The California Office of Statewide Health Planning and Development (OSHPD) has finally approved a proposal by the Emergency Medical Services Authority which includes several pilot projects designed to explore the effectiveness, safety and sustainability of community paramedicine programs in California. OSHPD has statutory authority to approve such healthcare pilot projects under their Health Workforce Pilot Projects Program. Most of the pilots will begin in early 2015.
For additional information go to: EMS Authority Press Release
The Fall 2014 edition of the Public Law Journal, an official publication of the State Bar of California, includes an article that reviews case law and interpretation of this frequently contentious grandfathering section of the 1980 EMS Act affecting cities and fire districts. The seven-page article concludes: "Despite the intent that it be a temporary and transitional provision, Section 201 has taken on a greater importance within the overall EMS Act scheme than the Legislature contemplated. In recent years, the affected parties have proposed a variety of legislative fixes to Section 201 to provide greater clarity regarding the rights and obligations of grandfathered providers. Until the Legislature acts on any of these or a compromise proposal, the full integration and coordination the EMS Act seeks to promote may not be achieved."
For the full text of the article, go to: Public Law Journal Article
At the meeting of the State EMS Commission in December, the Commissioners directed the EMS Authority to draft new regulations for the hearing of appeals by the Commission regarding decisions by the Authority on local EMS Plans. In June 2014 the County of Kern formally notified the Commission of their intent to appeal such a decision. While the Commission has long-standing statutory authority to hear appeals related to EMS Plans, it has never done so. The Commission further directed that the appeals procedure follow the model used by the Office of Administrative Hearings (OAH) set forth in Government Code 11517 et seq. The creation of new regulations could take up to one year, and will require review and approval by the Commission. Several local EMS agencies have experienced recent disapprovals of their EMS Plan by the Authority, and the procedure is expected to be tested immediately after adoption.