Read the full stored bill text
S3007 [1R] FISCAL ESTIMATE
LEGISLATIVE FISCAL ESTIMATE
[First Reprint]
SENATE, No. 3007
STATE OF NEW JERSEY
222nd LEGISLATURE
DATED: JUNE 11, 2026
SUMMARY
Synopsis:
Provides for licensure of emergency medical responders and
emergency medical technicians and certification of mobility assistance
vehicle operators; revises requirements for delivery of emergency medical and
patient transportation services.
Type of Impact:
Annual State expenditure and revenue increases; potential expenditure
increase to certain local entities.
Agencies Affected:
Department of Health, Department of Law and Public Safety,
University Hospital, Bergen New Bridge Medical
Center, local governments.
Office of
Legislative Services Estimate
Fiscal Impact
Annual
State Expenditure Increase
Indeterminate
State Revenue Increase
Indeterminate
Potential Expenditure
Increase for Certain Local Entities,
University
Hospital, and Bergen New Bridge Medical Center
Indeterminate
�
The Office of Legislative Services (OLS) concludes that the
Department of Health would incur indeterminate annual expenses to administer
the provisions of the bill as they relate to the licensure of emergency medical
responders and emergency medical technicians, and the certification of mobility
assistance vehicle operators.
�
To the extent that the department�s existing
administration of the State�s
emergency medical services
meets
the bill�s provisions or can be used to support the bill�s provisions, costs
incurred by the department would be minimized.�
�
Additionally, the department
would
experience an indeterminate increase in revenue from the monetary penalties
authorized under the bill.� It is also possible that State revenues may
increase as the result of the department establishing new licensure or
certification fees.
�
The Department of Law and Public Safety will also incur annual
indeterminate costs from the background checks required under the bill.� The
bill authorizes the Department of Health to have the cost of the background
checks paid by the candidate, which would increase State revenues and offset
the costs of providing the background checks.
�
The effects of the
various changes
under the bill may lead to
indeterminate cost increases for entities that operate emergency medical
services
programs, which
includes certain local municipalities;
University
Hospital, an independent non-profit legal entity that is an instrumentality of
the State located in Newark; and Bergen New Bridge Medical Center (formerly the
Bergen Regional Medical Center), a county-owned entity in Paramus.�
BILL DESCRIPTION
����� The bill directs the
Department of Health to establish written standards and application procedures
for the licensure of emergency medical technicians and emergency medical
responders, including standards for licensure by reciprocity, and the
certification of
mobility assistance vehicle operator
s.� The department may issue a formal written warning,
impose a monetary penalty, place on probation, suspend, revoke, or refuse to
issue or renew the license of any mobile intensive care paramedic, emergency
medical technician or responder, or the certification of any
mobility
assistance vehicle operators
, for violation of
any of the rules adopted by the department pursuant to the bill.�
����� The bill prohibits a
person from impersonating a licensed emergency medical technician or emergency
medical responder or certified
mobility assistance vehicle operator
and provides certain immunity from civil damages.
�����
The department
may require a candidate for an emergency medical technician or emergency�
medical responder license or mobility assistance vehicle operator certification
to bear the costs of the criminal history record background check as may be
deemed necessary by the department.
����� The bill provides the department
with the authority to summarily suspend a person's mobile intensive care
paramedic, emergency medical technician, or emergency medical responder license
or
mobility assistance vehicle operator
certification when the continued licensure or certification of that person
poses an immediate or serious threat to the public health, safety, or welfare.�
The
bill directs the department to establish staffing requirements for various
emergency medical services units and requires all crewmembers to hold the
appropriate license or certification.
����� The bill requires each
mobility assistance vehicle service provider, specialty care transport unit,
and basic life support unit used for medical transportation to complete and
submit to the department an electronic patient care report for each patient encounter
in which the patient received health care transportation services.� The
department will develop and maintain an electronic record of the patient data
reported and will make such non-identifying patient data available for research
purposes.
����� The bill requires each
hospital transfer center in the State to provide data concerning patient
referrals and transfers, upon request by the department, in such form and
manner as may be necessary to protect against the disclosure of any
confidential or personal identifying information.
����� The bill requires the
department, at such times as the department has collected the data required
pursuant to the bill for a period of 12 months, to conduct a study on the
quality of emergency medical services care and workforce in the State and to
prepare and submit a written report to the Governor and Legislature.� The bill also
establishes certain penalties for the violation of certain laws.
FISCAL ANALYSIS
EXECUTIVE BRANCH
����� None received.
OFFICE OF LEGISLATIVE SERVICES
����� The OLS concludes that the Department of Health would
incur indeterminate annual expenses to administer the provisions of the bill as
they relate to licensure of emergency medical responders and emergency medical
technicians, and the certification of mobility assistance vehicle operator
s
.
�Additionally, the
department
would experience an indeterminate increase in revenue from
the monetary penalties authorized under the bill.� Among other things, the bill
establishes a penalty of $200 for the first offense and $500 for each
subsequent offense of provisions found within the State�s emergency medical
services statutes.
����� Currently, the Office of
Emergency Medical Services within the department regulates, licenses, and
oversees the State's pre-hospital emergency medical care. �The office�s Provider
Licensing and Learning Management System serves as the platform for maintaining
all New Jersey emergency medical services clinical licenses and certifications,
under which the department presently certifies
emergency medical
technicians and licenses mobility assistance vehicle service providers (the
companies, not the vehicle operators themselves).� The OLS notes that emergency
medical responders do not currently have a State-administered process for
licensure.
To the extent that the
department�s existing administration of the State�s
emergency medical services
meets the bill�s provisions or can be used
to support the bill�s provisions, costs incurred by the department would be
minimized.�
����� The OLS concludes that the department may incur costs
under the bill for the following:� processing applications for and issuing
licenses for emergency medical responders; establishing written standards and
application procedures for emergency medical responders; maintaining applicant registrations
for emergency medical technicians, emergency medical responders, and mobility
assistance vehicle operator
s
; conducting
a study on the quality of emergency medical services care and the workforce; establishing
crewmember minimum staffing requirements; establishing reciprocity agreements
with other states; and implementing and administering patient care reports, as
expanded under the bill�s provisions and submitted to the department by various
emergency medical services entities.� �
����� The OLS notes that the Department of Law and Public
Safety will also incur annual indeterminate costs from the background checks
required under the bill.� The bill authorizes the Department of Health to have
the cost of the background checks paid by the candidate, which would increase
State revenues and offset the costs of providing the background checks.
�����������
The
effects of the various changes
under the bill may lead to indeterminate
cost increases for entities that operate emergency medical services
programs, which includes certain local municipalities;
University Hospital, an independent non-profit legal entity that is an
instrumentality of the
State located in Newark; and
Bergen New Bridge Medical Center (formerly the Bergen Regional Medical Center),
a county-owned entity in Paramus.� These entities may incur costs under the
bill for the following:� preparing and submitting
patient care reports,
as expanded under the bill�s provisions, to the department; complying with crew
member minimum staffing requirements, established by the department under the
bill; submitting
data to the department
concerning patient referrals and transfers; and paying for penalties and fines established
under the bill.
Section:
Human Services
Analyst:
Sarah Schmidt
Principal Research 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.).