning of the advisory board. Any 139
187	182		appointment to the advisory board that is vacant for more than one year 140
188	183		shall be filled by the Commissioner of Public Health. The commissioner 141
189	184		shall notify the appointing authority of the identity of the 142
190	185		commissioner's appointment not later than thirty days before making 143
191	186		such appointment. 144
192	187		(c) The Commissioner of Public Health shall appoint a chairperson 145
193	188		from among the members of the advisory board who shall serve for a 146
194	189		term of one year. The advisory board shall elect a vice-chairperson and 147
195		-	secretary. The advisory board shall have committees made up of such 148 Bill No. 1229
	190	+	secretary. The advisory board shall have committees made up of such 148
	191	+	members as the chairperson shall appoint and such other interested 149
	192	+	persons as the committee members shall elect to membership. The 150 Raised Bill No. 1229
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202		-	~~members as the chairperson shall appoint and such other interested 149~~
203		-	~~persons as the committee members shall elect to membership. The 150~~
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204	198		advisory board may, from time to time, appoint nonmembers to serve 151
205	199		on such ad hoc committees as it deems necessary to assist with its 152
206	200		functions. The advisory board shall develop bylaws. The advisory board 153
207	201		shall establish a Connecticut Emergency Medical Services Medical 154
208	202		Advisory Committee as a standing committee. The standing committee 155
209	203		shall provide the commissioner, the advisory board and other ad hoc 156
210	204		committees with advice and comment regarding the medical aspects of 157
211	205		their projects. The standing committee may submit reports directly to 158
212	206		the commissioner regarding medically-related concerns that have not, 159
213	207		in the standing committee's opinion, been satisfactorily addressed by 160
214	208		the advisory board. 161
215	209		(d) The term for each appointed member of the advisory board shall 162
216	210		be coterminous with the appointing authority. Appointees shall serve 163
217	211		without compensation. 164
218	212		(e) The advisory board, in addition to other power conferred and in 165
219	213		addition to functioning in a general advisory capacity, shall assist in 166
220	214		coordinating the efforts of all persons and agencies in the state 167
221	215		concerned with the emergency medical service system, and shall render 168
222	216		advice on the development of the emergency medical service system 169
223	217		where needed. The advisory board shall make an annual report to the 170
224	218		commissioner. 171
225	219		(f) The advisory board shall be provided a reasonable opportunity to 172
226	220		review and make recommendations on all regulations, medical 173
227	221		guidelines and policies affecting emergency medical services before the 174
228	222		department establishes such regulations, medical guidelines or policies. 175
229	223		The advisory board shall make recommendations to the Governor and 176
230	224		to the General Assembly concerning legislation which, in the advisory 177
231	225		board's judgment, will improve the delivery of emergency medical 178
232	226		services. 179
233		-	(g) The advisory board shall conduct an annual study of emergency 180 Bill No. 1229
	227	+	(g) The advisory board shall conduct an annual study of emergency 180
	228	+	medical services in the state. Such study shall include an analysis of the 181
	229	+	report prepared by the Commissioner of Public Health pursuant to 182 Raised Bill No. 1229
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240		-	~~medical services in the state~~. ~~Such study shall include an analysis~~ of ~~the 181~~
241		-	~~report prepared by the Commissioner of Public Health pursuant to 182~~
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242	235		subparagraph (B) of subdivision (8) of section 19a-177, as amended by 183
243	236		this act, an evaluation of trends and patterns of risk affecting emergency 184
244	237		medical services and identification of areas of the state that are at risk of 185
245	238		receiving delayed emergency medical services. Not later than January 186
246	239		1, 2024, and annually thereafter, the advisory board shall report, in 187
247	240		accordance with the provisions of section 11-4a, to the joint standing 188
248	241		committee of the General Assembly having cognizance of matters 189
249	242		relating to public health regarding such study. 190
250	243		Sec. 3. (Effective from passage) The Emergency Medical Services 191
251	244		Advisory Board, established pursuant to section 19a-178a of the general 192
252	245		statutes, as amended by this act, shall study and make 193
253	246		recommendations to address the shortage of emergency medical 194
254	247		services personnel in the state. Not later than January 1, 2024, the 195
255	248		advisory board shall report, in accordance with the provisions of section 196
256	249		11-4a of the general statutes, to the joint standing committee of the 197
257	250		General Assembly having cognizance of matters relating to public 198
258	251		health regarding such study. 199
259	252		This act shall take effect as follows and shall amend the following
260	253		sections:
261	254
262	255		Section 1 October 1, 2023 19a-177(8)
263	256		Sec. 2 October 1, 2023 19a-178a
264	257		Sec. 3 from passage New section
265	258
266		-	PH Joint Favorable
	259	+	Statement of Purpose:
	260	+	To (1) include the reasons for calls for emergency medical services in the
	261	+	emergency medical services data collection system, (2) require the
	262	+	Commissioner of Public Health to report to the joint standing committee
	263	+	of the General Assembly having cognizance of matters relating to public
	264	+	health regarding data collected by such data collection system, (3)
	265	+	require that the Emergency Medical Services Advisory Board include a
	266	+	member from the Connecticut Association of Paramedics and EMTs,
	267	+	and (4) require such advisory board to (A) study the shortage of
	268	+	emergency medical services personnel, and (B) annually report to the
	269	+	joint standing committee of the General Assembly having cognizance of
	270	+	matters relating to public health concerning emergency medical services
	271	+	in the state. Raised Bill No. 1229
	272	+
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	276	+
	277	+	[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except
	278	+	that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not
	279	+	underlined.]
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