Amendment vs bill House Amendment 001 vs Enrolled

Struck = removed from the bill ยท added = the amendment's new text.

Previous
Latest
SB0761 Enrolled LRB103 03215 CPF 48221 b AN ACT concerning regulation.
*LRB10303215BMS61518a* Rep.
Be it enacted by the People of the State of Illinois, represented in the General Assembly:
Lakesia Collins Filed:
Section 5.
5/8/2023 10300SB0761ham001 LRB103 03215 BMS 61518 a AMENDMENT TO SENATE BILL 761 AMENDMENT NO.
______.
Amend Senate Bill 761 by replacing everything after the enacting clause with the following:
"Section 5.
(a) "Emergency Medical Services (EMS) System" means an organization of hospitals, vehicle service providers and personnel approved by the Department in a specific geographic area, which coordinates and provides pre-hospital and inter-hospital emergency care and non-emergency medical transports at a BLS, ILS and/or ALS level pursuant to a System program plan submitted to and approved by the Department, and pursuant to the EMS Region Plan adopted for the EMS Region in which the System is located.
(a) "Emergency Medical Services (EMS) System" means an organization of hospitals, vehicle service providers and personnel approved by the Department in a specific geographic area, which coordinates and provides pre-hospital and inter-hospital emergency care and non-emergency medical transports at a BLS, ILS and/or ALS level pursuant to a System program plan submitted to and approved by the Department, and pursuant to the EMS Region Plan adopted for the EMS Region in 10300SB0761ham001 -2- LRB103 03215 BMS 61518 a which the System is located.
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 Enrolled - 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.
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 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.
Following Department approval, EMS Systems must be fully operational within one year from the date of approval.
Following Department approval, EMS Systems must be fully operational within one year from the 10300SB0761ham001 -3- LRB103 03215 BMS 61518 a date of approval.
(3) Renew EMS System approvals every 4 years, after an SB0761 Enrolled - 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.
(3) Renew EMS System approvals every 4 years, after an inspection, based on compliance with the standards for continuing operation prescribed in rules adopted by the Department pursuant to this Act.
(5) Require each EMS System to adopt written protocols for the bypassing of or diversion to any hospital, trauma center or regional trauma center, which provide that a person shall not be transported to a facility other than the nearest hospital, regional trauma center or trauma center unless the medical benefits to the patient reasonably expected from the provision of appropriate medical treatment at a more distant facility outweigh the increased risks to the patient from transport to the more distant facility, or the transport is in accordance with the System's protocols for patient choice or refusal.
(5) Require each EMS System to adopt written protocols for the bypassing of or diversion to any hospital, trauma center or regional trauma center, which provide that a person shall not be transported to a facility other than the nearest hospital, regional trauma center or trauma center unless the medical benefits to the patient reasonably expected from the provision of appropriate medical treatment at a more distant facility outweigh the increased risks to the patient from transport to the more distant facility, or the transport is in accordance with 10300SB0761ham001 -4- LRB103 03215 BMS 61518 a the System's protocols for patient choice or refusal.
(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 Enrolled - 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.
(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 physician licensed to practice medicine in all of its branches in Illinois, with regular and frequent involvement in pre-hospital emergency medical services.
(7) Prescribe statewide EMS data elements to be collected and documented by providers in all EMS Systems for all emergency and non-emergency medical services, with a one-year phase-in for commencing collection of such data elements.
(7) Prescribe statewide EMS data elements to be 10300SB0761ham001 -5- LRB103 03215 BMS 61518 a collected and documented by providers in all EMS Systems for all emergency and non-emergency medical services, with a one-year phase-in for commencing collection of such data elements.
(8) Define, through rules adopted pursuant to this Act, the terms "Resource Hospital", "Associate Hospital", "Participating Hospital", "Basic Emergency Department", SB0761 Enrolled - 5 - LRB103 03215 CPF 48221 b "Standby Emergency Department", "Comprehensive Emergency Department", "EMS Medical Director", "EMS Administrative Director", and "EMS System Coordinator".
(8) Define, through rules adopted pursuant to this Act, the terms "Resource Hospital", "Associate Hospital", "Participating Hospital", "Basic Emergency Department", "Standby Emergency Department", "Comprehensive Emergency Department", "EMS Medical Director", "EMS Administrative Director", and "EMS System Coordinator".
(11) Permit limited EMS System participation by facilities operated by the United States Department of Veterans Affairs, Veterans Health Administration.
10300SB0761ham001 -6- LRB103 03215 BMS 61518 a (11) Permit limited EMS System participation by facilities operated by the United States Department of Veterans Affairs, Veterans Health Administration.
Any Veterans Health Administration facility seeking SB0761 Enrolled - 6 - LRB103 03215 CPF 48221 b limited participation in an EMS System shall agree to comply with all Department administrative rules implementing this Section.
Any Veterans Health Administration facility seeking limited participation in an EMS System shall agree to comply with all Department administrative rules implementing this Section.
EMT Training, Recruitment, and Retention Task Force.
EMT Training, Recruitment, and Retention Task 10300SB0761ham001 -7- LRB103 03215 BMS 61518 a Force.
(2) barriers to the training, recruitment, and retention of Emergency Medical Technicians throughout this SB0761 Enrolled - 7 - LRB103 03215 CPF 48221 b State;
(2) barriers to the training, recruitment, and retention of Emergency Medical Technicians throughout this State;
(b) The Task Force shall be comprised of the following members:
10300SB0761ham001 -8- LRB103 03215 BMS 61518 a (b) The Task Force shall be comprised of the following members:
SB0761 Enrolled - 8 - LRB103 03215 CPF 48221 b (3) one member of the Illinois General Assembly, appointed by the Senate Minority Leader;
(3) one member of the Illinois General Assembly, appointed by the Senate Minority Leader;
and (10) one member representing the Illinois Community College Systems, appointed by the Minority Leader of the Senate.
10300SB0761ham001 -9- LRB103 03215 BMS 61518 a 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 Enrolled - 9 - LRB103 03215 CPF 48221 b co-chairs and shall hold at least 6 meetings.
(d) The Task Force shall convene at the call of the co-chairs and shall hold at least 6 meetings.
(a-5) 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 Department in rules adopted pursuant to this 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.
10300SB0761ham001 -10- LRB103 03215 BMS 61518 a (a-5) 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 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.
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.
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 10300SB0761ham001 -11- LRB103 03215 BMS 61518 a the arrival of a transport vehicle.
SB0761 Enrolled - 11 - LRB103 03215 CPF 48221 b This Section shall not prohibit an EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic from practicing within an emergency department or other health care setting for the purpose of receiving continuing education or training approved by the EMS Medical Director.
This Section shall not prohibit an EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic from practicing within an emergency department or other health care setting for the purpose of receiving continuing education or training approved by the EMS Medical Director.
(d) A student enrolled in a Department approved EMS personnel program, while fulfilling the clinical training and in-field supervised experience requirements mandated for licensure or approval by the System and the Department, may perform prescribed procedures under the direct supervision of a physician licensed to practice medicine in all of its branches, a qualified registered professional nurse, or qualified EMS personnel, only when authorized by the EMS Medical Director.
(d) A student enrolled in a Department approved EMS personnel program, while fulfilling the clinical training and in-field supervised experience requirements mandated for 10300SB0761ham001 -12- LRB103 03215 BMS 61518 a licensure or approval by the System and the Department, may perform prescribed procedures under the direct supervision of a physician licensed to practice 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.
(e) An EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or 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.
(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;
(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 10300SB0761ham001 -13- LRB103 03215 BMS 61518 a same or higher level as the EMT, EMT-I, A-EMT, Paramedic, PHRN, PHAPRN, or PHPA;
The EMS System within which the EMT, EMT-I, A-EMT, Paramedic, PHRN, PHAPRN, or PHPA is seeking to join must make all required testing available to the EMT, EMT-I, SB0761 Enrolled - 13 - LRB103 03215 CPF 48221 b A-EMT, Paramedic, PHRN, PHAPRN, or PHPA within 2 weeks after the written request.
The EMS System within which the EMT, EMT-I, A-EMT, Paramedic, PHRN, PHAPRN, or PHPA is seeking to join must make all required testing available to the EMT, EMT-I, A-EMT, Paramedic, PHRN, PHAPRN, or PHPA within 2 weeks after the written request.
(1) "Ambulance" means any publicly or privately owned on-road vehicle that is specifically designed, constructed or modified and equipped, and is intended to be used for, and is maintained or operated for the emergency transportation of persons who are sick, injured, wounded or otherwise incapacitated or helpless, or the non-emergency medical transportation of persons who require the presence of medical personnel to monitor the individual's condition or medical apparatus being used on such individuals.
(1) "Ambulance" means any publicly or privately owned on-road vehicle that is specifically designed, constructed or modified and equipped, and is intended to be used for, and is maintained or operated for the emergency 10300SB0761ham001 -14- LRB103 03215 BMS 61518 a transportation of persons who are sick, injured, wounded or otherwise incapacitated or helpless, or the non-emergency medical transportation of persons who require the presence of medical personnel to monitor the individual's condition or medical apparatus being used on such individuals.
(2) "Specialized Emergency Medical Services Vehicle" SB0761 Enrolled - 14 - LRB103 03215 CPF 48221 b or "SEMSV" means a vehicle or conveyance, other than those owned or operated by the federal government, that is primarily intended for use in transporting the sick or injured by means of air, water, or ground transportation, that is not an ambulance as defined in this Act.
(2) "Specialized Emergency Medical Services Vehicle" or "SEMSV" means a vehicle or conveyance, other than those owned or operated by the federal government, that is primarily intended for use in transporting the sick or injured by means of air, water, or ground transportation, that is not an ambulance as defined in this Act.
(B) "Special-Use Vehicle" means any publicly or privately owned vehicle that is specifically designed, constructed or modified and equipped, and is intended to be used for, and is maintained or operated solely for the emergency or non-emergency transportation of a specific medical class or category of persons who are sick, injured, wounded or otherwise incapacitated or helpless (e.g.
(B) "Special-Use Vehicle" means any publicly or privately owned vehicle that is specifically designed, constructed or modified and equipped, and is intended to be used for, and is maintained or operated solely 10300SB0761ham001 -15- LRB103 03215 BMS 61518 a for the emergency or non-emergency transportation of a specific medical class or category of persons who are sick, injured, wounded or otherwise incapacitated or helpless (e.g.
(C) "Reserve Ambulance" means a vehicle that meets all criteria set forth in this Section and all SB0761 Enrolled - 15 - LRB103 03215 CPF 48221 b Department rules, except for the required inventory of medical supplies and durable medical equipment, which may be rapidly transferred from a fully functional ambulance to a reserve ambulance without the use of tools or special mechanical expertise.
(C) "Reserve Ambulance" means a vehicle that meets all criteria set forth in this Section and all Department rules, except for the required inventory of medical supplies and durable medical equipment, which may be rapidly transferred from a fully functional ambulance to a reserve ambulance without the use of tools or special mechanical expertise.
(3) Establish licensing standards and requirements for Vehicle Service Providers, through rules adopted pursuant to this Act, including but not limited to:
(3) Establish licensing standards and requirements for 10300SB0761ham001 -16- LRB103 03215 BMS 61518 a Vehicle Service Providers, through rules adopted pursuant to this Act, including but not limited to:
and SB0761 Enrolled - 16 - LRB103 03215 CPF 48221 b (D) License renewal at intervals determined by the Department, which shall be not less than every 4 years.
and (D) License renewal at intervals determined by the Department, which shall be not less than every 4 years.
The EMS personnel licensed at or above the level of care required by the specific patient as directed by the EMS Medical Director shall be the primary care provider en route to the destination facility or patient's residence.
The EMS personnel licensed at or above the level of care required by the specific patient as directed by the EMS Medical 10300SB0761ham001 -17- LRB103 03215 BMS 61518 a Director shall be the primary care provider en route to the destination facility or patient's residence.
Adoption of an alternative staffing SB0761 Enrolled - 17 - LRB103 03215 CPF 48221 b model shall not result in a Vehicle Service Provider being prohibited or limited in the utilization of its staff or equipment from providing any of the services authorized by this Act or as otherwise outlined in the approved EMS System Program Plan, including, without limitation, the deployment of resources to provide out-of-state disaster response.
Adoption of an alternative staffing model shall not result in a Vehicle Service Provider being prohibited or limited in the utilization of its staff or equipment from providing any of the services authorized by this Act or as otherwise outlined in the approved EMS System Program Plan, including, without limitation, the deployment of resources to provide out-of-state disaster response.
An EMS System Program Plan for a Basic Life Support, advanced life support, and critical care transport utilizing an EMR and an EMT shall include the following:
10300SB0761ham001 -18- LRB103 03215 BMS 61518 a An EMS System Program Plan for a Basic Life Support, advanced life support, and critical care transport utilizing an EMR and an EMT shall include the following:
(A) Alternative staffing models for a Basic Life Support transport utilizing an EMR and an EMT shall only be utilized for interfacility Basic Life Support transports as specified by the EMS System Program Plan SB0761 Enrolled - 18 - LRB103 03215 CPF 48221 b as determined by the EMS System Medical Director and medical appointments, excluding any transport to or from a dialysis center.
(A) Alternative staffing models for a Basic Life Support transport utilizing an EMR and an EMT shall only be utilized for interfacility Basic Life Support transports as specified by the EMS System Program Plan as determined by the EMS System Medical Director and medical appointments, excluding any transport to or from a dialysis center.
The percentage of transports reviewed under quality assurance plans for renewal periods shall be determined by the EMS Medical Director, however, it shall not be less than 3%.
The percentage of transports reviewed under quality assurance plans for renewal periods shall be 10300SB0761ham001 -19- LRB103 03215 BMS 61518 a determined by the EMS Medical Director, however, it shall not be less than 3%.
Show all 53 changed rows (13 more)
Previous
Latest
The EMT, SB0761 Enrolled - 19 - LRB103 03215 CPF 48221 b Paramedic, PHRN, PHPA, PHAPRN, and critical care transport staff shall have the minimum at least one year of experience in performance of pre-hospital and inter-hospital emergency care, as determined by the EMS Medical Director in accordance with the EMS System Program Plan, but at a minimum of 6 months of prehospital experience or at least 50 documented patient care interventions during transport as the primary care provider and approved by the Department.
The EMT, Paramedic, PHRN, PHPA, PHAPRN, and critical care transport staff shall have the minimum at least one year of experience in performance of pre-hospital and inter-hospital emergency care, as determined by the EMS Medical Director in accordance with the EMS System Program Plan, but at a minimum of 6 months of prehospital experience or at least 50 documented patient care interventions during transport as the primary care provider and approved by the Department.
(G) Beginning July 1, 2023, the utilization of EMRs for advanced life support transports and Tier III Critical Care Transports shall be allowed for periods not to exceed 3 years under a pilot program.
(G) Beginning July 1, 2023, the utilization of 10300SB0761ham001 -20- LRB103 03215 BMS 61518 a EMRs for advanced life support transports and Tier III Critical Care Transports shall be allowed for periods not to exceed 3 years under a pilot program.
SB0761 Enrolled - 20 - LRB103 03215 CPF 48221 b (i) Submit a waiver request to the Department requesting to participate in the pilot program with specific details of how quality assurance and improvement will be gathered, measured, reported to the Department, and reviewed and utilized internally by the participating agency.
(i) Submit a waiver request to the Department requesting to participate in the pilot program with specific details of how quality assurance and improvement will be gathered, measured, reported to the Department, and reviewed and utilized internally by the participating agency.
(vi) Submit an explanation of how the provider will support individuals obtaining a higher level of licensure and encourage a higher level of licensure during the year of the alternative staffing plan and specific examples of recruitment and retention activities or initiatives.
(vi) Submit an explanation of how the provider 10300SB0761ham001 -21- LRB103 03215 BMS 61518 a will support individuals obtaining a higher level of licensure and encourage a higher level of licensure during the year of the alternative staffing plan and specific examples of recruitment and retention activities or initiatives.
Upon submission of a renewal application and recruitment and retention plan, the provider shall SB0761 Enrolled - 21 - LRB103 03215 CPF 48221 b include additional data regarding current employment numbers, attrition rates over the year, and activities and initiatives over the previous year to address recruitment and retention.
Upon submission of a renewal application and recruitment and retention plan, the provider shall include additional data regarding current employment numbers, attrition rates over the year, and activities and initiatives over the previous year to address recruitment and retention.
All Provider licenses issued by the Department shall specify the level and type of each vehicle covered by the license (BLS, ILS, ALS, ambulance, critical care transport, SEMSV, limited operation vehicle, special use vehicle, reserve ambulance).
All Provider licenses issued by the Department shall specify the level and type of each vehicle covered by the license (BLS, ILS, ALS, ambulance, critical care 10300SB0761ham001 -22- LRB103 03215 BMS 61518 a transport, SEMSV, limited operation vehicle, special use vehicle, reserve ambulance).
(6) Suspend, revoke, refuse to issue or refuse to renew the license of any Vehicle Service Provider, or that portion of a license pertaining to a specific vehicle SB0761 Enrolled - 22 - LRB103 03215 CPF 48221 b operated by the Provider, after an opportunity for a hearing, when findings show that the Provider or one or more of its vehicles has failed to comply with the standards and requirements of this Act or rules adopted by the Department pursuant to this Act.
(6) Suspend, revoke, refuse to issue or refuse to renew the license of any Vehicle Service Provider, or that portion of a license pertaining to a specific vehicle operated by the Provider, after an opportunity for a hearing, when findings show that the Provider or one or more of its vehicles has failed to comply with the standards and requirements of this Act or rules adopted by the Department pursuant to this Act.
(9) Exempt any vehicle (except an SEMSV) which was being used as an ambulance on or before December 15, 1980, from vehicle design standards and specifications required by the Department, until said vehicle's title of ownership is transferred.
10300SB0761ham001 -23- LRB103 03215 BMS 61518 a (9) Exempt any vehicle (except an SEMSV) which was being used as an ambulance on or before December 15, 1980, from vehicle design standards and specifications required by the Department, until said vehicle's title of ownership is transferred.
SB0761 Enrolled - 23 - LRB103 03215 CPF 48221 b (10) Prohibit any Vehicle Service Provider from advertising, identifying its vehicles, or disseminating information in a false or misleading manner concerning the Provider's type and level of vehicles, location, primary service area, response times, level of personnel, licensure status or System participation.
(10) Prohibit any Vehicle Service Provider from advertising, identifying its vehicles, or disseminating information in a false or misleading manner concerning the Provider's type and level of vehicles, location, primary service area, response times, level of personnel, licensure status or System participation.
(12) Beginning July 1, 2023, as part of a pilot program that shall not exceed a term of 3 years, an ambulance may be upgraded to a higher level of care for interfacility transports by an ambulance assistance vehicle with appropriate equipment and licensed personnel to intercept with the licensed ambulance at the sending facility before departure.
(12) Beginning July 1, 2023, as part of a pilot program that shall not exceed a term of 3 years, an ambulance may be upgraded to a higher level of care for 10300SB0761ham001 -24- LRB103 03215 BMS 61518 a interfacility transports by an ambulance assistance vehicle with appropriate equipment and licensed personnel to intercept with the licensed ambulance at the sending facility before departure.
(A) Submit a waiver request to the Department with SB0761 Enrolled - 24 - LRB103 03215 CPF 48221 b intercept vehicle vehicle identification numbers, calls signs, equipment detail, and a robust quality assurance plan that shall list, at minimum, detailed reasons each intercept had to be completed, barriers to initial dispatch of advanced life support services, and how this benefited the patient.
(A) Submit a waiver request to the Department with intercept vehicle vehicle identification numbers, calls signs, equipment detail, and a robust quality assurance plan that shall list, at minimum, detailed reasons each intercept had to be completed, barriers to initial dispatch of advanced life support services, and how this benefited the patient.
8-27-21.) Section 99.
8-27-21.) 10300SB0761ham001 -25- LRB103 03215 BMS 61518 a Section 99.
This Act takes effect upon becoming law.
This Act takes effect upon becoming law.".