What's happening
This bill authorizes fire departments and ambulance services in New York to charge and collect fees for emergency medical services.
Why it matters
Potential for New Revenue Streams. By allowing fire departments and ambulance services to charge for emergency medical services, local agencies may generate additional funds to support their operations, potentially improving service quality or sustainability.
Changes to How EMS Services Are Funded. Historically, many fire and EMS services were provided free of charge to individuals served. This bill marks a significant shift in cost structure, meaning residents and insurance providers may now see new or increased bills related to emergency medical care.
Impact on Rural and Advanced Life Support (ALS) Services. The bill requires basic life support providers who bill for services to contract with advanced life support (ALS) providers and pay negotiated or customary fees for ALS intercepts in rural areas. This could affect the availability and coordination of higher-level emergency care, particularly in less populated areas.
Local Government and Contractual Oversight. The new law gives more explicit authority to local governments and fire department leadership to set fee schedules, collect payments, and enter into written contracts regarding the disbursement of collected funds—potentially increasing administrative complexity and oversight needs.
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Who cares
Headline styles
Allow Fire Departments to Charge
Plain English, a few words. Used as the page title.
Sponsors
Senator · Senate District 8
History
- Referred to local governments
- Delivered to assembly
- Passed senateVote 58–2
- Advanced to third reading
- 2nd report cal.
- 1st report cal.55
- Referred to local government
- Returned to senate
- Died in assembly
- Referred to local governments
- Delivered to assembly
- Passed senateVote 55–7
Show 7 earlier actions
- Amended on third reading (t) 3685b
- Advanced to third reading
- 2nd report cal.
- 1st report cal.567
- Print number 3685a
- Amend and recommit to local government
- Referred to local government
Companion bill
The same bill in the other chamber. A bill becomes law when one version passes both houses and the governor signs it, so either number can carry it.
Allow EMS to Charge Fees
In Assembly Committee · Local Governments · Sponsor Billy Jones
Full text
3 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
3685--B Cal. No. 567
2019-2020 Regular Sessions
IN SENATE
February 12, 2019
Introduced by Sens. BROOKS, LITTLE, FUNKE, GALLIVAN, HARCKHAM, THOMAS -read twice and ordered printed, and when printed to be committed to the Committee on Local Government -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee -- reported favorably from said committee, ordered to first and second report, ordered to a third reading, amended and ordered reprinted, retaining its place in the order of third reading
AN ACT to amend the general municipal law and the town law, in relation to authorizing fees and charges for emergency medical services
The People of the State of New York, represented in Senate and Assembly, do enact as follows:
Section 1. Subdivision 4 of section 209-b of the general municipal law, as amended by chapter 476 of the laws of 2018, is amended to read as follows:
4. Fees and charges [prohibited] authorized. (a) Emergency and general ambulance service, including emergency medical service as defined in section three thousand one of the public health law, authorized pursuant to this section [shall] may be furnished without cost to the person served; provided, however, that the authorities having control of a fire department or fire company that have authorized such fire department or fire company to provide such service or services may fix a schedule of fees or charges to be paid by persons requesting such service or services. The authorities having control of a fire department or fire company may provide for the collection of fees and charges or may formulate rules and regulations for the collection thereof by the fire department or fire company. When fees and charges are authorized pursuant to this subdivision, the fees and charges collected shall be disbursed in accordance with a written contract entered into between the authority having control of a fire department of fire company and the fire department or fire company itself. The acceptance by any firefighter of any personal remuneration or gratuity, directly or indirect-
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD02799-05-9
S. 3685--B 2
ly, from a person served shall be a ground for his or her expulsion or suspension as a member of the fire department or fire company.
(b) Notwithstanding the provisions of paragraph (a) of this subdivision, a basic life support service which establishes a schedule of fees for service shall enter into a contract with a provider or providers of advanced life support services to provide such advanced life support services. Such contract shall at a minimum establish the fees for advanced life support services and the means by which said provider will be reimbursed when the ambulance service bills for emergency medical service.
(c) An emergency and general ambulance service, including emergency medical service as defined by this section which does not establish a schedule of fees for service, requesting an Advanced Life Support (ALS) intercept from another furnishing service in an area that is designated as a rural area by any law or regulation of the state or that is located in a rural census tract of a metropolitan statistical area (as determined under the most recent Goldsmith Modification) shall be subject to payment of an ALS Rural Intercept Fee to such furnishing service at rates negotiated between the providers of such services. In the absence of any agreed upon rates, the service receiving such intercept shall pay for such services at the usual and customary rate, which shall not be excessive or unreasonable. Nothing in this section shall restrict any ambulance providers from establishing mutually agreeable alternate fees for services provided to and/or for each respective ambulance service.
§ 2. Paragraph (e) of subdivision 1 of section 122-b of the general municipal law, as amended by chapter 303 of the laws of 1980, is amended to read as follows:
(e) [No] A contract [shall] may be entered into pursuant to the provisions of this section for the services of an emergency rescue and first aid squad of a fire department or fire company which is subject to the provisions of section two hundred nine-b of [the general municipal law] this chapter;
§ 3. Subdivision 1 of section 184 of the town law, as amended by chapter 599 of the laws of 1994, is amended to read as follows:
1. Whenever the town board shall have established or extended a fire protection district pursuant to the provisions of this article, the town board shall provide for the furnishing of fire protection within the district and for that purpose may (a) contract with any city, village, fire district or incorporated fire company maintaining adequate and suitable apparatus and appliances for the furnishing of fire protection in such district or (b) may acquire by gift or purchase such apparatus and appliances for use in such district and may contract with any city, village, fire district or incorporated fire company for operation, maintenance, and repair of the same and for the furnishing of fire protection in such district, or both. The contract may also provide for the furnishing of (1) emergency service in case of accidents, calamities or other emergencies in connection with which the services of firefighters would be required and (2) general ambulance service subject, however, to the provisions of section two hundred nine-b of the general municipal law. In the event that the fire department or fire company furnishing fire protection within the district pursuant to contract does not maintain and operate an ambulance then a separate contract may be made for the furnishing within the district of emergency ambulance service or general ambulance service, or both, with any city, village or fire district the fire department of which, or with an incorporated fire company having its headquarters outside the district which, maintains
S. 3685--B 3
and operates an ambulance subject, however, in the case of general ambulance service, to the provisions of section two hundred nine-b of the general municipal law, or with an ambulance service, certified or registered pursuant to article thirty of the public health law[, which is not organized under the provisions of section two hundred nine-b of the general municipal law]. Any such contract with any such ambulance service permitted herein shall be subject to the provisions of this section.
§ 4. This act shall take effect on the ninetieth day after it shall have become a law.
Reflowed for reading: line numbers and page breaks removed. Cite the official text.
Sponsor's memo
Title of bill
An act to amend the general municipal law and the town law, in relation to authorizing fees and charges for emergency medical services
Purpose
The purpose to allow fire departments the option to recover costs when providing emergency medical services.
Summary of provisions
Section 1. this bill amends subdivision 4 of section 209-b of the Gener- al Municipal Law to remove the prohibition on a fire department's abili- ty to recover costs for emergency medical services. Further, this section provides language to ensure that advanced life support services are compensated for services rendered.
Section 2. amends subdivision 1 of section 122-b of the General Munici- pal Law to comply with section 1 of this law.
Section 3. amends subdivision 1 of section 184 of to comply with section 1 of this law.
Section 4. is the enacting clause.
Justification
Currently volunteer fire departments and districts that provide emergen- cy medical services are unable to recover costs for the service that they provide. In recent years, a variety of factors have placed great strain on the resources of these services. As a result, many volunteer fire departments and districts have been forced to stop offering ambu- lance service to their communities.
New York State is the only state in the union which prohibits fire departments from recovering costs for emergency medical services. This bill will correct that by simply offering departments the option to recuperate their costs for service.
Fiscal implications
No fiscal impact
Local fiscal implications
No fiscal impact
Effective date
This act shall take effect on the ninetieth day after it shall have become law.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.