OLR Bill Analysis

sHB 5526

AN ACT CONCERNING THE MEMBERSHIP OF THE EMERGENCY MEDICAL SERVICES ADVISORY BOARD AND AN EMERGENCY SERVICES POLICY COUNCIL.

SUMMARY:

Starting October 1, 2012, this bill reduces, from 41 to 13, the membership of the Department of Public Health (DPH) Emergency Medical Services (EMS) Advisory Board. By law, board members must serve a term that is coterminus with the appointing authority. The bill includes no provisions to implement the removal of existing members (see COMMENT).

It also requires the DPH Office of Emergency Medical Services (OEMS) to study the establishment of an emergency services policy council and report the results by January 1, 2013 to the Public Health Committee. The report must include recommendations, including those on the council's role in (1) emergency medical technician (EMT) certification and training and (2) the development of emergency services policies, procedures, and clinical protocols.

The bill provides that its provisions do not limit the requirement that a receiving hospital develop and implement a process for patients presented to the hospital through the EMS system.

EFFECTIVE DATE: Upon passage

ADVISORY BOARD MEMBERSHIP

Members Retained

The bill retains as EMS advisory board members the OEMS director and one member each representing the American College of Surgeon's Committee on Trauma (Connecticut representative), Emergency Department Nurses Association, Connecticut College of Emergency Physicians, Connecticut Society of EMS Instructors, Connecticut Fire Chiefs Association, Connecticut Chiefs of Police, and volunteer ambulance services.

Members Removed

The bill eliminates the following board members appointed by the governor:

1. the DPH commissioner or her designee;

2. one representative each from the five regional EMS councils;

3. one representative each from the Connecticut Association of Health Directors, Connecticut Medical Advisory Committee, and Connecticut Hospital Association;

4. two representatives from the Connecticut College of Emergency Physicians;

5. two commercial ambulance providers; and

6. one representative each from the Connecticut Firefighters Association, Connecticut State Police, and Connecticut Commission on Fire Prevention and Control.

It also removes the following members appointed by legislative leaders:

1. one member each with experience in municipal and for-profit ambulance services;

2. two members with experience in volunteer ambulance services;

3. one paramedic, EMT, and advanced EMT;

4. three consumers; and

5. four members representing organizations with interests in EMS or other relevant areas.

New Members

The bill adds to the board's membership the following members appointed by the governor: (1) one representative from the Connecticut chapter of the American Academy of Pediatrics, (2) one representative from a regional emergency communications center, and (2) one quality assurance employee each from a hospital with more than 100 beds and less than 100 beds. Table 1 lists the board's membership proposed under the bill.

Table 1: Proposed EMS Advisory Board Membership

Member

Appointing Authority

OEMS director

19a-178a

One CT College of Emergency Physicians representative

governor

One CT representative from the American College of Surgeons' Regional Committees on Trauma

governor

One Emergency Nurses Association representative

governor

One CT Association of EMS Instructors representative

governor

One representative each from the CT Police Chiefs and CT Fire Chiefs Associations

governor

One person with volunteer ambulance services experience

governor

One Association of CT Ambulance Providers representative

governor

One representative from the American Academy of Pediatrics CT Chapter

governor

One representative of a regional emergency communications center

governor

One person each working in a quality assurance position at a hospital with (a) up to 100 beds and (b) more than 100 beds

governor

COMMENT

Existing Member's Terms

By law, each EMS advisory board member must serve a term that is coterminous with the appointing authority. The bill conflicts with this provision by removing existing board members who are required by law to remain on the board until their appointing authority leaves office.

BACKGROUND

EMS Advisory Board

The EMS Advisory Board reviews and comments on all DPH regulations, medical guidelines, and EMS-related policies before they are implemented. It also assists and advises all state agencies in coordinating the EMS system. By law, the board must annually report to the DPH commissioner and make legislative recommendations to the governor and legislature on legislation it believes will improve EMS delivery.

COMMITTEE ACTION

Public Health Committee

Joint Favorable Substitute

Yea

23

Nay

5

(03/29/2012)