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2. EMT 2010 . Sean TraskManagerPersonnel Standards UnitSean.trask@emsa.ca.gov. 3. EMT 2010 Discussion Points:. AB 2917Expert Writing GroupCentral RegistryBackground ChecksInvestigations /Discipline/APA. LEMSA ALJ Reimbursement function Required feesImplementation time line. 4. AB 2917 Author
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1. EMT 2010 Project
Commission on EMS
March 25, 2009
2. 2 EMT 2010 Sean Trask
Manager
Personnel Standards Unit
Sean.trask@emsa.ca.gov
3. 3 EMT 2010 Discussion Points: AB 2917
Expert Writing Group
Central Registry
Background Checks
Investigations /Discipline/APA
LEMSA ALJ Reimbursement function
Required fees
Implementation time line
4. 4 AB 2917Author – TorricoConsensus Bill AMR
CPF
EMSAAC
EMDAC
CAA
Cal Fire & SFM
CRPA
CFCA
CHP
Parks and Recreation
Public Member
EMSA
Agency / Governor’s Office
Each memberEach member
5. 5 AB 2917 Provisions Picked up where SB 941 left off.
EMSA to create a central registry.
Require criminal background checks on EMT-Is and EMT-IIs.
Allow employers to conduct investigations that may lead to certification action.
6. 6 AB 2917 Provisions EMSA to:
Revise several chapters of regulations
Create guidelines for model disciplinary orders.
EMSA to create the ALJ reimbursement fund.
LEMSA medical directors retain authority for certification action.
LEMSA must follow APA for appeals to certification action.
7. 7 AB 2917 Provisions EMSA to collect fees from certifying entities for:
The central registry
LEMSA ALJ reimbursement
Separate fees not shared by all applicants (currently DOJ fees).
EMSA may set paramedic licensure fee in regulations.
8. 8 AB 2917 Provisions EMSA may establish penalties for
Failure to report certification status changes.
July 1, 2010 Deadline
9. 9 Four Phases of Project Regulation Revisions
Administrative Phase
Funding Start Up costs
Establish 3 new functions
New staff
IT Project – Central Registry
Roll Out
10. 10 Regulation Revisions Strategy:
Convene Expert Writing Group
Pre-public Comment Period
Convene Task Force
Public Comment Period
EMS Commission Approval
11. 11 Expert Writing Group Representatives from:
CAA
EMDAC
EMSAAC
CPF
CFCA
EMSA
12. 12 Expert Writing Group Purpose was to assist EMSA in translating the AB 2917 requirements into relevant regulations.
Met from October 3, 2008 to December 12, 2008.
13. 13 Expert Writing Group Small, manageable writing group.
Representatives were involved in AB 2917 Task Force who were familiar with provisions of AB 2917.
Short timeline.
14. 14 Expert Writing Group Revisions were made to:
EMT-I Regulations
EMT-II Regulations
Paramedic Regulations
EMT-I and EMT-II Disciplinary Regulations
EMT-I and EMT-II Model Disciplinary Orders
15. 15 Expert Writing Group New Chapter of Regulations was introduced
Central Registry
16. 16 Central Registry All certifying entities will use
EMT certificates will be printed from central registry
Information available to certifying entities and the public
17. 17 Proposed Central Registry Process
18. 18 Central Registry EMSA surveying all certifying entities to determine:
Numbers of EMTs certified
Type of software used to certify EMTs
ORI Number for DOJ
Contact information for certifying authorities for future correspondence.
19. 19 Background Checks Beginning 7-1-2010, all EMTs will be required to have completed criminal background checks
“Grandfathering” Provision
Dual Reporting – EMSA & Certifying Entity
Re-Live Scan Provision
20. 20 Background Checks “Grandfathering”
Individuals with state level DOJ prior to 7-1-2010 for employment or EMT certification.
Employer or certifying entity must receive subsequent arrest reports to qualify for “grandfathering”.
Must certify to EMSA individual was DOJ’d, subsequent arrest notification in place, and individual is not precluded from EMT certification (no shall denies).
21. 21 Background Checks Preclusions From Certification:
Has committed any sexually related offense specified under Section 290 of the Penal Code.
Has been convicted of murder, attempted murder, or murder for hire.
Has been convicted of two (2) or more felonies.
Is on parole or probation for any felony.
22. 22 Background Checks Beginning 7-1-2010, all EMT-Is, AEMTs, & EMT-IIs not “grandfathered” shall be Live Scanned at the time of recertification.
EMTs “grandfathered” prior to 7-1-2010 will not need to be Live Scanned after 7-1-2010, except:
EMTs previously “grandfathered” who switch employers or certifying entities will need to get a new Live Scan.
No Longer Interested.
23. 23 Background Checks Individual who switches certifying entities that has a subsequent arrest may be requested to be re-Live Scanned by the LEMSA as part of their investigation.
24. 24 Background Checks FBI Criminal Offender Record Information (CORIs)
Only governmental agencies will receive FBI CORIs.
Need governing board resolution on file to accept FBI criminal background information.
Important timeframe to get board resolutions.
EMSA has sample resolution language from DOJ.
25. 25 Background Checks
26. 26 Investigation/Discipline Process Employer may conduct investigation
Timelines
LEMSA retains certification action authority
Appeals to certification action follow APA
Certification action honored statewide for 12 months
27. 27 Investigation / Discipline Process
28. 28 LEMSA ALJ Reimbursement LEMSAs with actual ALJ costs eligible for reimbursement from EMSA
Projected $300,000 available
Reimbursements made once / year
Amount reimbursed depends on amount in fund.
29. 29 Fees Fees
EMT-I
Advanced EMT
EMT-II
Paramedic
30. 30 Fees EMT-I, Advanced EMT, & EMT-II
$75 for new certification
$22 for Central Registry
$15 for LEMSA ALJ Reimbursement
$38 for DOJ-CORI function
$37 for certification renewal
$22 for Central Registry
$15 for LEMSA ALJ Reimbursement
31. 31 Fees Fees will be submitted to EMSA from each certifying entity.
Fees listed are in addition to:
Local certification fees.
Live scan fees
32. 32 Fees EMT-I and EMT-II Fee Calculation Assumptions
Revenues begin July 1, 2010
Estimated 60,000 EMT-Is certified in CA, half will recertify each year.
5,000 new EMT-Is per year
10% attrition in EMT-I renewals
33. 33 Fees EMT-I, AEMT, & EMT-II fees support:
3 new functions @ EMSA – Central Registry, DOJ/ CORI, LEMSA-ALJ Reimbursement.
7 new staff members (1 manager, 1 specialist, 2 programmers, 2 program technicians, 1 special investigator)
IT Project
34. 34 Fees Central Registry
Estimated central registry start-up costs are $1.5 million for hardware and software procurement processes, data center costs, customization, and two new staff programmers.
35. 35 Fees IT Project
Feasibility Study Report
Bid preparation
Vendor selection
Independent project oversight consultant
Loading and testing of software
Implementing program
Training users
Ongoing support and modifications
36. 36 Fees LEMSA – ALJ Reimbursement
Fee is based on an estimated 50 hearings/year at an average cost of $6,000 plus program costs.
37. 37 Paramedic Fees
38. 38 Paramedic Fees Fees have not been adjusted since being set in statute in1994.
New fees will take effect 7-1-2010.
Fund is currently operating at a $257,000 deficit per year.
Largest portion of the fund supports the enforcement unit.
39. 39 Next Steps Pre-Public Comment
Convene Task Force
Public Comment Period(s)
General Fund Loan
Hire New Staff
IT Project
Regulation Revisions
Education and Roll Out of Central Registry
Implementation
40. 40 Timeline
41. 41 EMT 2010 Questions?