New Jersey 2024-2025 Regular Session

New Jersey Senate Bill S4544

Introduced
6/2/25  

Caption

"Gary Letizia Pre-Hospital Blood Transfusion Act"; authorizes paramedics, under medical oversight, to administer blood products to patients in pre-hospital settings, and establishes certain reimbursement for emergency medical services providers.

Impact

The bill establishes a framework for the implementation of blood transfusion programs by EMS, necessitating them to notify the New Jersey Department of Health at least 60 days prior to commencing such services. Paramedics involved in the transfusion process must have completed approved blood administration courses and must operate under the guidance of a licensed physician. The integration of this service within EMS is expected to enhance trauma care in New Jersey significantly, particularly for severe cases requiring immediate blood products.

Summary

Senate Bill 4544, known as the 'Gary Letizia Pre-Hospital Blood Transfusion Act', seeks to authorize emergency medical services (EMS) personnel, specifically paramedics, to administer blood products in pre-hospital settings under medical oversight. This legislation responds to the pressing need for immediate medical intervention in cases of uncontrolled hemorrhage, a leading cause of death in trauma situations. The act includes provisions for training, equipment, and audits to ensure safe and effective transfusion practices by EMS providers.

Contention

While the bill aims to improve pre-hospital trauma care, it also raises concerns regarding the adequacy of training, the potential for medical errors in the field, and the ethical implications of administering blood products without prior consent in some emergency situations. With these provisions, the legislation must balance the necessity for rapid interventions in life-threatening scenarios against ensuring patient safety and proper oversight. Additionally, EMS agencies will incur initial costs to establish these new programs, though a grant program is proposed to assist with these expenses.

Implementation

The Department of Health is tasked with setting up necessary regulations, including a statewide blood rotation system to minimize waste and ensure the proper management of blood products. Additionally, reimbursement for pre-hospital transfusion services will be aligned with hospital-based standards to ease the financial burden on EMS providers. This legislation demonstrates a progressive approach towards improving emergency health services and potentially saving lives in critical situations.

Companion Bills

NJ A5673

Same As "Gary Letizia Pre-Hospital Blood Transfusion Act"; authorizes paramedics, under medical oversight, to administer blood products to patients in pre-hospital settings, and establishes certain reimbursement for emergency medical services providers.

Previously Filed As

NJ A5673

"Gary Letizia Pre-Hospital Blood Transfusion Act"; authorizes paramedics, under medical oversight, to administer blood products to patients in pre-hospital settings, and establishes certain reimbursement for emergency medical services providers.

NJ SB669

Rural hospitals: standby perinatal medical services.

NJ AB1650

Emergency medical services: community paramedicine.

NJ HB1024

Medicaid reimbursement for children's hospitals.

NJ HB1313

Medicaid reimbursement for children's hospitals.

NJ S3176

Provides for Medicaid coverage of certain home blood pressure monitors and cuffs for pregnant persons at risk for preeclampsia.

NJ SB2735

Medicaid reimbursement, services, beneficiaries, hospital assessment and premium tax; bring forward sections.

NJ A4099

Provides for Medicaid coverage of certain home blood pressure monitors and cuffs for pregnant persons at risk for preeclampsia.

NJ SB1214

Relating to Medicaid reimbursement rates for rural hospitals; declaring an emergency.

NJ S2132

Prohibits hospital from billing patient for inter-hospital medical transport services under certain circumstances.

Similar Bills

NJ A5673

"Gary Letizia Pre-Hospital Blood Transfusion Act"; authorizes paramedics, under medical oversight, to administer blood products to patients in pre-hospital settings, and establishes certain reimbursement for emergency medical services providers.

CA AB1282

Veterinary medicine: blood banks for animals.

CA AB1953

Veterinary medicine: blood banks for animals.

KY HB140

AN ACT relating to public health and safety.

KY HB745

AN ACT relating to public health and safety.

CA SB202

Animal blood donors.

CA SB1115

Commercial blood banks for animals: animal blood donors.

PA HR76

Urging the Congress of the United States to establish policies that would provide greater access to blood transfusions for hospice patients with blood cancer.