The Michigan Senate Bill 249 of 2024 aims to modify the paramedic exam, downgrading the quality from the nationally recognized test developed by the National Registry of Emergency Medical Technicians to a state-run, state-funded test that would not be recognized by other states. It passed the senate chamber with a vote of 38 to 0 and is currently in the House. The EMSCC is on record for supporting the bill despite all 4 MCEP EMS Committee voting members voting against signing the 4/11/23 letter (vote was 12 to 8). The issues include significant liability issues for the state especially since having a different exam would not require the same standards. An increase in general funds of ~$5 million would be needed, especially as an estimated 30 FTEs would need to be hired. Those who supported the letter believed this method would be a way to get more EMT students in the Upper Peninsula and that the Michigan Association of Fire Chiefs are not against NREMT but that this option should be made available to provide an option for EMT recruitment. MCEP is working with the House Health Policy Committee Chair to amend the proposed bill. MCEP is on record opposing this bill with a letter sent in January 2024. Michigan’s Department of Health and Human Services (MDHHS) as it would require the department to develop a paramedic certification examination and the Governor’s Office is also opposed as other priorities are in front. Meanwhile, there are MDHHS grants being made for recruitment and retention especially as paramedic lapsed licenses seem to be high in the first 3 years since COVID-19.
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