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LEGISLATION COMMITTEE
Meeting Date: 02/12/2018  
Subject:    Support for AB 1795 (Gipson): Emergency Medical Services: Community Care Facilities
Submitted For: LEGISLATION COMMITTEE
Department: County Administrator  
Referral No.: 2018-02  
Referral Name: Support for AB 1795
Presenter: L. DeLaney Contact: L. DeLaney, 925-335-1097

Information
Referral History:
AB 1795 is currently supported by the Emergency Medical Services (EMS) Agency State Administrators, California Hospital Association and the California Ambulance Association (CAA). The bill is opposed by the California Nurses Association (CNA) and the American College of Emergency Physicians (ACEP) at present.

The bill has been referred to the Legislation Committee for consideration of support by Pat Frost, the County's Director of Emergency Medical Services.


Referral Update:
Title: Emergency Medical Services: Community Care Facilities
Fiscal Committee: yes
Urgency Clause: no
Introduced: 01/09/2018
Disposition: Pending
Location: Assembly Health Committee
Summary: Authorizes a local emergency medical services agency to submit, as part of its emergency services plan, a plan to transport specified patients to a community care facility in lieu of transportation to a general acute care hospital.
Status:
01/22/2018 To ASSEMBLY Committee on HEALTH.

LEGISLATIVE COUNSEL'S DIGEST

AB 1795, as introduced, Gipson. Emergency medical services: community care facilities.

Existing law, the Emergency Medical Services System and the Prehospital Emergency Medical Care Personnel Act, establishes the Emergency Medical Services Authority, which is responsible for the coordination and integration of all state agencies concerning emergency medical services. Among other duties, the authority is required to develop planning and implementation guidelines for emergency medical services systems, provide technical assistance to existing agencies, counties, and cities for the purpose of developing the components of emergency medical services systems, and receive plans for the implementation of emergency medical services and trauma care systems from local EMS agencies.

The act also authorizes each county to develop an emergency medical services program and requires local EMS agencies to plan, implement, and evaluate an emergency medical services system. Existing law requires local EMS agencies to be responsible for the implementation of advanced life support systems, limited advanced life support systems, and for the monitoring of specified training programs for emergency personnel. Existing law defines advanced life support as special services designed to provide definitive prehospital emergency medical care, as specified, at the scene of an emergency, during transport to an acute care hospital, during interfacility transfer, and while in the emergency department of an acute care hospital until responsibility is assumed by that hospital.

This bill would authorize a local emergency medical services agency to submit, as part of its emergency services plan, a plan to transport specified patients to a community care facility, as defined, in lieu of transportation to a general acute care hospital. The bill would make conforming changes to the definition of advanced life support to include prehospital emergency care provided before and during, transport to a community care facility, as specified. The bill would also direct the Emergency Medical Services Authority to authorize a local EMS agency to add to its scope of practice for specified emergency personnel those activities necessary for the assessment, treatment, and transport of a patient to a community care facility.

Attachment A: Support, if amended letter from CAA
Attachment B: LA County BOS Support letter
Attachment C: California ACEP, Oppose Unless Amended letter
Recommendation(s)/Next Step(s):
RECOMMEND support to the Board of Supervisors.
Attachments
Attachment A
Attachment B
Attachment C

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