Sec. 19a-179e. Department of Public Health to compile list of training programs. Provision of lists.
Sec. 19a-180f. Certificate of authorization for supplemental paramedic. Suspension or revocation.
Sec. 19a-197a. Administration of epinephrine.
Sec. 19a-197d. Administration of glucagon nasal powder.
Sec. 19a-179e. Department of Public Health to compile list of training programs. Provision of lists. (a) Not later than June 30, 2020, and annually thereafter, the Department of Public Health shall, within available appropriations, compile a list of training programs that are available to members of commercial ambulance services, commercial rescue services, volunteer and municipal ambulance services, ambulance services and paramedic intercept services operated and maintained by a state agency and emergency medical services personnel, as defined in section 20-206jj. Such training programs shall be approved by the Commissioner of Public Health and include information relative to the blue envelopes designed pursuant to section 14-11j and yellow envelopes designed pursuant to section 14-11l and techniques for the handling of incidents, such as wandering, that involve juveniles and adults with autism spectrum disorder, cognitive impairment and nonverbal learning disorder. Such training programs may be offered by institutions of higher education, health care professionals and advocacy organizations that are concerned with juveniles and adults with autism spectrum disorder, cognitive impairment or nonverbal learning disorder, and collaborations of such institutions, professionals or organizations. The department may accept private donations for the purposes of this section.
(b) Not later than July 1, 2020, and annually thereafter, the Department of Public Health shall make the list compiled pursuant to subsection (a) of this section available to members of commercial ambulance services, commercial rescue services, volunteer and municipal ambulance services, ambulance services and paramedic intercept services operated and maintained by any state agency and emergency medical services personnel, as defined in section 20-206jj.
(P.A. 19-147, S. 3; P.A. 25-159, S. 33.)
History: P.A. 19-147 effective July 1, 2019; P.A. 25-159 amended Subsec. (a) by adding provision re blue and yellow envelopes and making technical changes, effective January 1, 2026.
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Sec. 19a-180c. Authority of primary service area responder at certain scenes. Authority of supplemental paramedic at certain scenes. (a) For the purposes of this section, “primary service area responder” has the same meaning as provided in section 19a-175, “supplemental first responder” has the same meaning as provided in section 19a-180b and “supplemental paramedic” has the same meaning as provided in section 19a-180f.
(b) If any combination of a primary service area responder, a member of a supplemental paramedic and a supplemental first responder are on the scene of an emergency medical call at the same time, the primary service area responder shall control and direct emergency activities at such scene. If a member of a supplemental paramedic and a supplemental first responder are both on the scene of an emergency medical call at the same time, the supplemental paramedic shall control and direct emergency activities at such scene.
(S.A. 15-8, S. 2; P.A. 25-56, S. 2.)
History: S.A. 15-8 effective June 23, 2015; P.A. 25-56 amended Subsec. (a) to add definition of “supplemental paramedic” and make technical changes and amended Subsec. (b) to replace “If a primary service area responder and a supplemental first responder are both on the scene of an emergency medical call” with “If any combination of a primary service area responder, a member of a supplemental paramedic and a supplemental first responder are on the scene of an emergency medical call at the same time” and to add provision re if a member of supplemental paramedic and a supplemental first responder are both on the scene at the same time.
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Sec. 19a-180f. Certificate of authorization for supplemental paramedic. Suspension or revocation. (a) As used in this section:
(1) “Ambulance service”, “emergency medical service organization”, “paramedic intercept service” and “patient” have the same meanings as provided in section 19a-175;
(2) “Emergency medical services personnel” has the same meaning as provided in section 19a-180b;
(3) “Paramedic” means an individual licensed pursuant to chapter 384d as a paramedic;
(4) “Paramedic service” means treatment provided to a patient by a paramedic acting within the scope of such paramedic's practice;
(5) “Supplemental paramedic” means an emergency medical service organization that (A) holds a certificate of authorization by the Commissioner of Public Health, (B) responds to a victim of sudden illness or injury when available and when called upon, and (C) may transport a patient, provide paramedic service or operate an ambulance service or paramedic intercept service; and
(6) “UConn emergency medical service organization” means the emergency medical service organization operated by the fire department of The University of Connecticut on the university's campus in Storrs.
(b) Notwithstanding the provisions of subsection (a) of section 19a-180, the Commissioner of Public Health may issue a certificate of authorization for a supplemental paramedic to the UConn emergency medical service organization. A certificate of authorization shall be issued to the UConn emergency medical service organization upon such organization showing proof satisfactory to the commissioner that such organization (1) meets the minimum standards of the commissioner in the areas of training, equipment and emergency medical services personnel, and (2) maintains liability insurance in an amount not less than one million dollars. The application for such certificate of authorization shall be made in a form and manner prescribed by the commissioner. Upon the commissioner's determination that the applicant is qualified as a supplemental paramedic, the commissioner shall issue to such applicant a certificate of authorization that shall be effective for two years. Such certificate of authorization may be renewable biennially. If the commissioner determines that the applicant for such license is not so qualified, the commissioner shall provide such applicant with written notice of the denial of the application with a statement of the reasons for such denial. Not later than thirty days after receipt of such notice, the applicant may request a hearing concerning the denial of the application. Any hearing conducted pursuant to this subsection shall be conducted in accordance with the provisions of chapter 54. If the commissioner's denial of a certificate of authorization is sustained after such hearing, the applicant may make new application not less than one year after the date on which such denial was sustained.
(c) The commissioner may suspend or revoke the holder's certificate of authorization for a supplemental paramedic if the holder does not maintain the minimum standards of the commissioner pursuant to subdivision (1) of subsection (b) of this section and liability insurance pursuant to subdivision (2) of subsection (b) of this section or violates any provision of this chapter. The holder shall have an opportunity to show compliance with all requirements for the retention of such certificate of authorization.
(P.A. 25-56, S. 1.)
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Sec. 19a-197a. Administration of epinephrine. (a) As used in this section, “emergency medical services personnel” means (1) any emergency medical responder certified pursuant to sections 20-206ll and 20-206mm, (2) any class of emergency medical technician certified pursuant to sections 20-206ll and 20-206mm, including, but not limited to, any advanced emergency medical technician, and (3) any paramedic licensed pursuant to sections 20-206ll and 20-206mm.
(b) Any emergency medical services personnel who has been trained, in accordance with national standards recognized by the Commissioner of Public Health, in the administration of epinephrine using (1) an automatic prefilled cartridge injector, similar automatic injectable equipment, or a prefilled vial and syringe, or (2) any other method of administration approved by the United States Food and Drug Administration, including, but not limited to, a nasal spray, and who functions in accordance with written protocols and the standing orders of a licensed physician serving as an emergency medical services medical director shall administer epinephrine, if available, using such injector, equipment, prefilled vial and syringe, nasal spray or other device of administration when the use of epinephrine is deemed necessary by the emergency medical services personnel for the treatment of a patient. All emergency medical services personnel shall receive such training in accordance with the national standards recognized by the commissioner, except an emergency medical responder, as defined in section 20-206jj, need only be trained to utilize means of administration of epinephrine that is within such responder's scope of practice, as determined in accordance with section 19a-179a.
(c) All licensed or certified ambulances shall be equipped with epinephrine in such injectors, equipment, prefilled vials and syringes, nasal spray or other device of administration to be administered as described in subsection (b) of this section and in accordance with written protocols and standing orders of a licensed physician serving as an emergency medical services medical director.
(P.A. 00-135, S. 16, 21; P.A. 09-232, S. 38; P.A. 15-223, S. 4; P.A. 23-97, S. 42; Sept. 26 Sp. Sess. P.A. 23-1, S. 6; P.A. 24-68, S. 15; P.A. 25-97, S. 2.)
History: P.A. 00-135 effective January 1, 2001; P.A. 09-232 redefined “emergency medical technician” in Subsec. (a), effective January 1, 2010; P.A. 15-223 amended Subsec. (a) by replacing “19a-179” with “20-206oo”; P.A. 23-97 amended Subsec. (a) by replacing reference to “emergency medical technician” with “emergency medical services personnel”, replacing reference to “under regulations adopted pursuant to section 20-206oo” with “pursuant to sections 20-206ll and 20-206mm” in Subdiv. (1), adding reference to section 20-206mm in Subdiv. (2) and adding Subdiv. (3) re any emergency medical responder and amended Subsec. (b) by adding references to prefilled vials and syringes, changing authorization to administer epinephrine to a mandate, requiring Commissioner of Public Health to designate the organization that shall provide training and making technical and conforming changes; Sept. 26 Sp. Sess. P.A. 23-1 amended Subsec. (b) by permitting administration on or before June 30, 2024, and requiring administration on and after July 1, 2024, designating existing provisions re licensed or certified ambulances as Subsec. (c) and amending same by making technical changes; P.A. 24-68 amended Subsecs. (b) and (c) by replacing “emergency department director” with “emergency medical services medical director” and further amended Subsec.(b) by replacing “may administer, on or before June 30, 2024, and shall administer, on and after July 1, 2024, epinephrine” with “shall administer epinephrine, if available”, deleting provision requiring Commissioner of Public Health to designate organization that shall provide training and adding provision requiring training to be in accordance with national standards recognized by commissioner or, for emergency medical responders, within such responders' scope of practice effective July 1, 2024; P.A. 25-97 amended Subsec. (a) by making technical changes, Subsec. (b) by designating existing provisions as Subdiv. (1), adding Subdiv. (2) permitting administration of epinephrine in any other form of administration approved by the United States Food and Drug Administration and making technical changes, and Subsec. (c) by adding reference to “nasal spray or other device of administration”, effective July 1, 2025.
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Sec. 19a-197d. Administration of glucagon nasal powder. (a) As used in this section:
(1) “Emergency medical services personnel” means (A) any emergency medical responder certified pursuant to sections 20-206ll and 20-206mm, (B) any class of emergency medical technician certified pursuant to sections 20-206ll and 20-206mm, including, but not limited to, any advanced emergency medical technician, and (C) any paramedic licensed pursuant to sections 20-206ll and 20-206mm; and
(2) “Glucagon nasal powder” means a class of medications (A) referred to as glycogenolytic agents that cause the liver to reduce stored sugar to the blood and are intended for the treatment of severe hypoglycemia in persons with diabetes who are treated with insulin, and (B) administered intranasally.
(b) Any emergency medical services personnel who has been trained in the administration of injectable glucagon may administer glucagon nasal powder when the use of glucagon is deemed necessary by the emergency medical services personnel for the treatment of a patient. All emergency medical services personnel shall receive such training from an organization designated by the commissioner.
(c) All licensed or certified ambulances may be equipped with glucagon nasal powder to be administered as described in subsection (b) of this section.
(P.A. 25-168, S. 181.)
History: P.A. 25-168 effective June 30, 2025.
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