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New JerseyS3278220th Legislature (2024-2025)SenateWALLET

Extends permission to administer glucagon and blood glucose tests to EMTs.

Sponsored By: Clinton Calabrese (Democratic), Troy Singleton (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 0 benefits, 1 costs, 1 mixed.

More emergency care for diabetes patients

Beginning July 1, 2026, New Jersey basic-life-support emergency medical technicians can independently give glucagon and test blood sugar after state approval. Glucagon treats severe low blood sugar in people with diabetes. The health commissioner sets approval standards, which may include training, and must allow at least auto-injector use. Approved technicians must follow rules for using, maintaining, and disposing of glucagon devices. The commissioner can change, suspend, or end an individual technician’s approval to protect public health, safety, or welfare. The commissioner can also require hospital transfer, but patients or their legally authorized representatives can refuse. The law itself does not require every patient to be transferred. The commissioner can keep a registry with names, residences, and approval dates, and publish an annual list of approved technicians.

Possible training fees for emergency technicians

Beginning July 1, 2026, approved New Jersey emergency medical technician training providers can charge enrolled students for specified training and certification tests. This covers blood sugar testing and emergency glucagon training. Providers can charge only when the Emergency Medical Technician Training Fund does not reimburse those costs. The law sets no fee amount.

Sponsors & Cosponsors

Sponsors

  • Clinton Calabrese

    Democratic • House

  • Troy Singleton

    Democratic • Senate

Cosponsors

  • Angela V. McKnight

    Democratic • Senate

  • Shanique Speight

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 222 • No: 0

House vote • 1/12/2026

CONCUR GOV REC

Yes: 70 • No: 0

Senate vote • 1/12/2026

CONCUR GOV REC

Yes: 39 • No: 0

House vote • 12/22/2025

3RDG FINAL PASSAGE

Yes: 73 • No: 0

Senate vote • 10/28/2024

3RDG FINAL PASSAGE

Yes: 40 • No: 0

Actions Timeline

  1. Approved by Governor — P.L.2025, c.299.

    1/20/2026Governor

  2. Passed Assembly, PBH — (70-0-0)

    1/12/2026House

  3. Received in Assembly, 2RAG

    1/12/2026House

  4. Conditional Veto, Received in Senate, 2RSG, Passed Senate — (39-0)

    1/12/2026Senate

  5. Passed Assembly, PBH — (73-0-0)

    12/22/2025House

  6. Substituted for A4280 (ACS)

    12/22/2025House

  7. Reported, 2nd Reading in Assembly

    12/18/2025House

  8. RCM Assembly Appropriations Committee

    12/18/2025House

  9. Received in Assembly, Without Reference, 2nd Reading in Assembly

    10/28/2024House

  10. Passed Senate — (40-0)

    10/28/2024Senate

  11. REP/SCA, 2nd Reading in Senate

    6/6/2024Senate

  12. Introduced, 1st Reading in Senate, Referred to Senate Health, Human Services and Senior Citizens Committee

    5/16/2024Senate

Bill Text

  • Version PL2025

    6/12/2026

    HTMLPDF

  • Version AL2025

    6/5/2026

    HTMLPDF

  • Conditional Veto 2R

    1/13/2026

    HTMLPDF

  • Conditional Veto

    1/12/2026

    HTMLPDF

  • Senate Health, Human Services and Senior Citizens (6/6/24 1R)

    12/23/2025

    HTMLPDF

  • Assembly Appropriations Substitute (12/18/25 1R)

    12/19/2025

    HTMLPDF

  • Senate Health, Human Services and Senior Citizens Substitute (6/6/24)

    6/7/2024

    HTMLPDF

  • As Introduced

    5/17/2024

    HTMLPDF

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