AB 767 — Community Paramedicine or Triage to Alternate Destination Act.

Summary

Existing law, the Emergency Medical Services System and the Prehospital Emergency Medical Care Personnel Act, governs local emergency medical services (EMS) systems. The Emergency Medical Services System and the Prehospital Emergency Medical Care Personnel Act establish the Emergency Medical Services Authority, which is responsible for the coordination and integration of EMS systems. Existing law makes a violation of the Emergency Medical Services System and the Prehospital Emergency Medical Care Personnel Act or regulations adopted pursuant to the act punishable as a misdemeanor. Existing law, the Community Paramedicine or Triage to Alternate Destination Act of 2020 (the act) , authorizes a local EMS agency to develop a community paramedicine or triage to alternate destination program, as defined, to provide specified community paramedicine services. The act requires the authority to develop, and after approval by the Commission on Emergency Medical Services, adopt regulations and establish minimum standards for the development of those programs. This act prohibits 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 act also prohibits a community paramedic or a triage paramedic from providing their respective services unless the community paramedic or triage paramedic has been certified and accredited to perform those services and is working as an employee of an authorized provider. The act is repealed on January 1, 2024. This bill would extend the act until January 1, 2031. The bill would expand the allowable community paramedicine services program specialties to include providing short-term, postdischarge followup for persons recently discharged from a hospital due to a serious health condition, including collaboration with, and by providing referral to, home health services when eligible. The bill would require, on or before January 1, 2025, the authority to amend regulations to include sufficient state-level program oversight that would allow for local EMS agencies to develop community paramedicine programs, as specified. Because a violation of the act is punishable as a misdemeanor, and this bill would create new requirements within the act and extend the operation of the act, this bill would expand an existing crime, thereby imposing a state-mandated local program. This bill would extend the authorization for specified community paramedicine short-term, postdischarge followup pilot programs to continue operations from January 1, 2024, until the regulations described above become effective. The bill would repeal certain provisions within the act requiring the authority to seek federal or private funding for those pilot programs. The bill would repeal a provision within the act requiring a local EMS agency to facilitate funding discussions between specified entities to support the implementation of the local EMS agency's community paramedicine or triage to alternate destination program. The bill would extend a requirement for a county board of supervisors or mayor to establish an emergency medical care committee to advise a local EMS agency that elects to develop a program pursuant to the act from January 1, 2024, to January 1, 2031. Existing law requires the authority to contract with an independent third party to prepare a final report on the results of the community paramedicine or triage to alternate destination programs. Existing law requires the authority to submit the report to the relevant policy committees of the Legislature on or before April 1, 2023. This bill would instead require the authority to prepare the final report and submit the report on or before April 1, 2028. 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

• Chaptered 09/30/23 - Chaptered Current pdf September 30, 2023
• Enrolled 09/11/23 - Enrolled pdf September 11, 2023
• Amended 09/01/23 - Amended Senate pdf September 01, 2023
• Amended 06/26/23 - Amended Senate pdf June 26, 2023
• Introduced 02/13/23 - Introduced pdf February 13, 2023
• AB767 View text html

Action History

1. September 30, 2023

   Chaptered by Secretary of State - Chapter 270, Statutes of 2023.

2. September 30, 2023

   Approved by the Governor.

3. September 14, 2023

   Enrolled and presented to the Governor at 4:30 p.m.

4. September 07, 2023

   Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 76. Noes 0. Page 3070.).

5. September 07, 2023

   Assembly Rule 77 suspended. (Page 3011.)

6. September 06, 2023

   In Assembly. Concurrence in Senate amendments pending. May be considered on or after September 8 pursuant to Assembly Rule 77.

7. September 06, 2023

   Read third time. Passed. Ordered to the Assembly. (Ayes 38. Noes 0. Page 2404.).

8. September 05, 2023

   Read second time. Ordered to third reading.

9. September 01, 2023

   Read second time and amended. Ordered returned to second reading.

10. September 01, 2023

    From committee: Amend, and do pass as amended. (Ayes 6. Noes 0.) (September 1).

11. July 03, 2023

    In committee: Referred to APPR suspense file.

12. June 26, 2023

    Read second time and amended. Re-referred to Com. on APPR.

13. June 22, 2023

    From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 0.) (June 21).

14. June 07, 2023

    Referred to Com. on HEALTH.

15. May 26, 2023

    In Senate. Read first time. To Com. on RLS. for assignment.

16. May 25, 2023

    Read third time. Passed. Ordered to the Senate. (Ayes 76. Noes 0. Page 1806.)

17. May 18, 2023

    Read second time. Ordered to third reading.

18. May 18, 2023

    From committee: Do pass. (Ayes 15. Noes 0.) (May 18).

19. May 03, 2023

    In committee: Set, first hearing. Referred to APPR. suspense file.

20. April 26, 2023

    In committee: Hearing postponed by committee.

21. April 12, 2023

    From committee: Do pass and re-refer to Com. on APPR. (Ayes 15. Noes 0.) (April 11). Re-referred to Com. on APPR.

22. February 23, 2023

    Referred to Com. on HEALTH.

23. February 14, 2023

    From printer. May be heard in committee March 16.

24. February 13, 2023

    Read first time. To print.

Sponsors

• Mike A. Gipson · Primary

Votes

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