AB 1621, as amended, Lowenthal. Emergency medical services: data and information system.
Existing law, the Emergency Medical Services System and the Prehospital Emergency Medical Care Personnel Act, governs local emergency medical services systems. The act establishes the Emergency Medical Services Authority, which is responsible for the coordination and integration of all state agencies concerning emergency medical services. Existing law also creates the Commission on Emergency Medical Services, and requires the commission to perform various duties regarding the authority and emergency medical services.
Existing law requires the authority to develop planning and implementation guidelines for emergency medical services systems that address data collection and evaluation, among other things. Existing law requires the commission to review and approve regulations, standards, and guidelines developed by the authority.
This bill would require the authority to utilize its California Emergency Medical Services Information System (CEMSIS) and adopt a single statewide standard for the collection of information regarding prehospital care to determine and monitor the quality and effectiveness of the statewide emergency medical services system, compliant with the most current National Emergency Medical Services Information System (NEMSIS) standards, and to avoid unnecessary duplication of data collection at the local level. The bill would require the authority to develop regulations and standards for electronic patient care record systems used by local EMS agencies and local prehospital EMS providers to ensure compatibility with CEMSIS. The bill would require the authority to comply with its provisions on or before July 1, 2016.begin delete The bill would require the authority to post proposed rules and to notify the public with regard to commenting on the proposed rules, as specified.end delete
The bill would also require local EMS agencies to submit specified information to the authority. By imposing new duties on local officials, the bill would impose a state-mandated local program.
The bill would provide that all of the above provisions and anybegin delete rules orend delete regulationsbegin insert and standardsend insert adopted pursuant to those provisions would only be implemented to the extent that funds are made available through an appropriation in the annual budget act.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to these statutory provisions.
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: yes.
The people of the State of California do enact as follows:
Section 1797.119 is added to the Health and
2Safety Code, to read:
(a) (1) In order to fulfill the authority’s
4responsibility to assess emergency medical services and their
5effectiveness as required by Section 1797.102, the authority shall
6utilize its California Emergency Medical Services Information
7System (CEMSIS) and adopt a single statewide standard for the
P3 1collection of information regarding prehospital care to determine
2and monitor the quality and effectiveness of the statewide
3emergency medical services system, compliant with the
most
4current National Emergency Medical Services Information System
5(NEMSIS) standards, and to avoid unnecessary duplication of data
6collection at the local level.
7(2) The authority shall comply with this section on or before
8July 1, 2016.
9(b) (1) The authority shall develop regulations and standards
10for electronic patient care record systems used by local EMS
11agencies and local prehospital
EMS providers to ensure
12compatibility with CEMSIS, including, but not limited to, a
13common data dictionary, integration of first responder data,
14transport provider data, and patient outcome data, and compliant
15with current NEMSIS standards and privacy requirements in state
16and federal law. Privacy requirements shall ensure that all patient
17data obtained from EMS providers for the purpose of this section
18is subject to legal privacy and security standards
consistent with
19privacy and security protections for personal health data in the
20possession of EMS providers under state and federal law.
21(2) The regulations and standards developed by the authority
22shall describe standards for the purpose of standardizing data
23
collection. The regulations and standards shall allow the use of
24any prehospital electronic patient record system, provided that the
25system is compatible with CEMSIS, compliant with NEMSIS, and
26meets the standards set by the authority.
27(3) The authority shall consult with stakeholders in the
28development of standards and compatibility with CEMSIS,
29including air ambulance providers and other entities not included
30in the California Commission on Emergency Medical Services
31membership.
32(4) Local EMS agencies and local prehospital EMS providers
33that upgrade or purchase an electronic patient care record system
34on or after the date the authority issues final guidance pursuant to
35paragraph (1) shall ensure that the system complies with standards
36contained in
that guidance.
37(c) Local EMS agencies shall submit patient information
38consistent with the requirements of paragraph (1) of subdivision
39(a) to the authority in a timely manner, usingbegin delete NEMSIS
standards
40andend delete
P4 1(d) The authority, in order to exercise the powers and perform
2the duties conferred upon it by this chapter, and in accordance with
3Chapter 3.5 (commencing with Section 11340) of Part 1 of Division
43 of the Government Code, shall adopt, amend, or repeal any rules,
5regulations, or standards as may be necessary.
6(e) The authority shall post any proposed rules promulgated
7under this section on its public Internet Web site no later than 90
8calendar days prior to the effective date of the proposed rule, which
9shall also include notification to the public regarding how members
10of the public may comment, including the date by which those
11comments must be received in order to be considered by the
12authority.
17 13(f)
end delete
14begin insert(d)end insert This section and anybegin delete rules andend delete regulationsbegin insert and standardsend insert
15 promulgated pursuant to this section shall be implemented only
16to the extent that funds are made available through an appropriation
17in the annual Budget Act.
If the Commission on State Mandates determines that
19this act contains costs mandated by the state, reimbursement to
20local agencies and school districts for those costs shall be made
21pursuant to Part 7 (commencing with Section 17500) of Division
224 of Title 2 of the Government Code.
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