Requires municipalities to provide basic life support services; establishes basic life support services as essential.

S1421 FISCAL ESTIMATE

LEGISLATIVE FISCAL ESTIMATE

SENATE, No. 1421

STATE OF NEW JERSEY

222nd LEGISLATURE

DATED: JULY 13, 2026

SUMMARY

Synopsis:

Requires municipalities to provide basic life support
services; establishes basic life support as essential.

Type of Impact:

Local expenditure and revenue increases.

Agencies Affected:

Municipalities.

Office of
Legislative Services Estimate

Fiscal Impact

�

Local Expenditure Increase

Indeterminate

Local Revenue Increase

Indeterminate

�

The
Office of Legislative Services (OLS) finds that the bill would result in
indeterminate annual spending increases for those municipalities that would
need to newly provide basic life support services.� The manner in which
municipalities would provide these services would vary across local governments
in accordance with the different options presented in the bill; and so the
fiscal impact is indeterminate.

�

A
municipality that enters into a mutual aid agreement to provide basic life
support services for another municipality would receive an indeterminate amount
of revenue based on the terms of the agreement.

BILL DESCRIPTION

����� This bill would establish basic life support service,
as defined in the bill, as an essential service and require the governing body
of each municipality to provide these services to meet the needs of its
population.� The provision of these services may be arranged by 1) providing a
license or franchise to a private company; 2) contracting with a public,
private, or nonprofit entity; 3) entering into a mutual aid agreement with one
or more municipalities; 4) entering into an agreement with a hospital; and 5)
providing fire department and emergency medical services or public safety based
basic life support service throughout the State, county, fire district, joint
meeting, regional service agency of municipality, political subdivision,
instrumentality or agency.

FISCAL ANALYSIS

EXECUTIVE BRANCH

����� None received.

OFFICE OF LEGISLATIVE SERVICES

����� The OLS finds that the bill would result in
indeterminate annual spending increases for those municipalities that would
need to newly provide basic life support services.� The manner in which
municipalities would provide these services would vary across local governments
in accordance with the different options presented in the bill; and so the
fiscal impact is indeterminate.

����� A municipality that enters into a mutual aid agreement
to provide basic life support services for another municipality would receive
an indeterminate amount of revenue based on the terms of the agreement while
incurring the costs to provide these services.

Section:

Local Government

Analyst:

Grace Ahlin

Associate Fiscal Analyst

Approved:

Thomas Koenig

Legislative Budget and Finance Officer

This legislative fiscal estimate has been produced by the
Office of Legislative Services due to the failure of the Executive Branch to
respond to our request for a fiscal note.

This fiscal estimate has been prepared pursuant to P.L.1980,
c.67 (C.52:13B-6 et seq.).