Bill Text

Bill Information

PDF |Add To My Favorites | print page

AB-1621 Emergency medical services: data and information system.(2013-2014)

SHARE THIS:share this bill in Facebookshare this bill in Twitter
AB1621:v95#DOCUMENT

Amended  IN  Senate  June 24, 2014
Amended  IN  Senate  June 09, 2014
Amended  IN  Assembly  May 23, 2014
Amended  IN  Assembly  April 21, 2014

CALIFORNIA LEGISLATURE— 2013–2014 REGULAR SESSION

Assembly Bill
No. 1621


Introduced by Assembly Members Lowenthal and Rodriguez

February 06, 2014


An act to add Section 1797.119 to the Health and Safety Code, relating to emergency medical services.


LEGISLATIVE COUNSEL'S DIGEST


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. 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.
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 any rules or regulations and standards 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   Local Program: YES  

The people of the State of California do enact as follows:


SECTION 1.

 Section 1797.119 is added to the Health and Safety Code, to read:

1797.119.
 (a) (1) In order to fulfill the authority’s responsibility to assess emergency medical services and their effectiveness as required by Section 1797.102, the authority shall 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.
(2) The authority shall comply with this section on or before July 1, 2016.
(b) (1) The authority shall 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, including, but not limited to, a common data dictionary, integration of first responder data, transport provider data, and patient outcome data, and compliant with current NEMSIS standards and privacy requirements in state and federal law. Privacy requirements shall ensure that all patient data obtained from EMS providers for the purpose of this section is subject to legal privacy and security standards consistent with privacy and security protections for personal health data in the possession of EMS providers under state and federal law.
(2) The regulations and standards developed by the authority shall describe standards for the purpose of standardizing data collection. The regulations and standards shall allow the use of any prehospital electronic patient record system, provided that the system is compatible with CEMSIS, compliant with NEMSIS, and meets the standards set by the authority.
(3) The authority shall consult with stakeholders in the development of standards and compatibility with CEMSIS, including air ambulance providers and other entities not included in the California Commission on Emergency Medical Services membership.
(4) Local EMS agencies and local prehospital EMS providers that upgrade or purchase an electronic patient care record system on or after the date the authority issues final guidance pursuant to paragraph (1) shall ensure that the system complies with standards contained in that guidance.
(c) Local EMS agencies shall submit patient information consistent with the requirements of paragraph (1) of subdivision (a) to the authority in a timely manner, using NEMSIS standards and electronic transfer when available.

(d)The authority, in order to exercise the powers and perform the duties conferred upon it by this chapter, and in accordance with Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of the Government Code, shall adopt, amend, or repeal any rules, regulations, or standards as may be necessary.

(e)The authority shall post any proposed rules promulgated under this section on its public Internet Web site no later than 90 calendar days prior to the effective date of the proposed rule, which shall also include notification to the public regarding how members of the public may comment, including the date by which those comments must be received in order to be considered by the authority.

(f)

(d) This section and any rules and regulations and standards promulgated pursuant to this section shall be implemented only to the extent that funds are made available through an appropriation in the annual Budget Act.

SEC. 2.

 If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code.