S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  9509--A
 
                           I N  A S S E M B L Y
 
                              March 16, 2022
                                ___________
 
 Introduced  by  M.  of A. OTIS, BUTTENSCHON, CLARK, LUPARDO -- read once
   and referred to  the  Committee  on  Local  Governments  --  committee
   discharged, bill amended, ordered reprinted as amended and recommitted
   to said committee
 
 AN  ACT  to  amend the general municipal law, the civil service law, the
   retirement and social security law  and  the  public  health  law,  in
   relation to emergency medical services
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. The opening paragraph of subdivision 1 of section 122-b  of
 the  general  municipal  law,  as  amended by chapter 471 of the laws of
 2011, is amended and a new paragraph (g) is added to read as follows:
   [Any] GENERAL AMBULANCE SERVICES ARE  AN  ESSENTIAL  SERVICE.    EVERY
 county,  city,  town [or] AND village, acting individually or jointly OR
 IN CONJUNCTION WITH A SPECIAL DISTRICT, [may provide] SHALL ENSURE  THAT
 an  emergency medical service, a general ambulance service or a combina-
 tion of such services ARE PROVIDED for the purpose of providing  prehos-
 pital  emergency  medical  treatment  or  transporting  sick  or injured
 persons found within the boundaries of the municipality or  the  munici-
 palities acting jointly to a hospital, clinic, sanatorium or other place
 for treatment of such illness or injury[, and for]. IN FURTHERANCE OF
  that purpose, A COUNTY, CITY, TOWN OR VILLAGE may:
   (G)  ESTABLISH  A  SPECIAL DISTRICT FOR THE FINANCING AND OPERATION OF
 GENERAL AMBULANCE SERVICES AS SET FORTH BY  THIS  SECTION,  WHEREBY  ANY
 COUNTY,  CITY, TOWN OR VILLAGE, ACTING INDIVIDUALLY, OR JOINTLY WITH ANY
 OTHER COUNTY, CITY, TOWN AND/OR VILLAGE, THROUGH ITS GOVERNING  BODY  OR
 BODIES,  FOLLOWING  APPLICABLE PROCEDURES AS ARE REQUIRED FOR THE ESTAB-
 LISHMENT OF FIRE DISTRICTS IN ARTICLE ELEVEN OF THE TOWN LAW OR  FOLLOW-
 ING APPLICABLE PROCEDURES AS ARE REQUIRED FOR THE ESTABLISHMENT OF JOINT
 FIRE  DISTRICTS  IN  ARTICLE ELEVEN-A OF THE TOWN LAW, WITH SUCH SPECIAL
 DISTRICT BEING AUTHORIZED BY THIS SECTION TO BE ESTABLISHED  IN  ALL  OR
 ANY  PART  OF  ANY SUCH PARTICIPATING COUNTY OR COUNTIES, TOWN OR TOWNS,
 CITY OR CITIES AND/OR VILLAGE OR VILLAGES.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD14641-04-2
              

 A. 9509--A                          2
 
   § 2. Subdivision 2 of section 163 of the civil service law, as amended
 by section 4 of part T of chapter 56 of the laws of 2010, is amended  to
 read as follows:
   2.  The  contract  or  contracts shall provide for health benefits for
 retired employees of the state and of the state colleges of agriculture,
 home economics, industrial labor relations and veterinary medicine,  the
 state  agricultural experiment station at Geneva, and any other institu-
 tion or agency under the management and control of Cornell university as
 the representative of the board of trustees of the state  university  of
 New  York,  and  the  state college of ceramics under the management and
 control of Alfred university as the representative of the board of trus-
 tees of the state university of New York, and their spouses and  depend-
 ent  children  as  defined  by the regulations of the president, on such
 terms as the president may  deem  appropriate,  and  the  president  may
 authorize the inclusion in the plan of the employees and retired employ-
 ees   of   public   authorities,  public  benefit  corporations,  school
 districts, special districts, district  corporations,  municipal  corpo-
 rations  excluding  active  employees  and  retired  employees of cities
 having a population of one million or  more  inhabitants  whose  compen-
 sation  is  or  was  before retirement paid out of the city treasury, or
 other appropriate agencies, subdivisions or  quasi-public  organizations
 of  the  state, including active members of volunteer fire and volunteer
 ambulance companies serving one or more municipal corporations  pursuant
 to  subdivision  seven  of section ninety-two-a of the general municipal
 law, and their spouses and dependent children as defined  by  the  regu-
 lations  of the president.  NOTWITHSTANDING ANY LAW OR REGULATION TO THE
 CONTRARY, ACTIVE MEMBERS OF VOLUNTEER AMBULANCE COMPANIES SERVING ONE OR
 MORE MUNICIPAL CORPORATIONS PURSUANT TO  SUBDIVISION  SEVEN  OF  SECTION
 NINETY-TWO-A  OF  THE GENERAL MUNICIPAL LAW SHALL BE ELIGIBLE FOR HEALTH
 BENEFITS REGARDLESS OF THE AMOUNT OF FUNDS DERIVED FROM PUBLIC  SOURCES.
 Any  such  corporation,  district,  agency  or  organization electing to
 participate in the plan shall be required to pay its proportionate share
 of the expenses of administration of the plan in  such  amounts  and  at
 such times as determined and fixed by the president. All amounts payable
 for such expenses of administration shall be paid to the commissioner of
 taxation  and finance and shall be applied to the reimbursement of funds
 previously advanced for such purposes. Neither the state nor  any  other
 participant  in the plan shall be charged with the particular experience
 attributable to the employees of the participant, and all  dividends  or
 retroactive  rate  credits  shall be distributed pro-rata based upon the
 number of employees of such participant covered by the plan.
   § 3. Paragraph 9 of subdivision c of section 40 of the retirement  and
 social  security  law, as amended by chapter 525 of the laws of 1963, is
 amended to read as follows:
   9. ACTIVE MEMBERS OF VOLUNTEER AMBULANCE COMPANIES SERVING ONE OR MORE
 MUNICIPAL CORPORATIONS PURSUANT TO SUBDIVISION SEVEN OF SECTION  NINETY-
 TWO-A OF THE GENERAL MUNICIPAL LAW.
   10.  Notwithstanding  any  inconsistent  provision of subdivision e of
 this section, or of this chapter or of any  other  law,  an  officer  or
 employee in the service of the state or of a participating employer who,
 at  the time of entering such service, was or is entitled to benefits by
 any other pension or retirement system maintained  by  the  state  or  a
 political  subdivision thereof, provided such benefits, exclusive of any
 annuity based solely on his own contributions and interest thereon,  are
 suspended  during  his  active  membership  in the retirement system. He
 shall contribute to the retirement system as a new member.
 A. 9509--A                          3
 
   § 4. Section 3000 of the public health law, as amended by chapter  804
 of the laws of 1992, is amended to read as follows:
   § 3000. Declaration of policy and statement of purpose. The furnishing
 of  medical  assistance  in  an  emergency  is a matter of vital concern
 affecting the public health, safety  and  welfare.    EMERGENCY  MEDICAL
 SERVICES  AND  AMBULANCE  SERVICES  ARE  ESSENTIAL SERVICES THAT MUST BE
 AVAILABLE TO EVERYONE IN NEW YORK  IN  A  RELIABLE  MANNER.  Prehospital
 emergency  medical care, OTHER EMERGENCY MEDICAL SERVICES, the provision
 of prompt and effective communication among ambulances and hospitals and
 safe and effective care and transportation of the sick and  injured  are
 essential  public  health services THAT MUST BE AVAILABLE TO EVERYONE IN
 NEW YORK IN A RELIABLE MANNER.
   It is the purpose of this article to promote the public health, safety
 and welfare by providing for certification of all advanced life  support
 first response services and ambulance services; the creation of regional
 emergency  medical  services  councils;  and  a New York state emergency
 medical services council  to  develop  minimum  training  standards  for
 certified  first  responders, emergency medical technicians and advanced
 emergency medical technicians and minimum  equipment  and  communication
 standards  for  advanced  life support first response services and ambu-
 lance services.
   § 5. Subdivision 1 of section  3001  of  the  public  health  law,  as
 amended  by  chapter  804  of  the  laws  of 1992, is amended to read as
 follows:
   1.  "Emergency  medical  service"  means  [initial  emergency  medical
 assistance  including,  but  not  limited  to,  the treatment of trauma,
 burns, respiratory, circulatory and obstetrical emergencies] CARE  OF  A
 PERSON  TO, FROM, AT, IN, OR BETWEEN THE PERSON'S HOME, SCENE OF INJURY,
 HOSPITALS, HEALTH CARE FACILITIES, PUBLIC EVENTS OR OTHER LOCATIONS,  BY
 EMERGENCY  MEDICAL SERVICES PRACTITIONERS AS A PATIENT CARE TEAM MEMBER,
 FOR EMERGENCY, NON-EMERGENCY, SPECIALTY, LOW  ACUITY,  PREVENTATIVE,  OR
 INTERFACILITY  CARE; EMERGENCY AND NON-EMERGENCY MEDICAL DISPATCH; COOR-
 DINATION OF EMERGENCY MEDICAL SYSTEM EQUIPMENT  AND  PERSONNEL;  ASSESS-
 MENT;  TREATMENT,  TRANSPORTATION, ROUTING, REFERRALS AND COMMUNICATIONS
 WITH TREATMENT FACILITIES AND MEDICAL PERSONNEL; PUBLIC EDUCATION, INJU-
 RY PREVENTION AND WELLNESS INITIATIVES; ADMINISTRATION OF  IMMUNIZATIONS
 AS  APPROVED  BY  THE  STATE  EMERGENCY  MEDICAL  SERVICES  COUNCIL; AND
 FOLLOW-UP AND RESTORATIVE CARE.
   § 6. Section 3002 of the public health law is amended by adding a  new
 subdivision 9 to read as follows:
   9.  THE  STATE COUNCIL SHALL ADVISE THE COMMISSIONER ON SUCH ISSUES AS
 THE COMMISSIONER MAY REQUIRE  RELATED  TO  THE  PROVISION  OF  EMERGENCY
 MEDICAL  SERVICE, SPECIALTY CARE, DESIGNATED FACILITY CARE, AND DISASTER
 MEDICAL CARE, AND ASSIST IN THE COORDINATION OF SUCH SERVICE  AND  CARE.
 THIS  SHALL INCLUDE, BUT IS NOT LIMITED TO, THE RECOMMENDATION, PERIODIC
 REVISION, AND APPLICATION  OF  RULES  AND  REGULATIONS,  APPROPRIATENESS
 REVIEW  STANDARDS,  TREATMENT  PROTOCOLS, AND QUALITY IMPROVEMENT STAND-
 ARDS. SUCH RULES, REGULATIONS, STANDARDS AND PROTOCOLS SHALL BE  REGION-
 ALIZED,  AS  NECESSARY.  THE  STATE  COUNCIL SHALL MEET AS FREQUENTLY AS
 DETERMINED NECESSARY BY THE COMMISSIONER.
   § 7. Section 3003 of the public health law is amended  by  adding  two
 new subdivisions 11 and 12 to read as follows:
   11.  EACH  REGIONAL  COUNCIL  SHALL ADVISE THE STATE EMERGENCY MEDICAL
 SERVICES COUNCIL, THE COMMISSIONER AND THE DEPARTMENT ON SUCH ISSUES  AS
 THE  STATE  EMERGENCY MEDICAL SERVICES COUNCIL, THE COMMISSIONER AND THE
 DEPARTMENT MAY REQUIRE RELATED TO THE  PROVISION  OF  EMERGENCY  MEDICAL
 A. 9509--A                          4
 
 SERVICE,  SPECIALTY CARE, DESIGNATED FACILITY CARE, AND DISASTER MEDICAL
 CARE, AND ASSIST IN THE REGIONAL COORDINATION OF SUCH SERVICE AND CARE.
   12.  EACH  REGIONAL  COUNCIL  SHALL ADVISE THE STATE EMERGENCY MEDICAL
 SERVICES COUNCIL, THE COMMISSIONER AND THE DEPARTMENT ON THE APPROPRIATE
 REGIONAL STANDARDS REQUIRED  FOR  THE  PROVISION  OF  EMERGENCY  MEDICAL
 SERVICES.
   §  8. The public health law is amended by adding a new section 3004 to
 read as follows:
   § 3004. EMERGENCY MEDICAL SERVICES QUALITY AND  SUSTAINABILITY  ASSUR-
 ANCE  PROGRAM.  THE COMMISSIONER, WITH THE ADVICE OF THE STATE EMERGENCY
 MEDICAL ADVISORY COMMITTEE, MAY CREATE  AN  EMERGENCY  MEDICAL  SERVICES
 QUALITY AND SUSTAINABILITY ASSURANCE PROGRAM. STANDARDS AND REQUIREMENTS
 OF  THE QUALITY AND SUSTAINABILITY ASSURANCE PROGRAM MAY INCLUDE BUT NOT
 BE LIMITED TO, CLINICAL STANDARDS, QUALITY  METRICS,  SAFETY  STANDARDS,
 EMERGENCY  VEHICLE  OPERATOR STANDARDS, CLINICAL COMPETENCIES, SUSTAINA-
 BILITY METRICS  AND  MINIMUM  REQUIREMENTS  FOR  QUALITY  ASSURANCE  AND
 SUSTAINABILITY  ASSURANCE  PROGRAMS  TO BE FOLLOWED BY EMERGENCY MEDICAL
 SERVICES AGENCIES, TO PROMOTE POSITIVE  PATIENT  OUTCOMES,  SAFETY,  AND
 EMERGENCY  MEDICAL  SERVICES SYSTEM SUSTAINABILITY THROUGHOUT THE STATE.
 STANDARDS AND REQUIREMENTS OF THE QUALITY AND  SUSTAINABILITY  ASSURANCE
 PROGRAM  MAY  BE  REGIONALIZED. THE COMMISSIONER IS HEREBY AUTHORIZED TO
 PROMULGATE REGULATIONS RELATED TO THE STANDARDS AND REQUIREMENTS OF  THE
 QUALITY AND SUSTAINABILITY ASSURANCE PROGRAM. QUALITY AND SUSTAINABILITY
 ASSURANCE  PROGRAMS SHALL REQUIRE EACH EMERGENCY MEDICAL SERVICES AGENCY
 TO PERFORM REGULAR AND PERIODIC REVIEW  OF  QUALITY  AND  SUSTAINABILITY
 ASSURANCE  PROGRAM  METRICS,  IDENTIFICATION  OF AGENCY DEFICIENCIES AND
 STRENGTHS, DEVELOPMENT OF PROGRAMS TO IMPROVE AGENCY METRICS, STRENGTHEN
 SYSTEM SUSTAINABILITY, AND CONTINUOUS MONITORING OF CARE  PROVIDED.  THE
 DEPARTMENT  MAY  CONTRACT  FOR  SERVICES  WITH SUBJECT MATTER EXPERTS TO
 ASSIST IN THE OVERSIGHT OF THESE METRICS STATEWIDE. THE  DEPARTMENT  MAY
 DELEGATE  AUTHORITY TO OVERSEE THESE METRICS AND REGULATIONS TO COUNTIES
 OR OTHER  CONTRACTORS  AS  DETERMINED  BY  THE  COMMISSIONER.  EMERGENCY
 MEDICAL  SERVICES  AGENCIES  THAT DO NOT MEET THE STANDARDS AND REQUIRE-
 MENTS SET FORTH IN THE QUALITY ASSURANCE PROGRAM SET BY THE COMMISSIONER
 MAY BE SUBJECT TO ENFORCEMENT ACTIONS,  INCLUDING  BUT  NOT  LIMITED  TO
 REVOCATION,  SUSPENSION,  PERFORMANCE  IMPROVEMENT PLANS, OR RESTRICTION
 FROM SPECIFIC TYPES OF RESPONSES INCLUDING, BUT NOT LIMITED TO,  SUSPEN-
 SION OF THE ABILITY TO RESPOND TO REQUESTS FOR EMERGENCY MEDICAL ASSIST-
 ANCE OR TO PERFORM EMERGENCY MEDICAL SERVICES.
   §  9. The public health law is amended by adding a new section 3018 to
 read as follows:
   § 3018. STATEWIDE COMPREHENSIVE EMERGENCY MEDICAL SYSTEM PLAN. 1.  THE
 DEPARTMENT,  IN  CONSULTATION  WITH THE STATE EMERGENCY MEDICAL ADVISORY
 COMMITTEE, SHALL DEVELOP AND MAINTAIN A STATEWIDE COMPREHENSIVE EMERGEN-
 CY MEDICAL SYSTEM PLAN THAT SHALL PROVIDE FOR  A  COORDINATED  EMERGENCY
 MEDICAL  SYSTEM WITHIN THE STATE, WHICH SHALL INCLUDE BUT NOT BE LIMITED
 TO:
   (A) ESTABLISHING A COMPREHENSIVE STATEWIDE EMERGENCY  MEDICAL  SYSTEM,
 INCORPORATING FACILITIES, TRANSPORTATION, WORKFORCE, COMMUNICATIONS, AND
 OTHER  WAYS  TO  IMPROVE  THE  DELIVERY OF EMERGENCY MEDICAL SERVICE AND
 THEREBY DECREASE MORBIDITY, HOSPITALIZATION, DISABILITY, AND MORTALITY;
   (B) IMPROVING THE  ACCESSIBILITY  OF  HIGH-QUALITY  EMERGENCY  MEDICAL
 SERVICE;
   (C)  COORDINATING  WITH PROFESSIONAL MEDICAL ORGANIZATIONS, HOSPITALS,
 AND OTHER PUBLIC AND PRIVATE AGENCIES TO DEVELOP APPROACHES FOR  PERSONS
 A. 9509--A                          5
 
 WHO ARE PRESENTLY USING EMERGENCY DEPARTMENTS FOR ROUTINE, NONURGENT AND
 PRIMARY MEDICAL CARE TO BE SERVED APPROPRIATELY AND ECONOMICALLY; AND
   (D)  CONDUCTING,  PROMOTING, AND ENCOURAGING PROGRAMS OF EDUCATION AND
 TRAINING DESIGNED TO UPGRADE  THE  KNOWLEDGE  AND  SKILLS  OF  EMERGENCY
 MEDICAL  SERVICE  PRACTITIONERS  THROUGHOUT  THE  STATE WITH EMPHASIS ON
 REGIONS UNDERSERVED BY EMERGENCY MEDICAL SERVICES.
   2. THE STATEWIDE COMPREHENSIVE EMERGENCY MEDICAL SYSTEM PLAN SHALL  BE
 REVIEWED,  UPDATED  IF  NECESSARY, AND PUBLISHED EVERY FIVE YEARS ON THE
 DEPARTMENT'S WEBSITE, OR AT SUCH EARLIER TIMES AS MAY  BE  NECESSARY  TO
 IMPROVE  THE  EFFECTIVENESS  AND  EFFICIENCY  OF  THE  STATE'S EMERGENCY
 MEDICAL SERVICE SYSTEM.
   3. EACH REGIONAL EMERGENCY MEDICAL ADVISORY  COMMITTEE  SHALL  DEVELOP
 AND MAINTAIN A COMPREHENSIVE REGIONAL EMERGENCY MEDICAL SYSTEM PLAN THAT
 SHALL  PROVIDE  FOR  A  COORDINATED  EMERGENCY MEDICAL SYSTEM WITHIN THE
 REGION. SUCH PLANS SHALL BE SUBJECT TO REVIEW  BY  THE  STATE  EMERGENCY
 MEDICAL ADVISORY COMMITTEE AND APPROVAL BY THE DEPARTMENT.
   4. EACH COUNTY SHALL DEVELOP AND MAINTAIN A COMPREHENSIVE COUNTY EMER-
 GENCY MEDICAL SYSTEM PLAN THAT SHALL PROVIDE FOR A COORDINATED EMERGENCY
 MEDICAL SYSTEM WITHIN THE COUNTY. THE COUNTY OFFICE OF EMERGENCY MEDICAL
 SERVICES SHALL BE RESPONSIBLE FOR THE DEVELOPMENT AND MAINTENANCE OF THE
 COMPREHENSIVE  COUNTY EMERGENCY MEDICAL SYSTEM PLAN. SUCH PLANS SHALL BE
 SUBJECT TO REVIEW BY THE REGIONAL EMERGENCY MEDICAL ADVISORY  COMMITTEE,
 THE  STATE  ADVISORY COUNCIL AND APPROVAL BY THE DEPARTMENT. THE DEPART-
 MENT SHALL BE RESPONSIBLE FOR OVERSIGHT OF EACH COUNTY'S COMPLIANCE WITH
 ITS PLAN.
   5. THE COMMISSIONER MAY PROMULGATE REGULATIONS  TO  ENSURE  COMPLIANCE
 WITH THIS SECTION.
   § 10. Section 3008 of the public health law is amended by adding a new
 subdivision 8 to read as follows:
   8.  (A)  NOTWITHSTANDING ANY PROVISION OF LAW OTHER THAN PARAGRAPH (B)
 OF THIS SUBDIVISION TO THE CONTRARY, ALL DETERMINATIONS OF NEED SHALL BE
 CONSISTENT WITH THE STATE EMERGENCY MEDICAL SYSTEM PLAN  ESTABLISHED  IN
 SECTION  THREE  THOUSAND  EIGHTEEN OF THIS ARTICLE. THE COMMISSIONER MAY
 PROMULGATE REGULATIONS TO PROVIDE FOR STANDARDS ON THE DETERMINATION  OF
 NEED.  THE  DEPARTMENT SHALL ISSUE A NEW EMERGENCY MEDICAL SYSTEM AGENCY
 CERTIFICATE ONLY UPON  A  DETERMINATION  THAT  A  PUBLIC  NEED  FOR  THE
 PROPOSED  SERVICE  HAS  BEEN  ESTABLISHED PURSUANT TO REGULATION. IF THE
 DEPARTMENT DETERMINES THAT A PUBLIC NEED EXISTS FOR ONLY A PORTION OF  A
 PROPOSED SERVICE, A CERTIFICATE MAY BE ISSUED FOR THAT PORTION. PRIOR TO
 REACHING  A  FINAL DETERMINATION OF NEED, THE DEPARTMENT SHALL FORWARD A
 SUMMARY OF THE PROPOSED SERVICE INCLUDING ANY DOCUMENTATION RECEIVED  OR
 SUBSEQUENT  REPORTS  CREATED  THERETO,  TO  THE  STATE EMERGENCY MEDICAL
 SERVICES ADVISORY COUNCIL FOR REVIEW AND RECOMMENDATION TO  THE  DEPART-
 MENT ON THE APPROVAL OF THE APPLICATION. AN APPLICANT OR OTHER CONCERNED
 PARTY  MAY  APPEAL  ANY DETERMINATION MADE BY THE DEPARTMENT PURSUANT TO
 THIS SECTION WITHIN FOURTEEN DAYS. APPEALS SHALL BE  HEARD  PURSUANT  TO
 THE PROVISIONS OF SECTION TWELVE-A OF THIS CHAPTER, AND A FINAL DETERMI-
 NATION  AS  TO NEED SHALL BE MADE BY THE COMMISSIONER UPON REVIEW OF THE
 REPORT AND RECOMMENDATION BY THE PRESIDING ADMINISTRATIVE LAW JUDGE.
   (B) NOTWITHSTANDING THE PROVISIONS OF PARAGRAPH (A) OF  THIS  SUBDIVI-
 SION,  THE  COMMISSIONER  MAY  PROMULGATE REGULATIONS TO PROVIDE FOR THE
 ISSUANCE OF AN EMERGENCY MEDICAL SYSTEM  AGENCY  CERTIFICATE  WITHOUT  A
 DETERMINATION OF PUBLIC NEED.
   § 11. The public health law is amended by adding a new section 3019 to
 read as follows:
 A. 9509--A                          6

   § 3019. EMERGENCY MEDICAL SYSTEMS TRAINING PROGRAM. 1. THERE IS HEREBY
 ESTABLISHED  A  TRAINING  PROGRAM  FOR  EMERGENCY  MEDICAL  SYSTEMS THAT
 INCLUDES STUDENTS, EMERGENCY MEDICAL  SERVICE  PRACTITIONERS,  AGENCIES,
 FACILITIES,  AND  PERSONNEL,  AND  THE  COMMISSIONER MAY PROVIDE FUNDING
 WITHIN  THE AMOUNT APPROPRIATED TO CONDUCT SUCH TRAINING PROGRAMS. UNTIL
 SUCH TIME AS THE DEPARTMENT ANNOUNCES THE TRAINING  PROGRAM  ESTABLISHED
 PURSUANT TO THIS SECTION IS IN EFFECT, ALL CURRENT STANDARDS, CURRICULA,
 AND  REQUIREMENTS FOR STUDENTS, EMERGENCY MEDICAL SERVICE PRACTITIONERS,
 AGENCIES, FACILITIES, AND PERSONNEL SHALL REMAIN IN EFFECT.
   2. THE DEPARTMENT, IN CONSULTATION WITH THE  STATE  EMERGENCY  MEDICAL
 ADVISORY  COUNCIL,  SHALL ESTABLISH MINIMUM EDUCATION STANDARDS, CURRIC-
 ULA,  AND  REQUIREMENTS  FOR  ALL  EMERGENCY  MEDICAL  SYSTEM   TRAINING
 PROGRAMS.  NO  PERSON  SHALL PROFESS TO PROVIDE EMERGENCY MEDICAL SYSTEM
 TRAINING WITHOUT THE APPROVAL OF THE DEPARTMENT.
   3. THE DEPARTMENT IS AUTHORIZED TO PROVIDE, EITHER DIRECTLY OR THROUGH
 CONTRACT,  EMERGENCY  MEDICAL  SYSTEM  TRAINING  FOR  EMERGENCY  MEDICAL
 SERVICE  PRACTITIONERS  AND  EMERGENCY  MEDICAL SYSTEM AGENCY PERSONNEL,
 DEVELOP AND DISTRIBUTE TRAINING MATERIALS FOR USE BY INSTRUCTORS, AND TO
 RECRUIT ADDITIONAL INSTRUCTORS TO PROVIDE TRAINING.
   4. THE DEPARTMENT MAY VISIT AND INSPECT ANY EMERGENCY  MEDICAL  SYSTEM
 TRAINING PROGRAM OR TRAINING CENTER OPERATING UNDER THIS ARTICLE AND THE
 REGULATIONS ADOPTED THEREFORE TO ENSURE COMPLIANCE.
   5.  THE  COMMISSIONER  SHALL, WITHIN AMOUNTS APPROPRIATED, ESTABLISH A
 PUBLIC SERVICE CAMPAIGN TO RECRUIT ADDITIONAL PERSONNEL INTO  THE  EMER-
 GENCY MEDICAL SYSTEM FIELDS.
   6.  THE  COMMISSIONER SHALL, WITHIN AMOUNTS APPROPRIATED, ESTABLISH AN
 EMERGENCY  MEDICAL  SYSTEM  MENTAL  HEALTH  AND  WELLNESS  PROGRAM  THAT
 PROVIDES  RESOURCES TO EMERGENCY MEDICAL SERVICE PRACTITIONERS TO REDUCE
 BURNOUT; PREVENT DEPRESSION, SUICIDE AND OTHER  NEGATIVE  MENTAL  HEALTH
 OUTCOMES; AND INCREASE SAFETY.
   7. THE DEPARTMENT MAY CREATE OR ADOPT WITH THE APPROVAL OF THE COMMIS-
 SIONER  ADDITIONAL STANDARDS, TRAINING AND CRITERIA TO BECOME A CREDENT-
 IALLED EMERGENCY MEDICAL SERVICE PRACTITIONER  TO  PROVIDE  SPECIALIZED,
 ADVANCED, OR OTHER SERVICES THAT FURTHER SUPPORT OR ADVANCE THE EMERGEN-
 CY MEDICAL SYSTEM.
   § 12. This act shall take effect immediately.