(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.
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.
The factors to be considered by
OEMS in assigning any emergency medical services provider as a PSAR shall be as
(1) Size of population to be
(2) Effect of proposed PSAR
assignment on other emergency medical service providers in the area;
(3) Geographic locations of the proposed PSAR
(4) The proposed PSAR's
record of response time;
proposed PSAR's record of activation time;
(6) The proposed PSAR's level of licensure or
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.
(c) Each PSAR shall be assigned to only one
designated response service for each given category of service available. Any
circumstances under which another designated response service would receive
first call priority, such as central dispatch sending the closest available
vehicle, shall be stipulated in the assignment of the PSAR.
(d) A PSAR assignment may be withdrawn when
it is determined by OEMS that it is in the best interests of patient care to do
so. Upon transmittal to OEMS of the recommendation of the appropriate regional
council, along with reasons in support of said recommendation, that withdrawal
of a PSAR assignment is appropriate, OEMS shall institute proceedings pursuant
to C.G.S. Sec.
inclusive, and the applicable regulations of the department of health services
promulgated thereunder. The regional council and the designated primary service
area responder shall be permitted to present evidence and arguments to the
commissioner in support of their respective positions. Upon consideration of
the council recommendation and any other evidence or argument presented, the
commissioner shall make a decision, in writing, whether to withdraw the
assignment. If an assignment is withdrawn, OEMS shall at the same time assign
the PSAR responsibility to another provider. The commissioner may initiate such
proceedings without being requested to do so by the council, but shall notify
the council of its intent.
Where the chief administrative official of the municipality in which the PSA
lies can demonstrate to the commissioner that an emergency exists and that the
safety, health and welfare of the citizens of the affected area are jeopardized
by the performance of the assigned primary service area responder, that chief
administrative official may petition the commissioner, in writing, to suspend
the assignment immediately. In such cases, the chief administrative official
shall develop a plan acceptable to the commissioner for the alternative
provision of primary service area responder responsibilities. Upon a finding
that an emergency exists and that the safety, health, and welfare of the
citizens of the affected area are jeopardized by the performance of the
assigned primary service area responder, the commissioner may suspend the
assignment immediately and order a plan for alternative provision of emergency
medical services, pending prompt compliance with the requirements of the
subsection (d) above.