NJ A4000

Authorizes certified advanced life support providers (paramedics, mobile intensive care nurses) to administer blood products to patients in pre-hospital settings under medical oversight, without requiring on-scene physician approval.

Requires advanced life support agencies to notify the Department of Health 60 days before starting a blood transfusion program, designate a blood bank medical director, and ensure at least two trained providers are present during administration.

Mandates NJ FamilyCare, Medicaid, and private health insurers to cover pre-hospital blood transfusion services at the same reimbursement rates as hospital-based transfusions.

Establishes a Department of Health grant program to help agencies cover implementation costs including blood storage equipment, warming devices, and training certification.

Creates a statewide blood stewardship system requiring real-time tracking, regular rotation with hospital blood banks, and return of products approaching expiration to minimize waste.