New York State Department of Health
Bureau of Emergency Medical Services
No. 13 - 07
Date: October 16, 2013
Re: Controlled Substance License Requirements for EMTCC/P Agencies
At the January, 2013 meeting, the State Emergency Medical Advisory Committee (SEMAC) defined that controlled substance medications are a standard of emergency medical care and, a necessary part of prehospital patient care in New York State. The SEMAC passed a resolution requiring that ALL advanced life support (Paramedic and/or EMT- Critical Care) ambulance and ALS-first response services (EMS agencies) be licensed to possess and administer controlled substance (CS) medications per regional protocol. While it is recognized that this will be an added responsibility for many agencies, the ability to administer CS medication to patients is necessary and proper. After a thorough fiscal and system impact study was completed and reviewed, the State EMS Council (SEMSCO) supported the requirement at their October, 2013 meeting.
The SEMAC Resolution States:
- The affected ALS EMS agencies, must apply for and be granted the prehospital 03C controlled substance license before May 1, 2015.
- If an agency does not obtain the prehospital controlled substance license and have the ability to provide these medications to patients, the Regional Emergency Medical Advisory Committee (REMAC) will remove the EMS agency’s authorization at the ALS level.
- Any EMS agency seeking to become a new ALS provider, will have to apply for and hold a 03C license in order to be approved by their REMAC at the advanced level.
- Required prehospital controlled substance medications include morphine, regionally endorsed benzodiazepines such as diazepam (Valium®), midazolam (Versed®) and other medications and, with Department approval, fentanyl and ketamine.
The Bureaus of EMS and Narcotic Enforcement (BNE) are working together to insure that that the DOH component of the license application and site review process will be timely.
To ensure receipt of the Controlled Substance license by May 1, 2015, the latest the Department can receive a completed application will be March 1, 2015.
- Title 10 NYCRR Part 80 – Accessibility to Controlled Substances for Pre-hospital Settings Regulations http://www.health.ny.gov/professionals/ems/part80.htm
- Controlled Substance Application Forms http://www.health.ny.gov/professionals/ems/emsforms.htm
- DOH Policy Statement 11-04 Fentanyl for Prehospital EMS Services http://www.health.ny.gov/professionals/ems/policy/11-04.htm
- DOH Policy Statement 10-04 Ketamine for Prehospital EMS Services http://www.health.ny.gov/professionals/ems/policy/10-04.htm
- DOH Policy Statement 00-06 Security of Drug Boxes and Drug Paraphernalia http://www.health.ny.gov/professionals/ems/policy/00-06.htm
Issued and authorized by Bureau of EMS Office of the Director