Community Paramedicine or Triage to Alternate Destination Act.
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AB 3115 — Community Paramedicine or Triage to Alternate Destination Act.
Last action — Vetoed by Governor.
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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✓Passed Assembly
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✓Passed Senate
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5To Executive
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6Enacted
This bill died with 2017-2018 Regular Session. It reached “To Executive” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.
Summary
(1) Existing law, the Emergency Medical Services System and the Prehospital Emergency Medical Care Personnel Act, governs local emergency medical services (EMS) systems. The existing act establishes the Emergency Medical Services Authority, which is responsible for the coordination and integration of EMS systems. Among other duties, existing law requires the authority is required to develop planning and implementation guidelines for EMS systems, provide technical assistance to existing agencies, counties, and cities for the purpose of developing the components of EMS systems, and receive plans for the implementation of EMS and trauma care systems from local EMS agencies. Existing law makes violation of the act or regulations adopted pursuant to the act punishable as a misdemeanor. This bill would establish within the act until January 1, 2025, the Community Paramedicine or Triage to Alternate Destination Act of 2018. The bill would authorize a local EMS agency to develop a community paramedicine or triage to alternate destination program, as defined, to provide specified community paramedicine services. The bill would require the authority to develop regulations to establish minimum standards for a program, and would further require the Commission on Emergency Medical Services to review and approve those regulations. The bill would require the authority to review a local EMS agency's proposed program and approve, approve with conditions, or deny the proposed program no later than 6 months after it is submitted by the local EMS agency. The bill would require a local EMS agency that opts to develop a program to perform specified duties that include, among others, integrating the proposed program into the local EMS agency's EMS plan. The bill would require the Emergency Medical Services Authority to contract with an independent 3rd party to prepare a report on community paramedicine or triage to alternate destination programs on or before June 1, 2023, as specified. The bill would prohibit a person or organization from providing community paramedicine or triage to alternate destination services or representing, advertising, or otherwise implying that it is authorized to provide those services unless it is expressly authorized by a local EMS agency to provide those services as part of a program approved by the authority. The bill would also prohibit a community paramedic from providing community paramedicine services if he or she has not been certified and accredited to perform those services and is working as an employee of an authorized community paramedicine provider. Because a violation of the act described above is punishable as a misdemeanor, and this bill would create new requirements within the act, the bill would expand an existing crime, thereby imposing a state-mandated local program. (2) Existing law authorizes a county to establish an emergency medical care committee and requires the committee, at least annually, to review the operations of ambulance services operating within the county, emergency medical care offered within the county, and first aid practices in the county. Existing law requires the county board of supervisors to prescribe the membership, and appoint the members, of the committee. This bill would require the committee to include additional members, as specified, and to advise a local EMS agency within the county on the development of its community paramedicine or triage to alternate destination program if the local EMS agency develops that program. The bill would specifically require the mayor of a city and county, rather than the county board of supervisors, to appoint the membership. The bill would repeal these provisions on January 1, 2025. (3) Existing law establishes the Commission on Emergency Medical Services with 18 members. The commission, among other things, reviews and approves regulations, standards, and guidelines developed by the authority. This bill would increase the membership of the commission to 20 members and modify the entities that submit names for appointment to the commission by the Governor, the Senate Committee on Rules, and the Speaker of the Assembly. (4) 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 no reimbursement is required by this act for a specified reason.
Bill Text
- Enrolled 09/05/18 - Enrolled Current pdf September 05, 2018
- Amended 08/28/18 - Amended Senate pdf August 28, 2018
- Amended 08/24/18 - Amended Senate pdf August 24, 2018
- Amended 06/18/18 - Amended Senate pdf June 18, 2018
- Amended 04/30/18 - Amended Assembly pdf April 30, 2018
- Amended 03/19/18 - Amended Assembly pdf March 19, 2018
- Introduced 02/16/18 - Introduced pdf February 16, 2018
- AB3115 View text html
Action History
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Vetoed by Governor.
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Enrolled and presented to the Governor at 12 p.m.
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Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 57. Noes 17.).
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In Assembly. Concurrence in Senate amendments pending.
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Read third time. Passed. Ordered to the Assembly. (Ayes 25. Noes 7. Page 6121.).
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Ordered to third reading.
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Withdrawn from committee.
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From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on RLS.
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Senate Rule 29.3(b) suspended. (Ayes 28. Noes 11. Page 5853.)
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Re-referred to Com. on RLS. pursuant to Senate Rule 29.10(c).
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Read second time. Ordered to third reading.
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Read third time and amended. Ordered to second reading.
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Read second time. Ordered to third reading.
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From committee: Do pass. (Ayes 5. Noes 2.) (August 16).
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In committee: Referred to APPR. suspense file.
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From committee: Do pass and re-refer to Com. on APPR. (Ayes 5. Noes 2.) (June 26). Re-referred to Com. on APPR.
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From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on PUB. S.
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Referred to Com. on PUB. S.
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In Senate. Read first time. To Com. on RLS. for assignment.
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Read third time. Passed. Ordered to the Senate. (Ayes 45. Noes 29. Page 5535.)
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Read second time. Ordered to third reading.
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From committee: Do pass. (Ayes 12. Noes 4.) (May 25).
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In committee: Set, first hearing. Referred to APPR. suspense file.
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Re-referred to Com. on APPR.
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Read second time and amended.
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From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 5. Noes 2.) (April 25).
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From committee: Do pass and re-refer to Com. on E. & R. (Ayes 5. Noes 2.) (April 10). Re-referred to Com. on E. & R.
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Re-referred to Com. on PUB. S.
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From committee chair, with author's amendments: Amend, and re-refer to Com. on PUB. S. Read second time and amended.
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Referred to Coms. on PUB. S. and E. & R.
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From printer. May be heard in committee March 19.
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Read first time. To print.
Sponsors
- Mike A. Gipson · Primary
- Hertzberg · Cosponsor
- Mia Bonta · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 2 co-sponsors · 119 not signed on · 12 voted No
Sponsors (1)
- Gipson, Mike A. Democratic
Co-sponsors (2)
- Hertzberg
- Bonta, Mia Democratic
Not signed on (119)
119 members have not signed on to this bill.
Show all 119 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 41 | 13 | 0 | 4 |
| Democratic | 15 | 0 | 0 | 1 |
| Republican | 1 | 4 | 0 | 1 |
| Total | 57 | 17 | 0 | 6 |
| % of votes cast | 71% | 21% | 0% | 8% |
How each member voted (80)
| Member | Party | Vote |
|---|---|---|
| Acosta | — | Yea |
| Baker | — | Nay |
| Bloom | — | Yea |
| Brough | — | Not Voting |
| Jones-Sawyer | — | Yea |
| Maienschein | — | Yea |
| Mullin | — | Yea |
| Nazarian | — | Not Voting |
| Quirk | — | Yea |
| Thurmond | — | Yea |
| Waldron | — | Yea |
| Chu | — | Yea |
| Eggman | — | Yea |
| Gonzalez Fletcher | — | Yea |
| Burke | — | Yea |
| Frazier | — | Yea |
| Salas | — | Yea |
| Friedman | — | Yea |
| Gloria | — | Yea |
| Rubio | — | Yea |
| Holden | — | Yea |
| Rivas | — | Yea |
| Kamlager-Dove | — | Yea |
| Levine | — | Yea |
| Low | — | Yea |
| Fong | — | Nay |
| McCarty | — | Yea |
| Chau | — | Yea |
| Chiu | — | Yea |
| Chávez | — | Nay |
| Cooley | — | Yea |
| Medina | — | Yea |
| O'Donnell | — | Yea |
| Rendon | — | Yea |
| Rodriguez | — | Yea |
| Santiago | — | Yea |
| Ting | — | Yea |
| Voepel | — | Yea |
| Weber | — | Yea |
| Wood | — | Yea |
| Gray | — | Not Voting |
| Harper | — | Nay |
| Kiley | — | Nay |
| Bigelow | — | Nay |
| Mathis | — | Nay |
| Mayes | — | Not Voting |
| Melendez | — | Nay |
| Obernolte | — | Nay |
| Steinorth | — | Nay |
| Cooper | — | Yea |
| Cunningham | — | Nay |
| Daly | — | Yea |
| Cristina Garcia | — | Yea |
| Eduardo Garcia | — | Yea |
| Jim Patterson | — | Nay |
| Mark Stone | — | Yea |
| Travis Allen | — | Nay |
| Wendy Carrillo | — | Yea |
| Aguiar-Curry, Cecilia M. | Democratic | Yea |
| Arambula, Joaquin | Democratic | Yea |
| Berman, Marc | Democratic | Yea |
| Bonta, Mia | Democratic | Yea |
| Caballero, Anna M. | Democratic | Yea |
| Calderon, Lisa | Democratic | Yea |
| Cervantes, Sabrina | Democratic | Yea |
| Gabriel, Jesse | Democratic | Yea |
| Gipson, Mike A. | Democratic | Yea |
| Grayson, Timothy S. | Democratic | Yea |
| Irwin, Jacqui | Democratic | Yea |
| Kalra, Ash | Democratic | Yea |
| Limón, Monique | Democratic | Not Voting |
| Muratsuchi, Al | Democratic | Yea |
| Quirk-Silva, Sharon | Democratic | Yea |
| Reyes, Eloise Gómez | Democratic | Yea |
| Chen, Phillip | Republican | Nay |
| Choi, Steven S. | Republican | Nay |
| Dahle, Megan | Republican | Not Voting |
| Flora, Heath | Republican | Yea |
| Gallagher, James | Republican | Nay |
| Lackey, Tom | Republican | Nay |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 21 | 7 | 0 | 7 |
| Democratic | 4 | 0 | 0 | 1 |
| Total | 25 | 7 | 0 | 8 |
| % of votes cast | 63% | 18% | 0% | 20% |
How each member voted (40)
| Member | Party | Vote |
|---|---|---|
| Anderson | — | Nay |
| Beall | — | Not Voting |
| Bradford | — | Yea |
| Hernandez | — | Yea |
| Hill | — | Yea |
| Hueso | — | Yea |
| Vidak | — | Yea |
| Cannella | — | Not Voting |
| Fuller | — | Nay |
| Galgiani | — | Not Voting |
| Glazer | — | Yea |
| Chang | — | Yea |
| Hertzberg | — | Yea |
| Allen | — | Yea |
| Mitchell | — | Yea |
| Atkins | — | Yea |
| Portantino | — | Yea |
| Dodd | — | Yea |
| Bates | — | Nay |
| Lara | — | Yea |
| Leyva | — | Yea |
| Monning | — | Yea |
| Moorlach | — | Nay |
| Morrell | — | Nay |
| Pan | — | Yea |
| Roth | — | Yea |
| Skinner | — | Yea |
| Wieckowski | — | Yea |
| Wilk | — | Yea |
| De León | — | Not Voting |
| Delgado | — | Not Voting |
| Nielsen | — | Not Voting |
| Beth Gaines | — | Nay |
| Bill Berryhill | — | Not Voting |
| Mark Stone | — | Nay |
| Jackson, Corey A. | Democratic | Not Voting |
| McGuire, Mike | Democratic | Yea |
| Nguyen, Stephanie | Democratic | Yea |
| Stern, Henry I. | Democratic | Yea |
| Wiener, Scott D. | Democratic | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 4 | 2 | 0 | 0 |
| Democratic | 1 | 0 | 0 | 0 |
| Total | 5 | 2 | 0 | 0 |
| % of votes cast | 71% | 29% | 0% | 0% |
How each member voted (7)
| Member | Party | Vote |
|---|---|---|
| Bates | — | Nay |
| Beall | — | Yea |
| Hill | — | Yea |
| Nielsen | — | Nay |
| Portantino | — | Yea |
| Bradford | — | Yea |
| Wiener, Scott D. | Democratic | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 6 | 0 | 0 | 0 |
| Democratic | 1 | 0 | 0 | 0 |
| Total | 7 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (7)
| Member | Party | Vote |
|---|---|---|
| Bates | — | Yea |
| Hill | — | Yea |
| Nielsen | — | Yea |
| Portantino | — | Yea |
| Beall | — | Yea |
| Bradford | — | Yea |
| Wiener, Scott D. | Democratic | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 3 | 2 | 0 | 0 |
| Democratic | 2 | 0 | 0 | 0 |
| Total | 5 | 2 | 0 | 0 |
| % of votes cast | 71% | 29% | 0% | 0% |
How each member voted (7)
| Member | Party | Vote |
|---|---|---|
| Bradford | — | Yea |
| Mitchell | — | Yea |
| Anderson | — | Nay |
| Skinner | — | Yea |
| Mark Stone | — | Nay |
| Jackson, Corey A. | Democratic | Yea |
| Wiener, Scott D. | Democratic | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 32 | 21 | 0 | 4 |
| Democratic | 13 | 2 | 0 | 0 |
| Republican | 0 | 6 | 0 | 0 |
| Total | 45 | 29 | 0 | 4 |
| % of votes cast | 58% | 37% | 0% | 5% |
How each member voted (78)
| Member | Party | Vote |
|---|---|---|
| Acosta | — | Nay |
| Baker | — | Nay |
| Bigelow | — | Nay |
| Bloom | — | Yea |
| Brough | — | Nay |
| Jones-Sawyer | — | Yea |
| Levine | — | Yea |
| Low | — | Yea |
| Nazarian | — | Yea |
| O'Donnell | — | Not Voting |
| Rodriguez | — | Yea |
| Weber | — | Yea |
| Chau | — | Yea |
| Gonzalez Fletcher | — | Yea |
| Gloria | — | Yea |
| Medina | — | Yea |
| Santiago | — | Yea |
| Thurmond | — | Yea |
| Burke | — | Yea |
| Holden | — | Yea |
| Rubio | — | Yea |
| Kamlager-Dove | — | Yea |
| Mathis | — | Nay |
| Mayes | — | Nay |
| Fong | — | Nay |
| Salas | — | Nay |
| Chiu | — | Yea |
| Chu | — | Yea |
| McCarty | — | Yea |
| Mullin | — | Yea |
| Quirk | — | Yea |
| Rendon | — | Yea |
| Ting | — | Yea |
| Voepel | — | Nay |
| Wood | — | Yea |
| Frazier | — | Not Voting |
| Harper | — | Nay |
| Gray | — | Not Voting |
| Kiley | — | Nay |
| Maienschein | — | Nay |
| Chávez | — | Nay |
| Cooley | — | Nay |
| Cooper | — | Not Voting |
| Melendez | — | Nay |
| Obernolte | — | Nay |
| Steinorth | — | Nay |
| Waldron | — | Nay |
| Eggman | — | Yea |
| Cunningham | — | Nay |
| Daly | — | Yea |
| Friedman | — | Yea |
| Cristina Garcia | — | Yea |
| Eduardo Garcia | — | Yea |
| Jim Patterson | — | Nay |
| Mark Stone | — | Yea |
| Travis Allen | — | Nay |
| Wendy Carrillo | — | Yea |
| Aguiar-Curry, Cecilia M. | Democratic | Yea |
| Arambula, Joaquin | Democratic | Yea |
| Berman, Marc | Democratic | Yea |
| Bonta, Mia | Democratic | Yea |
| Caballero, Anna M. | Democratic | Yea |
| Calderon, Lisa | Democratic | Yea |
| Cervantes, Sabrina | Democratic | Yea |
| Gipson, Mike A. | Democratic | Yea |
| Grayson, Timothy S. | Democratic | Yea |
| Irwin, Jacqui | Democratic | Nay |
| Kalra, Ash | Democratic | Yea |
| Limón, Monique | Democratic | Yea |
| Muratsuchi, Al | Democratic | Yea |
| Quirk-Silva, Sharon | Democratic | Nay |
| Reyes, Eloise Gómez | Democratic | Yea |
| Chen, Phillip | Republican | Nay |
| Choi, Steven S. | Republican | Nay |
| Dahle, Megan | Republican | Nay |
| Flora, Heath | Republican | Nay |
| Gallagher, James | Republican | Nay |
| Lackey, Tom | Republican | Nay |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 9 | 3 | 0 | 1 |
| Democratic | 3 | 0 | 0 | 0 |
| Republican | 0 | 1 | 0 | 0 |
| Total | 12 | 4 | 0 | 1 |
| % of votes cast | 71% | 24% | 0% | 6% |
How each member voted (17)
| Member | Party | Vote |
|---|---|---|
| Bigelow | — | Nay |
| Bloom | — | Yea |
| Brough | — | Not Voting |
| Nazarian | — | Yea |
| Obernolte | — | Nay |
| Quirk | — | Yea |
| Eggman | — | Yea |
| Chau | — | Yea |
| Gonzalez Fletcher | — | Yea |
| Fong | — | Nay |
| Friedman | — | Yea |
| Eduardo Garcia | — | Yea |
| Wendy Carrillo | — | Yea |
| Bonta, Mia | Democratic | Yea |
| Calderon, Lisa | Democratic | Yea |
| Reyes, Eloise Gómez | Democratic | Yea |
| Gallagher, James | Republican | Nay |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democratic | 2 | 0 | 0 | 0 |
| Unaffiliated | 3 | 2 | 0 | 0 |
| Total | 5 | 2 | 0 | 0 |
| % of votes cast | 71% | 29% | 0% | 0% |
How each member voted (7)
| Member | Party | Vote |
|---|---|---|
| Harper | — | Nay |
| Low | — | Yea |
| Mullin | — | Yea |
| Obernolte | — | Nay |
| Weber | — | Yea |
| Berman, Marc | Democratic | Yea |
| Calderon, Lisa | Democratic | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 0 | 1 | 0 | 0 |
| Unaffiliated | 5 | 1 | 0 | 0 |
| Total | 5 | 2 | 0 | 0 |
| % of votes cast | 71% | 29% | 0% | 0% |
How each member voted (7)
| Member | Party | Vote |
|---|---|---|
| Quirk | — | Yea |
| Jones-Sawyer | — | Yea |
| Kiley | — | Nay |
| Gonzalez Fletcher | — | Yea |
| Santiago | — | Yea |
| Wendy Carrillo | — | Yea |
| Lackey, Tom | Republican | Nay |
Subjects
Frequently asked questions
- What does AB 3115 do?
- (1) Existing law, the Emergency Medical Services System and the Prehospital Emergency Medical Care Personnel Act, governs local emergency medical services (EMS) systems. The existing act establishes the Emergency Medical Services Authority, which is responsible for the coordination and integration of EMS systems. Among other duties, existing law requires the authority is required to develop planning and implementation guidelines for EMS systems, provide technical assistance to existing agencies, counties, and cities for the purpose of developing the components of EMS systems, and receive plans for the implementation of EMS and trauma care systems from local EMS agencies. Existing law makes violation of the act or regulations adopted pursuant to the act punishable as a misdemeanor. This bill would establish within the act until January 1, 2025, the Community Paramedicine or Triage to Alternate Destination Act of 2018. The bill would authorize a local EMS agency to develop a community paramedicine or triage to alternate destination program, as defined, to provide specified community paramedicine services. The bill would require the authority to develop regulations to establish minimum standards for a program, and would further require the Commission on Emergency Medical Services to review and approve those regulations. The bill would require the authority to review a local EMS agency's proposed program and approve, approve with conditions, or deny the proposed program no later than 6 months after it is submitted by the local EMS agency. The bill would require a local EMS agency that opts to develop a program to perform specified duties that include, among others, integrating the proposed program into the local EMS agency's EMS plan. The bill would require the Emergency Medical Services Authority to contract with an independent 3rd party to prepare a report on community paramedicine or triage to alternate destination programs on or before June 1, 2023, as specified. The bill would prohibit a person or organization from providing community paramedicine or triage to alternate destination services or representing, advertising, or otherwise implying that it is authorized to provide those services unless it is expressly authorized by a local EMS agency to provide those services as part of a program approved by the authority. The bill would also prohibit a community paramedic from providing community paramedicine services if he or she has not been certified and accredited to perform those services and is working as an employee of an authorized community paramedicine provider. Because a violation of the act described above is punishable as a misdemeanor, and this bill would create new requirements within the act, the bill would expand an existing crime, thereby imposing a state-mandated local program. (2) Existing law authorizes a county to establish an emergency medical care committee and requires the committee, at least annually, to review the operations of ambulance services operating within the county, emergency medical care offered within the county, and first aid practices in the county. Existing law requires the county board of supervisors to prescribe the membership, and appoint the members, of the committee. This bill would require the committee to include additional members, as specified, and to advise a local EMS agency within the county on the development of its community paramedicine or triage to alternate destination program if the local EMS agency develops that program. The bill would specifically require the mayor of a city and county, rather than the county board of supervisors, to appoint the membership. The bill would repeal these provisions on January 1, 2025. (3) Existing law establishes the Commission on Emergency Medical Services with 18 members. The commission, among other things, reviews and approves regulations, standards, and guidelines developed by the authority. This bill would increase the membership of the commission to 20 members and modify the entities that submit names for appointment to the commission by the Governor, the Senate Committee on Rules, and the Speaker of the Assembly. (4) 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 no reimbursement is required by this act for a specified reason.
- Who sponsors AB 3115?
- AB 3115 is sponsored by Gipson, Mike A. (Democratic), Hertzberg, and Bonta, Mia (Democratic).
- What is the current status of AB 3115?
- This bill died with 2017-2018 Regular Session. It reached “To Executive” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
- Where can I track AB 3115?
- Track AB 3115 free on One Click Politics — get push/email alerts when it moves.
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