Permits EMTs to administer epinephrine using needle and syringe that is not prefilled.

New Jersey's S 3138 allows emergency medical technicians (EMTs) to administer epinephrine using a standard needle and syringe (not just pre-filled auto-injectors), expanding their current authorization under state law. To use this method, EMTs must complete an approved training program and pass an exam on non-prefilled syringe administration, as set by the Commissioner of Health. The Commissioner will maintain a public registry of certified EMTs and may charge a fee for training/testing if not covered by existing funds. This change directly affects EMTs in New Jersey who provide emergency care for severe allergic reactions.