CT HB05542

Requires municipalities to update their local emergency medical services plans as necessary and consult with primary service area responders on updates, with state assistance available to resolve disagreements.

Establishes a five-year review cycle for the Department of Public Health to evaluate municipal plans and primary service area responder performance, assigning ratings of "meets," "exceeds," or "fails to comply with performance standards."

Defines "emergency" and "unsatisfactory performance" for primary service area responders and establishes timelines for the commissioner to act on removal petitions (5 business days for emergencies, 15 business days for unsatisfactory performance).

Requires primary service area responders to notify the Department of Public Health 60 days before any sale or transfer of more than 50 percent ownership or assets, with the commissioner reviewing applicants' performance history and financial ability.

Allows municipalities to submit alternative local emergency medical services plans with different primary service area responders based on performance failures, system improvements, or community needs, subject to commissioner approval and hearing.