"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.

The "Gary Letizia Pre-Hospital Blood Transfusion Act" authorizes New Jersey paramedics, under medical oversight, to administer blood products to patients in pre-hospital settings (e.g., ambulances) during severe bleeding or shock. It requires EMS providers to meet specific standards - including paramedic training, equipment protocols, and quarterly audits - and establishes reimbursement rates equivalent to hospital-based transfusions for Medicaid, NJ FamilyCare, and private insurance. The bill also creates a state grant program to cover initial equipment and training costs, and mandates a statewide blood rotation system to prevent waste and ensure adequate supply of low-titer O blood for emergency use.