SB 761 — REGULATION-TECH

SB0761 EngrossedEnrolled LRB103 03215 CPF 48221 b AN ACT concerning regulation.

The Emergency Medical Services (EMS) Systems Act is amended by changing Sections 3.20, 3.65,3.55, and 3.85 and by adding Section 3.22 as follows:

All other hospitals which are located within the geographic boundaries of a System and which have standby, basic or comprehensive level emergency departments must function in that EMS System as either an Associate Hospital or Participating Hospital and follow all SB0761 EngrossedEnrolled - 2 - LRB103 03215 CPF 48221 b System policies specified in the System Program Plan, including but not limited to the replacement of drugs and equipment used by providers who have delivered patients to their emergency departments.

(3) Renew EMS System approvals every 4 years, after an SB0761 EngrossedEnrolled - 3 - LRB103 03215 CPF 48221 b inspection, based on compliance with the standards for continuing operation prescribed in rules adopted by the Department pursuant to this Act.

(6) Require that the EMS Medical Director of an ILS or ALS level EMS System be a physician licensed to practice medicine in all of its branches in Illinois, and certified by the American Board of Emergency Medicine or the American Osteopathic Board of Emergency Medicine, and that the EMS Medical Director of a BLS level EMS System be a SB0761 EngrossedEnrolled - 4 - LRB103 03215 CPF 48221 b physician licensed to practice medicine in all of its branches in Illinois, with regular and frequent involvement in pre-hospital emergency medical services.

(8) Define, through rules adopted pursuant to this Act, the terms "Resource Hospital", "Associate Hospital", "Participating Hospital", "Basic Emergency Department", SB0761 EngrossedEnrolled - 5 - LRB103 03215 CPF 48221 b "Standby Emergency Department", "Comprehensive Emergency Department", "EMS Medical Director", "EMS Administrative Director", and "EMS System Coordinator".

Any Veterans Health Administration facility seeking SB0761 EngrossedEnrolled - 6 - LRB103 03215 CPF 48221 b limited participation in an EMS System shall agree to comply with all Department administrative rules implementing this Section.

(2) barriers to the training, recruitment, and retention of Emergency Medical Technicians throughout this SB0761 EngrossedEnrolled - 7 - LRB103 03215 CPF 48221 b State;

(4) howthe emergencyexamination medicalof respondercurrent andtesting emergencymechanisms medicalfor technicianEMRs, licensureEMTs, and testingParamedics and certification requirements affect the recruitmentutilization and retention of emergency medical technicians, including, without limitation, how the implementation of the National Registry of Emergency Medical TechnicianTechnicians, trainingincluding criteriacurrent havepass impactedrates theby certification and licensure oflevel, newnational EMRs,utilization, EMTs, and Paramedics;test preparation strategies;

and (7) all other areas that the Task Force deems necessary to examine toand assist in the recruitment and retention of EMTs and Paramedics.

(1) one member of the Illinois General Assembly, appointed by the SenatePresident President,of the Senate, who shall serve as SB0761 Engrossed - 8 - LRB103 03215 CPF 48221 b co-chair;

(2) one member of the Illinois General Assembly, appointed by the Speaker of the House;House of Representatives;

SB0761 Enrolled - 8 - LRB103 03215 CPF 48221 b (3) one member of the Illinois General Assembly, appointed by the Senate Minority Leader;

(5) 9 members representing private ground ambulance providers throughout this State representing for-profit and non-profit rural and urban ground ambulance providers, appointed by the Governor;President of the Senate;

(6) 3 members representing hospitals, appointed by the Speaker of the House,House of Representatives, with one member representing safety net hospitals and one member representing rural hospitals;

(8) one member representing the State Board of Education, appointed by the House Minority LeaderLeader; of the House;

and (9) one2 memberEMS representingMedical theDirectors Illinoisfrom Communitya CollegeRegional Systems,EMS appointedMedical byDirectors theCommittee, Minorityappointed Leaderby of the Senate.Governor;

and (10) one member representing the Illinois Community College Systems, appointed by the Minority Leader of the Senate.

(d) The Task Force shall convene at the call of the SB0761 EngrossedEnrolled - 9 - LRB103 03215 CPF 48221 b co-chairs and shall hold at least 6 meetings.

(210 ILCS 50/3.65)50/3.55) Sec.

3.65.3.55.

EMSScope Leadof Instructor.practice.

(a) "EMSAny Leadperson Instructor"currently meanslicensed aas personan whoEMR, hasEMT, successfullyEMT-I, completedA-EMT, aPHRN, coursePHAPRN, ofPHPA, educationor Paramedic may perform emergency and non-emergency medical services as approveddefined byin thethis DepartmentAct, in accordance with his or hasher obtainedlevel sufficientof experienceeducation, astraining determinedand bylicensure, the EMSstandards Medicalof Director,performance and whoconduct isprescribed currently approved by the Department toin coordinaterules oradopted teachpursuant education,to trainingthis Act, and continuingthe educationrequirements courses,of inthe accordanceEMS withSystem standardsin prescribedwhich byhe thisor Actshe andpractices, rulesas adoptedcontained byin the Departmentapproved pursuantProgram toPlan thisfor Act.that System.

(b) The DepartmentDirector shallmay, haveby thewritten authorityorder, andtemporarily responsibilitymodify to:individual scopes of practice in response to public health emergencies for periods not exceeding 180 days.

(1)(a-5) PrescribeEMS educationpersonnel requirementswho forhave successfully completed a Department approved course in automated defibrillator operation and who are functioning within a Department approved EMS LeadSystem Instructormay candidatesutilize throughsuch automated defibrillator according to the standards of performance and conduct prescribed by the Department in rules adopted pursuant to this Act.Act and the requirements of the EMS System in which they practice, as SB0761 Enrolled - 10 - LRB103 03215 CPF 48221 b contained in the approved Program Plan for that System.

(2)(a-7) PrescribeAn testingEMT, requirementsEMT-I, forA-EMT, EMSPHRN, LeadPHAPRN, InstructorPHPA, candidatesor throughParamedic ruleswho adoptedhas pursuantsuccessfully completed a Department approved course in the administration of epinephrine shall be required to thiscarry Act.epinephrine with him or her as part of the EMS personnel medical supplies whenever he or she is performing official duties as determined by the EMS System.

(3)The Chargeepinephrine eachmay candidatebe foradministered EMSfrom Lead Instructor a feeglass tovial, beauto-injector, submittedampule, withor anpre-filled applicationsyringe. for an SB0761 Engrossed - 10 - LRB103 03215 CPF 48221 b examination, an application for licensure, and an application for relicensure.

(4)(b) ApproveAn individualsEMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic may practice as EMSan LeadEMR, InstructorsEMT, whoEMT-I, haveA-EMT, metor Paramedic or utilize his or her EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic license in pre-hospital or inter-hospital emergency care settings or non-emergency medical transport situations, under the Department'swritten educationor andverbal testingdirection requirements.of the EMS Medical Director.

(5)For Requirepurposes thatof allthis education,Section, traininga and"pre-hospital continuingemergency educationcare coursessetting" formay EMT,include EMT-I,a A-EMT,location, Paramedic,that PHRN,is PHPA,not PHAPRN,a ECRN,health EMR,care andfacility, Emergencywhich Medicalutilizes DispatcherEMS bepersonnel coordinatedto byrender atpre-hospital leastemergency onecare approvedprior EMSto Leadthe Instructor.arrival of a transport vehicle.

AThe programlocation whichshall includesinclude education,communication trainingequipment orand continuingall educationof the portable equipment and drugs appropriate for morethe thanEMR, oneEMT, typeEMT-I, A-EMT, or Paramedic's level of personnelcare, mayas userequired oneby EMSthis LeadAct, Instructorrules toadopted coordinateby the program,Department pursuant to this Act, and athe singleprotocols of the EMS LeadSystems, Instructorand mayshall simultaneouslyoperate coordinateonly morewith thanthe oneapproval programand orunder course.the direction of the EMS Medical Director.

(6)SB0761 ProvideEnrolled standards- and11 procedures- forLRB103 awarding03215 EMSCPF Lead48221 Instructorb approvalThis toSection personsshall previouslynot approvedprohibit byan theEMR, DepartmentEMT, toEMT-I, coordinateA-EMT, suchPHRN, courses,PHAPRN, basedPHPA, onor qualificationsParamedic prescribedfrom bypracticing within an emergency department or other health care setting for the Departmentpurpose throughof rulesreceiving adoptedcontinuing pursuanteducation toor thistraining Act.approved by the EMS Medical Director.

(7)This Suspend,Section revoke,shall also not prohibit an EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or refuseParamedic tofrom issueseeking credentials other than his or renewher theEMT, approvalEMT-I, ofA-EMT, anPHRN, EMSPHAPRN, LeadPHPA, Instructor,or afterParamedic anlicense opportunityand forutilizing asuch hearing,credentials whento findingswork showin oneemergency departments or moreother ofhealth care settings under the following:jurisdiction of that employer.

(A)(c) TheAn EMSEMT, LeadEMT-I, InstructorA-EMT, hasPHRN, failedPHAPRN, toPHPA, conductor aParamedic coursemay inhonor accordanceDo withNot theResuscitate curriculum(DNR) prescribedorders byand thispowers Actof andattorney for health care only in accordance with rules adopted by the Department SB0761pursuant Engrossedto -this 11Act -and LRB103protocols 03215of CPFthe 48221EMS bSystem pursuantin towhich thishe Act;or she practices.

or(d) (B)A Thestudent enrolled in a Department approved EMS Leadpersonnel Instructorprogram, haswhile failedfulfilling tothe complyclinical withtraining protocolsand prescribedin-field supervised experience requirements mandated for licensure or approval by the DepartmentSystem throughand rulesthe adoptedDepartment, pursuantmay perform prescribed procedures under the direct supervision of a physician licensed to thispractice Act.medicine in all of its branches, a qualified registered professional nurse, or qualified EMS personnel, only when authorized by the EMS Medical Director.

(e) An EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or SB0761 Enrolled - 12 - LRB103 03215 CPF 48221 b Paramedic may transport a police dog injured in the line of duty to a veterinary clinic or similar facility if there are no persons requiring medical attention or transport at that time.

For the purposes of this subsection, "police dog" means a dog owned or used by a law enforcement department or agency in the course of the department or agency's work, including a search and rescue dog, service dog, accelerant detection canine, or other dog that is in use by a county, municipal, or State law enforcement agency.

(f) Nothing in this Act shall be construed to prohibit an EMT, EMT-I, A-EMT, Paramedic, or PHRN from completing an initial Occupational Safety and Health Administration Respirator Medical Evaluation Questionnaire on behalf of fire service personnel, as permitted by his or her EMS System Medical Director.

(g) An EMT, EMT-I, A-EMT, Paramedic, PHRN, PHAPRN, or PHPA shall be eligible to work for another EMS System for a period not to exceed 2 weeks if the individual is under the direct supervision of another licensed individual operating at the same or higher level as the EMT, EMT-I, A-EMT, Paramedic, PHRN, PHAPRN, or PHPA;

obtained approval in writing from the EMS System's Medical Director;

and tests into the EMS System based upon appropriate standards as outlined in the EMS System Program Plan.