Bill Text: CT SB00997 | 2011 | General Assembly | Comm Sub
Bill Title: An Act Concerning The Department Of Emergency Management And Homeland Security.
Spectrum: Committee Bill
Status: (Introduced - Dead) 2011-04-27 - Referred by Senate to Committee on Appropriations [SB00997 Detail]
Download: Connecticut-2011-SB00997-Comm_Sub.html
General Assembly |
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January Session, 2011 |
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AN ACT CONCERNING THE DEPARTMENT OF EMERGENCY MANAGEMENT AND HOMELAND SECURITY.
Be it enacted by the Senate and House of Representatives in General Assembly convened:
Section 1. (NEW) (Effective July 1, 2011) On the effective date of this section, the Department of Emergency Management and Homeland Security shall assume all responsibilities for the Commission on Fire Prevention and Control pursuant to any provision of the general statutes. The transfer of functions, powers, duties, obligations, including, but not limited to, contract obligations, the continuance of orders and regulations, the effect upon pending actions and proceedings, the completion of unfinished business, and the transfer of records and property of the Commission on Fire Prevention and Control from the Department of Public Safety to the Department of Emergency Management and Homeland Security shall be governed by the provisions of sections 4-38d, 4-38e and 4-39 of the general statutes.
Sec. 2. Section 7-323k of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
(a) There is established a Commission on Fire Prevention and Control to consist of twelve members appointed by the Governor. The State Fire Marshal or [his] the State Fire Marshal's designee and the chancellor of the community-technical colleges or [his] the chancellor's designee shall serve as ex-officio, voting members of said commission. Of the twelve members appointed by the Governor, two shall represent The Connecticut State Firemen's Association, two shall represent the Connecticut Fire Chiefs Association, two shall represent the Uniformed Firefighters of the International Association of Firefighters, AFL-CIO, two shall represent the Connecticut Fire Marshals Association, two shall represent the Connecticut Fire Department Instructors Association and two shall represent the Connecticut Conference of Municipalities.
(b) On or before July fifteenth, annually, each organization to be represented on said commission shall submit to the Governor a list of nominees for appointment to said commission, which list the Governor may use when making [his] appointments to said commission. On or before September 1, 1975, the Governor shall appoint eight members of said commission to serve for a term of three years and on or before September 1, 1976, [he] the Governor shall appoint four members for a term of one year. Thereafter [he] the Governor shall appoint members to said commission, to replace those whose terms have expired, to serve for three years. Persons appointed to said commission shall be qualified, by experience or education, in the fields of fire protection, fire prevention, fire suppression, fire fighting and related fields.
(c) The commission shall meet at such times and at such places as it deems proper. Said commission shall elect from its membership a chairman, vice chairman and secretary who shall serve a one year term commencing on October first of the year in which they are elected, provided nothing contained herein shall prevent their reelection to such office. No member of said commission shall receive compensation for his or her services.
(d) Members of the commission shall not be considered as holding public office solely by virtue of their membership on said commission.
(e) The commission shall be within the Department of [Public Safety for administrative purposes only] Emergency Management and Homeland Security.
Sec. 3. (NEW) (Effective July 1, 2011) On the effective date of this section, the Department of Emergency Management and Homeland Security shall assume all responsibilities for the Police Officer Standards and Training Council pursuant to any provision of the general statutes. The transfer of functions, powers, duties, obligations, including, but not limited to, contract obligations, the continuance of orders and regulations, the effect upon pending actions and proceedings, the completion of unfinished business, and the transfer of records and property of the Police Officer Standards and Training Council from the Division of State Police of the Department of Public Safety to the Department of Emergency Management and Homeland Security shall be governed by the provisions of sections 4-38d, 4-38e and 4-39 of the general statutes.
Sec. 4. Subsection (a) of section 7-294b of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
(a) There shall be a Police Officer Standards and Training Council which shall be within the [Division of State Police of the Department of Public Safety for administrative purposes only] Department of Emergency Management and Homeland Security and which shall consist of the following members appointed by the Governor: (1) A chief administrative officer of a town or city in Connecticut; (2) the chief elected official or chief executive officer of a town or city in Connecticut with a population under twelve thousand which does not have an organized police department; (3) a member of the faculty of The University of Connecticut; (4) eight members of the Connecticut Police Chiefs Association who are holding office or employed as chief of police or the highest ranking professional police officer of an organized police department of a municipality within the state; (5) the Chief State's Attorney; (6) a sworn municipal police officer whose rank is sergeant or lower; and (7) five public members. The Commissioner of [Public Safety] Emergency Management and Homeland Security and the Federal Bureau of Investigation special agent-in-charge in Connecticut or their designees shall be voting ex-officio members of the council. Any nonpublic member of the council shall immediately upon the termination of his or her holding the office or employment which qualified him or her for appointment cease to be a member of the council. A member appointed to fill a vacancy shall be appointed for the unexpired term of the member whom he or she is to succeed in the same manner as the original appointment. The Governor shall appoint a chairperson and the council shall appoint a vice-chairperson and a secretary from among the members. The members of the council shall serve without compensation but shall be entitled to actual expenses involved in the performance of their duties.
Sec. 5. (NEW) (Effective July 1, 2011) (a) There is established an Office of Education and Data Management which shall be in the Department of Emergency Management and Homeland Security. The Office of Education and Data Management shall be responsible for training and accrediting building and fire code officials and 9-1-1 operators, as well as providing code-related instruction to individuals in allied trade professions. The office shall also manage the National Fire Incident Reporting System for the state.
(b) There is established a Council on Education and Data Management to advise the office in the planning, implementation and coordination of its' training, accreditation and management activities. The council shall be appointed by the Governor on or before October 1, 2011, and shall consist of the following members: (1) One representative from the Department of Emergency Management and Homeland Security; (2) one representative from the Department of Public Safety; (3) the Deputy State Fire Marshal; (4) the State Building Inspector; (5) one manager or coordinator of 9-1-1 public safety answering points; (6) a municipal building code official; (7) a local fire marshal; and (8) a representative from a state-wide building inspectors' organization. Each member shall serve for a term of three years from October 1, 2011, or until a successor has been appointed and qualified. No member of the council shall receive compensation for such member's services.
Sec. 6. Subsection (a) of section 28-1b of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
(a) There is established a state-wide Emergency Management and Homeland Security Coordinating Council to advise the Department of Public Safety, the Office of Emergency Management and, on and after January 1, 2005, the Department of Emergency Management and Homeland Security and, on and after July 1, 2011, the Commission on Fire Prevention and Control, the Police Officer Standards and Training Council, the Office of Education and Data Management, the Office of Emergency Medical Services and the Office of State-Wide Emergency Telecommunications with respect to: (1) Application and distribution of federal or state funds for emergency management and homeland security; (2) planning, design, implementation and coordination of state-wide emergency response systems; (3) assessing the state's overall emergency management and homeland security preparedness, policies and communications; (4) the recommendation of strategies to improve emergency response and incident management including, but not limited to, training and exercises, volunteer management, communications and use of technology, intelligence gathering, compilation and dissemination, the development, coordination and implementation of state and federally required emergency response plans, and the assessment of the state's use of regional management structures; [and] (5) strengthening consultation, planning, cooperation and communication among federal, state and local governments, the Connecticut National Guard, police, fire, emergency medical and other first responders, emergency managers, public health officials, private industry and community organizations; and (6) any issues within the purview of the Commission on Fire Prevention and Control, the Police Officer Standards and Training Council, the Office of Education and Data Management, the Office of Emergency Medical Services and the Office of State-Wide Emergency Telecommunications. The council shall advise the Governor and the General Assembly on its findings and efforts to secure the state from all disasters and emergencies and to enhance the protection of the citizens of the state.
Sec. 7. (NEW) (Effective July 1, 2011) On the effective date of this section, the Department of Emergency Management and Homeland Security shall assume all responsibilities for the Office of Emergency Medical Services pursuant to any provision of the general statutes. The transfer of functions, powers, duties, obligations, including, but not limited to, contract obligations, the continuance of orders and regulations, the effect upon pending actions and proceedings, the completion of unfinished business, and the transfer of records and property of the Office of Emergency Medical Services from the Department of Public Health to the Department of Emergency Management and Homeland Security shall be governed by the provisions of sections 4-38d, 4-38e and 4-39 of the general statutes.
Sec. 8. Section 19a-175 of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
As used in this chapter, unless the context otherwise requires:
(1) "Emergency medical service system" means a system which provides for the arrangement of personnel, facilities and equipment for the efficient, effective and coordinated delivery of health care services under emergency conditions;
(2) "Patient" means an injured, ill, crippled or physically handicapped person requiring assistance and transportation;
(3) "Ambulance" means a motor vehicle specifically designed to carry patients;
(4) "Ambulance service" means an organization which transports patients;
(5) "Emergency medical technician" means an individual who has successfully completed the training requirements established by the commissioner and has been certified by the Department of [Public Health] Emergency Management and Homeland Security;
(6) "Ambulance driver" means a person whose primary function is driving an ambulance;
(7) "Emergency medical services instructor" means a person who is certified by the Department of [Public Health] Emergency Management and Homeland Security to teach courses, the completion of which is required in order to become an emergency medical technician;
(8) "Communications facility" means any facility housing the personnel and equipment for handling the emergency communications needs of a particular geographic area;
(9) "Life saving equipment" means equipment used by emergency medical personnel for the stabilization and treatment of patients;
(10) "Emergency medical service organization" means any organization whether public, private or voluntary which offers transportation or treatment services to patients under emergency conditions;
(11) "Invalid coach" means a vehicle used exclusively for the transportation of nonambulatory patients, who are not confined to stretchers, to or from either a medical facility or the patient's home in nonemergency situations or utilized in emergency situations as a backup vehicle when insufficient emergency vehicles exist;
(12) "Rescue service" means any organization, whether profit or nonprofit, whose primary purpose is to search for persons who have become lost or to render emergency service to persons who are in dangerous or perilous circumstances;
(13) "Provider" means any person, corporation or organization, whether profit or nonprofit, whose primary purpose is to deliver medical care or services, including such related medical care services as ambulance transportation;
(14) "Commissioner" means the Commissioner of [Public Health] Emergency Management and Homeland Security;
(15) "Paramedic" means a person licensed pursuant to section 20-206ll;
(16) "Commercial ambulance service" means an ambulance service which primarily operates for profit;
(17) "Licensed ambulance service" means a commercial ambulance service or a volunteer or municipal ambulance service issued a license by the commissioner;
(18) "Certified ambulance service" means a municipal or volunteer ambulance service issued a certificate by the commissioner;
(19) "Management service" means an employment organization that does not own or lease ambulances or other emergency medical vehicles and that provides emergency medical technicians or paramedics to an emergency medical service organization;
(20) "Automatic external defibrillator" means a device that: (A) Is used to administer an electric shock through the chest wall to the heart; (B) contains internal decision-making electronics, microcomputers or special software that allows it to interpret physiologic signals, make medical diagnosis and, if necessary, apply therapy; (C) guides the user through the process of using the device by audible or visual prompts; and (D) does not require the user to employ any discretion or judgment in its use;
(21) "Mutual aid call" means a call for emergency medical services that, pursuant to the terms of a written agreement, is responded to by a secondary or alternate emergency medical services provider if the primary or designated emergency medical services provider is unable to respond because such primary or designated provider is responding to another call for emergency medical services or the ambulance or nontransport emergency vehicle operated by such primary or designated provider is out of service. For purposes of this subdivision, "nontransport emergency vehicle" means a vehicle used by emergency medical technicians or paramedics in responding to emergency calls that is not used to carry patients;
(22) "Municipality" means the legislative body of a municipality or the board of selectmen in the case of a municipality in which the legislative body is a town meeting;
(23) "Primary service area" means a specific geographic area to which one designated emergency medical services provider is assigned for each category of emergency medical response services;
(24) "Primary service area responder" means an emergency medical services provider who is designated to respond to a victim of sudden illness or injury in a primary service area;
(25) "Interfacility critical care transport" means the interfacility transport of a patient between licensed hospitals;
(26) "Advanced emergency medical technician" means an individual who is certified as an advanced emergency medical technician by the Department of [Public Health] Emergency Management and Homeland Security;
(27) "Emergency medical responder" means an individual who is certified as an emergency medical responder by the Department of [Public Health] Emergency Management and Homeland Security;
(28) "Medical oversight" means the active surveillance by physicians of mobile intensive care sufficient for the assessment of overall practice levels, as defined by state-wide protocols;
(29) "Mobile intensive care" means prehospital care involving invasive or definitive skills, equipment, procedures and other therapies;
(30) "Office of Emergency Medical Services" means the office established within the Department of [Public Health Services] Emergency Management and Homeland Security pursuant to section 19a-178, as amended by this act; and
(31) "Sponsor hospital" means a hospital that has agreed to maintain staff for the provision of medical oversight, supervision and direction to an emergency medical service organization and its personnel and has been approved for such activity by the Office of Emergency Medical Services.
Sec. 9. Section 19a-176 of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
The Department of [Public Health] Emergency Management and Homeland Security shall be the lead agency for the state's emergency medical services program and shall be responsible for the planning, coordination and administration of a state-wide emergency medical care service system. The commissioner shall set policy and establish state-wide priorities for emergency medical services utilizing the services of the Department of [Public Health] Emergency Management and Homeland Security and the emergency medical services councils, as established by section 19a-183.
Sec. 10. Section 19a-178 of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
(a) There shall be established within the Department of [Public Health] Emergency Management and Homeland Security an Office of Emergency Medical Services. The office shall be responsible for program development activities, including, but not limited to: (1) Public education and information programs; (2) administering the emergency medical services equipment and local system development grant program; (3) planning; (4) regional council oversight; (5) training; and (6) providing staff support to the advisory board.
(b) The Office of Emergency Medical Services shall adopt a five-year planning cycle for the state-wide plan for the coordinated delivery of medical emergency services required by subsection (a) of this section. The plan shall contain: (1) Specific goals for the delivery of such emergency medical services; (2) a time frame for achievement of such goals; (3) cost data and alternative funding sources for the development of such goals; and (4) performance standards for the evaluation of such goals.
(c) Not later than July 1, 2001, the Office of Emergency Medical Services shall, with the advice of the Emergency Medical Services Advisory Board established pursuant to section 19a-178a, as amended by this act, and the regional emergency medical services councils established pursuant to section 19a-183, develop model local emergency medical services plans and performance agreements to guide municipalities in the development of such plans and agreements. In developing the model plans and agreements, the office shall take into account (1) the differences in the delivery of emergency medical services in urban, suburban and rural settings, (2) the state-wide plan for the coordinated delivery of emergency medical services adopted pursuant to subdivision (1) of section 19a-177, and (3) guidelines or standards and contracts or written agreements in use by municipalities of similar population and characteristics.
Sec. 11. Section 19a-178a of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
(a) There is established within the Department of [Public Health] Emergency Management and Homeland Security an Emergency Medical Services Advisory Board.
(b) The advisory board shall consist of members appointed in accordance with the provisions of this subsection and shall include the Commissioner of [Public Health] Emergency Management and Homeland Security and the department's emergency medical services medical director, or their designees, and each of the regional medical service coordinators appointed pursuant to section 19a-186a, as amended by this act. The Governor shall appoint the following members: One person from each of the regional emergency medical services councils; one person from the Connecticut Association of Directors of Health; three persons from the Connecticut College of Emergency Physicians; one person from the Connecticut Committee on Trauma of the American College of Surgeons; one person from the Connecticut Medical Advisory Committee; one person from the Emergency Department Nurses Association; one person from the Connecticut Association of Emergency Medical Services Instructors; one person from the Connecticut Hospital Association; two persons representing commercial ambulance providers; one person from the Connecticut Firefighters Association; one person from the Connecticut Fire Chiefs Association; one person from the Connecticut Chiefs of Police Association; one person from the Connecticut State Police; and one person from the Connecticut Commission on Fire Prevention and Control. An additional eighteen members shall be appointed as follows: Three by the president pro tempore of the Senate; three by the majority leader of the Senate; four by the minority leader of the Senate; three by the speaker of the House of Representatives; two by the majority leader of the House of Representatives and three by the minority leader of the House of Representatives. The appointees shall include a person with experience in municipal ambulance services; a person with experience in for-profit ambulance services; three persons with experience in volunteer ambulance services; a paramedic; an emergency medical technician; an advanced emergency medical technician; three consumers and four persons from state-wide organizations with interests in emergency medical services as well as any other areas of expertise that may be deemed necessary for the proper functioning of the advisory board.
(c) The Commissioner of [Public Health] Emergency Management and Homeland Security shall appoint a chairperson from among the members of the advisory board who shall serve for a term of one year. The advisory board shall elect a vice-chairperson and secretary. The advisory board shall have committees made up of such members as the chairperson shall appoint and such other interested persons as the committee members shall elect to membership. The advisory board may, from time to time, appoint nonmembers to serve on such ad hoc committees as it deems necessary to assist with its functions. The advisory board shall develop bylaws. The advisory board shall establish a Connecticut Emergency Medical Services Medical Advisory Committee as a standing committee. The standing committee shall provide the commissioner, the advisory board and other ad hoc committees with advice and comment regarding the medical aspects of their projects. The standing committee may submit reports directly to the commissioner regarding medically-related concerns that have not, in the standing committee's opinion, been satisfactorily addressed by the advisory board.
(d) The term for each appointed member of the advisory board shall be coterminous with the appointing authority. Appointees shall serve without compensation.
(e) The advisory board, in addition to other power conferred and in addition to functioning in a general advisory capacity, shall assist in coordinating the efforts of all persons and agencies in the state concerned with the emergency medical service system, and shall render advice on the development of the emergency medical service system where needed. The advisory board shall make an annual report to the commissioner.
(f) The advisory board shall be provided a reasonable opportunity to review and make recommendations on all regulations, medical guidelines and policies affecting emergency medical services before the department establishes such regulations, medical guidelines or policies. The advisory board shall make recommendations to the Governor and to the General Assembly concerning legislation which, in the advisory board's judgment, will improve the delivery of emergency medical services.
Sec. 12. Subsection (a) of section 19a-178b of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
(a) The Commissioner of [Public Health] Emergency Management and Homeland Security shall establish an Emergency Medical Services Equipment and Local System Development grant program. The program shall provide incentive grants for enhancing emergency medical services and equipment. The commissioner shall define the nature, description and systems designed for grant proposals.
Sec. 13. Subsection (a) of section 19a-184 of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
(a) Each emergency medical services council shall (1) forward to the Commissioner of [Public Health] Emergency Management and Homeland Security the emergency medical services plan for its region, and (2) review and within sixty days forward to the commissioner, together with its recommendations, all grant and contract applications for federal and state funds pertaining to emergency medical services from the following entities within its region: (A) A unit of local government, (B) a public entity administering a compact or other regional arrangement or consortium, or (C) any other public entity or any nonprofit private agency.
Sec. 14. Subsection (b) of section 17a-679 of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
(b) The Office of Emergency Medical Services within the Department of [Public Health] Emergency Management and Homeland Security shall be responsible for developing and implementing dispatch and field triage protocols to provide a mechanism for local response systems to utilize the least costly most appropriate form of transport for alcohol-dependent persons. Such dispatch and field protocols shall be developed on or before January 1, 1995.
Sec. 15. (NEW) (Effective July 1, 2011) On the effective date of this section, the Department of Emergency Management and Homeland Security shall assume all responsibilities for the Office of State-Wide Emergency Telecommunications pursuant to any provision of the general statutes. The transfer of functions, powers, duties, obligations, including, but not limited to, contract obligations, the continuance of orders and regulations, the effect upon pending actions and proceedings, the completion of unfinished business, and the transfer of records and property of the Office of State-Wide Emergency Telecommunications from the Department of Public Health to the Department of Emergency Management and Homeland Security shall be governed by the provisions of sections 4-38d, 4-38e and 4-39 of the general statutes.
Sec. 16. Subsections (a) and (b) of section 28-24 of the general statutes are repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
(a) There is established an Office of State-Wide Emergency Telecommunications which shall be in the [Division of Fire, Emergency and Building Services within the Department of Public Safety] Department of Emergency Management and Homeland Security. The Office of State-Wide Emergency Telecommunications shall be responsible for developing and maintaining a state-wide emergency service telecommunications policy. In connection with said policy the office shall:
(1) Develop a state-wide emergency service telecommunications plan specifying emergency police, fire and medical service telecommunications systems needed to provide coordinated emergency service telecommunications to all state residents, including the physically disabled;
(2) Pursuant to the recommendations of the task force established by public act 95-318 to study enhanced 9-1-1 telecommunications services, and in accordance with regulations adopted prior to July 1, 2011, by the Commissioner of Public Safety or, on or after July 1, 2011, by the Commissioner of Emergency Management and Homeland Security pursuant to subsection (b) of this section, develop and administer, by July 1, 1997, an enhanced emergency 9-1-1 program, which shall provide for: (A) The replacement of existing 9-1-1 terminal equipment for each public safety answering point; (B) the subsidization of regional public safety emergency telecommunications centers, with enhanced subsidization for municipalities with a population in excess of forty thousand; (C) the establishment of a transition grant program to encourage regionalization of public safety telecommunications centers; and (D) the establishment of a regional emergency telecommunications service credit in order to support regional dispatch services;
(3) Provide technical telecommunications assistance to state and local police, fire and emergency medical service agencies;
(4) Provide frequency coordination for such agencies;
(5) Coordinate and assist in state-wide planning for 9-1-1 and E 9-1-1 systems;
(6) Review and make recommendations concerning proposed legislation affecting emergency service telecommunications; and
(7) Review and make recommendations to the General Assembly concerning emergency service telecommunications funding.
(b) [The] Prior to July 1, 2011, the Commissioner of Public Safety and, on or after July 1, 2011, the Commissioner of Emergency Management and Homeland Security shall adopt regulations, in accordance with chapter 54, establishing eligibility standards for state financial assistance to local or regional police, fire and emergency medical service agencies providing emergency service telecommunications. Not later than April 1, 1997, the Commissioner of Public Safety, and, not later that July 1, 2011, the Commissioner of Emergency Management and homeland Security shall adopt regulations, in accordance with chapter 54, in order to carry out the provisions of subdivision (2) of subsection (a) of this section.
Sec. 17. Section. 28-29a of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
There is established an E 9-1-1 Commission to advise the office in the planning, design, implementation and coordination of the state-wide emergency 9-1-1 telephone system to be created pursuant to sections 28-25, 28-25a, 28-25b, 28-26, 28-27, 28-27a, 28-28, 28-28a, 28-28b, 28-29 and 28-29b. The commission shall be appointed by the Governor on or before October 1, 1984, and shall consist of the following members: (1) One representative [of the technical support services unit of the Division of State Police within the Department of Public Safety] from the Department of Emergency Management and Homeland Security; (2) the State Fire Administrator; (3) one representative from the Office of Emergency Medical Services; (4) one representative [from the Department of Emergency Management and Homeland Security] of the technical support services unit of the Division of State Police within the Department of Public Safety; (5) one municipal police chief; (6) one municipal fire chief; (7) one volunteer fireman; (8) one representative of the Connecticut Conference of Municipalities; (9) one representative of the Council of Small Towns; (10) one manager or coordinator of 9-1-1 public safety answering points serving areas of differing population concentration; and (11) one representative of providers of commercial mobile radio services, as defined in 47 Code of Federal Regulations 20.3, as amended. Each member shall serve for a term of three years from July 1, 1984, or until a successor has been appointed and qualified. No member of the commission shall receive compensation for such member's services.
Sec. 18. Subparagraph (B) of subdivision (8) of section 19a-177 of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
(B) The commissioner shall prepare a report that shall include, but not be limited to, the following information: (i) The total number of calls for emergency medical services received during the reporting year by each licensed ambulance service or certified ambulance service; (ii) the level of emergency medical services required for each such call; (iii) the name of the provider of each such level of emergency medical services furnished during the reporting year; (iv) the response time, by time ranges or fractile response times, for each licensed ambulance service or certified ambulance service, using a common definition of response time, as provided in regulations adopted pursuant to section 19a-179; and (v) the number of passed calls, cancelled calls and mutual aid calls during the reporting year. The commissioner shall prepare such report in a format that categorizes such information for each municipality in which the emergency medical services were provided, with each such municipality grouped according to urban, suburban and rural classifications. Not later than March 31, 2002, and annually thereafter, the commissioner shall submit such report to the joint standing committee of the General Assembly having cognizance of matters relating to public health, shall make such report available to the public and shall post such report on the Department of [Public Health] Emergency Management and Homeland Security web site on the Internet.
Sec. 19. Subdivision (10) of section 19a-177 of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
(10) Research, develop, track and report on appropriate quantifiable outcome measures for the state's emergency medical services system and submit to the joint standing committee of the General Assembly having cognizance of matters relating to public [health] safety, in accordance with the provisions of section 11-4a, on or before July 1, 2002, and annually thereafter, a report on the progress toward the development of such outcome measures and, after such outcome measures are developed, an analysis of emergency medical services system outcomes;
Sec. 20. Section 19a-179a of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
Notwithstanding any provision of the general statutes or any regulation adopted pursuant to this chapter, the scope of practice of any person certified or licensed as an emergency medical technician, advanced emergency medical technician or a paramedic under regulations adopted pursuant to section 19a-179 may include treatment modalities not specified in the regulations of Connecticut state agencies, provided such treatment modalities are (1) approved by the Connecticut Emergency Medical Services Medical Advisory Committee established pursuant to section 19a-178a, as amended by this act, and the Commissioner of Emergency Management and Homeland Security, in consultation with the Commissioner of Public Health, and (2) administered at the medical oversight and direction of a sponsor hospital, as defined in section 28-8b.
Sec. 21. Section 19a-179d of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
Notwithstanding the provisions of subdivision (1) of subsection (a) of section 19a-179 and section 19a-195b, as amended by this act, the Commissioner of [Public Health] Emergency Management and Homeland Security may implement policies and procedures concerning training, recertification and reinstatement of certification or licensure of emergency medical responders, emergency medical technicians, advanced emergency medical technicians and paramedics, while in the process of adopting such policies and procedures in regulation form, provided the commissioner prints notice of the intent to adopt regulations in the Connecticut Law Journal not later than thirty days after the date of implementation of such policies and procedures. Policies implemented pursuant to this section shall be valid until the time final regulations are adopted.
Sec. 22. Section 19a-181 of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
(a) Each ambulance or rescue vehicle used by an ambulance or rescue service shall be registered with the Department of Motor Vehicles pursuant to chapter 246. Said Department of Motor Vehicles shall not issue a certificate of registration for any such ambulance or rescue vehicle unless the applicant for such certificate of registration presents to said department a safety certificate from the Commissioner of [Public Health] Emergency Management and Homeland Security certifying that said ambulance or rescue vehicle has been inspected and has met the minimum standards prescribed by the commissioner. Each vehicle so registered with the Department of Motor Vehicles shall be inspected once every two years thereafter by the Commissioner of [Public Health] Emergency Management and Homeland Security on or before the anniversary date of the issuance of the certificate of registration. Each inspector, upon determining that such ambulance or rescue vehicle meets the standards of safety and equipment prescribed by the Commissioner of [Public Health] Emergency Management and Homeland Security, shall affix a safety certificate to such vehicle in such manner and form as the commissioner designates, and such sticker shall be so placed as to be readily visible to any person in the rear compartment of such vehicle.
(b) The Department of Motor Vehicles shall suspend or revoke the certificate of registration of any vehicle inspected under the provisions of this section upon certification from the Commissioner of [Public Health] Emergency Management and Homeland Security that such ambulance or rescue vehicle has failed to meet the minimum standards prescribed by said commissioner.
Sec. 23. Section 19a-181a of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
The state shall save harmless and indemnify any person certified as an emergency medical services instructor by the Department of [Public Health] Emergency Management and Homeland Security under this chapter from financial loss and expense, including legal fees and costs, if any, arising out of any claim, demand, suit or judgment by reason of alleged negligence or other act resulting in personal injury or property damage, which acts are not wanton, reckless or malicious, provided such person at the time of the acts resulting in such injury or damage was acting in the discharge of his duties in providing emergency medical services training and instruction.
Sec. 24. Section 19a-182 of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
(a) The emergency medical services councils shall advise the commissioner on area-wide planning and coordination of agencies for emergency medical services for each region and shall provide continuous evaluation of emergency medical services for their respective geographic areas. A regional emergency medical services coordinator, in consultation with the commissioner, shall assist the emergency medical services council for the respective region in carrying out the duties prescribed in subsection (b) of this section. As directed by the commissioner, the regional emergency medical services coordinator for each region shall facilitate the work of each respective emergency medical services council including, but not limited to, representing the Department of [Public Health] Emergency Management and Homeland Security at any Council of Regional Chairpersons meetings.
(b) Each emergency medical services council shall develop and revise every five years a plan for the delivery of emergency medical services in its area, using a format established by the Office of Emergency Medical Services. Each council shall submit an annual update for each regional plan to the Office of Emergency Medical Services detailing accomplishments made toward plan implementation. Such plan shall include an evaluation of the current effectiveness of emergency medical services and detail the needs for the future, and shall contain specific goals for the delivery of emergency medical services within their respective geographic areas, a time frame for achievement of such goals, cost data for the development of such goals, and performance standards for the evaluation of such goals. Special emphasis in such plan shall be placed upon coordinating the existing services into a comprehensive system. Such plan shall contain provisions for, but shall not be limited to, the following: (1) Clearly defined geographic regions to be serviced by each provider including cooperative arrangements with other providers and backup services; (2) an adequate number of trained personnel for staffing of ambulances, communications facilities and hospital emergency rooms, with emphasis on former military personnel trained in allied health fields; (3) a communications system that includes a central dispatch center, two-way radio communication between the ambulance and the receiving hospital and a universal emergency telephone number; and (4) a public education program that stresses the need for adequate training in basic lifesaving techniques and cardiopulmonary resuscitation. Such plan shall be submitted to the Commissioner of [Public Health] Emergency Management and Homeland Security no later than June thirtieth each year the plan is due.
Sec. 25. Section 19a-186 of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
The regional emergency medical services coordinator shall be responsible for: (1) Facilitating the work of the emergency medical services council in developing the plan for the coordination of emergency medical services within the region, (2) implementation of the regional plan formulated by the emergency medical services council pursuant to subsection (b) of section 19a-182, as amended by this act, (3) continuous monitoring and evaluation of all emergency medical services in that region and (4) making a complete inventory of all personnel, facilities and equipment within the region related to the delivery of emergency medical services pursuant to guidelines established by the Commissioner of [Public Health] Emergency Management and Homeland Security.
Sec. 26. Section 19a-186a of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
(a) Any individual employed on June 30, 2010, as a regional emergency medical services coordinator or as an assistant regional emergency medical services coordinator shall be offered an unclassified durational position within the Department of Public Health for the period from July 1, 2010, to June 30, 2011, inclusive, provided no more than five unclassified durational positions shall be created. Within available appropriations, such unclassified durational positions may be extended beyond June 30, 2011. The Commissioner of Administrative Services shall establish job classifications and salaries for such positions in accordance with the provisions of section 4-40. Any such created positions shall be exempt from collective bargaining requirements and no individual appointed to such position shall have reemployment or any other rights that may have been extended to unclassified employees under a State Employees' Bargaining Agent Coalition agreement. Individuals employed in such unclassified durational positions shall be located at the offices of the Department of Public Health. In no event shall an individual employed in an unclassified durational position pursuant to this section receive credit for any purpose for services performed prior to July 1, 2010.
(b) Any unclassified durational position extended beyond October 1, 2011, shall be transferred to the Department of Emergency Management and Homeland Security.
Sec. 27. Section 19a-187 of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
(a) All state agencies which are concerned with the emergency medical service delivery system shall, to the fullest extent consistent with their authorities under state law administered by them, carry out programs under their control in such a manner as to further the policy of establishing a coordinated state-wide emergency medical service system.
(b) All such state agencies shall cooperate with the Office of Emergency Medical Services, and the regional emergency medical service coordinators and emergency medical services councils in developing the state emergency medical services program under this chapter.
(c) All state agencies concerned with the state-wide emergency medical services system shall cooperate with the appropriate agencies of the United States or of other states or interstate agencies with respect to the planning and coordination of emergency medical services.
(d) The Commissioner of [Public Health] Emergency Management and Homeland Security and the trustees of The University of Connecticut may contract for the provision of medical advice and consultation by The University of Connecticut Health Center to the Office of Emergency Medical Services. This subsection shall not affect the responsibilities of said University and health center under subsections (a), (b) and (c) of this section.
Sec. 28. Section 19a-195a of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
(a) The Commissioner of [Public Health] Emergency Management and Homeland Security shall adopt regulations in accordance with the provisions of chapter 54 to provide that emergency medical technicians shall be recertified every three years. For the purpose of maintaining an acceptable level of proficiency, each emergency medical technician who is recertified for a three-year period shall complete thirty hours of refresher training approved by the commissioner, or meet such other requirements as may be prescribed by the commissioner.
(b) The commissioner shall adopt regulations, in accordance with the provisions of chapter 54, to (1) provide for state-wide standardization of certification for each class of (A) emergency medical technicians, including, but not limited to, paramedics, (B) emergency medical services instructors, and (C) medical response technicians, (2) allow course work for such certification to be taken state-wide, and (3) allow persons so certified to perform within their scope of certification state-wide.
Sec. 29. Subsection (a) of section 19a-195b of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
(a) Any person certified as an emergency medical technician, advanced emergency medical technician, emergency medical responder or emergency medical services instructor pursuant to this chapter and the regulations adopted pursuant to section 19a-179 whose certification has expired may apply to the Department of [Public Health] Emergency Management and Homeland Security for reinstatement of such certification as follows: (1) If such certification expired one year or less from the date of application for reinstatement, such person shall complete the requirements for recertification specified in regulations adopted pursuant to section 19a-179, as such recertification regulations may be from time to time amended; (2) if such certification expired more than one year but less than three years from the date of application for reinstatement, such person shall complete the training required for recertification and the examination required for initial certification specified in regulations adopted pursuant to section 19a-179, as such training and examination regulations may be from time to time amended; or (3) if such certification expired three or more years from the date of application for reinstatement, such person shall complete the requirements for initial certification specified in regulations adopted pursuant to section 19a-179, as such initial certification regulations may be from time to time amended.
Sec. 30. Subsection (b) of section 19a-196 of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
(b) For purposes of this section, the Commissioner of [Public Health] Emergency Management and Homeland Security may appoint hearing officers to investigate complaints filed pursuant to this section.
Sec. 31. Subsection (b) of section 19a-197a of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2011):
(b) Any emergency medical technician who has been trained, in accordance with national standards recognized by the Commissioner of Emergency Management and Homeland Security, in consultation with the Commissioner of Public Health, in the administration of epinephrine using automatic prefilled cartridge injectors or similar automatic injectable equipment and who functions in accordance with written protocols and the standing orders of a licensed physician serving as an emergency department director may administer epinephrine using such injectors or equipment. All emergency medical technicians shall receive such training. All licensed or certified ambulances shall be equipped with epinephrine in such injectors or equipment which may be administered in accordance with written protocols and standing orders of a licensed physician serving as an emergency department director.
Sec. 32. Subdivision (23) of subsection (c) of section 19a-14 of the general statutes is repealed. (Effective July 1, 2011)
This act shall take effect as follows and shall amend the following sections: | ||
Section 1 |
July 1, 2011 |
New section |
Sec. 2 |
July 1, 2011 |
7-323k |
Sec. 3 |
July 1, 2011 |
New section |
Sec. 4 |
July 1, 2011 |
7-294b(a) |
Sec. 5 |
July 1, 2011 |
New section |
Sec. 6 |
July 1, 2011 |
28-1b(a) |
Sec. 7 |
July 1, 2011 |
New section |
Sec. 8 |
July 1, 2011 |
19a-175 |
Sec. 9 |
July 1, 2011 |
19a-176 |
Sec. 10 |
July 1, 2011 |
19a-178 |
Sec. 11 |
July 1, 2011 |
19a-178a |
Sec. 12 |
July 1, 2011 |
19a-178b(a) |
Sec. 13 |
July 1, 2011 |
19a-184(a) |
Sec. 14 |
July 1, 2011 |
17a-679(b) |
Sec. 15 |
July 1, 2011 |
New section |
Sec. 16 |
July 1, 2011 |
28-24(a) and (b) |
Sec. 17 |
July 1, 2011 |
Section. 28-29a |
Sec. 18 |
July 1, 2011 |
19a-177(8)(B) |
Sec. 19 |
July 1, 2011 |
19a-177(10) |
Sec. 20 |
July 1, 2011 |
19a-179a |
Sec. 21 |
July 1, 2011 |
19a-179d |
Sec. 22 |
July 1, 2011 |
19a-181 |
Sec. 23 |
July 1, 2011 |
19a-181a |
Sec. 24 |
July 1, 2011 |
19a-182 |
Sec. 25 |
July 1, 2011 |
19a-186 |
Sec. 26 |
July 1, 2011 |
19a-186a |
Sec. 27 |
July 1, 2011 |
19a-187 |
Sec. 28 |
July 1, 2011 |
19a-195a |
Sec. 29 |
July 1, 2011 |
19a-195b(a) |
Sec. 30 |
July 1, 2011 |
19a-196(b) |
Sec. 31 |
July 1, 2011 |
19a-197a(b) |
Sec. 32 |
July 1, 2011 |
Repealer section |
PS |
Joint Favorable Subst. |
|
GAE |
Joint Favorable |