05/18/2026
We want to take a moment to speak on Senate Bill S1421 and what it could mean for volunteer EMS agencies like ours.
First, letβs be clear. We understand why this bill is being discussed. Across New Jersey, some EMS agencies are struggling with staffing, delayed responses, and in some cases are no longer able to reliably answer calls. Residents deserve dependable emergency medical care and accountability, and in some areas changes may be necessary.
But one size does not fit all.
Here in Keansburg, we answer nearly 2,000 calls a year and proudly provide 24/7, 365 emergency medical coverage to our community. We do not routinely miss calls. In fact, out of 1,881 calls in 2025, we only missed 3 calls, all of which were secondary calls while our duty rig was already tied up on another emergency. When someone calls 911 in Keansburg, we show up.
One of our biggest concerns with S1421 is how it could impact volunteer EMS agencies that are already working.
Right now, Keansburg EMS operates safely and effectively under the New Jersey First Aid Council system with a CPR certified driver and an EMT. Our drivers are trained in house on our equipment and how to assist the EMT during patient care.
Our concern is that changes brought by S1421 could force agencies like ours into a state licensing model requiring two EMTs on every ambulance. While that may sound reasonable on paper, the reality for many volunteer agencies is different.
For Keansburg EMS, this would effectively cut our EMT staffing pool in half and make it significantly harder to maintain the 24/7 emergency medical coverage our residents rely on. The result could mean less ambulance availability, longer response times, and more mutual aid, not because we are failing, but because mandates could make it harder for agencies already doing the job.
We are not against improving EMS in New Jersey. We support accountability and fixing agencies that cannot consistently respond. But legislation should recognize the difference between struggling systems and agencies already serving their communities successfully.
If reliable, local emergency medical care matters to you and your family, we encourage you to stay informed and respectfully contact your state legislators. Decisions made in Trenton can directly impact the emergency services your family relies on.
Keansburg EMS has proudly served this community since 1998, and we remain committed to being there when you call 911.