Shown verbatim: the complete text as captured from the official source posted by the New York State Senate, fetched 2026-08-11. Nothing is edited or removed. Where this bill amends existing law, language marked for deletion in the official source appears here in brackets. The official bill page.
S T A T E O F N E W Y O R K
________________________________________________________________________
8806
I N S E N A T E
January 8, 2026
___________
Introduced by Sen. MAYER -- read twice and ordered printed, and when
printed to be committed to the Committee on Rules
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:
Section 1. The public health law is amended by adding a new section
3019 to read as follows:
§ 3019. DEPARTMENT REVIEW OF COMPREHENSIVE COUNTY EMERGENCY MEDICAL
SYSTEM PLANS. 1. THE DEPARTMENT, IN CONSULTATION WITH THE STATE EMERGEN-
CY MEDICAL SERVICES COUNCIL, THE REGIONAL EMERGENCY MEDICAL SERVICES
COUNCILS, OR ANY OTHER GROUP THE DEPARTMENT DEEMS NECESSARY, MAY MAKE
AVAILABLE A MODEL COMPREHENSIVE COUNTY EMERGENCY MEDICAL SYSTEM PLAN
FORMAT TO HELP PROVIDE GUIDANCE TO COUNTIES TO CONSIDER WHEN DEVELOPING
THEIR COMPREHENSIVE COUNTY EMERGENCY MEDICAL SYSTEM PLAN REQUIRED PURSU-
ANT TO SECTION ONE HUNDRED TWENTY-TWO-B OF THE GENERAL MUNICIPAL LAW.
SUCH MODEL PLAN SHALL BE MADE PUBLICLY AVAILABLE ON THE DEPARTMENT'S
WEBSITE AND OUTLINE THE COMPONENTS OF THE PLAN THAT THE DEPARTMENT DEEMS
MOST EFFECTIVE TO FACILITATE THEIR TIMELY REVIEW AND MEANINGFUL FEEDBACK
ON EACH COUNTY'S PLAN.
2. UPON RECEIPT OF A COUNTY'S COMPREHENSIVE COUNTY EMERGENCY MEDICAL
SYSTEM PLAN SUBMITTED TO THE DEPARTMENT PURSUANT TO SECTION ONE HUNDRED
TWENTY-TWO-B OF THE GENERAL MUNICIPAL LAW, THE DEPARTMENT SHALL REVIEW
SUCH PLAN AND PROVIDE WRITTEN FEEDBACK AND ANY RECOMMENDATIONS, WITHIN
SIXTY DAYS OF SUCH PLAN'S SUBMISSION, FOR REVIEW BY THE COUNTY.
§ 2. Subdivision 6 of section 122-b of the general municipal law, as
added by 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, is amended to read as follows:
6. (a) Each county, in coordination with their regional emergency
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
S. 8806 2
with cities, towns, and villages within their jurisdiction for the
purpose of developing and maintaining a comprehensive county emergency
medical system plan that shall describe how coordinated and reliable
emergency medical services within the county would be provided for all
residents within the county. SUCH PROCESS SHALL BE CONVENED BY THE
COUNTY EMERGENCY MEDICAL SYSTEM COORDINATOR, DESIGNEE OF THE COUNTY
OFFICE OF EMERGENCY MANAGEMENT, OR OTHER DESIGNEE SELECTED BY THE COUN-
TY. The planning process, AND RESULTING COMPREHENSIVE COUNTY EMERGENCY
MEDICAL SYSTEM PLAN, shall include assessment of the existing level of
emergency medical services in each area of the county, a plan to
increase or provide service where additional service is needed, a deter-
mination as to what organizational structure will be utilized to provide
service in each area of the county, and cost estimates to provide
service in areas requiring service levels greater than currently avail-
able. The goal of this process is to provide a framework to assist
state and local decision makers in achieving the objective of ensuring
that reliable emergency medical services and ambulance services are made
available to every person in the state.
(b) In developing the comprehensive county emergency medical system
plan, each county, city, town, and village shall work together to speci-
fy which entity or entities, and which organizational structure will be
utilized for providing emergency medical services and how costs for
providing such services will be assigned. Such plan may utilize munici-
pal, intermunicipal, not-for-profit or for-profit contract coverage,
special district, or regional agreements for providing service in each
area of the county. THE PLAN SHALL ALSO IDENTIFY THE CURRENT EMERGENCY
MEDICAL SERVICES PROVIDER OR PROVIDERS RESPONSIBLE FOR REQUESTS FOR
EMERGENCY MEDICAL SERVICES WITHIN EACH PART OF THE COUNTY, OR NOTE ANY
GIVEN AREA THAT DOES NOT HAVE AN EMERGENCY MEDICAL SERVICES PROVIDER
RESPONSIBLE FOR REQUESTS FOR EMERGENCY MEDICAL SERVICES.
(c) [Comprehensive] EACH PLAN SHALL DETAIL ANY SPECIFIC LOCAL GOVERN-
MENT ACTIONS, SUCH AS ANY INTERMUNICIPAL AGREEMENTS OR SPECIAL DISTRICT
CREATIONS, THAT MAY BE NECESSARY FOR THE IMPLEMENTATION OF SUCH PLAN.
(D) EACH COUNTY SHALL COMPLETE THEIR COMPREHENSIVE county emergency
medical system [plans shall be completed within six months of the effec-
tive date of this section and submitted] PLAN AND SUBMIT IT ELECTRON-
ICALLY to the department of health, THEIR RESPECTIVE REGIONAL EMERGENCY
MEDICAL SERVICES COUNCIL, and the state emergency medical services coun-
cil for review, and comment WITHIN SIX MONTHS OF THE EFFECTIVE DATE OF
THIS SECTION.
§ 3. Section 2 of 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, is amended to read as
follows:
§ 2. This act shall take effect [immediately] SIX MONTHS AFTER IT
SHALL HAVE BECOME A LAW.
§ 4. This act shall take effect immediately; provided, however, that
sections one and two of this act shall take effect on the same date and
in the same manner as 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, takes effect.Every fact on this page links to its source, starting with the official bill record.