Amd §122-b, Gen Muni L; amd §2, Chap of 2025 (as proposed in S.7501-A & A.8086-A); add §3019, Pub Health L
Directs the department of health to make available a model comprehensive county emergency medical system plan to provide guidance to counties in developing their plans and to review such county plans within a certain period of time; and directs counties, in coordination with their regional emergency medical services councils, to develop and maintain comprehensive county emergency medical system plans that provide for coordinated emergency medical systems within such counties.
STATE OF NEW YORK
________________________________________________________________________
9440
IN ASSEMBLY
January 6, 2026
___________
Introduced by M. of A. OTIS -- read once and referred to the Committee
on Local Governments
AN ACT to amend the public health law and the general municipal law, in
relation to directing counties to develop and maintain comprehensive
county emergency medical system plans; and to amend a chapter of the
laws of 2025 amending the general municipal law relating to directing
counties to develop and maintain comprehensive county emergency
medical system plans, as proposed in legislative bills numbers S.
7501-A and A. 8086-A, in relation to the effectiveness thereof
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. The public health law is amended by adding a new section
2 3019 to read as follows:
3 § 3019. Department review of comprehensive county emergency medical
4 system plans. 1. The department, in consultation with the state emergen-
5 cy medical services council, the regional emergency medical services
6 councils, or any other group the department deems necessary, may make
7 available a model comprehensive county emergency medical system plan
8 format to help provide guidance to counties to consider when developing
9 their comprehensive county emergency medical system plan required pursu-
10 ant to section one hundred twenty-two-b of the general municipal law.
11 Such model plan shall be made publicly available on the department's
12 website and outline the components of the plan that the department deems
13 most effective to facilitate their timely review and meaningful feedback
14 on each county's plan.
15 2. Upon receipt of a county's comprehensive county emergency medical
16 system plan submitted to the department pursuant to section one hundred
17 twenty-two-b of the general municipal law, the department shall review
18 such plan and provide written feedback and any recommendations, within
19 sixty days of such plan's submission, for review by the county.
20 § 2. Subdivision 6 of section 122-b of the general municipal law, as
21 added by a chapter of the laws of 2025 amending the general municipal
22 law relating to directing counties to develop and maintain comprehensive
23 county emergency medical system plans, as proposed in legislative bills
24 numbers S. 7501-A and A. 8086-A, is amended to read as follows:
25 6. (a) Each county, in coordination with their regional emergency
26 medical services council, shall convene meetings and a planning process
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD11722-08-6
A. 9440 2
1 with cities, towns, and villages within their jurisdiction for the
2 purpose of developing and maintaining a comprehensive county emergency
3 medical system plan that shall describe how coordinated and reliable
4 emergency medical services within the county would be provided for all
5 residents within the county. Such process shall be convened by the
6 county emergency medical system coordinator, designee of the county
7 office of emergency management, or other designee selected by the coun-
8 ty. The planning process, and resulting comprehensive county emergency
9 medical system plan, shall include assessment of the existing level of
10 emergency medical services in each area of the county, a plan to
11 increase or provide service where additional service is needed, a deter-
12 mination as to what organizational structure will be utilized to provide
13 service in each area of the county, and cost estimates to provide
14 service in areas requiring service levels greater than currently avail-
15 able. The goal of this process is to provide a framework to assist
16 state and local decision makers in achieving the objective of ensuring
17 that reliable emergency medical services and ambulance services are made
18 available to every person in the state.
19 (b) In developing the comprehensive county emergency medical system
20 plan, each county, city, town, and village shall work together to speci-
21 fy which entity or entities, and which organizational structure will be
22 utilized for providing emergency medical services and how costs for
23 providing such services will be assigned. Such plan may utilize munici-
24 pal, intermunicipal, not-for-profit or for-profit contract coverage,
25 special district, or regional agreements for providing service in each
26 area of the county. The plan shall also identify the current emergency
27 medical services provider or providers responsible for requests for
28 emergency medical services within each part of the county, or note any
29 given area that does not have an emergency medical services provider
30 responsible for requests for emergency medical services.
31 (c) [Comprehensive] Each plan shall detail any specific local govern-
32 ment actions, such as any intermunicipal agreements or special district
33 creations, that may be necessary for the implementation of such plan.
34 (d) Each county shall complete their comprehensive county emergency
35 medical system [plans shall be completed within six months of the effec-
36 tive date of this section and submitted] plan and submit it electron-
37 ically to the department of health, their respective regional emergency
38 medical services council, and the state emergency medical services coun-
39 cil for review, and comment within six months of the effective date of
40 this section.
41 § 3. Section 2 of a chapter of the laws of 2025 amending the general
42 municipal law relating to directing counties to develop and maintain
43 comprehensive county emergency medical system plans, as proposed in
44 legislative bills numbers S. 7501-A and A. 8086-A, is amended to read as
45 follows:
46 § 2. This act shall take effect [immediately] six months after it
47 shall have become a law.
48 § 4. This act shall take effect immediately; provided, however, that
49 sections one and two of this act shall take effect on the same date and
50 in the same manner as a chapter of the laws of 2025 amending the general
51 municipal law relating to directing counties to develop and maintain
52 comprehensive county emergency medical system plans, as proposed in
53 legislative bills numbers S. 7501-A and A. 8086-A, takes effect.
