"Gary Letizia Pre-Hospital Blood Transfusion Act"; authorizes paramedics, under medical oversight, to administer blood products to patients in pre-hospital settings, and establishes certain reimbursement for emergency medical services providers.

This bill allows New Jersey paramedics, under physician supervision, to administer blood products to trauma patients experiencing severe bleeding or hemorrhagic shock in ambulances or pre-hospital settings. It requires EMS providers to train paramedics, maintain FDA-approved storage/warming equipment, conduct quarterly audits, and follow strict protocols for blood handling and transfusion reactions. The bill mandates that Medicaid, NJ FamilyCare, and private insurers cover these services at the same rate as hospital-based transfusions, using standard billing codes. It also creates a state grant program to offset initial equipment and training costs, and establishes a statewide blood rotation system to prevent waste and ensure adequate low-titer O blood supply for emergency use.