AB 427 — Relating to: emergency medical services programs.

- 2020 LEGISLATURE LRBs0098/1LRB-4284/1 TJD:cjsTJD:ahe ASSEMBLY SUBSTITUTE AMENDMENT 1, TO ASSEMBLY BILL 427 September 17,12, 2019 - OfferedIntroduced by COMMITTEERepresentatives ONLOUDENBECK HEALTH, .ANFELIPPO and KUGLITSCH , cosponsored by Senators K OOYENGA and C RAIG.

AReferred N A CT to renumberCommittee andon amendHealth. 256.15 (6p);

andA toN createA 256.15CT (6p)to (a)renumber and (b)amend of256.12 the(2) statutes;(a) and 256.15 (6p);

and to create 256.12 (2) (a) 4.

and 256.15 (6p) (a) and (b) of the statutes;

Analysis by the Legislative Reference Bureau UnderThis currentbill law,allows an approved emergency medical services practitionerprogram mayto actprovide uponemergency amedical delegationcare byin acircumstances healthother carethan providerat without violating the scopescene of an emergency, during transport to a hospital, while in the hospital emergency medicaldepartment servicesuntil practitioner'sregular license.hospital staff assume responsibility for care, and during transfer of a patient between health care facilities.

The bill allows the emergency medical services program to provide emergency medical care during transport to another facility or institution in which health care is provided and under a delegation from a health care provider.

Under current law, an emergency medical services practitioner may act upon a delegation by a health care provider without violating the scope of the emergency medical services practitioner's license.

Current law does not prohibit an emergency medical services program from providing nonemergency services under a delegation.

SECTION- 2020 Legislature - 2 - LRB-4284/1 TJD:ahe ASSEMBLY BILL 427 S ECTION 1 S ECTION 1.

256.12 (2) (a) of the statutes is renumbered 256.12 (2) (a) (intro.) and amended to read:

256.12 (2) (a) (intro.) Any county, city, town, village, hospital, ambulance service provider, or combination thereof may, after submission of a plan approved by the department, conduct an emergency medical services program using emergency medical services practitioners for the delivery of emergency medical care to sick, disabled, or injured individuals at the scene of an emergency and during under any of the following circumstances:

1.

During transport to a hospital, while or facility or institution in which health care is provided.

2.

While in the hospital emergency department until responsibility for care is assumed by the regular hospital staff, and du.ing 3.

During transfer of a patient between health care facilities.

(ad) An ambulance service provider may, after submission of a plan approved by the department under par.

(a), conduct an emergency medical services program using emergency medical services practitioners for the delivery of emergency medical care to sick, disabled, or injured individuals during transfer of the individuals between health care facilities.

(ah) Nothing in this section prohibits an emergency medical services program from using community paramedics and community emergency medical services practitioners for services described in ss.

256.205 (6) and 256.21 (6) or from providing nonemergency services in accordance with s.

256.15 (6p).

(am) Nothing in this section shall be construed to prohibit the operation of fire department, police department, for-profit ambulance service provider, or other LRB-4284/1 - 2020 Legislature - 3 - TJD:ahe SECTION 1 ASSEMBLY BILL 427 emergency vehicles using the services of emergency medical services practitioners in conjunction with a program approved by the department.

(ar) Hospitals that offer approved training courses for emergency medical services practitioners should, if feasible, serve as the base of operation for approved programs under this sectionsing emergency medical services practitioners.

S ECTION 2.

256.12 (2) (a) 4.

of the statutes is created to read:

256.12 (2) (a) 4.

Under a delegation from a health care provider in accordance with s.

256.15 (6p).

S ECTION 3.

LRBs0098/1 - 2020 Legislature - 2 - TJD:cjs S ECTION 1 256.15 (6p) DDELEGATION ELEGATION FROM A HEALTH CARE PROVIDER.(intro.) An emergency medical services practitioner who is acting upon a delegation by a health care provider does not violate the actions authorized for emergency services under sub.

(6n) for actions taken in accordance with that delegation.delegation.gation if all of the following criteria are satisfied:

delegationS ifECTION all4. of the following criteria are satisfied:

SECTION 2.