reglab/statecodes huggingface dataset:
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 160 - Description of Organization › RULES OF PRACTICE › Article 3 - PETITIONS AND APPLICATIONS, SPECIAL PROVISIONS › Part 4 - Certificate of Need Review of Coordination Assessment and Monitoring Agency Proposals › Budget Review Regulations for Short-Term Acute Care Hospitals Not Exempt from Annual Budget Review › Section 19a-160-120 - Transferred

Current through July 10, 2024
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 160 - Description of Organization › RULES OF PRACTICE › Article 3 - PETITIONS AND APPLICATIONS, SPECIAL PROVISIONS › Part 4 - Certificate of Need Review of Coordination Assessment and Monitoring Agency Proposals › Budget Review Regulations for Short-Term Acute Care Hospitals Not Exempt from Annual Budget Review › Section 19a-160-121 to 19a-160-129 - Reserved

Current through July 10, 2024
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 160 - Description of Organization › RULES OF PRACTICE › Article 3 - PETITIONS AND APPLICATIONS, SPECIAL PROVISIONS › Part 4 - Certificate of Need Review of Coordination Assessment and Monitoring Agency Proposals › Exemption from Detailed Annual Budget Review for Short-Term Acute Care Hospitals › Section 19a-160-130 to 19a-160-138 - Repealed

Current through July 10, 2024
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 166 - Negotiation of Discounts with Hospitals › Section 19a-166-1 - Definitions (Repealed)

Current through July 10, 2024
For 2014 repeal, see
				  Sec.
				  54 of
				  Public
				  Act 14-187. (June 11,
				  2014)
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 166 - Negotiation of Discounts with Hospitals › Section 19a-166-2 - Prompt payment and administrative services discounts (Repealed)

Current through July 10, 2024
For 2014 repeal, see
				  Sec.
				  54 of
				  Public
				  Act 14-187. (June 11,
				  2014)
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 166 - Negotiation of Discounts with Hospitals › Section 19a-166-3 - Additional blue cross discounts (Repealed)

Current through July 10, 2024
For 2014 repeal, see
				  Sec.
				  54 of
				  Public
				  Act 14-187. (June 11,
				  2014)
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 166 - Negotiation of Discounts with Hospitals › Section 19a-166-4 - Eligible organization discounts (Repealed)

Current through July 10, 2024
For 2014 repeal, see
				  Sec.
				  54 of
				  Public
				  Act 14-187. (June 11,
				  2014)
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 166 - Negotiation of Discounts with Hospitals › Section 19a-166-5 - Other discounts (Repealed)

Current through July 10, 2024
For 2014 repeal, see
				  Sec.
				  54 of
				  Public
				  Act 14-187. (June 11,
				  2014)
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 167g - FY 1990 Hospital Budget Review › FY 1991 and Subsequent Years Hospital Budget Review › Section 19a-167g-53 - Reserved (Repealed)

Current through July 10, 2024
For 2014 repeal, see
					 Sec.
					 54 of
					 Public
					 Act 14-187. (June 11,
					 2014)
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 167g - FY 1990 Hospital Budget Review › FY 1991 and Subsequent Years Hospital Budget Review › Section 19a-167g-69 - Reserved (Repealed)

Current through July 10, 2024
For 2014 repeal, see
					 Sec.
					 54 of
					 Public
					 Act 14-187. (June 11,
					 2014)
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 167g - FY 1990 Hospital Budget Review › FY 1991 and Subsequent Years Hospital Budget Review › Section 19a-167g-71 - Reserved (Repealed)

Current through July 10, 2024
For 2014 repeal, see
					 Sec.
					 54 of
					 Public
					 Act 14-187. (June 11,
					 2014)
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 167g - FY 1990 Hospital Budget Review › FY 1991 and Subsequent Years Hospital Budget Review › Section 19a-167g-92 - Reserved (Repealed)

Current through July 10, 2024
For 2014 repeal, see
					 Sec.
					 54 of
					 Public
					 Act 14-187. (June 11,
					 2014)
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 177 - Statewide Trauma System › Section 19a-177-2 - Administration

Current through July 10, 2024
(a) The Office of Emergency Medical Services
			 is the lead division within the department responsible for the development,
			 implementation, evaluation and enforcement of the trauma system for the state
			 of Connecticut.
(b) A Trauma
			 Committee shall be established by the commissioner as a committee of the EMS
			 Advisory Board.
(1) The committee shall
			 include representatives from at least the following:
(A) Commission on Hospitals and Health Care
			 (CHHC) or its successor agency(ies);
(B) Connecticut Committee on Trauma, American
			 College of Surgeons, (CCT/ACS), four (4) persons, one of whom shall represent
			 the interests of Level III, Level IV, or undesignated facilities;
(C) Connecticut College of Emergency
			 Physicians (CCEP), four (4) persons, one of whom shall represent the interests
			 of Level III, Level IV, or undesignated facilities;
(D) Connecticut Emergency Nurses Association
			 (CENA);
(E) Connecticut Hospital
			 Association (CHA);
(F) Paramedic
			 Committee of the EMS Advisory Board; and
(G) Volunteer Committee of the EMS Advisory
			 Board.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 177 - Statewide Trauma System › Section 19a-177-3 - Application by hospitals for trauma facility designation

Current through July 10, 2024
(a) By October 1, 1995, all hospitals
			 required to maintain an emergency service pursuant to Section
			 19-13-D3
			 of the Regulations of Connecticut State Agencies shall participate in the
			 statewide trauma system as set forth in Sections
			 19a-177-1 through
			 19a-177-9
			 of the Regulations of Connecticut State Agencies by:
(1) giving triage medical direction in
			 accordance with Section
			 19a-177-5
			 of the Regulations of Connecticut State Agencies;
(2) transferring patients in accordance with
			 the requirements in Section
			 19a-177-6
			 of the Regulations of Connecticut State Agencies;
(3) participating in a quality
			 assurance/improvement plan with the trauma registry in accordance with the
			 requirements in Section
			 19a-177-6
			 of the Regulations of Connecticut State Agencies; and
(4) submitting data to the trauma registry in
			 accordance with Section
			 19a-177-7 of the
			 Regulations of Connecticut State Agencies.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 177 - Statewide Trauma System › Section 19a-177-4 - Verification process for trauma facility applicants

Current through July 10, 2024
(a) To be
			 designated as a trauma facility, a hospital shall meet the criteria contained
			 in the American College of Surgeons' most recent version of the publication
			 "Resources for Optimal Care of the Injured Patient" for the level of trauma
			 facility for which it has applied. Verification from the American College of
			 Surgeons, Committee on Trauma, is acceptable documentation that those criteria
			 that are the same as the American College of Surgeons standard have been met.
			 For those criteria that substantially differ, the department shall verify on
			 its own that the applicant meets the criteria.
(b) Each hospital requesting designation as a
			 trauma facility shall be responsible for all expenses of the verification
			 process conducted by the American College of Surgeons.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 177 - Statewide Trauma System › Section 19a-177-5 - Field triage protocols

Current through July 10, 2024
(a) The following
			 field triage protocol shall provide criteria to categorize trauma patients and
			 determine destination hospitals with resources appropriate to meet the
			 patient's needs.
1. Assess the physiologic
			 signs. Trauma patients with any of the following physiologic signs shall be
			 taken to a Level I or Level II trauma facility:
(A) Glasgow Coma Scale of twelve (12) or
			 less; or
(B) systolic blood
			 pressure of less than ninety (90) mm Hg; or
(C) respiratory rate of less than ten (10) or
			 more than twenty-nine (29) breaths per minute.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 177 - Statewide Trauma System › Section 19a-177-6 - Interhospital transfers

Current through July 10, 2024
(a) If a trauma
			 patient who meets the Field Triage Protocol criteria for delivery to a Level I
			 or Level II trauma facility is taken to a facility not so designated, that
			 patient shall be transferred to a Level I or Level II trauma facility or the
			 reason that the trauma patient is admitted, discharged or transferred to a
			 different facility shall be documented in the patient's hospital
			 record.
(b) For all interhospital
			 transfers the sending hospital shall:
(1)
			 document patient assessment and efforts to stabilize;
(2) communicate with medical and nursing
			 staff at the receiving hospital;
(3) provide medically appropriate staff and
			 orders for transporting personnel;
(4) transfer copies of the entire chart with
			 copies of any x-rays and laboratory data; and
(5) document, by name, all parties contacted
			 in arranging the transfer.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 177 - Statewide Trauma System › Section 19a-177-7 - Data collection

Current through July 10, 2024
(a)
Trauma
			 registry
(1) The trauma registry shall
			 include data:
(A) on all admitted trauma
			 patients and all traumatic brain injury patients;
(B) on all trauma patients who died in the
			 field, in the Emergency Department and in the hospital; and,
(C) on all trauma patients and all traumatic
			 brain injury patients who are transferred.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 177 - Statewide Trauma System › Section 19a-177-8 - Prohibited acts

Current through July 10, 2024
(a) No facility,
			 institution or other entity shall represent itself to be a trauma facility
			 unless it is designated as such by the OEMS.
(b) No designated trauma facility shall
			 advertise services or capabilities for the treatment of trauma patients above
			 those for which it has been designated.
(c) No EMS provider shall take a trauma
			 patient meeting the criteria as determined by the field triage protocols to a
			 hospital other than the facility identified by either protocol or medical
			 direction.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 177 - Statewide Trauma System › Section 19a-177-9 - Investigations and disciplinary action

Current through July 10, 2024
(a) The department
			 may investigate any reported failure to comply with sections
			 19a-177-1 to
			 19a-177-9, inclusive, of the Regulations of Connecticut State Agencies. Failure
			 to cooperate in providing documentation and interviews with appropriate
			 department staff shall constitute grounds for disciplinary action.
(b) Based on findings in subsection (a) of
			 this section, the commissioner may require a hospital to become reverified by
			 the American College of Surgeons as a basis for continued designation as a
			 trauma facility. The expenses of such reverification review shall be borne by
			 the hospital.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 178b - Equipment Grants for Emergency Medical Services › Section 19a-178b-1 - Definitions

Current through July 10, 2024
As used in section 19a-178b-1 to section
				19a-178b-6,
				inclusive, of the Regulations of Connecticut State Agencies:
(1) "Commissioner" means the Commissioner of
			 Public Health;
(2) "Department"
			 means the department of public health;
(3) "Equipment" means a nondisposable,
			 reusable item used by emergency medical services personnel in providing direct
			 patient care. Emergency medical services personnel includes Medical Response
			 Technicians, Emergency Medical Technicians, Emergency Medical
			 Technicians-Intermediate, and Paramedics;
(4) "Grant" means an award of money made by
			 the commissioner in accordance with section
			 19a-178b
			 of the Connecticut General Statutes, and sections 19a-178b-1 through
			 19a-178b-6,
			 inclusive, of the Regulations of Connecticut State Agencies;
(5) "Grant cycle" means the twelve month
			 period beginning on the first day of July following approval of a grant
			 application and ending on the thirtieth day of June of the following year,
			 unless otherwise provided in sections 19a-178b-1 through
			 19a-178b-6,
			 inclusive, of the Regulations of Connecticut State Agencies, or approved by the
			 commissioner;
(6) "Grantee" means
			 the emergency medical services organization to which a grant is awarded in
			 accordance with sections 19a-178b-1 through
			 19a-178b-6,
			 inclusive, of the Regulations of Connecticut State Agencies. Emergency medical
			 services organizations include licensed or certified First Responders, Basic
			 Ambulance Services and Mobile Intensive Care Services which operate on a
			 non-profit basis or are municipal entities;
(7) "Justification of need" means a written
			 explanation submitted as part of a grant application; and,
(8) "Training equipment" means a
			 nondisposable, reusable item used for the training of patient care skills in a
			 program accredited or approved under sections 19a-178b-1 through
			 19a-178b-6,
			 inclusive, of the Regulations of Connecticut State Agencies.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 178b - Equipment Grants for Emergency Medical Services › Section 19a-178b-2 - General provisions

Current through July 10, 2024
(a) The
			 commissioner may award grants subject to the availability of funds for the
			 program established pursuant to section
			 19a-178b
			 of the Connecticut General Statutes and sections
			 19a-178b-1 through
			 19a-178b-6,
			 inclusive, of the Regulations of Connecticut State Agencies.
(b) Grant proposals shall be solicited by the
			 commissioner through such means of public notice as he deems appropriate,
			 including, but not limited to major newspapers, trade publications, emergency
			 medical services organizations, and industry newsletters.
(c) The commissioner shall, with the advice
			 of the Connecticut Emergency Medical Services Advisory Board, establish a list
			 of priorities in the types of grant projects eligible for funding.
(d) The commissioner, with review and comment
			 of the regional emergency medical services councils, has sole discretion in
			 approving or denying any, all, or a portion of a grant application.
(e) Grant funds shall be used solely to
			 improve and expand prehospital emergency medical services in
			 Connecticut.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 178b - Equipment Grants for Emergency Medical Services › Section 19a-178b-3 - Criteria for eligibility

Current through July 10, 2024
(a) The
			 commissioner shall only approve grants for applicants who are eligible to be
			 grantees pursuant to section
			 19a-178b
			 of the Connecticut General Statutes, and sections
			 19a-178b-1 through
			 19a-178b-6,
			 inclusive, of the Regulations of Connecticut State Agencies.
(b) All emergency medical service providers
			 licensed or certified by the department under section
			 19a-180
			 of the Connecticut General Statutes shall be eligible to apply for and receive
			 grants under section
			 19a-178b
			 of the Connecticut General Statutes, and sections
			 19a-178b-1 through
			 19a-178b-6,
			 inclusive, of the Regulations of Connecticut State Agencies, if they operate on
			 a nonprofit basis exclusively for the benefit of the general public or are
			 municipal entities.
(c) In
			 reviewing applications for grants, priority shall be given to those applicants
			 which have underdeveloped or aged emergency medical equipment or
			 systems.
(d) Grant funds shall not
			 be used to replace, decrease or reallocate the existing, budgeted moneys of or
			 provided to the emergency medical services provider by local governmental
			 bodies.
(e) An eligible grantee
			 shall comply with all applicable provisions of sections
			 19a-178b-1 through
			 19a-178b-6,
			 inclusive, of the Regulations of Connecticut State Agencies.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 178b - Equipment Grants for Emergency Medical Services › Section 19a-178b-4 - Grant applications

Current through July 10, 2024
(a) Grant
			 applications shall be submitted on forms approved by the department.
(b) All grant applications shall bear the
			 original signature of the chief executive officer of the applicant.
(c) A grant application shall be submitted on
			 forms prescribed by the Office of Emergency Medical Services which shall
			 include, at a minimum, the following documents and information:
(1) federal tax identification number of the
			 applicant;
(2) contact person,
			 address, and telephone number for the applicant;
(3) category of grant to which application
			 relates;
(4) justification of need
			 including:
(A) the demonstrated need within
			 the community;
(B) the degree to
			 which the proposal serves the state and regional emergency medical services
			 system plan;
(C) the extent to
			 which there is available adequate trained staff to carry out the proposal;
			 and
(D) the population affected
			 using the most recent population estimates by the department;
(5) grant agreement form
			 prescribed by the Office of Emergency Medical Services containing the
			 applicant's agreement to comply with and be bound by all of the grant
			 restrictions and requirements of sections
			 19a-178b-1 through
			 19a-178b-6,
			 inclusive, of the Regulations of Connecticut State Agencies;
(6) authorized signature of the chief
			 executive officer of the applicant;
(7) submission date of completed
			 application;
(8) approval of the
			 chief elected official of the town or towns whose population is most directly
			 affected by the grant; and
(9) a
			 proposed work plan for utilization of grant funds.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 178b - Equipment Grants for Emergency Medical Services › Section 19a-178b-5 - Grant restrictions and requirements

Current through July 10, 2024
(a) Grant funds
			 shall not be used for activities or purchases related to an approved grant
			 project if such activities were commenced, or such purchases were made or
			 obligated, prior to formal approval of the grant application by the
			 commissioner.
(b) The commissioner
			 shall have the discretion to restrict the type of expenses for which grant
			 funds may be used. Unless otherwise authorized in writing by the commissioner,
			 expenses for which grant funds shall not be used include the following:
(1) grant preparation or
			 administration;
(2)
			 salaries;
(3) meals or
			 lodging;
(4) travel
			 expenses;
(5) equipment to be used
			 exclusively by one individual;
(6)
			 capital project expenditures including the purchase or construction of
			 buildings or structures;
(7)
			 purchase or lease of real property or vehicles;
(8) operation expenses not related to the
			 improvement or expansion of prehospital emergency medical services in
			 Connecticut.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 178b - Equipment Grants for Emergency Medical Services › Section 19a-178b-6 - Categories of grants

Current through July 10, 2024
(a) Subject to the
			 general provisions of sections
			 19a-178b-1 through
			 19a-178b-6, inclusive, of the Regulations of Connecticut State Agencies, and to
			 the availability of funds, the commissioner may review and award grants in any
			 or all of the following categories:
(1)
			 personnel training;
(2) training
			 equipment;
(3) patient care
			 equipment;
(4) research
			 projects;
(5) local system
			 development projects; and
(6) any
			 other category that the commissioner determines is consistent with the terms of
			 section
			 19a-178b
			 of the Connecticut General Statutes.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 179 - Office of Emergency Medical Services › Section 19a-179-2 - Regional emergency medical services councils

Current through July 10, 2024
(a) There
			 shall be a regional emergency medical services council in each EMS region of
			 the state, such regional council boundaries shall be designated by the
			 commissioner. Each council shall provide advice and guidance on policy to OEMS
			 and the regional coordinator as to the regional problems, needs, and priorities
			 in the area of emergency medical services.
(b) Opportunity for membership on each
			 council shall be available to all appropriate representatives of emergency
			 medical services including, but not limited to, one representative from each of
			 the following:
(1) Local
			 governments;
(2) Fire service and
			 law enforcement officials;
(3)
			 Medical and nursing professions, including mental health, paraprofessional and
			 other allied health professions;
(4) Providers of ambulance services,
			 certified and licensed;
(5)
			 Institutions of higher education;
(6) Consumers
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 179 - Office of Emergency Medical Services › Section 19a-179-3 - Regional EMS coordinators

Current through July 10, 2024
(a) There shall be
			 a regional EMS coordinator in each region who shall be appointed by the
			 regional EMS council, subject to the Commissioner's approval that the EMS
			 coordinator can perform the duties in this section in a manner as to enhance
			 the EMS system. In those regions where no regional EMS council exists, such
			 coordinator shall be appointed by the commissioner.
(b)
The regional EMS coordinator shall
			 be responsible for the following:
(1)
			 Facilitating the work of the regional EMS council in developing the plan for
			 the coordination of emergency medical services within the region;
(2) Implementing the regional EMS
			 plan;
(3) Continuous monitoring and
			 evaluation of all emergency medical services in that region;
(4) Making a complete inventory of all
			 personnel, facilities and equipment within the region related to the delivery
			 of emergency medical services pursuant to guidelines established by the
			 commissioner.
(5) Maintaining
			 liaison with the director of OEMS or his or her designee;
(6) Acting as staff for the
			 council;
(7) Coordinating EMS
			 planning activities related to disasters and mass casualty events and assisting
			 in the establishment of mutual aid agreements; and,
(8) Performing such other duties as are
			 negotiable between the council and the commissioner.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 179 - Office of Emergency Medical Services › Section 19a-179-4 - Primary service area responder (PSAR)

Current through July 10, 2024
(a) OEMS shall
			 assign, in writing, a primary service area responder for each primary service
			 area. All municipalities within the State of Connecticut shall be covered by
			 said assignments. Primary service area responders shall be either licensed or
			 certified by OEMS pursuant to C.G.S. Sec.
			 19a-180.
			 An express condition of licensure or certification as an emergency medical
			 service provider shall be the availability and willingness of the emergency
			 medical service provider to properly carry out any PSAR assignment made by OEMS
			 pursuant to this section of these regulations.
(b)
The factors to be considered by
			 OEMS in assigning any emergency medical services provider as a PSAR shall be as
			 follows:
(1) Size of population to be
			 served;
(2) Effect of proposed PSAR
			 assignment on other emergency medical service providers in the area;
(3) Geographic locations of the proposed PSAR
			 provider;
(4) The proposed PSAR's
			 record of response time;
(5) The
			 proposed PSAR's record of activation time;
(6) The proposed PSAR's level of licensure or
			 certification; and,
(7) Other
			 factors which OEMS determines to be relevant to the provision of efficient and
			 effective emergency medical services to the population to be served.
Prior to such assignment, OEMS shall solicit the advice and
				recommendation of the appropriate regional council and the chief administrative
				official of the municipality in which the PSAR lies for consideration in light
				of the above factors.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 179 - Office of Emergency Medical Services › Section 19a-179-5 - Licensure and certification

Current through July 10, 2024
(a) Any person
			 wishing to provide emergency medical services shall apply to the OEMS for a
			 license or a certificate as appropriate to the service offered in accordance
			 with C.G.S. Sec.
			 19a-180
			 and any regulations promulgated thereunder. All response services shall apply
			 to the OEMS indicating that such service is a duly incorporated agency under
			 Connecticut law, with a chief executive officer who shall sign the application
			 for certification or licensure and who is specifically accountable for the EMS
			 operations as such agency, or that such service is a duly designated element of
			 a governmental body with a chief executive officer who shall sign the
			 application for certification or licensure and with an officer of the agency
			 who shall be directly responsible for EMS operations of that agency. Such
			 application shall be made on forms provided by the OEMS and shall contain
			 sufficient information to establish that the proposed service complies with all
			 limitations, conditions and procedures required by the OEMS in accordance with
			 C.G.S. Sec.
			 19a-175
			 through Sec.
			 19a-179,
			 inclusive, Regulations of Connecticut State Agencies, Sec.
			 19a-180-1 to
			 19a-180-10, inclusive
			 and these regulations.
(b) Each
			 service holding a license shall apply on forms provided by the OEMS for renewal
			 of such licnse not later than December 31st of each calendar year. Each service
			 holding a certificate of operation shall apply on forms provided by the OEMS
			 for renewal of such certificate not later than the last day of each assigned
			 quarter during the calendar year. Applications for annual licensure or
			 certification renewal shall include the following information:
(1) Services to be provided;
(2) Address of business location;
(3) Total number of EMS vehicles, by
			 category;
(4) Certificates of
			 malpractice and public liability insurance;
(5) Name and address of any owner of the
			 service in the case of a commercial service, and the names and addresses of its
			 officers if the owner is a corporation, or the name and address of officers in
			 the case of a volunteer service, or the name and address of the chief elected
			 official and any other municipal service;
(6) Agent for service of process and all
			 other official notices required pursuant to C.G.S. Sec.
			 19a-175
			 through Sec. 19a-199, inclusive, and any regulations promulgated
			 thereunder;
(7) For licensed
			 service only, payment of the one hundred dollar ($100.00) annual fee imposed by
			 C.G.S. Sec.
			 19a-180.
			 The renewal application shall be signed by the chief executive
			 officer.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 179 - Office of Emergency Medical Services › Section 19a-179-6 - When license or certification not required

Current through July 10, 2024
When an ambulance service which is operated from a location or
				headquarters outside the State of Connecticut provides emergency medical
				services inside of the State of Connecticut, no license or certificate shall be
				required of the service or its personnel under C.G.S. Sec.
				19a-180
				with respect to the following activities of such ambulance service:
(a) Transporting a patient from a location
			 outside the state to a location within the state; or,
(b) Transporting a patient from a location
			 within the state to location outside the state; or,
(c) Utilization within Connecticut for
			 assistance during times of mutual aid mass casualty or disaster situations;
			 or,
(d) Responding in this state in
			 accordance with a written mutual aid agreement which has been approved by
			 OEMS.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 179 - Office of Emergency Medical Services › Section 19a-179-7 - Records

Current through July 10, 2024
(a) Each licensed or certified emergency
			 medical service shall maintain for a period of at least five (5) years, records
			 on each person employed by the service in a paid or unpaid capacity. Such
			 records shall include at least the following information:
(1) Name;
(2) Address and telephone number;
(3) Type and date of training; and,
(4) Certification levels, including date of
			 issuance and renewal.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 179 - Office of Emergency Medical Services › Section 19a-179-8 - Accident reports

Current through July 10, 2024
Each ambulance service or invalid coach service shall report to
				OEMS, in writing, within ten (10) business days of occurrence, any accident
				which has been deemed by the law enforcement agency or primary jurisdiction to
				be the fault of the service or which has resulted in personal injury, or
				property damage estimated to be in excess of six hundred dollars ($600.00), or
				both. Such report shall include a copy of the accident investigation report by
				the investigating law enforcement officer or a copy of the report filed with
				the Connecticut department of motor vehicles by the driver of the vehicle
				involved.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 179 - Office of Emergency Medical Services › Section 19a-179-9 - Specifically prohibited acts

Current through July 10, 2024
(a) No person
			 acting as an emergency medical service provider shall possess or carry
			 dangerous weapons such as firearms, night sticks, explosive devices or knives
			 with blades over four (4) inches long in an emergency medical service vehicle.
			 This provision shall not apply to sworn law enforcement officers while on duty
			 as such.
(b) No person acting as an
			 emergency medical service provider shall possess or carry handcuffs. Nor shall
			 any person possess or carry any other restraint devices except those approved
			 by OEMS in accordance with subsection
			 19a-179-18(a)
			 (2) (R) of these regulations. This provision shall not apply to sworn law
			 enforcement officers while on duty as such.
(c) No person shall smoke in the patient
			 compartment of an emergency medical service vehicle.
(d) No person, organization, association or
			 entity shall represent itself as being recognized by the OEMS unless it has in
			 its possession a current certificate or license issued by OEMS.
(e) No person shall represent herself or
			 himself to be an "MRT," "medical response technician," "EMT," "emergency
			 medical technician," "intermediate" or "paramedic" unless she or he is
			 currently certified as such by OEMS in accordance with these
			 regulations.
(f) No person engaged
			 in the provision of emergency medical services shall commit an act which is
			 detrimental to the safety, health, or welfare of a patient or the general
			 public.
(g) No person, acting as
			 part of the emergency medical services system, shall perform treatment methods
			 unless she or he is certified by the OEMS at a level which allows such
			 performance.
(h) No person, acting
			 as part of the emergency medical services system, shall perform treatment
			 methods beyond that for which the responding service is certified.
(i) No person, regardless of certification,
			 shall independently perform treatment methods identified in Sec.
			 19a-179-12(b)
			 unless acting as part of the emergency medical services system, in accordance
			 with Sec.
			 19a-179-12.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 179 - Office of Emergency Medical Services › Section 19a-179-10 - Categorization of and staffing requirement for services

Current through July 10, 2024
(a)
First Responder.
A first
			 responder service shall have the capability of providing at least the following
			 at the scene of each EMS call to which it responds:
(1) Personnel
(A) One medical response technician (MRT)
			 who:
(i) Is certified in accordance with Sec.
			 19a-177-16(a) of
			 these regulations; and
(ii) Has the
			 ability to respond to EMS calls with a two-way radio compatible with the first
			 responder service dispatcher.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 179 - Office of Emergency Medical Services › Section 19a-179-11 - Availability of response services

Current through July 10, 2024
Each basic ambulance service and mobile intensive care service
				shall be prepared to respond to calls for emergency services originated from an
				EMS dispatch center for its primary service area on a 24 hour a day, 7 day a
				week, basis, or arrange with other certified or licensed response services to
				offer coverage for its PSA during nonoperational hours with no reduction in
				level of service. If such arrangement with other services is necessary, a copy
				of a written agreement between the services to that effect shall be enclosed in
				the response service's application, described in Sec.
				19a-179-5
				of these regulations. The following requirements shall be followed in carrying
				out the requirement set forth above:
(a) If a service has only one ambulance in
			 operation or only one crew available to respond to calls, and the service is
			 the only service within a municipality, that ambulance and crew shall be
			 reserved for emergency calls within the service's PSA, or for calls for mutual
			 aid.
(b) If a service has only one
			 ambulance in operation but there are other licensed or certified services based
			 within the municipality, the service may use its only ambulance for rendering
			 service other than emergencies only if the service first determines that there
			 is an ambulance and crew available from the other service within the
			 municipality to respond to emergencies.
(c) If a service has only one ambulance in
			 operation but there is a written mutual aid agreement in effect for basic
			 ambulance coverage from an adjacent PSA service and there is a designated first
			 responder service in the municipality, the service may make its only vehicle
			 available for rendering service other than emergencies.
(d) Each response service shall maintain
			 contact with the dispatch center concerning the location and availability of
			 system vehicles.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 179 - Office of Emergency Medical Services › Section 19a-179-12 - Mobile intensive care services (MICS): MICS authorization for patient treatment and establishment of mobile intensive care services

Current through July 10, 2024
(a)
Establishment of Mobile Intensive
			 Care Services
(1) A proposal for the
			 establishment of a mobile intensive care service (MICS) shall be submitted to
			 OEMS at least 45 days prior to its anticipated implementation. This proposal
			 must contain:
(A) A plan identifying the
			 relationship between the MICS applicant and the sponsor hospital. This
			 relationship shall be documented by a written agreement between the MICS
			 applicant and the hospital's chief executive officer, and the proposal shall
			 include a copy of this agreement. This agreement shall specifically include the
			 standards for MIC personnel and programs set forth in Secs.
			 19a-179-10,
			 19a-179-16 and
			 19a-179-17
			 of these regulations.
(B) A
			 statement that the MICS will provide adequate and qualified personnel to ensure
			 that the MICS will be continuously available on a 24 hour a day, 7 day a week,
			 basis.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 179 - Office of Emergency Medical Services › Section 19a-179-13 - Release of care to physician on scene

Current through July 10, 2024
EMS personnel may release patient care responsibility to an
				on-scene physician only after:
(a) The
			 physician has been identified as a Connecticut licensed physician and has
			 offered some form of identification, such as a driver's license, which confirms
			 the credentials; and,
(b) Obtaining
			 from the physician a commitment to accompany the patient to the hospital in the
			 vehicle transporting the patient; and,
(c) Having the physician speak directly to
			 the person responsible for medical direction and receiving authority to release
			 the patient.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 179 - Office of Emergency Medical Services › Section 19a-179-14 - Personnel equivalency

Current through July 10, 2024
(a) EMT personnel
			 are qualified and authorized to perform the functions of MRT
			 personnel.
(b) EMT-I, and EMT-P
			 personnel are qualified and authorized to perform the functions of EMT
			 personnel.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 179 - Office of Emergency Medical Services › Section 19a-179-15 - Reprimand, suspension, revocation of a license or certificate

Current through July 10, 2024
(a) The commissioner of health services,
			 after a hearing, may issue a written reprimand to, or suspend or revoke a
			 license or certificate of, any emergency medical services provider, or may
			 temporarily or permanently suspend from practice any emergency medical service
			 provider in any case in which he finds that there has been a substantial
			 failure to comply with the requirements established under C.G.S. Secs.
			 19a-175,
			 to 19a-199, inclusive, and these regulations, or in which he finds that the
			 provider has failed to maintain the standards of the emergency medical services
			 profession. Notice of such hearing to the holder of a license or certificate
			 shall be effected by registered or certified mail or by personal service,
			 setting forth the particular reasons for the proposed action and fixing a date,
			 not less than thirty days from the date of such mailing or service, at which
			 the holder of such license or certificate shall be given an opportunity for a
			 hearing. Such hearing may be conducted by the commissioner of health services,
			 a deputy commissioner, or by a member of the department of health services
			 designated by said commissioner. On the basis of such hearing, or upon default
			 of the holder of such license or certificate, the person conducting such
			 hearing shall specify his findings and conclusions, and said department may,
			 upon the basis of such findings and conclusions, revoke or suspend the license
			 or certificate or take any interaction it deems necessary. A copy of such
			 decision shall be sent by registered or certified mail or served personally
			 upon the holder of such license or certificate. The procedure governing
			 hearings authorized by this section shall be in accordance with C.G.S. Secs.
			 4-177
			 to
			 4-182,
			 inclusive, and with Secs. 19-2a-1 to 19-2a-41, inclusive, of the Regulations of
			 Connecticut State Agencies. A full and complete record shall be kept of all
			 proceedings. A copy or copies of the transcript may be obtained by any
			 interested party on payment of the cost of preparing such copy of
			 copies.
(b) A MIC medical director
			 may withhold medical authorization from, and may recommend to OEMS and the
			 regional medical director the removal from practice of, any MIC level personnel
			 or service when such personnel or service act in a manner which evidences
			 incompetence, negligence, or otherwise poses a threat to public health or
			 safety or which is contrary to medical direction.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 179 - Office of Emergency Medical Services › Section 19a-179-17 - EMS training programs

Current through July 10, 2024
(a)
In order
			 to conduct an OEMS-approved training program for any classification set forth
			 in Sec.
			 19a-179-16 of these
			 regulations, a person must:
(1)
			 Deliver to OEMS at least thirty (30) days prior to the planned initiation of
			 the program a written application to conduct said training program on a form
			 prescribed by OEMS. Such application shall include, but is not limited to, the
			 following information:
(A) A list of teaching
			 facilities to be used, and of available teaching aids and supplies.
(B) A proposed list of instructors, assistant
			 instructors, and physician lecturers to be used during the course of the
			 program.
(C) A statement of
			 compliance that the program meets the most recent National Standard Training
			 Curriculae, as approved by the United States Department of Transportation,
			 National Highway Safety Traffic Administration, for the appropriate
			 category.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 179 - Office of Emergency Medical Services › Section 19a-179-19 - Advertising

Current through July 10, 2024
(a)
Emergency.
(1) A provider shall not advertise emergency
			 services by direct mailings, telephone solicitation, or other means
			 specifically designed to solicit business unless such provider is the
			 OEMS-approved primary service area responder in such municipality.
(2) Providers shall not advertise emergency
			 services in print media which reaches beyond PSA boundaries unless the
			 advertisement indicates the location from which the provider is authorized to
			 operate by OEMS in letters at least as large as the name of the
			 provider.
(3) Providers shall not
			 advertise emergency services in audio or video media unless such advertisement
			 clearly states the location from which the provider is authorized to operate by
			 OEMS. The statement of location shall be emphasized at least as prominently as
			 the name of the provider.
(4) Only
			 the telephone numbers designated as primary response numbers by the council and
			 approved by OEMS shall be placed in the emergency or community services
			 sections of the telephone directories; any provider listing in the "yellow
			 pages" section of telephone directories shall be in accordance with section (2)
			 above.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 179 - Office of Emergency Medical Services › Section 19a-179-20 - Hearing

Current through July 10, 2024
Any proceedings conducted in accordance with these regulations
				shall be considered a contested case under the department of health services
				rules of practice and procedure, Secs. 19-2a-1 through 19-2a-41, Regulations of
				Connecticut State Agencies.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 179 - Office of Emergency Medical Services › Section 19a-179-21 - Rate setting for emergency medical services

Current through July 10, 2024
Pursuant to the authority of C.G.S. 19a-177, the following
				regulations are enacted.
(a)
Definitions
(1) "Commissioner"
			 means the commissioner of the Connecticut department of health services, acting
			 through the office of emergency medical services.
(2) "Department" means the Connecticut state
			 department of health services.
(3)
			 "Certified provider" means a municipal or volunteer ambulance service issued a
			 certificate of operation by the office of emergency medical services.
(4) "Licensed provider" means a commercial
			 ambulance service issued a license by the office of emergency medical services
			 or any volunteer or municipal ambulance service issued a license by the office
			 of emergency medical services prior to July 1, 1981.
(5) "Basic level ambulance response" means
			 the transportation of a patient at the basic life support level.
(6) "Intermediate level ambulance response"
			 means the transportation of a patient requiring definitive medical care by a
			 service certified to the intravenous level.
(7) "ALS/Paramedic level ambulance response"
			 means the transportation of a patient requiring definitive medical care by a
			 service certified to the ALS/Paramedic level.
(8) "Invalid coach response" means a
			 nonemergency request to transport a wheelchair patient.
(9) "Maximum allowable rate" means the
			 highest amount which a licensed or certified provider may charge a patient for
			 a given service in accordance with the appropriate rate schedule.
(10) "Necessary costs" means the costs
			 directly related to the service provided.
(11) "Reasonable return on gross revenue"
			 means that percentage of gross revenue which the commissioner allows to be
			 earned as profits by licensed providers.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 180 - Need for Emergency Medical Services › Section 19a-180-1 - Definitions

Current through July 10, 2024
(a) "Applicant" means any person that
			 proposes to implement a new or expanded emergency medical service.
(b) "New or expanded emergency medical
			 service" means a service which is not authorized to the applicant under the
			 terms of a current license or certificate from the Office of Emergency Medical
			 Services, which shall include:
(1) The
			 operation of an emergency medical, ambulance, or invalid coach service not
			 authorized by a current license or certificate;
(2) Any service which is not authorized
			 currently;
(3) Principal and branch
			 places of business for an emergency medical, ambulance, or invalid coach
			 service which are not authorized by a current license or certificate;
(4) Emergency medical vehicles, ambulances,
			 and invalid coaches not authorized to an emergency medical, ambulance, or
			 invalid coach service by a current license or certificate.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 180 - Need for Emergency Medical Services › Section 19a-180-2 - Certification and licensure

Current through July 10, 2024
No person shall implement a new or expanded emergency medical
				service without a license or certificate issued in accordance with sections
				19a-175
				through
				19a-195
				inclusive of the Connecticut General Statutes and an authorization issued in
				accordance with these regulations from the Office. Except as noted in section
				19a-180-4
				of these regulations, no certificate or license shall be issued to an applicant
				for a new or expanded emergency medical service unless the Office has
				determined:
(a) That the ambulance or
			 invalid coach will be equipped in accordance with the requirements of section
			 19-73w-401 B4a of these regulations;
(b) That numbers and training of personnel
			 are in accordance with the requirements of section 19-73w-401 B1d of these
			 regulations;
(c) That the applicant
			 has paid-in working capital or binding credit agreement which equals six months
			 operating expenses in the aggregate;
(d) That the applicant has not less than the
			 following insurance coverage currently in effect:
(1) Automotive liability and malpractice
			 coverage for damages by reason of personal injury to, or the death of, one
			 person, of at least five hundred thousand dollars and for damage for each
			 incident of at least five hundred thousand dollars; and
(2) Automotive coverage for damage to
			 property of at least one hundred thousand dollars.