LEGISLATIVE FISCAL ESTIMATE
[Second Reprint]
SENATE, No. 2435
STATE OF NEW JERSEY
221st LEGISLATURE
DATED: JULY 2, 2024
SUMMARY
Synopsis: Revises certain requirements concerning eligibility for reimbursement
from "Emergency Medical Technician Training Fund."
Type of Impact: Annual net impact on State expenditures; annual increase in State
revenues.
Agencies Affected: Department of Health.
Office of Legislative Services Estimate
Fiscal Impact Annual
State Net Cost Impact Indeterminate
State Revenue Increase Indeterminate
 The Office of Legislative Services (OLS) concludes that the bill will have an indeterminate net
impact on annual State expenditures due to countervailing effects of the bill’s provisions
affecting the eligibility of ambulance, first aid, and rescue squads to secure reimbursement
from the Emergency Medical Technician Training Fund for certain emergency medical
technician (EMT) training and testing costs.
 By expanding eligibility for reimbursement from the fund to all ambulance, first aid, and rescue
squads, regardless of whether the entity charges for the provision of emergency services, the
bill will increase annual State expenditures from the fund by an indeterminate amount. By
contrast, a provision in the bill that restricts reimbursements to costs associated with training
and testing volunteer EMTs, as opposed to both volunteer and paid EMTs as allowed under
current law, may potentially reduce annual State expenditures from the fund. The magnitude
and direction of these countervailing effects cannot be determined.
 Expenditures from the fund will potentially increase by a substantive amount, due to a
provision that directs the head of a squad employing the services of an EMT, for whom initial
EMT training costs were reimbursed from the fund, to determine the EMT to be a “volunteer
Office of Legislative Services Legislative Budget and Finance Office
State House Annex Phone (609) 847-3105
P.O. Box 068 Fax (609) 777-2442
Trenton, New Jersey 08625 www.njleg.state.nj.us
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in good standing,” provided the EMT works as a volunteer for at least one service call per
month during the EMT’s initial three-year certification period.
 Annual State revenues will likely increase by a marginal amount under the bill, to the extent
that the head of an ambulance, first aid, or rescue squad is required to seek repayment of initial
EMT training and testing costs, previously reimbursed by the fund, for an individual who
ceases to be a “volunteer in good standing” during an initial three-year certification window.
An exception is made for an EMT who stops working as a volunteer EMT in order to attend a
public or private institution of higher education. Any revenue increase stemming from this
provision would be at least partially offset by higher costs for the Department of Health to
oversee the collection of these funds by the squads.
BILL DESCRIPTION
This bill revises the requirements to receive reimbursement from the Emergency Medical
Technician Training Fund. Under current law, any private entity that is certified by the Department
of Health to provide training and testing for ambulance, first aid, and rescue squad personnel who
seek initial certification or recertification as an EMT may be reimbursed from the fund for any
unreimbursed training and testing costs. Emergency medical services squads are eligible for
reimbursement from the fund for eligible training and testing expenditures, provided the squad
does not receive any payment for the provision of emergency medical services, regardless of
whether the squad pays individual EMTs for their services.
Pursuant to the bill, the head of an ambulance, first aid, or rescue squad employing or utilizing
the services of an EMT, for whom the initial EMT training and certification costs were reimbursed
from the fund, will determine the EMT to be a “volunteer in good standing,” provided the EMT
works at least one service call per month during the EMT’s initial three-year certification period
as a volunteer EMT. The bill excludes individuals employed full-time as an EMT by a general or
special hospital from status as a volunteer EMT; as such, EMT training and testing costs for these
individuals are not eligible for reimbursement from the fund.
The head of the ambulance, first aid, or rescue squad, additionally, will seek repayment of
initial EMT training and testing costs, previously reimbursed by the fund, for an individual who
ceases to be a “volunteer in good standing” during an initial three-year certification window.
However, the bill provides an exception to this reimbursement requirement for an EMT who ceases
to be a “volunteer in good standing” in order to attend a public or private institution of higher
education. The bill also directs the Department of Health to oversee the collection of these funds
by squads.
FISCAL ANALYSIS
EXECUTIVE BRANCH
None received.
OFFICE OF LEGISLATIVE SERVICES
The OLS concludes that the bill will have an indeterminate net impact on annual State
expenditures due to the countervailing effects of the bill’s provisions affecting the eligibility of
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ambulance, first aid, and rescue squads to secure reimbursement from the Emergency Medical
Technician Training Fund for certain unreimbursed EMT training and testing costs. Currently, an
emergency medical services squad is eligible for $1,500 in reimbursement from the fund for
unreimbursed costs incurred for initial and recertification training and testing for each volunteer
and paid EMT, provided the squad does not charge a fee for the provision of emergency medical
services. By contrast, a provision in the bill that restricts reimbursements to costs associated with
training and testing volunteer EMTs, as opposed to both volunteer and paid EMTs as allowed
under current law, may potentially reduce annual State expenditures from the fund. The magnitude
and direction of these countervailing effects cannot be determined.
By expanding eligibility for reimbursement from the fund for eligible expenditures to all
squads, regardless of whether the squad charges for the provision of basic emergency services, the
bill potentially increases annual State expenditures from the fund by an indeterminate amount. In
April 2023, the Department of Health’s website listed 249 emergency medical services squads that
are currently eligible for reimbursement from the fund.
The bill directs that the head of a squad employing the services of an EMT, who received initial
EMT training for which costs were reimbursed from the fund, will determine the EMT to be a
“volunteer in good standing,” provided the EMT works as a volunteer for a minimum of one
service call per month during the EMT’s initial three-year certification period. The bill, however,
precludes an individual, employed on a full-time basis as an EMT by a general or special hospital,
from status as a volunteer EMT.
The OLS concludes that this provision will potentially increase expenditures from the fund by
a substantive amount, since the majority of EMT candidates will likely respond to this provision
by volunteering for one service call per month during their initial three-year certification period,
in order to have their initial training and testing costs reimbursed from the fund. Additionally, the
heads of ambulance, first aid, and rescue squads will be motivated to require newly-certified EMTs
to meet the requirements in order to be deemed a “volunteer in good standing.”
Due to the lack of publicly available data on the number of volunteer versus paid EMTs in the
State, and the number of squads that receive payment for the provision of emergency medical
services versus those that do not, the OLS cannot quantify the fiscal impact of these two
countervailing provisions in the bill.
Annual State revenues will likely increase by a marginal amount under the bill, to the extent
that the head of an ambulance, first aid, or rescue squad is required to seek repayment of initial
EMT training and testing costs, previously reimbursed by the fund, for an individual who ceases
to be a “volunteer in good standing” during an initial three-year certification window. The bill
additionally directs the Department of Health to oversee the collection of these funds by squads.
Any revenue increase stemming from this provision would be at least partially offset by the
exemption from repayment extended to volunteer EMTs who cease being a “volunteer in good
standing” while attending college, and by higher departmental administrative costs incurred to
monitor the recoupment of fund monies from these former volunteer EMTs.
The EMT Training Fund is a nonlapsing revolving fund that reimburses emergency medical
services squads for the unreimbursed costs associated with the initial and refresher training and
testing for EMTs. The fund is the repository for a $1 surcharge added to fines, penalties, and
forfeitures for violations of certain statutes regulating motor vehicles and their operation.
In FY 2023, the fund reimbursed squads $149,939 for unreimbursed training and testing costs,
and fund reimbursements are estimated to be $609,000 in both FY 2024 and FY 2025 based on
FY 2025 supplementary budget information. Year end fund balances are estimated to be $5.0
million in FY 2024 and $4.6 million in FY 2025.
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Section: Human Services
Analyst: Anne Cappabianca
Senior Fiscal Analyst
Approved: Thomas Koenig
Legislative Budget and Finance Officer
This legislative fiscal estimate has been produced by the Office of Legislative Services due to the
failure of the Executive Branch to respond to our request for a fiscal note.
This fiscal estimate has been prepared pursuant to P.L.1980, c.67 (C.52:13B-6 et seq.).


Statutes affected:
Introduced: 26:2K-57