SESSIONHB2661 INTRODUCEDEnrolled 24101326DLRB100 I04767 HOUSEMJP BILL14774 NO.b AN ACT concerning regulation.

137Be Offeredit Januaryenacted 10,by 2024the NPeople Prefiledof Januarythe 1,State 2024of TIllinois, Arepresented Bservicesin regulations;the General Assembly:

policeSection dogs.1.45. of the Code of Virginia, relating to emergency medicalR –––––––––– Patron––Campbell O –––––––––– D Referred to Committee on Health and Human Services –––––––––– U Be it enacted by the General Assembly of Virginia:

CThe 1.Emergency Medical Services (EMS) Systems Act is amended by changing Section 3.55 as follows:

That(210 §ILCS 32.1-111.450/3.55) ofSec. the Code of Virginia is amended and reenacted as follows:

enforcement3.55. provisions;

civilScope penalties.medicalof servicespractice. personnel and vehicles;

response(a) timesEAny A.person currently licensed as an EMR, EMT, EMT-I, A-EMT, or Paramedic may perform emergency and non-emergency medical services as defined in this Act, in accordance with his or her level of education, training and licensure, the standards of performance and conduct prescribed by the Department in rules adopted pursuant to this Act, and the requirements of the EMS System in which he or she practices, as contained in the approved Program Plan for that System.

The BoardDirector shallmay, prescribe by regulation:written order, temporarily modify individual scopes of practice in response to public health emergencies for periods not exceeding 180 days.

D(a-5) 1.EMS personnel who have successfully completed a Department approved course in automated defibrillator operation and who are functioning within a Department approved EMS System may utilize such automated defibrillator according to the standards of performance and conduct prescribed by the HB2661 Enrolled - 2 - LRB100 04767 MJP 14774 b Department in rules adopted pursuant to this Act and the requirements of the EMS System in which they practice, as contained in the approved Program Plan for that System.

Requirements(a-7) forAn recordkeeping,EMT, supplies,EMT-I, operatingA-EMT, procedures,or andParamedic otherwho emergencyhas successfully completed a Department approved course in the administration of epinephrine shall be required to carry epinephrine with him or her as part of the EMS personnel medical servicessupplies agencywhenever operations;he or she is performing official duties as determined by the EMS System.

2.The epinephrine may be administered from a glass vial, auto-injector, ampule, or pre-filled syringe.

Requirements(b) forAn theEMR, sanitationEMT, andEMT-I, maintenanceA-EMT, ofor Paramedic may practice as an EMR, EMT, EMT-I, A-EMT, or Paramedic or utilize his or her EMR, EMT, EMT-I, A-EMT, or Paramedic license in pre-hospital or inter-hospital emergency care settings or non-emergency medical servicestransport vehiclessituations, andunder theirthe medicalwritten suppliesor andverbal equipment;direction of the EMS Medical Director.

3.For purposes of this Section, a "pre-hospital emergency care setting" may include a location, that is not a health care facility, which utilizes EMS personnel to render pre-hospital emergency care prior to the arrival of a transport vehicle.

Procedures,The includinglocation shall include communication equipment and all of the requirementsportable equipment and drugs appropriate for forms,the toEMR, authorizeEMT, qualifiedEMT-I, emergencyA-EMT, medicalor servicesParamedic's personnellevel toof followcare, Doas Notrequired Resuscitateby Ordersthis Act, rules adopted by the Department pursuant to §this 54.1-2987.1;Act, and the protocols of the EMS Systems, and shall operate only with the HB2661 Enrolled - 3 - LRB100 04767 MJP 14774 b approval and under the direction of the EMS Medical Director.

Board;RequirementsThis Section shall not prohibit an EMR, EMT, EMT-I, A-EMT, or Paramedic from practicing within an emergency department or other health care setting for the composition,purpose administration,of duties,receiving andcontinuing responsibilitieseducation ofor training approved by the AdvisoryEMS 5.Medical Director.

Requirements,This developedSection inshall consultationalso withnot theprohibit Advisoryan Board,EMT, governingEMT-I, theA-EMT, training,or BParamedic certification,from seeking credentials other than his or her EMT, EMT-I, A-EMT, or Paramedic license and recertificationutilizing ofsuch credentials to work in emergency medicaldepartments servicesor personnel;other health care settings under the jurisdiction of that employer.

3(c) 6.An EMT, EMT-I, A-EMT, or Paramedic may honor Do Not Resuscitate (DNR) orders and powers of attorney for health care only in accordance with rules adopted by the Department pursuant to this Act and protocols of the EMS System in which he or she practices.

Requirements(d) forA writtenstudent notificationenrolled toin thea AdvisoryDepartment Board,approved theEMS Officepersonnel ofprogram, Emergencywhile Medicalfulfilling Services, and the Financialclinical Assistancetraining and Reviewin-field Committeesupervised ofexperience therequirements Board'smandated action,for andlicensure theor reasonsapproval therefor,by onthe requestsSystem and recommendations of the AdvisoryDepartment, Board,may theperform Officeprescribed ofprocedures Emergencyunder Medicalthe Services,direct orsupervision theof Financiala Assistancephysician andlicensed Reviewto Committee,practice nomedicine laterin thanall fiveof businessits daysbranches, aftera reachingqualified itsregistered decision,professional specifyingnurse, whetheror thequalified BoardEMS haspersonnel, approved,only denied,when orauthorized notby actedthe onEMS suchMedical requestsDirector. and7.

Authorization(e) procedures,An developedEMR, inEMT, consultationEMT-I, withA-EMT, theor AdvisoryParamedic Board,may thattransport allowa thepolice possessiondog andinjured administrationin the line of epinephrineduty orto a medicallyveterinary acceptedclinic equivalentor forsimilar emergencyfacility casesif ofthere anaphylacticare shockno bypersons certainrequiring levelsmedical ofHB2661 certifiedEnrolled emergency- medical4 services- personnelLRB100 as04767 authorizedMJP by14774 §b 54.1-3408attention andor authorizationtransport proceduresat that allowtime. the possession and administration of oxygen with :

35For the authoritypurposes of this subsection, "police dog" means a dog owned or used by a law enforcement department or agency in the localcourse operationalof medicalthe directordepartment or agency's work, including a search and anrescue emergencydog, medicalservice servicesdog, agencyaccelerant detection canine, or other dog that 36is holdsin use by a validcounty, licensemunicipal, issuedor byState thelaw Commissioner;enforcement agency.

/(Source: 37 8.

AP.A. uniform definition of "response time" and requirements, developed in consultation with the 38 Advisory Board, for each emergency medical services agency to measure response times starting from medical services personnel are responding and (ii) appropriate emergency medical services personnel arrive on the scene, and requirements for emergency medical services agencies to collect and report such data to the Director of the Office of Emergency Medical Services, who shall compile such information and make it available to the public, upon request;

9.98-973, eff.

Enforcement8-15-14; provisions, including, but not limited to, civil penalties that the Commissioner may assess against any emergency medical services agency or other entity found to be in violation of any of the provisions of this article or any regulation promulgated under this article.

All99-862, amountseff. paid as civil penalties for violations of this article or regulations promulgated pursuant thereto shall be paid into the to § 46.2-694, to be used only for emergency medical services purposes;

andcial1-1-17.) fund established pursuant 10.

Procedures for when emergency medical services agencies in medically underserved areas as defined by the Board may transport patients to 24-hour urgent care facilities or appropriate medical care facilities other than hospitals.

The regulations shall include provisions for what constitutes a medically underserved area, cases appropriate for transferring a patient to a medical facility other than a hospital, and other information deemed relevant by the Board;

and 11.

Requirements and authorization, developed in consultation with the State Veterinarian, for the provision of emergency treatment to police dogs injured in the line of duty and the transportation of emergency treatment to such dog.dical services vehicle to a veterinary care facility equipped to provide HB137 2 of 2 B.

The Board shall classify emergency medical services agencies and emergency medical services vehicles by type of service rendered and shall specify the medical equipment, the supplies, the vehicle specifications, and the emergency medical services personnel required for each classification.

C.

In formulating its regulations, the Board shall consider the current Minimal Equipment List for Ambulances adopted by the Committee on Trauma of the American College of Surgeons.