Printed on recycled paper 132nd MAINE LEGISLATURE FIRST SPECIAL SESSION-2025 Legislative Document No. 1599H.P. 1057House of Representatives, April 10, 2025 An Act to Establish the Maine Emergency Medical Services Commission Reference to the Committee on Criminal Justice and Public Safety suggested and ordered printed. ROBERT B. HUNT Clerk Presented by Representative SALISBURY of Westbrook. Cosponsored by Senator TALBOT ROSS of Cumberland and Representatives: BLIER of Buxton, DUCHARME of Madison, Senator: CURRY of Waldo. Page 1 - 132LR1520(01) 1 2 is enacted to read: 3 Emergency Medical Services Maine Emergency Medical Services Commission Legislative Per Diem and Expenses 32 MRSA §99 4 is enacted to read: 8 9 10 referred to in this section as "the commission," is established pursuant to Title 5, section 11 12004-J, subsection 22 to monitor and evaluate the State's emergency medical services 12 system on a continuing basis and provide recommendations to the appropriate state 13 agencies and to the Legislature regarding necessary changes in the emergency medical 14 services system. 15 The commission consists of 26 members as follows: 16 A. Three members of the Senate, including at least one member of the party holding 17 the largest number of seats in the Legislature and at least one member of the party 18 holding the 2nd largest number of seats in the Legislature, appointed by the President 19 of the Senate; 20 B. Three members of the House of Representatives, including at least one member of 21 the party holding the largest number of seats in the Legislature and at least one member 22 of the party holding the 2nd largest number of seats in the Legislature, appointed by 23 the Speaker of the House of Representatives; 24 C. The Commissioner of Health and Human Services or the commissioner's designee; 25 D. The director or the director's designee; 26 E. The chair of the board or the chair’s designee; 27 F. A representative of the Office of the Governor, designated by the Governor; 28 G. The following 6 members, appointed by the Governor: 29 (1) A representative of a statewide association representing hospitals; 30 (2) A representative of a statewide association representing ambulance services; 31 (3) A representative of a statewide association representing municipalities; 32 (4) A representative of a statewide association representing counties; 33 (5) A representative of a statewide association representing fire chiefs; and 34 (6) A member of the public; 35 H. The following 5 members, appointed by the President of the Senate: 36 (1) A member who is employed or volunteers in the field of emergency medical 37 services and represents a community of 10,000 or more residents; 4 5 6 7 Page 2 - 132LR1520(01) 1 (2) A member who is employed or volunteers in the field of emergency medical 2 services and represents a community of fewer than 10,000 residents; 3 (3) A representative of the Maine Community College System; 4 (4) A member with expertise in health insurance coverage, billing and associated 5 matters relating to the provision of emergency medical services by an emergency 6 medical services provider licensed under section 82; and 7 (5) A member representing an emergency medical services provider licensed 8 under section 82 primarily engaged in the provision of nonemergency transporting; 9 and 10 I. The following 5 members, appointed by the Speaker of the House of 11 Representatives: 12 (1) A member representing an emergency medical services provider licensed 13 under section 82 operating primarily in a rural area of the State; 14 (2) A member representing an emergency medical services provider licensed 15 under section 82 operating primarily in a nonrural area of the State; 16 (3) A member who is a volunteer emergency medical services person; 17 (4) A representative of the state chapter of a national organization representing 18 emergency physicians; and 19 (5) A member representing air ambulance services. 20 Terms of appointment for members are as follows. 21 A. The terms of appointment for legislative members appointed pursuant to subsection 22 2, paragraphs A and B coincide with their respective legislative terms of office. 23 B. Of the initial appointments made under subsection 2, paragraphs G, H and I, each 24 appointing authority shall appoint 2 members for terms of 3 years, 2 members for terms 25 of 2 years and the remaining members for terms of one year. Subsequent appointments 26 must be made for terms of 3 years. 27 C. Members may serve beyond their designated terms until their successors are 28 appointed. 29 The director shall call the first meeting of the commission as soon as all 30 appointments are made and as soon as funding permits. At the first meeting, the 31 commission shall select a chair, a vice-chair, a secretary and a treasurer from among its 32 members. The commission may select new officers annually. 33 The commission may meet as often as necessary but must meet at least 34 quarterly. A meeting may be called by the chair or by any 4 members. The commission 35 shall take and maintain minutes of all meetings. 36 If funding permits, the commission may employ staff as needed. The 37 staffs of the members represented on the commission may assist the commission in carrying 38 out its functions and duties within the staffs' existing resources. The commission may 39 contract for administrative, professional and clerical services if funding permits. 40 The commission may seek, accept and expend outside funding to carry 41 out its duties. Page 3 - 132LR1520(01) 1 The commission shall: 2 A. Regularly advise the Governor and executive officers, the Legislature, Maine 3 Emergency Medical Services, emergency medical services providers licensed under 4 section 82 and any other parties affected by the commission's recommendations 5 regarding emergency medical services; 6 B. Submit a report containing the results of the commission's studies, findings and 7 recommendations to the Governor and to the joint standing committee of the 8 Legislature having jurisdiction over public safety matters by January 1st of each year. 9 As resources permit, the report must include, but is not limited to: 10 (1) An assessment of existing and needed resources and expected resource needs 11 within the State's emergency medical services system and recommendations for 12 funding those needs; 13 (2) An evaluation of existing emergency medical services programs, initiatives 14 and resources, including recommendations for improvements, for new programs 15 and initiatives and for funding options for oversight and administration of the 16 State's emergency medical services system; and 17 (3) Recommendations for effective management of resources within the State's 18 emergency medical services system; for enhancing the collection and distribution 19 of emergency medical services data; regarding evaluation methodology for the 20 State's emergency medical services system; and for recruitment and retention of 21 emergency medical services persons, both paid and volunteer. 22 After reviewing the report submitted under this paragraph, the committee may report 23 out legislation relating to the report; 24 C. Adopt rules necessary to carry out the commission's duties. Rules adopted pursuant 25 to this paragraph are routine technical rules as defined in Title 5, chapter 375, 26 subchapter 2-A; 27 D. Conduct public hearings, conferences, workshops and other meetings to obtain 28 information about and discuss and publicize the needs of and solutions to problems 29 concerning the State's emergency medical services system; and 30 E. Submit proposed legislation to the Legislature to implement any recommendations 31 of the commission. 32 33 This bill establishes the Maine Emergency Medical Services Commission to monitor 34 and evaluate the State's emergency medical services system on a continuing basis and 35 provide recommendations to the appropriate state agencies and to the Legislature regarding 36 necessary changes in the emergency medical services system. 33 34 35 36