97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012
SB3261

 

Introduced 2/1/2012, by Sen. Heather A. Steans

 

SYNOPSIS AS INTRODUCED:
 
See Index

    Amends the Emergency Medical Services (EMS) Systems Act. Makes changes in the provision concerning definitions to include "Emergency Medical Services Personnel". Makes changes in the provisions concerning scope of services, Emergency Medical Services (EMS) Regions, Emergency Medical Services (EMS) Systems, the development and content of EMS Region Plans, Emergency Medical Services (EMS) Resource Hospitals, EMS System participation suspensions and due process, the State Emergency Medical Services Disciplinary Review Board, Emergency Medical Services Personnel licensure levels (now Emergency Medical Technician (EMT) licensure), scope of practice, EMS Lead Instructors, Emergency Medical Dispatchers, Trauma Nurse Specialist (TNS) licensure (now certification), Pre-Hospital RNs and Emergency Communications Registered Nurses, Trauma Center designations, Trauma Center misrepresentation, complaint investigations, violations and fines, misrepresentation, falsification of documents, criminal penalties, injunctions, the State Emergency Medical Services Advisory Council, and the State Trauma Advisory Council. Repeals a provision concerning First Responders. Effective on January 1, 2013.


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CORRECTIONAL BUDGET AND IMPACT NOTE ACT MAY APPLY
FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

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1    AN ACT concerning health facilities.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Emergency Medical Services (EMS) Systems Act
5is amended by changing Sections 3.5, 3.10, 3.15, 3.20, 3.25,
63.30, 3.35, 3.40, 3.45, 3.50, 3.55, 3.65, 3.70, 3.75, 3.80,
73.90, 3.105, 3.125, 3.140, 3.165, 3.170, 3.175, 3.180, 3.200,
8and 3.205 as follows:
 
9    (210 ILCS 50/3.5)
10    Sec. 3.5. Definitions. As used in this Act:
11    "Department" means the Illinois Department of Public
12Health.
13    "Director" means the Director of the Illinois Department of
14Public Health.
15    "Emergency" means a medical condition of recent onset and
16severity that would lead a prudent layperson, possessing an
17average knowledge of medicine and health, to believe that
18urgent or unscheduled medical care is required.
19    "Emergency Medical Services Personnel" or "EMS Personnel"
20means an Emergency Medical Responder, Emergency Medical
21Technician, Advanced Emergency Medical Technician, or
22Emergency Medical Technician-Intermediate and Paramedic.
23    "Health Care Facility" means a hospital, nursing home,

 

 

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1physician's office or other fixed location at which medical and
2health care services are performed. It does not include
3"pre-hospital emergency care settings" which utilize EMS
4Personnel EMTs to render pre-hospital emergency care prior to
5the arrival of a transport vehicle, as defined in this Act.
6    "Hospital" has the meaning ascribed to that term in the
7Hospital Licensing Act.
8    "Trauma" means any significant injury which involves
9single or multiple organ systems.
10(Source: P.A. 89-177, eff. 7-19-95.)
 
11    (210 ILCS 50/3.10)
12    Sec. 3.10. Scope of Services.
13    (a) "Advanced Life Support (ALS) Services" means an
14advanced level of pre-hospital and inter-hospital emergency
15care and non-emergency medical services that includes basic
16life support care, cardiac monitoring, cardiac defibrillation,
17electrocardiography, intravenous therapy, administration of
18medications, drugs and solutions, use of adjunctive medical
19devices, trauma care, and other authorized techniques and
20procedures, as outlined as in the Advanced Life Support in the
21National EMS Educational Standards national curriculum of the
22United States Department of Transportation and any
23modifications to that curriculum specified in rules adopted by
24the Department pursuant to this Act.
25    That care shall be initiated as authorized by the EMS

 

 

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1Medical Director in a Department approved advanced life support
2EMS System, under the written or verbal direction of a
3physician licensed to practice medicine in all of its branches
4or under the verbal direction of an Emergency Communications
5Registered Nurse.
6    (b) "Intermediate Life Support (ILS) Services" means an
7intermediate level of pre-hospital and inter-hospital
8emergency care and non-emergency medical services that
9includes basic life support care plus intravenous cannulation
10and fluid therapy, invasive airway management, trauma care, and
11other authorized techniques and procedures, as outlined in the
12Intermediate Life Support national curriculum of the United
13States Department of Transportation and any modifications to
14that curriculum specified in rules adopted by the Department
15pursuant to this Act.
16    That care shall be initiated as authorized by the EMS
17Medical Director in a Department approved intermediate or
18advanced life support EMS System, under the written or verbal
19direction of a physician licensed to practice medicine in all
20of its branches or under the verbal direction of an Emergency
21Communications Registered Nurse.
22    (c) "Basic Life Support (BLS) Services" means a basic level
23of pre-hospital and inter-hospital emergency care and
24non-emergency medical services that includes airway
25management, cardiopulmonary resuscitation (CPR), control of
26shock and bleeding and splinting of fractures, as outlined as

 

 

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1in the Basic Life Support in the National EMS Educational
2Standards national curriculum of the United States Department
3of Transportation and any modifications to that curriculum
4specified in rules adopted by the Department pursuant to this
5Act.
6    That care shall be initiated, where authorized by the EMS
7Medical Director in a Department approved EMS System, under the
8written or verbal direction of a physician licensed to practice
9medicine in all of its branches or under the verbal direction
10of an Emergency Communications Registered Nurse.
11    (d) "Emergency Medical Responder First Response Services"
12means a preliminary level of pre-hospital emergency care that
13includes cardiopulmonary resuscitation (CPR), monitoring vital
14signs and control of bleeding, as outlined in the Emergency
15Medical Responder (EMR) curricula of the National EMS
16Educational Standards First Responder curriculum of the United
17States Department of Transportation and any modifications to
18that curriculum specified in rules adopted by the Department
19pursuant to this Act.
20    (e) "Pre-hospital care" means those emergency medical
21services rendered to emergency patients for analytic,
22resuscitative, stabilizing, or preventive purposes, precedent
23to and during transportation of such patients to hospitals.
24    (f) "Inter-hospital care" means those emergency medical
25services rendered to emergency patients for analytic,
26resuscitative, stabilizing, or preventive purposes, during

 

 

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1transportation of such patients from one hospital to another
2hospital.
3    (f-5) "Critical care transport" means the pre-hospital or
4inter-hospital transportation of a critically injured or ill
5patient by a vehicle service provider, including the provision
6of medically necessary supplies and services, at a level of
7service beyond the scope of the Paramedic EMT-paramedic. When
8medically indicated for a patient, as determined by a physician
9licensed to practice medicine in all of its branches, an
10advanced practice nurse, or a physician's assistant, in
11compliance with subsections (b) and (c) of Section 3.155 of
12this Act, critical care transport may be provided by:
13        (1) Department-approved critical care transport
14    providers, not owned or operated by a hospital, utilizing
15    Paramedics EMT-paramedics with additional training,
16    nurses, or other qualified health professionals; or
17        (2) Hospitals, when utilizing any vehicle service
18    provider or any hospital-owned or operated vehicle service
19    provider. A Nothing in this amendatory Act of the 96th
20    General Assembly requires a hospital is not required to
21    use, or to be, a Department-approved critical care
22    transport provider when transporting patients, including
23    those critically injured or ill. Nothing in this Act shall
24    restrict or prohibit a hospital from providing, or
25    arranging for, the medically appropriate transport of any
26    patient, as determined by a physician licensed to practice

 

 

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1    in all of its branches, an advanced practice nurse, or a
2    physician's assistant.
3    (g) "Non-emergency medical services" means medical care or
4monitoring rendered to patients whose conditions do not meet
5this Act's definition of emergency, before or during
6transportation of such patients to or from health care
7facilities visited for the purpose of obtaining medical or
8health care services which are not emergency in nature, using a
9vehicle regulated by this Act.
10    (g-5) The Department shall have the authority to promulgate
11minimum standards for critical care transport providers
12through rules adopted pursuant to this Act. All critical care
13transport providers must function within a Department-approved
14EMS System. Nothing in Department rules shall restrict a
15hospital's ability to furnish personnel, equipment, and
16medical supplies to any vehicle service provider, including a
17critical care transport provider. Minimum critical care
18transport provider standards shall include, but are not limited
19to:
20        (1) Personnel staffing and licensure.
21        (2) Education, certification, and experience.
22        (3) Medical equipment and supplies.
23        (4) Vehicular standards.
24        (5) Treatment and transport protocols.
25        (6) Quality assurance and data collection.
26    (h) The provisions of this Act shall not apply to the use

 

 

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1of an ambulance or SEMSV, unless and until emergency or
2non-emergency medical services are needed during the use of the
3ambulance or SEMSV.
4(Source: P.A. 96-1469, eff. 1-1-11.)
 
5    (210 ILCS 50/3.15)
6    Sec. 3.15. Emergency Medical Services (EMS) Regions. The
7Beginning September 1, 1995, the Department shall designate
8Emergency Medical Services (EMS) Regions within the State,
9consisting of specific geographic areas encompassing EMS
10Systems and trauma centers, in which emergency medical
11services, trauma services, and non-emergency medical services
12are coordinated under an EMS Region Plan.
13    In designating EMS Regions, the Department shall take into
14consideration, but not be limited to, the location of existing
15EMS Systems, Trauma Regions and trauma centers, existing
16patterns of inter-System transports, population locations and
17density, transportation modalities, and geographical distance
18from available trauma and emergency department care.
19    Use of the term Trauma Region to identify a specific
20geographic area shall be discontinued upon designation of areas
21as EMS Regions.
22(Source: P.A. 89-177, eff. 7-19-95.)
 
23    (210 ILCS 50/3.20)
24    Sec. 3.20. Emergency Medical Services (EMS) Systems.

 

 

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1    (a) "Emergency Medical Services (EMS) System" means an
2organization of hospitals, vehicle service providers and
3personnel approved by the Department in a specific geographic
4area, which coordinates and provides pre-hospital and
5inter-hospital emergency care and non-emergency medical
6transports at a BLS, ILS and/or ALS level pursuant to a System
7program plan submitted to and approved by the Department, and
8pursuant to the EMS Region Plan adopted for the EMS Region in
9which the System is located.
10    (b) One hospital in each System program plan must be
11designated as the Resource Hospital. All other hospitals which
12are located within the geographic boundaries of a System and
13which have standby, basic or comprehensive level emergency
14departments must function in that EMS System as either an
15Associate Hospital or Participating Hospital and follow all
16System policies specified in the System Program Plan, including
17but not limited to the replacement of drugs and equipment used
18by providers who have delivered patients to their emergency
19departments. All hospitals and vehicle service providers
20participating in an EMS System must specify their level of
21participation in the System Program Plan.
22    (c) The Department shall have the authority and
23responsibility to:
24        (1) Approve BLS, ILS and ALS level EMS Systems which
25    meet minimum standards and criteria established in rules
26    adopted by the Department pursuant to this Act, including

 

 

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1    the submission of a Program Plan for Department approval.
2    Beginning September 1, 1997, the Department shall approve
3    the development of a new EMS System only when a local or
4    regional need for establishing such System has been
5    verified by the Department. This shall not be construed as
6    a needs assessment for health planning or other purposes
7    outside of this Act. Following Department approval, EMS
8    Systems must be fully operational within one year from the
9    date of approval.
10        (2) Monitor EMS Systems, based on minimum standards for
11    continuing operation as prescribed in rules adopted by the
12    Department pursuant to this Act, which shall include
13    requirements for submitting Program Plan amendments to the
14    Department for approval.
15        (3) Renew EMS System approvals every 4 years, after an
16    inspection, based on compliance with the standards for
17    continuing operation prescribed in rules adopted by the
18    Department pursuant to this Act.
19        (4) Suspend, revoke, or refuse to renew approval of any
20    EMS System, after providing an opportunity for a hearing,
21    when findings show that it does not meet the minimum
22    standards for continuing operation as prescribed by the
23    Department, or is found to be in violation of its
24    previously approved Program Plan.
25        (5) Require each EMS System to adopt written protocols
26    for the bypassing of or diversion to any hospital, trauma

 

 

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1    center or regional trauma center, which provide that a
2    person shall not be transported to a facility other than
3    the nearest hospital, regional trauma center or trauma
4    center unless the medical benefits to the patient
5    reasonably expected from the provision of appropriate
6    medical treatment at a more distant facility outweigh the
7    increased risks to the patient from transport to the more
8    distant facility, or the transport is in accordance with
9    the System's protocols for patient choice or refusal.
10        (6) Require that the EMS Medical Director of an ILS or
11    ALS level EMS System be a physician licensed to practice
12    medicine in all of its branches in Illinois, and certified
13    by the American Board of Emergency Medicine or the American
14    Board of Osteopathic Emergency Medicine, and that the EMS
15    Medical Director of a BLS level EMS System be a physician
16    licensed to practice medicine in all of its branches in
17    Illinois, with regular and frequent involvement in
18    pre-hospital emergency medical services. In addition, all
19    EMS Medical Directors shall:
20            (A) Have experience on an EMS vehicle at the
21        highest level available within the System, or make
22        provision to gain such experience within 12 months
23        prior to the date responsibility for the System is
24        assumed or within 90 days after assuming the position;
25            (B) Be thoroughly knowledgeable of all skills
26        included in the scope of practices of all levels of EMS

 

 

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1        personnel within the System;
2            (C) Have or make provision to gain experience
3        instructing students at a level similar to that of the
4        levels of EMS personnel within the System; and
5            (D) For ILS and ALS EMS Medical Directors,
6        successfully complete a Department-approved EMS
7        Medical Director's Course.
8        (7) Prescribe statewide EMS data elements to be
9    collected and documented by providers in all EMS Systems
10    for all emergency and non-emergency medical services, with
11    a one-year phase-in for commencing collection of such data
12    elements.
13        (8) Define, through rules adopted pursuant to this Act,
14    the terms "Resource Hospital", "Associate Hospital",
15    "Participating Hospital", "Basic Emergency Department",
16    "Standby Emergency Department", "Comprehensive Emergency
17    Department", "EMS Medical Director", "EMS Administrative
18    Director", and "EMS System Coordinator".
19            (A) Upon the effective date of this amendatory Act
20        of 1995, all existing Project Medical Directors shall
21        be considered EMS Medical Directors, and all persons
22        serving in such capacities on the effective date of
23        this amendatory Act of 1995 shall be exempt from the
24        requirements of paragraph (7) of this subsection;
25            (B) Upon the effective date of this amendatory Act
26        of 1995, all existing EMS System Project Directors

 

 

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1        shall be considered EMS Administrative Directors.
2        (9) Investigate the circumstances that caused a
3    hospital in an EMS system to go on bypass status to
4    determine whether that hospital's decision to go on bypass
5    status was reasonable. The Department may impose
6    sanctions, as set forth in Section 3.140 of the Act, upon a
7    Department determination that the hospital unreasonably
8    went on bypass status in violation of the Act.
9        (10) Evaluate the capacity and performance of any
10    freestanding emergency center established under Section
11    32.5 of this Act in meeting emergency medical service needs
12    of the public, including compliance with applicable
13    emergency medical standards and assurance of the
14    availability of and immediate access to the highest quality
15    of medical care possible.
16        (11) Permit limited EMS System participation by
17    facilities operated by the United States Department of
18    Veterans Affairs, Veterans Health Administration. Subject
19    to patient preference, Illinois EMS providers may
20    transport patients to Veterans Health Administration
21    facilities that voluntarily participate in an EMS System.
22    Any Veterans Health Administration facility seeking
23    limited participation in an EMS System shall agree to
24    comply with all Department administrative rules
25    implementing this Section. The Department may promulgate
26    rules, including, but not limited to, the types of Veterans

 

 

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1    Health Administration facilities that may participate in
2    an EMS System and the limitations of participation.
3(Source: P.A. 96-1009, eff. 1-1-11; 96-1469, eff. 1-1-11;
497-333, eff. 8-12-11.)
 
5    (210 ILCS 50/3.25)
6    Sec. 3.25. EMS Region Plan; Development.
7    (a) Within 6 months after designation of an EMS Region, an
8EMS Region Plan addressing at least the information prescribed
9in Section 3.30 shall be submitted to the Department for
10approval. The Plan shall be developed by the Region's EMS
11Medical Directors Committee with advice from the Regional EMS
12Advisory Committee; portions of the plan concerning trauma
13shall be developed jointly with the Region's Trauma Center
14Medical Directors or Trauma Center Medical Directors
15Committee, whichever is applicable, with advice from the
16Regional Trauma Advisory Committee, if such Advisory Committee
17has been established in the Region. Portions of the Plan
18concerning stroke shall be developed jointly with the Regional
19Stroke Advisory Subcommittee.
20        (1) A Region's EMS Medical Directors Committee shall be
21    comprised of the Region's EMS Medical Directors, along with
22    the medical advisor to a fire department vehicle service
23    provider. For regions which include a municipal fire
24    department serving a population of over 2,000,000 people,
25    that fire department's medical advisor shall serve on the

 

 

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1    Committee. For other regions, the fire department vehicle
2    service providers shall select which medical advisor to
3    serve on the Committee on an annual basis.
4        (2) A Region's Trauma Center Medical Directors
5    Committee shall be comprised of the Region's Trauma Center
6    Medical Directors.
7    (b) A Region's Trauma Center Medical Directors may choose
8to participate in the development of the EMS Region Plan
9through membership on the Regional EMS Advisory Committee,
10rather than through a separate Trauma Center Medical Directors
11Committee. If that option is selected, the Region's Trauma
12Center Medical Director shall also determine whether a separate
13Regional Trauma Advisory Committee is necessary for the Region.
14    (c) In the event of disputes over content of the Plan
15between the Region's EMS Medical Directors Committee and the
16Region's Trauma Center Medical Directors or Trauma Center
17Medical Directors Committee, whichever is applicable, the
18Director of the Illinois Department of Public Health shall
19intervene through a mechanism established by the Department
20through rules adopted pursuant to this Act.
21    (d) "Regional EMS Advisory Committee" means a committee
22formed within an Emergency Medical Services (EMS) Region to
23advise the Region's EMS Medical Directors Committee and to
24select the Region's representative to the State Emergency
25Medical Services Advisory Council, consisting of at least the
26members of the Region's EMS Medical Directors Committee, the

 

 

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1Chair of the Regional Trauma Committee, the EMS System
2Coordinators from each Resource Hospital within the Region, one
3administrative representative from an Associate Hospital
4within the Region, one administrative representative from a
5Participating Hospital within the Region, one administrative
6representative from the vehicle service provider which
7responds to the highest number of calls for emergency service
8within the Region, one administrative representative of a
9vehicle service provider from each System within the Region,
10one Emergency Medical Technician, one individual from each
11level of licensee described in Section 3.50 of this Act and a
12Pre-Hospital (EMT)/Pre-Hospital RN from each level of
13EMT/Pre-Hospital RN practicing within the Region, and one
14registered professional nurse currently practicing in an
15emergency department within the Region. Of the 2 administrative
16representatives of vehicle service providers, at least one
17shall be an administrative representative of a private vehicle
18service provider. The Department's Regional EMS Coordinator
19for each Region shall serve as a non-voting member of that
20Region's EMS Advisory Committee.
21    Every 2 years, the members of the Region's EMS Medical
22Directors Committee shall rotate serving as Committee Chair,
23and select the Associate Hospital, Participating Hospital and
24vehicle service providers which shall send representatives to
25the Advisory Committee, and the EMS Personnel/Pre-Hospital
26EMTs/Pre-Hospital RN and nurse who shall serve on the Advisory

 

 

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1Committee.
2    (e) "Regional Trauma Advisory Committee" means a committee
3formed within an Emergency Medical Services (EMS) Region, to
4advise the Region's Trauma Center Medical Directors Committee,
5consisting of at least the Trauma Center Medical Directors and
6Trauma Coordinators from each Trauma Center within the Region,
7one EMS Medical Director from a resource hospital within the
8Region, one EMS System Coordinator from another resource
9hospital within the Region, one representative each from a
10public and private vehicle service provider which transports
11trauma patients within the Region, an administrative
12representative from each trauma center within the Region, one
13EMS Personnel EMT representing the highest level of EMS
14Personnel EMT practicing within the Region, one emergency
15physician and one Trauma Nurse Specialist (TNS) currently
16practicing in a trauma center. The Department's Regional EMS
17Coordinator for each Region shall serve as a non-voting member
18of that Region's Trauma Advisory Committee.
19    Every 2 years, the members of the Trauma Center Medical
20Directors Committee shall rotate serving as Committee Chair,
21and select the vehicle service providers, EMS Personnel EMT,
22emergency physician, EMS System Coordinator and TNS who shall
23serve on the Advisory Committee.
24(Source: P.A. 96-514, eff. 1-1-10.)
 
25    (210 ILCS 50/3.30)

 

 

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1    Sec. 3.30. EMS Region Plan; Content.
2    (a) The EMS Medical Directors Committee shall address at
3least the following:
4        (1) Protocols for inter-System/inter-Region patient
5    transports, including identifying the conditions of
6    emergency patients which may not be transported to the
7    different levels of emergency department, based on their
8    Department classifications and relevant Regional
9    considerations (e.g. transport times and distances);
10        (2) Regional standing medical orders;
11        (3) Patient transfer patterns, including criteria for
12    determining whether a patient needs the specialized
13    services of a trauma center, along with protocols for the
14    bypassing of or diversion to any hospital, trauma center or
15    regional trauma center which are consistent with
16    individual System bypass or diversion protocols and
17    protocols for patient choice or refusal;
18        (4) Protocols for resolving Regional or Inter-System
19    conflict;
20        (5) An EMS disaster preparedness plan which includes
21    the actions and responsibilities of all EMS participants
22    within the Region. Within 90 days of the effective date of
23    this amendatory Act of 1996, an EMS System shall submit to
24    the Department for review an internal disaster plan. At a
25    minimum, the plan shall include contingency plans for the
26    transfer of patients to other facilities if an evacuation

 

 

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1    of the hospital becomes necessary due to a catastrophe,
2    including but not limited to, a power failure;
3        (6) Regional standardization of continuing education
4    requirements;
5        (7) Regional standardization of Do Not Resuscitate
6    (DNR) policies, and protocols for power of attorney for
7    health care;
8        (8) Protocols for disbursement of Department grants;
9    and
10        (9) Protocols for the triage, treatment, and transport
11    of possible acute stroke patients.
12    (b) The Trauma Center Medical Directors or Trauma Center
13Medical Directors Committee shall address at least the
14following:
15        (1) The identification of Regional Trauma Centers;
16        (2) Protocols for inter-System and inter-Region trauma
17    patient transports, including identifying the conditions
18    of emergency patients which may not be transported to the
19    different levels of emergency department, based on their
20    Department classifications and relevant Regional
21    considerations (e.g. transport times and distances);
22        (3) Regional trauma standing medical orders;
23        (4) Trauma patient transfer patterns, including
24    criteria for determining whether a patient needs the
25    specialized services of a trauma center, along with
26    protocols for the bypassing of or diversion to any

 

 

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1    hospital, trauma center or regional trauma center which are
2    consistent with individual System bypass or diversion
3    protocols and protocols for patient choice or refusal;
4        (5) The identification of which types of patients can
5    be cared for by Level I and Level II Trauma Centers;
6        (6) Criteria for inter-hospital transfer of trauma
7    patients;
8        (7) The treatment of trauma patients in each trauma
9    center within the Region;
10        (8) A program for conducting a quarterly conference
11    which shall include at a minimum a discussion of morbidity
12    and mortality between all professional staff involved in
13    the care of trauma patients;
14        (9) The establishment of a Regional trauma quality
15    assurance and improvement subcommittee, consisting of
16    trauma surgeons, which shall perform periodic medical
17    audits of each trauma center's trauma services, and forward
18    tabulated data from such reviews to the Department; and
19        (10) The establishment, within 90 days of the effective
20    date of this amendatory Act of 1996, of an internal
21    disaster plan, which shall include, at a minimum,
22    contingency plans for the transfer of patients to other
23    facilities if an evacuation of the hospital becomes
24    necessary due to a catastrophe, including but not limited
25    to, a power failure.
26    (c) The Region's EMS Medical Directors and Trauma Center

 

 

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1Medical Directors Committees shall appoint any subcommittees
2which they deem necessary to address specific issues concerning
3Region activities.
4(Source: P.A. 96-514, eff. 1-1-10.)
 
5    (210 ILCS 50/3.35)
6    Sec. 3.35. Emergency Medical Services (EMS) Resource
7Hospital; Functions. The Resource Hospital of an EMS System
8shall:
9    (a) Prepare a Program Plan in accordance with the
10provisions of this Act and minimum standards and criteria
11established in rules adopted by the Department pursuant to this
12Act, and submit such Program Plan to the Department for
13approval.
14    (b) Appoint an EMS Medical Director, who will continually
15monitor and supervise the System and who will have the
16responsibility and authority for total management of the System
17as delegated by the EMS Resource Hospital.
18    The Program Plan shall require the EMS Medical Director to
19appoint an alternate EMS Medical Director and establish a
20written protocol addressing the functions to be carried out in
21his or her absence.
22    (c) Appoint an EMS System Coordinator and EMS
23Administrative Director in consultation with the EMS Medical
24Director and in accordance with rules adopted by the Department
25pursuant to this Act.

 

 

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1    (d) Identify potential EMS System participants and obtain
2commitments from them for the provision of services.
3    (e) Educate or coordinate the education of EMS Personnel
4and all other licensees and certificate holders EMT personnel
5in accordance with the requirements of this Act, rules adopted
6by the Department pursuant to this Act, and the EMS System
7Program Plan.
8    (f) Notify the Department of EMS Personnel, licensees, and
9certificate holders EMT provider personnel who have
10successfully completed requirements for licensure or
11certification or relicensure or recertification testing and
12relicensure by the Department, except that an ILS or ALS level
13System may require its EMT-B personnel to apply directly to the
14Department for determination of successful completion of
15relicensure requirements.
16    (g) Educate or coordinate the education of Emergency
17Medical Dispatcher candidates, in accordance with the
18requirements of this Act, rules adopted by the Department
19pursuant to this Act, and the EMS System Program Plan.
20    (h) Establish or approve protocols for prearrival medical
21instructions to callers by System Emergency Medical
22Dispatchers who provide such instructions.
23    (i) Educate or coordinate the education of Pre-Hospital RN
24and ECRN candidates, in accordance with the requirements of
25this Act, rules adopted by the Department pursuant to this Act,
26and the EMS System Program Plan.

 

 

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1    (j) Approve Pre-Hospital RN and ECRN candidates to practice
2within the System, and reapprove Pre-Hospital RNs and ECRNs
3every 4 years in accordance with the requirements of the
4Department and the System Program Plan.
5    (k) Establish protocols for the use of Pre-Hospital RNs
6within the System.
7    (l) Establish protocols for utilizing ECRNs and physicians
8licensed to practice medicine in all of its branches to monitor
9telecommunications from, and give voice orders to, EMS
10personnel, under the authority of the EMS Medical Director.
11    (m) Monitor emergency and non-emergency medical transports
12within the System, in accordance with rules adopted by the
13Department pursuant to this Act.
14    (n) Utilize levels of personnel required by the Department
15to provide emergency care to the sick and injured at the scene
16of an emergency, during transport to a hospital or during
17inter-hospital transport and within the hospital emergency
18department until the responsibility for the care of the patient
19is assumed by the medical personnel of a hospital emergency
20department or other facility within the hospital to which the
21patient is first delivered by System personnel.
22    (o) Utilize levels of personnel required by the Department
23to provide non-emergency medical services during transport to a
24health care facility and within the health care facility until
25the responsibility for the care of the patient is assumed by
26the medical personnel of the health care facility to which the

 

 

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1patient is delivered by System personnel.
2    (p) Establish and implement a program for System
3participant information and education, in accordance with
4rules adopted by the Department pursuant to this Act.
5    (q) Establish and implement a program for public
6information and education, in accordance with rules adopted by
7the Department pursuant to this Act.
8    (r) Operate in compliance with the EMS Region Plan.
9(Source: P.A. 89-177, eff. 7-19-95.)
 
10    (210 ILCS 50/3.40)
11    Sec. 3.40. EMS System Participation Suspensions and Due
12Process.
13    (a) An EMS Medical Director may suspend from participation
14within the System any EMS Personnel, Pre-Hospital RN, Emergency
15Communications Registered Nurse (ECRN), Trauma Nurse
16Specialist (TNS), EMS Lead Instructor, individual, individual
17provider or other participant considered not to be meeting the
18requirements of the Program Plan of that approved EMS System.
19    (b) Prior to suspending any individual or entity an EMT or
20other provider, an EMS Medical Director shall provide an the
21EMT or provider with the opportunity for a hearing before the
22local System review board in accordance with subsection (f) and
23the rules promulgated by the Department.
24        (1) If the local System review board affirms or
25    modifies the EMS Medical Director's suspension order, the

 

 

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1    EMS Personnel, Pre-Hospital RN, Emergency Communications
2    Registered Nurse (ECRN), Trauma Nurse Specialist (TNS),
3    EMS Lead Instructor, or other individual or entity EMT or
4    provider shall have the opportunity for a review of the
5    local board's decision by the State EMS Disciplinary Review
6    Board, pursuant to Section 3.45 of this Act.
7        (2) If the local System review board reverses or
8    modifies the EMS Medical Director's suspension order, the
9    EMS Medical Director shall have the opportunity for a
10    review of the local board's decision by the State EMS
11    Disciplinary Review Board, pursuant to Section 3.45 of this
12    Act.
13        (3) The suspension shall commence only upon the
14    occurrence of one of the following:
15            (A) the EMS Personnel, Pre-Hospital RN, Emergency
16        Communications Registered Nurse (ECRN), Trauma Nurse
17        Specialist (TNS), EMS Lead Instructor, or other
18        individual or entity EMT or provider has waived the
19        opportunity for a hearing before the local System
20        review board; or
21            (B) the suspension order has been affirmed or
22        modified by the local board and the EMS Personnel,
23        Pre-Hospital RN, Emergency Communications Registered
24        Nurse (ECRN), Trauma Nurse Specialist (TNS), EMS Lead
25        Instructor, or other individual or entity EMT or
26        provider has waived the opportunity for review by the

 

 

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1        State Board; or
2            (C) the suspension order has been affirmed or
3        modified by the local board, and the local board's
4        decision has been affirmed or modified by the State
5        Board.
6    (c) An EMS Medical Director may immediately suspend an EMS
7Personnel, a Pre-hospital RN, an Emergency Communications
8Registered Nurse (ECRN), a Trauma Nurse Specialist (TNS), an
9EMS Lead Instructor, or other individual or entity an EMT or
10other provider if he or she finds that the information in his
11or her possession indicates that the continuation in practice
12by an EMS Personnel, a Pre-hospital RN, an Emergency
13Communications Registered Nurse (ECRN), a Trauma Nurse
14Specialist (TNS), an EMS Lead Instructor, or other individual
15or entity EMT or other provider would constitute an imminent
16danger to the public. The suspended individual or entity EMT or
17other provider shall be issued an immediate verbal notification
18followed by a written suspension order to the EMT or other
19provider by the EMS Medical Director which states the length,
20terms and basis for the suspension.
21        (1) Within 24 hours following the commencement of the
22    suspension, the EMS Medical Director shall deliver to the
23    Department, by messenger or telefax, a copy of the
24    suspension order and copies of any written materials which
25    relate to the EMS Medical Director's decision to suspend
26    the individual or entity EMT or provider.

 

 

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1        (2) Within 24 hours following the commencement of the
2    suspension, the suspended individual or entity EMT or
3    provider may deliver to the Department, by messenger or
4    telefax, a written response to the suspension order and
5    copies of any written materials which the individual or
6    entity EMT or provider feels appropriate relate to that
7    response.
8        (3) Within 24 hours following receipt of the EMS
9    Medical Director's suspension order or the individual's or
10    entity's EMT or provider's written response, whichever is
11    later, the Director or the Director's designee shall
12    determine whether the suspension should be stayed pending
13    the EMT's or provider's opportunity for hearing or review
14    in accordance with this Act, or whether the suspension
15    should continue during the course of that hearing or
16    review. The Director or the Director's designee shall issue
17    this determination to the EMS Medical Director, who shall
18    immediately notify the suspended individual or entity EMT
19    or provider. The suspension shall remain in effect during
20    this period of review by the Director or the Director's
21    designee.
22    (d) Upon issuance of a suspension order for reasons
23directly related to medical care, the EMS Medical Director
24shall also provide the EMT or provider with the opportunity for
25a hearing before the local System review board, in accordance
26with subsection (f) and the rules promulgated by the

 

 

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1Department. (1) If the local System review board affirms or
2modifies the EMS Medical Director's suspension order, the
3individual or entity EMT or provider shall have the opportunity
4for a review of the local board's decision by the State EMS
5Disciplinary Review Board, pursuant to Section 3.45 of this
6Act.
7    (2) If the local System review board reverses or modifies
8the EMS Medical Director's suspension order, the EMS Medical
9Director shall have the opportunity for a review of the local
10board's decision by the State EMS Disciplinary Review Board,
11pursuant to Section 3.45 of this Act.
12    (3) The individual or entity EMT or provider may elect to
13bypass the local System review board and seek direct review of
14the EMS Medical Director's suspension order by the State EMS
15Disciplinary Review Board.
16    (e) The Resource Hospital shall designate a local System
17review board in accordance with the rules of the Department,
18for the purpose of providing a hearing to any individual or
19individual provider participating within the System who is
20suspended from participation by the EMS Medical Director. The
21EMS Medical Director shall arrange for a certified shorthand
22reporter to make a stenographic record of that hearing and
23thereafter prepare a transcript of the proceedings. The
24transcript, all documents or materials received as evidence
25during the hearing and the local System review board's written
26decision shall be retained in the custody of the EMS system.

 

 

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1The System shall implement a decision of the local System
2review board unless that decision has been appealed to the
3State Emergency Medical Services Disciplinary Review Board in
4accordance with this Act and the rules of the Department.
5    (f) The Resource Hospital shall implement a decision of the
6State Emergency Medical Services Disciplinary Review Board
7which has been rendered in accordance with this Act and the
8rules of the Department.
9(Source: P.A. 89-177, eff. 7-19-95.)
 
10    (210 ILCS 50/3.45)
11    Sec. 3.45. State Emergency Medical Services Disciplinary
12Review Board.
13    (a) The Governor shall appoint a State Emergency Medical
14Services Disciplinary Review Board, composed of an EMS Medical
15Director, an EMS System Coordinator, a Paramedic an Emergency
16Medical Technician-Paramedic (EMT-P), an Emergency Medical
17Technician (EMT) Emergency Medical Technician-Basic (EMT-B),
18and the following members, who shall only review cases in which
19a party is from the same professional category: a Pre-Hospital
20RN, an ECRN, a Trauma Nurse Specialist, an Emergency Medical
21Technician-Intermediate (EMT-I), Advanced Emergency Medical
22Technician, a representative from a private vehicle service
23provider, a representative from a public vehicle service
24provider, and an emergency physician who monitors
25telecommunications from and gives voice orders to EMS

 

 

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1personnel. The Governor shall also appoint one alternate for
2each member of the Board, from the same professional category
3as the member of the Board.
4    (b) The Of the members first appointed, 2 members shall be
5appointed for a term of one year, 2 members shall be appointed
6for a term of 2 years and the remaining members shall be
7appointed for a term of 3 years. The terms of subsequent
8appointments shall be 3 years. All appointees shall serve until
9their successors are appointed. The alternate members shall be
10appointed and serve in the same fashion as the members of the
11Board. If a member resigns his or her appointment, the
12corresponding alternate shall serve the remainder of that
13member's term until a subsequent member is appointed by the
14Governor.
15    (c) The function of the Board is to review and affirm,
16reverse, or modify disciplinary orders to suspend an EMT or
17other individual provider from participating within an EMS
18System.
19    (d) Any An individual or entity , individual provider or
20other participant who received an immediate suspension from an
21EMS Medical Director may request the Board to reverse or modify
22the suspension order. If the suspension had been affirmed or
23modified by a local System review board, the suspended
24individual or entity participant may request the Board to
25reverse or modify the local board's decision.
26    (e) Any An individual or entity , individual provider or

 

 

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1other participant who received a non-immediate suspension
2order from an EMS Medical Director which was affirmed or
3modified by a local System review board may request the Board
4to reverse or modify the local board's decision.
5    (f) An EMS Medical Director whose suspension order was
6reversed or modified by a local System review board may request
7the Board to reverse or modify the local board's decision.
8    (g) The Board shall regularly meet on the first Tuesday of
9every month, unless no requests for review have been submitted.
10Additional meetings of the Board shall be scheduled as
11necessary to ensure insure that a request for direct review of
12an immediate suspension order is scheduled within 14 days after
13the Department receives the request for review or as soon
14thereafter as a quorum is available. The Board shall meet in
15Springfield or Chicago, whichever location is closer to the
16majority of the members or alternates attending the meeting.
17The Department shall reimburse the members and alternates of
18the Board for reasonable travel expenses incurred in attending
19meetings of the Board.
20    (h) A request for review shall be submitted in writing to
21the Chief of the Department's Division of Emergency Medical
22Services and Highway Safety, within 10 days after receiving the
23local board's decision or the EMS Medical Director's suspension
24order, whichever is applicable, a copy of which shall be
25enclosed.
26    (i) At its regularly scheduled meetings, the Board shall

 

 

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1review requests which have been received by the Department at
2least 10 working days prior to the Board's meeting date.
3Requests for review which are received less than 10 working
4days prior to a scheduled meeting shall be considered at the
5Board's next scheduled meeting, except that requests for direct
6review of an immediate suspension order may be scheduled up to
73 working days prior to the Board's meeting date.
8    (j) A quorum shall be required for the Board to meet, which
9shall consist of 3 members or alternates, including the EMS
10Medical Director or alternate and the member or alternate from
11the same professional category as the subject of the suspension
12order. At each meeting of the Board, the members or alternates
13present shall select a Chairperson to conduct the meeting.
14    (k) Deliberations for decisions of the State EMS
15Disciplinary Review Board shall be conducted in closed session.
16Department staff may attend for the purpose of providing
17clerical assistance, but no other persons may be in attendance
18except for the parties to the dispute being reviewed by the
19Board and their attorneys, unless by request of the Board.
20    (l) The Board shall review the transcript, evidence and
21written decision of the local review board or the written
22decision and supporting documentation of the EMS Medical
23Director, whichever is applicable, along with any additional
24written or verbal testimony or argument offered by the parties
25to the dispute.
26    (m) At the conclusion of its review, the Board shall issue

 

 

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1its decision and the basis for its decision on a form provided
2by the Department, and shall submit to the Department its
3written decision together with the record of the local System
4review board. The Department shall promptly issue a copy of the
5Board's decision to all affected parties. The Board's decision
6shall be binding on all parties.
7(Source: P.A. 89-177, eff. 7-19-95; 90-144, eff. 7-23-97.)
 
8    (210 ILCS 50/3.50)
9    Sec. 3.50. Emergency Medical Services Personnel licensure
10levels Technician (EMT) Licensure.
11    (a) "Emergency Medical Technician Technician-Basic" or
12"EMT EMT-B" means a person who has successfully completed a
13course of instruction in basic life support as approved
14prescribed by the Department, is currently licensed by the
15Department in accordance with standards prescribed by this Act
16and rules adopted by the Department pursuant to this Act, and
17practices within an EMS System.
18    (a-5) "Emergency Medical Responder" means a person who has
19successfully completed a course of instruction for the
20Emergency Medical Responder as approved by the Department and
21who provides Emergency Medical Responder services prior to the
22arrival of an ambulance or specialized emergency medical
23services vehicle in accordance with the level of care
24established in the National EMS Educational Standards
25Emergency Medical Responder course and as modified by the

 

 

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1Department. An Emergency Medical Responder who provides
2services as part of an EMS System response plan shall comply
3with the applicable sections of the Program Plan of that EMS
4System, as approved by the Department. The Department shall
5have the authority to adopt administrative rules governing the
6practice and necessary equipment applicable to Emergency
7Medical Responders.
8    Persons possessing a license issued by the Department on
9the effective date of this amendatory Act of the 97th General
10Assembly who have already completed a Department-approved
11course of instruction in first responder defibrillator
12training based on or equivalent to the National EMS Educational
13Standards, or as otherwise previously recognized by the
14Department, shall be eligible for licensure as an Emergency
15Medical Responder upon meeting their recertification
16requirements with an application to the Department.
17    (a-10) "Advanced Emergency Medical Technician" or "AEMT"
18means a person who (1) has successfully completed a
19Department-approved course in basic and limited advanced
20emergency medical care or is currently licensed by the
21Department in accordance with standards prescribed by this Act
22and rules adopted by the Department pursuant to this Act and
23(2) practices within an intermediate or advanced Emergency
24Medical Technician course.
25    (b) "Emergency Medical Technician-Intermediate" or "EMT-I"
26means a person who has successfully completed a course of

 

 

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1instruction in intermediate life support as approved
2prescribed by the Department, is currently licensed by the
3Department in accordance with standards prescribed by this Act
4and rules adopted by the Department pursuant to this Act, and
5practices within an Intermediate or Advanced Life Support EMS
6System.
7    (c) "Paramedic" "Emergency Medical Technician-Paramedic"
8or "EMT-P" means a person who has successfully completed a
9course of instruction in advanced life support care as approved
10prescribed by the Department, is licensed by the Department in
11accordance with standards prescribed by this Act and rules
12adopted by the Department pursuant to this Act, and practices
13within an Advanced Life Support EMS System.
14    (d) The Department shall have the authority and
15responsibility to:
16        (1) Prescribe education and training requirements,
17    which includes training in the use of epinephrine, for all
18    levels of EMS Personnel, except for EMRs EMT, based on the
19    National EMS Educational Standards respective national
20    curricula of the United States Department of
21    Transportation and any modifications to the such curricula
22    specified by the Department through rules adopted pursuant
23    to this Act.
24        (2) Prescribe licensure testing requirements for all
25    levels of EMS Personnel EMT, which shall include a
26    requirement that all phases of instruction, training, and

 

 

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1    field experience be completed before taking the
2    appropriate EMT licensure examination. Candidates may
3    elect to take the appropriate National Registry of
4    Emergency Medical Technicians examination in lieu of the
5    Department's examination, but are responsible for making
6    their own arrangements for taking the National Registry
7    examination.
8        (2.5) Review applications for EMS Personnel EMT
9    licensure from honorably discharged members of the armed
10    forces of the United States with military emergency medical
11    training. Applications shall be filed with the Department
12    within one year after military discharge and shall contain:
13    (i) proof of successful completion of military emergency
14    medical training; (ii) a detailed description of the
15    emergency medical curriculum completed; and (iii) a
16    detailed description of the applicant's clinical
17    experience. The Department may request additional and
18    clarifying information. The Department shall evaluate the
19    application, including the applicant's training and
20    experience, consistent with the standards set forth under
21    subsections (a), (b), (c), and (d) of Section 3.10. If the
22    application clearly demonstrates that the training and
23    experience meets such standards, the Department shall
24    offer the applicant the opportunity to successfully
25    complete a Department-approved EMS Personnel EMT
26    examination for which the applicant is qualified. Upon

 

 

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1    passage of an examination, the Department shall issue a
2    license, which shall be subject to all provisions of this
3    Act that are otherwise applicable to the class of EMS
4    Personnel EMT license issued.
5        (3) License individuals as an EMR, EMT, AEMT EMT-B,
6    EMT-I, or Paramedic EMT-P who have met the Department's
7    education, training and examination requirements.
8        (4) Prescribe annual continuing education and
9    relicensure requirements for all EMS Personnel licensure
10    Levels levels of EMT.
11        (5) Relicense individuals as an EMR, EMT, AEMT EMT-B,
12    EMT-I, or Paramedic EMT-P every 4 years, based on their
13    compliance with continuing education and relicensure
14    requirements. An Illinois licensed EMS Personnel Emergency
15    Medical Technician whose license has been expired for less
16    than 36 months may apply for reinstatement by the
17    Department. Reinstatement shall require that the applicant
18    (i) submit satisfactory proof of completion of continuing
19    medical education and clinical requirements to be
20    prescribed by the Department in an administrative rule;
21    (ii) submit a positive recommendation from an Illinois EMS
22    Medical Director attesting to the applicant's
23    qualifications for retesting; and (iii) pass a Department
24    approved test for the level of EMS Personnel EMT license
25    sought to be reinstated.
26        (6) Grant inactive status to any EMS Personnel EMT who

 

 

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1    qualifies, based on standards and procedures established
2    by the Department in rules adopted pursuant to this Act.
3        (7) Charge a fee for EMS Personnel EMT examination,
4    licensure, and license renewal.
5        (8) Suspend, revoke, or refuse to issue or renew the
6    license of any licensee, after an opportunity for an
7    impartial hearing before a neutral administrative law
8    judge appointed by the Director, where the preponderance of
9    the evidence shows one or more of the following:
10            (A) The licensee has not met continuing education
11        or relicensure requirements as prescribed by the
12        Department;
13            (B) The licensee has failed to maintain
14        proficiency in the level of skills for which he or she
15        is licensed;
16            (C) The licensee, during the provision of medical
17        services, engaged in dishonorable, unethical, or
18        unprofessional conduct of a character likely to
19        deceive, defraud, or harm the public;
20            (D) The licensee has failed to maintain or has
21        violated standards of performance and conduct as
22        prescribed by the Department in rules adopted pursuant
23        to this Act or his or her EMS System's Program Plan;
24            (E) The licensee is physically impaired to the
25        extent that he or she cannot physically perform the
26        skills and functions for which he or she is licensed,

 

 

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1        as verified by a physician, unless the person is on
2        inactive status pursuant to Department regulations;
3            (F) The licensee is mentally impaired to the extent
4        that he or she cannot exercise the appropriate
5        judgment, skill and safety for performing the
6        functions for which he or she is licensed, as verified
7        by a physician, unless the person is on inactive status
8        pursuant to Department regulations;
9            (G) The licensee has violated this Act or any rule
10        adopted by the Department pursuant to this Act; or
11            (H) The licensee has been convicted (or entered a
12        plea of guilty or nolo-contendere) by a court of
13        competent jurisdiction of a Class X, Class 1, or Class
14        2 felony in this State or an out-of-state equivalent
15        offense.
16    (d-5) EMS Personnel (9) An EMT who are members is a member
17of the Illinois National Guard or , an Illinois State Trooper,
18or who exclusively serve serves as a volunteer for units of
19local government with a population base of less than 5,000 or
20as a volunteer for a not-for-profit organization that serves a
21service area with a population base of less than 5,000 may
22submit an application to the Department for a waiver of the
23these fees specified in this Section on a form prescribed by
24the Department.
25    The education requirements prescribed by the Department
26under this Section subsection must allow for the suspension of

 

 

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1those requirements in the case of a member of the armed
2services or reserve forces of the United States or a member of
3the Illinois National Guard who is on active duty pursuant to
4an executive order of the President of the United States, an
5act of the Congress of the United States, or an order of the
6Governor at the time that the member would otherwise be
7required to fulfill a particular education requirement. Such a
8person must fulfill the education requirement within 6 months
9after his or her release from active duty.
10    (e) In the event that any rule of the Department or an EMS
11Medical Director that requires testing for drug use as a
12condition for EMS Personnel EMT licensure conflicts with or
13duplicates a provision of a collective bargaining agreement
14that requires testing for drug use, that rule shall not apply
15to any person covered by the collective bargaining agreement.
16(Source: P.A. 96-540, eff. 8-17-09; 96-1149, eff. 7-21-10;
1796-1469, eff. 1-1-11; 97-333, eff. 8-12-11; 97-509, eff.
188-23-11; revised 11-18-11.)
 
19    (210 ILCS 50/3.55)
20    Sec. 3.55. Scope of practice.
21    (a) Any person currently licensed as an EMR, EMT, AEMT
22EMT-B, EMT-I, or Paramedic EMT-P may perform emergency and
23non-emergency medical services as defined in this Act, in
24accordance with his or her level of education, training and
25licensure, the standards of performance and conduct prescribed

 

 

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1by the Department in rules adopted pursuant to this Act, and
2the requirements of the EMS System in which he or she
3practices, as contained in the approved Program Plan for that
4System.
5    (a-5) EMS Personnel A person currently approved as a First
6Responder or licensed as an EMT-B, EMT-I, or EMT-P who have has
7successfully completed a Department approved course in
8automated defibrillator operation and who are is functioning
9within a Department approved EMS System may utilize such
10automated defibrillator according to the standards of
11performance and conduct prescribed by the Department in rules
12adopted pursuant to this Act and the requirements of the EMS
13System in which they practice he or she practices, as contained
14in the approved Program Plan for that System.
15    (a-7) An EMT, AEMT A person currently licensed as an EMT-B,
16EMT-I, or Paramedic EMT-P who has successfully completed a
17Department approved course in the administration of
18epinephrine, shall be required to carry epinephrine with him or
19her as part of the EMS Personnel EMT medical supplies whenever
20he or she is performing official the duties of an emergency
21medical technician.
22    (b) An EMT, AEMT A person currently licensed as an EMT-B,
23EMT-I, or Paramedic EMT-P may only practice as EMS Personnel an
24EMT or utilize his or her EMS Personnel EMT license only in
25pre-hospital or inter-hospital emergency care settings or
26non-emergency medical transport situations, under the written

 

 

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1or verbal direction of the EMS Medical Director. For purposes
2of this Section, a "pre-hospital emergency care setting" may
3include a location, that is not a health care facility, which
4utilizes EMS Personnel EMTs to render pre-hospital emergency
5care prior to the arrival of a transport vehicle. The location
6shall include communication equipment and all of the portable
7equipment and drugs appropriate for the EMS Personnel's EMT's
8level of care, as required by this Act, rules adopted by the
9Department pursuant to this Act, and the protocols of the EMS
10Systems, and shall operate only with the approval and under the
11direction of the EMS Medical Director.
12    This Section shall not prohibit an EMT, AEMT EMT-B, EMT-I,
13or Paramedic EMT-P from practicing within an emergency
14department or other health care setting for the purpose of
15receiving continuing education or training approved by the EMS
16Medical Director. This Section shall also not prohibit an EMT
17EMT-B, EMT-I, or Paramedic EMT-P from seeking credentials other
18than his or her EMS Personnel EMT license and utilizing such
19credentials to work in emergency departments or other health
20care settings under the jurisdiction of that employer.
21    (c) An EMT, AEMT A person currently licensed as an EMT-B,
22EMT-I, or Paramedic EMT-P may honor Do Not Resuscitate (DNR)
23orders and powers of attorney for health care only in
24accordance with rules adopted by the Department pursuant to
25this Act and protocols of the EMS System in which he or she
26practices.

 

 

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1    (d) A student enrolled in a Department approved EMS
2Personnel emergency medical technician program, while
3fulfilling the clinical training and in-field supervised
4experience requirements mandated for licensure or approval by
5the System and the Department, may perform prescribed
6procedures under the direct supervision of a physician licensed
7to practice medicine in all of its branches, a qualified
8registered professional nurse or a qualified EMS Personnel EMT,
9only when authorized by the EMS Medical Director.
10(Source: P.A. 92-376, eff. 8-15-01.)
 
11    (210 ILCS 50/3.65)
12    Sec. 3.65. EMS Lead Instructor.
13    (a) "EMS Lead Instructor" means a person who has
14successfully completed a course of education as prescribed by
15the Department, and who is currently approved by the Department
16to coordinate or teach education, training and continuing
17education courses, in accordance with standards prescribed by
18this Act and rules adopted by the Department pursuant to this
19Act.
20    (b) The Department shall have the authority and
21responsibility to:
22        (1) Prescribe education requirements for EMS Lead
23    Instructor candidates through rules adopted pursuant to
24    this Act.
25        (2) Prescribe testing requirements for EMS Lead

 

 

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1    Instructor candidates through rules adopted pursuant to
2    this Act.
3        (3) Charge each candidate for EMS Lead Instructor a fee
4    to be submitted with an application for an examination, an
5    application for licensure certification, and an
6    application for relicensure recertification.
7        (4) Approve individuals as EMS Lead Instructors who
8    have met the Department's education and testing
9    requirements.
10        (5) Require that all education, training and
11    continuing education courses for EMT, AEMT EMT-B, EMT-I,
12    Paramedic EMT-P, Pre-Hospital RN, ECRN, EMR First
13    Responder and Emergency Medical Dispatcher be coordinated
14    by at least one approved EMS Lead Instructor. A program
15    which includes education, training or continuing education
16    for more than one type of personnel may use one EMS Lead
17    Instructor to coordinate the program, and a single EMS Lead
18    Instructor may simultaneously coordinate more than one
19    program or course.
20        (6) Provide standards and procedures for awarding EMS
21    Lead Instructor approval to persons previously approved by
22    the Department to coordinate such courses, based on
23    qualifications prescribed by the Department through rules
24    adopted pursuant to this Act.
25        (7) Suspend or revoke or refuse to issue or renew the
26    approval of an EMS Lead Instructor, after an opportunity

 

 

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1    for a hearing, when findings show one or more of the
2    following:
3            (A) The EMS Lead Instructor has failed to conduct a
4        course in accordance with the curriculum prescribed by
5        this Act and rules adopted by the Department pursuant
6        to this Act; or
7            (B) The EMS Lead Instructor has failed to comply
8        with protocols prescribed by the Department through
9        rules adopted pursuant to this Act.
10(Source: P.A. 96-1469, eff. 1-1-11.)
 
11    (210 ILCS 50/3.70)
12    Sec. 3.70. Emergency Medical Dispatcher.
13    (a) "Emergency Medical Dispatcher" means a person who has
14successfully completed a training course in emergency medical
15dispatching meeting or exceeding the National EMS Educational
16Standards national curriculum of the United States Department
17of Transportation in accordance with rules adopted by the
18Department pursuant to this Act, who accepts calls from the
19public for emergency medical services and dispatches
20designated emergency medical services personnel and vehicles.
21The Emergency Medical Dispatcher must use the
22Department-approved emergency medical dispatch priority
23reference system (EMDPRS) protocol selected for use by its
24agency and approved by its EMS medical director. This protocol
25must be used by an emergency medical dispatcher in an emergency

 

 

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1medical dispatch agency to dispatch aid to medical emergencies
2which includes systematized caller interrogation questions;
3systematized prearrival support instructions; and systematized
4coding protocols that match the dispatcher's evaluation of the
5injury or illness severity with the vehicle response mode and
6vehicle response configuration and includes an appropriate
7training curriculum and testing process consistent with the
8specific EMDPRS protocol used by the emergency medical dispatch
9agency. Prearrival support instructions shall be provided in a
10non-discriminatory manner and shall be provided in accordance
11with the EMDPRS established by the EMS medical director of the
12EMS system in which the EMD operates. If the dispatcher
13operates under the authority of an Emergency Telephone System
14Board established under the Emergency Telephone System Act, the
15protocols shall be established by such Board in consultation
16with the EMS Medical Director. Persons who have already
17completed a course of instruction in emergency medical dispatch
18based on, equivalent to or exceeding the national standards
19curriculum of the United States Department of Transportation,
20or as otherwise approved by the Department, shall be considered
21Emergency Medical Dispatchers on the effective date of this
22amendatory Act.
23    (b) The Department shall have the authority and
24responsibility to:
25        (1) Require licensure and relicensure certification
26    and recertification of a person who meets the training and

 

 

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1    other requirements as an emergency medical dispatcher
2    pursuant to this Act.
3        (2) Require licensure and relicensure certification
4    and recertification of a person, organization, or
5    government agency that operates an emergency medical
6    dispatch agency that meets the minimum standards
7    prescribed by the Department for an emergency medical
8    dispatch agency pursuant to this Act.
9        (3) Prescribe minimum education and continuing
10    education requirements for the Emergency Medical
11    Dispatcher, which meet national standards the national
12    curriculum of the United States Department of
13    Transportation, through rules adopted pursuant to this
14    Act.
15        (4) Require each EMS Medical Director to report to the
16    Department whenever an action has taken place that may
17    require the revocation or suspension of a license
18    certificate issued by the Department.
19        (5) Require each EMD to provide prearrival
20    instructions in compliance with protocols selected and
21    approved by the system's EMS medical director and approved
22    by the Department.
23        (6) Require the Emergency Medical Dispatcher to keep
24    the Department currently informed as to the entity or
25    agency that employs or supervises his activities as an
26    Emergency Medical Dispatcher.

 

 

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1        (7) Establish an annual relicensure recertification
2    requirement that requires at least 12 hours of medical
3    dispatch-specific continuing education each year.
4        (8) Approve all EMDPRS protocols used by emergency
5    medical dispatch agencies to assure compliance with
6    national standards.
7        (9) Require that Department-approved emergency medical
8    dispatch training programs are conducted in accordance
9    with national standards.
10        (10) Require that the emergency medical dispatch
11    agency be operated in accordance with national standards,
12    including, but not limited to, (i) the use on every request
13    for medical assistance of an emergency medical dispatch
14    priority reference system (EMDPRS) in accordance with
15    Department-approved policies and procedures and (ii) under
16    the approval and supervision of the EMS medical director,
17    the establishment of a continuous quality improvement
18    program.
19        (11) Require that a person may not represent himself or
20    herself, nor may an agency or business represent an agent
21    or employee of that agency or business, as an emergency
22    medical dispatcher unless licensed certified by the
23    Department as an emergency medical dispatcher.
24        (12) Require that a person, organization, or
25    government agency not represent itself as an emergency
26    medical dispatch agency unless the person, organization,

 

 

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1    or government agency is certified by the Department as an
2    emergency medical dispatch agency.
3        (13) Require that a person, organization, or
4    government agency may not offer or conduct a training
5    course that is represented as a course for an emergency
6    medical dispatcher unless the person, organization, or
7    agency is approved by the Department to offer or conduct
8    that course.
9        (14) Require that Department-approved emergency
10    medical dispatcher training programs are conducted by
11    instructors licensed by the Department who:
12            (i) are, at a minimum, certified as emergency
13        medical dispatchers;
14            (ii) have completed a Department-approved course
15        on methods of instruction;
16            (iii) have previous experience in a medical
17        dispatch agency; and
18            (iv) have demonstrated experience as an EMS
19        instructor.
20        (15) Establish criteria for modifying or waiving
21    Emergency Medical Dispatcher requirements based on (i) the
22    scope and frequency of dispatch activities and the
23    dispatcher's access to training or (ii) whether the
24    previously-attended dispatcher training program merits
25    automatic recertification for the dispatcher.
26        (16) Charge each Emergency Medical Dispatcher

 

 

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1    applicant a fee for licensure and license renewal.
2(Source: P.A. 96-1469, eff. 1-1-11.)
 
3    (210 ILCS 50/3.75)
4    Sec. 3.75. Trauma Nurse Specialist (TNS) Licensure
5Certification.
6    (a) "Trauma Nurse Specialist" or "TNS" means a registered
7professional nurse who has successfully completed education
8and testing requirements as prescribed by the Department, and
9is licensed certified by the Department in accordance with
10rules adopted by the Department pursuant to this Act.
11    (b) The Department shall have the authority and
12responsibility to:
13        (1) Establish criteria for TNS training sites, through
14    rules adopted pursuant to this Act;
15        (2) Prescribe education and testing requirements for
16    TNS candidates, which shall include an opportunity for
17    licensure certification based on examination only, through
18    rules adopted pursuant to this Act;
19        (3) Charge each candidate for TNS licensure
20    certification a fee to be submitted with an application for
21    a licensure certification examination, an application for
22    licensure certification, and an application for
23    relicensure recertification;
24        (4) License Certify an individual as a TNS who has met
25    the Department's education and testing requirements;

 

 

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1        (5) Prescribe relicensure recertification requirements
2    through rules adopted to this Act;
3        (6) Relicense Recertify an individual as a TNS every 4
4    years, based on compliance with relicensure
5    recertification requirements;
6        (7) Grant inactive status to any TNS who qualifies,
7    based on standards and procedures established by the
8    Department in rules adopted pursuant to this Act; and
9        (8) Suspend, revoke or refuse to issue or renew deny
10    renewal of the license certification of a TNS, after an
11    opportunity for hearing by the Department, if findings show
12    that the TNS has failed to maintain proficiency in the
13    level of skills for which the TNS is licensed certified or
14    has failed to comply with relicensure recertification
15    requirements.
16(Source: P.A. 96-1469, eff. 1-1-11.)
 
17    (210 ILCS 50/3.80)
18    Sec. 3.80. Pre-Hospital RN and Emergency Communications
19Registered Nurse.
20    (a) Emergency Communications Registered Nurse or "ECRN"
21means a registered professional nurse licensed under the Nurse
22Practice Act who has successfully completed supplemental
23education in accordance with rules adopted by the Department,
24and who is approved by an EMS Medical Director to monitor
25telecommunications from and give voice orders to EMS System

 

 

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1personnel, under the authority of the EMS Medical Director and
2in accordance with System protocols.
3    Upon the effective date of this amendatory Act of 1995, all
4existing Registered Professional Nurse/MICNs shall be
5considered ECRNs.
6    (b) "Pre-Hospital Registered Nurse" or "Pre-Hospital RN"
7means a registered professional nurse licensed under the Nurse
8Practice Act who has successfully completed supplemental
9education in accordance with rules adopted by the Department
10pursuant to this Act, and who is approved by an EMS Medical
11Director to practice within an EMS System as emergency medical
12services personnel for pre-hospital and inter-hospital
13emergency care and non-emergency medical transports.
14    Upon the effective date of this amendatory Act of 1995, all
15existing Registered Professional Nurse/Field RNs shall be
16considered Pre-Hospital RNs.
17    (c) The Department shall have the authority and
18responsibility to:
19        (1) Prescribe education and continuing education
20    requirements for Pre-Hospital RN and ECRN candidates
21    through rules adopted pursuant to this Act:
22            (A) Education for Pre-Hospital RN shall include
23        extrication, telecommunications, and pre-hospital
24        cardiac, medical, and trauma care;
25            (B) Education for ECRN shall include
26        telecommunications, System standing medical orders and

 

 

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1        the procedures and protocols established by the EMS
2        Medical Director;
3            (C) A Pre-Hospital RN candidate who is fulfilling
4        clinical training and in-field supervised experience
5        requirements may perform prescribed procedures under
6        the direct supervision of a physician licensed to
7        practice medicine in all of its branches, a qualified
8        registered professional nurse or a qualified EMS
9        Personnel EMT, only when authorized by the EMS Medical
10        Director;
11            (D) An EMS Medical Director may impose in-field
12        supervised field experience requirements on System
13        ECRNs as part of their training or continuing
14        education, in which they perform prescribed procedures
15        under the direct supervision of a physician licensed to
16        practice medicine in all of its branches, a qualified
17        registered professional nurse or qualified EMS
18        Personnel EMT, only when authorized by the EMS Medical
19        Director;
20        (2) Require EMS Medical Directors to reapprove
21    Pre-Hospital RNs and ECRNs every 4 years, based on
22    compliance with continuing education requirements
23    prescribed by the Department through rules adopted
24    pursuant to this Act;
25        (3) Allow EMS Medical Directors to grant inactive
26    status to any Pre-Hospital RN or ECRN who qualifies, based

 

 

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1    on standards and procedures established by the Department
2    in rules adopted pursuant to this Act;
3        (4) Require a Pre-Hospital RN to honor Do Not
4    Resuscitate (DNR) orders and powers of attorney for health
5    care only in accordance with rules adopted by the
6    Department pursuant to this Act and protocols of the EMS
7    System in which he or she practices;
8        (5) Charge each Pre-Hospital RN applicant and ECRN
9    applicant a fee for licensure and relicensure
10    certification and recertification.
11(Source: P.A. 95-639, eff. 10-5-07; 96-1469, eff. 1-1-11.)
 
12    (210 ILCS 50/3.90)
13    Sec. 3.90. Trauma Center Designations.
14    (a) "Trauma Center" means a hospital which: (1) within
15designated capabilities provides optimal care to trauma
16patients; (2) participates in an approved EMS System; and (3)
17is duly designated pursuant to the provisions of this Act.
18Level I Trauma Centers shall provide all essential services
19in-house, 24 hours per day, in accordance with rules adopted by
20the Department pursuant to this Act. Level II Trauma Centers
21shall have some essential services available in-house, 24 hours
22per day, and other essential services readily available, 24
23hours per day, in accordance with rules adopted by the
24Department pursuant to this Act.
25    (b) The Department shall have the authority and

 

 

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1responsibility to:
2        (1) Establish minimum standards for designation as a
3    Level I or Level II Trauma Center, consistent with Sections
4    22 and 23 of this Act, through rules adopted pursuant to
5    this Act;
6        (2) Require hospitals applying for trauma center
7    designation to submit a plan for designation in a manner
8    and form prescribed by the Department through rules adopted
9    pursuant to this Act;
10        (3) Upon receipt of a completed plan for designation,
11    conduct a site visit to inspect the hospital for compliance
12    with the Department's minimum standards. Such visit shall
13    be conducted by specially qualified personnel with
14    experience in the delivery of emergency medical and/or
15    trauma care. A report of the inspection shall be provided
16    to the Director within 30 days of the completion of the
17    site visit. The report shall note compliance or lack of
18    compliance with the individual standards for designation,
19    but shall not offer a recommendation on granting or denying
20    designation;
21        (4) Designate applicant hospitals as Level I or Level
22    II Trauma Centers which meet the minimum standards
23    established by this Act and the Department. The Beginning
24    September 1, 1997 the Department shall designate a new
25    trauma center only when a local or regional need for such
26    trauma center has been identified. The Department shall

 

 

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1    request an assessment of local or regional need from the
2    applicable EMS Region's Trauma Center Medical Directors
3    Committee, with advice from the Regional Trauma Advisory
4    Committee. This shall not be construed as a needs
5    assessment for health planning or other purposes outside of
6    this Act;
7        (5) Attempt to designate trauma centers in all areas of
8    the State. There shall be at least one Level I Trauma
9    Center serving each EMS Region, unless waived by the
10    Department. This subsection shall not be construed to
11    require a Level I Trauma Center to be located in each EMS
12    Region. Level I Trauma Centers shall serve as resources for
13    the Level II Trauma Centers in the EMS Regions. The extent
14    of such relationships shall be defined in the EMS Region
15    Plan;
16        (6) Inspect designated trauma centers to assure
17    compliance with the provisions of this Act and the rules
18    adopted pursuant to this Act. Information received by the
19    Department through filed reports, inspection, or as
20    otherwise authorized under this Act shall not be disclosed
21    publicly in such a manner as to identify individuals or
22    hospitals, except in proceedings involving the denial,
23    suspension or revocation of a trauma center designation or
24    imposition of a fine on a trauma center;
25        (7) Renew trauma center designations every 2 years,
26    with onsite inspection conducted every 4 years after an

 

 

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1    on-site inspection, based on compliance with renewal
2    requirements and standards for continuing operation, as
3    prescribed by the Department through rules adopted
4    pursuant to this Act;
5        (8) Refuse to issue or renew a trauma center
6    designation, after providing an opportunity for a hearing,
7    when findings show that it does not meet the standards and
8    criteria prescribed by the Department;
9        (9) Review and determine whether a trauma center's
10    annual morbidity and mortality rates for trauma patients
11    significantly exceed the State average for such rates,
12    using a uniform recording methodology based on nationally
13    recognized standards. Such determination shall be
14    considered as a factor in any decision by the Department to
15    renew or refuse to renew a trauma center designation under
16    this Act, but shall not constitute the sole basis for
17    refusing to renew a trauma center designation;
18        (10) Take the following action, as appropriate, after
19    determining that a trauma center is in violation of this
20    Act or any rule adopted pursuant to this Act:
21            (A) If the Director determines that the violation
22        presents a substantial probability that death or
23        serious physical harm will result and if the trauma
24        center fails to eliminate the violation immediately or
25        within a fixed period of time, not exceeding 10 days,
26        as determined by the Director, the Director may

 

 

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1        immediately revoke the trauma center designation. The
2        trauma center may appeal the revocation within 15 days
3        after receiving the Director's revocation order, by
4        requesting a hearing as provided by Section 29 of this
5        Act. The Director shall notify the chair of the
6        Region's Trauma Center Medical Directors Committee and
7        EMS Medical Directors for appropriate EMS Systems of
8        such trauma center designation revocation;
9            (B) If the Director determines that the violation
10        does not present a substantial probability that death
11        or serious physical harm will result, the Director
12        shall issue a notice of violation and request a plan of
13        correction which shall be subject to the Department's
14        approval. The trauma center shall have 10 days after
15        receipt of the notice of violation in which to submit a
16        plan of correction. The Department may extend this
17        period for up to 30 days. The plan shall include a
18        fixed time period not in excess of 90 days within which
19        violations are to be corrected. The plan of correction
20        and the status of its implementation by the trauma
21        center shall be provided, as appropriate, to the EMS
22        Medical Directors for appropriate EMS Systems. If the
23        Department rejects a plan of correction, it shall send
24        notice of the rejection and the reason for the
25        rejection to the trauma center. The trauma center shall
26        have 10 days after receipt of the notice of rejection

 

 

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1        in which to submit a modified plan. If the modified
2        plan is not timely submitted, or if the modified plan
3        is rejected, the trauma center shall follow an approved
4        plan of correction imposed by the Department. If, after
5        notice and opportunity for hearing, the Director
6        determines that a trauma center has failed to comply
7        with an approved plan of correction, the Director may
8        revoke the trauma center designation. The trauma
9        center shall have 15 days after receiving the
10        Director's notice in which to request a hearing. Such
11        hearing shall conform to the provisions of Section
12        3.135 30 of this Act;
13        (11) The Department may delegate authority to local
14    health departments in jurisdictions which include a
15    substantial number of trauma centers. The delegated
16    authority to those local health departments shall include,
17    but is not limited to, the authority to designate trauma
18    centers with final approval by the Department, maintain a
19    regional data base with concomitant reporting of trauma
20    registry data, and monitor, inspect and investigate trauma
21    centers within their jurisdiction, in accordance with the
22    requirements of this Act and the rules promulgated by the
23    Department;
24            (A) The Department shall monitor the performance
25        of local health departments with authority delegated
26        pursuant to this Section, based upon performance

 

 

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1        criteria established in rules promulgated by the
2        Department;
3            (B) Delegated authority may be revoked for
4        substantial non-compliance with the Department's
5        rules. Notice of an intent to revoke shall be served
6        upon the local health department by certified mail,
7        stating the reasons for revocation and offering an
8        opportunity for an administrative hearing to contest
9        the proposed revocation. The request for a hearing must
10        be received by the Department within 10 working days of
11        the local health department's receipt of notification;
12            (C) The director of a local health department may
13        relinquish its delegated authority upon 60 days
14        written notification to the Director of Public Health.
15(Source: P.A. 89-177, eff. 7-19-95.)
 
16    (210 ILCS 50/3.105)
17    Sec. 3.105. Trauma Center Misrepresentation. No After the
18effective date of this amendatory Act of 1995, no facility
19shall use the phrase "trauma center" or words of similar
20meaning in relation to itself or hold itself out as a trauma
21center without first obtaining designation pursuant to this
22Act.
23(Source: P.A. 89-177, eff. 7-19-95.)
 
24    (210 ILCS 50/3.125)

 

 

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1    Sec. 3.125. Complaint Investigations.
2    (a) The Department shall promptly investigate complaints
3which it receives concerning any person or entity which the
4Department licenses, certifies, approves, permits or
5designates pursuant to this Act.
6    (b) The Department shall notify an EMS Medical Director of
7any complaints it receives involving System personnel or
8participants.
9    (c) The Department shall conduct any inspections,
10interviews and reviews of records which it deems necessary in
11order to investigate complaints.
12    (d) All persons and entities which are licensed, certified,
13approved, permitted or designated pursuant to this Act shall
14fully cooperate with any and all Department complaint
15investigations investigation, including providing patient
16medical records requested by the Department. Any patient
17medical record received or reviewed by the Department shall not
18be disclosed publicly in such a manner as to identify
19individual patients, without the consent of such patient or his
20or her legally authorized representative. Patient medical
21records may be disclosed to a party in administrative
22proceedings brought by the Department pursuant to this Act, but
23such patient's identity shall be masked before disclosure of
24such record during any public hearing unless otherwise
25authorized by the patient or his or her legally authorized
26representative.

 

 

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1(Source: P.A. 89-177, eff. 7-19-95.)
 
2    (210 ILCS 50/3.140)
3    Sec. 3.140. Violations; Fines.
4    (a) The Department shall have the authority to impose fines
5on any licensed vehicle service provider, stretcher van
6provider, designated trauma center, resource hospital,
7associate hospital, or participating hospital.
8    (b) The Department shall adopt rules pursuant to this Act
9which establish a system of fines related to the type and level
10of violation or repeat violation, including but not limited to:
11        (1) A fine not exceeding $10,000 for a violation which
12    created a condition or occurrence presenting a substantial
13    probability that death or serious harm to an individual
14    will or did result therefrom; and
15        (2) A fine not exceeding $5,000 for a violation which
16    creates or created a condition or occurrence which
17    threatens the health, safety or welfare of an individual.
18    (c) A Notice of Intent to Impose Fine may be issued in
19conjunction with or in lieu of a Notice of Intent to Suspend,
20Revoke, Nonrenew or Deny, and shall conform to the requirements
21specified in Section 3.130(d) of this Act. All Hearings
22conducted pursuant to a Notice of Intent to Impose Fine shall
23conform to the requirements specified in Section 3.135 of this
24Act.
25    (d) All fines collected pursuant to this Section shall be

 

 

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1deposited into the EMS Assistance Fund.
2(Source: P.A. 89-177, eff. 7-19-95.)
 
3    (210 ILCS 50/3.165)
4    Sec. 3.165. Misrepresentation.
5    (a) No person shall hold himself or herself out to be or
6engage in the practice of an EMS Medical Director, EMS
7Administrative Director, EMS System Coordinator, EMS Personnel
8EMT, Trauma Nurse Specialist, Pre-Hospital RN, Emergency
9Communications Registered Nurse, EMS Lead Instructor,
10Emergency Medical Dispatcher or First Responder without being
11licensed, certified, approved or otherwise authorized pursuant
12to this Act.
13    (b) A hospital or other entity which employs or utilizes
14EMS Personnel an EMT in a manner which is outside the scope of
15his or her EMT license shall not use the words "EMR", "EMT",
16"AEMT", "EMT-I", or "Paramedic" "emergency medical
17technician", "EMT" or "paramedic" in that person's job
18description or title, or in any other manner hold that person
19out to be so licensed an emergency medical technician.
20    (c) No provider or participant within an EMS System shall
21hold itself out as providing a type or level of service that
22has not been approved by that System's EMS Medical Director.
23(Source: P.A. 89-177, eff. 7-19-95.)
 
24    (210 ILCS 50/3.170)

 

 

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1    Sec. 3.170. Falsification of Documents. No person shall
2fabricate any license or knowingly enter any false information
3on any application form, run sheet, record or other document
4required to be completed or submitted pursuant to this Act or
5any rule adopted pursuant to this Act, or knowingly submit any
6application form, run sheet, record or other document which
7contains false information.
8(Source: P.A. 89-177, eff. 7-19-95.)
 
9    (210 ILCS 50/3.175)
10    Sec. 3.175. Criminal Penalties. Any person who violates
11Sections 3.155(d) or (f), 3.160, 3.165 or 3.170 of this Act or
12any rule promulgated thereto, is guilty of a Class A B
13misdemeanor.
14(Source: P.A. 96-1469, eff. 1-1-11.)
 
15    (210 ILCS 50/3.180)
16    Sec. 3.180. Injunctions. Notwithstanding the existence or
17pursuit of any other remedy, the Director may, through the
18Attorney General, seek an injunction:
19    (a) To restrain or prevent any person or entity from
20functioning, practicing or operating without a license,
21certification, classification, approval, permit, designation
22or authorization required by this Act;
23    (b) To restrain or prevent any person, institution or
24governmental unit from representing itself to be a trauma

 

 

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1center after the effective date of this amendatory Act of 1995
2without designation as such pursuant to this Act;
3    (c) To restrain or prevent any hospital or other entity
4which employs or utilizes EMS Personnel an EMT in a manner
5which is outside the scope of the EMS Personnel's his EMT
6license from representing that person to be EMS Personnel an
7EMT.
8(Source: P.A. 89-177, eff. 7-19-95.)
 
9    (210 ILCS 50/3.200)
10    Sec. 3.200. State Emergency Medical Services Advisory
11Council.
12    (a) There shall be established within the Department of
13Public Health a State Emergency Medical Services Advisory
14Council, which shall serve as an advisory body to the
15Department on matters related to this Act.
16    (b) Membership of the Council shall include one
17representative from each EMS Region, to be appointed by each
18region's EMS Regional Advisory Committee. The Governor shall
19appoint additional members to the Council as necessary to
20insure that the Council includes one representative from each
21of the following categories:
22        (1) EMS Medical Director,
23        (2) Trauma Center Medical Director,
24        (3) Licensed, practicing physician with regular and
25    frequent involvement in the provision of emergency care,

 

 

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1        (4) Licensed, practicing physician with special
2    expertise in the surgical care of the trauma patient,
3        (5) EMS System Coordinator,
4        (6) TNS,
5        (7) Paramedic EMT-P,
6        (7.5) AEMT,
7        (8) EMT-I,
8        (9) EMT EMT-B,
9        (10) Private vehicle service provider,
10        (11) Law enforcement officer,
11        (12) Chief of a public vehicle service provider,
12        (13) Statewide firefighters' union member affiliated
13    with a vehicle service provider,
14        (14) Administrative representative from a fire
15    department vehicle service provider in a municipality with
16    a population of over 2 million people;
17        (15) Administrative representative from a Resource
18    Hospital or EMS System Administrative Director.
19    (c) Members Of the members first appointed, 5 members shall
20be appointed for a term of one year, 5 members shall be
21appointed for a term of 2 years, and the remaining members
22shall be appointed for a term of 3 years. The terms of
23subsequent appointees shall be 3 years. All appointees shall
24serve until their successors are appointed and qualified.
25    (d) The Council shall be provided a 90-day period in which
26to review and comment, in consultation with the subcommittee to

 

 

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1which the rules are relevant, upon all rules proposed by the
2Department pursuant to this Act, except for rules adopted
3pursuant to Section 3.190(a) of this Act, rules submitted to
4the State Trauma Advisory Council and emergency rules adopted
5pursuant to Section 5-45 of the Illinois Administrative
6Procedure Act. The 90-day review and comment period may
7commence upon the Department's submission of the proposed rules
8to the individual Council members, if the Council is not
9meeting at the time the proposed rules are ready for Council
10review. Any non-emergency rules adopted prior to the Council's
1190-day review and comment period shall be null and void. If the
12Council fails to advise the Department within its 90-day review
13and comment period, the rule shall be considered acted upon.
14    (e) Council members shall be reimbursed for reasonable
15travel expenses incurred during the performance of their duties
16under this Section.
17    (f) The Department shall provide administrative support to
18the Council for the preparation of the agenda and minutes for
19Council meetings and distribution of proposed rules to Council
20members.
21    (g) The Council shall act pursuant to bylaws which it
22adopts, which shall include the annual election of a Chair and
23Vice-Chair.
24    (h) The Director or his designee shall be present at all
25Council meetings.
26    (i) Nothing in this Section shall preclude the Council from

 

 

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1reviewing and commenting on proposed rules which fall under the
2purview of the State Trauma Advisory Council.
3(Source: P.A. 96-514, eff. 1-1-10.)
 
4    (210 ILCS 50/3.205)
5    Sec. 3.205. State Trauma Advisory Council.
6    (a) There shall be established within the Department of
7Public Health a State Trauma Advisory Council, which shall
8serve as an advisory body to the Department on matters related
9to trauma care and trauma centers.
10    (b) Membership of the Council shall include one
11representative from each Regional Trauma Advisory Committee,
12to be appointed by each Committee. The Governor shall appoint
13the following additional members:
14        (1) An EMS Medical Director,
15        (2) A trauma center medical director,
16        (3) A trauma surgeon,
17        (4) A trauma nurse coordinator,
18        (5) A representative from a private vehicle service
19    provider,
20        (6) A representative from a public vehicle service
21    provider,
22        (7) A member of the State EMS Advisory Council, and
23        (8) A neurosurgeon.
24    (c) Members Of the members first appointed, 5 members shall
25be appointed for a term of one year, 5 members shall be

 

 

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1appointed for a term of 2 years, and the remaining members
2shall be appointed for a term of 3 years. The terms of
3subsequent appointees shall be 3 years. All appointees shall
4serve until their successors are appointed and qualified.
5    (d) The Council shall be provided a 90-day period in which
6to review and comment upon all rules proposed by the Department
7pursuant to this Act concerning trauma care, except for
8emergency rules adopted pursuant to Section 5-45 of the
9Illinois Administrative Procedure Act. The 90-day review and
10comment period may commence upon the Department's submission of
11the proposed rules to the individual Council members, if the
12Council is not meeting at the time the proposed rules are ready
13for Council review. Any non-emergency rules adopted prior to
14the Council's 90-day review and comment period shall be null
15and void. If the Council fails to advise the Department within
16its 90-day review and comment period, the rule shall be
17considered acted upon;
18    (e) Council members shall be reimbursed for reasonable
19travel expenses incurred during the performance of their duties
20under this Section.
21    (f) The Department shall provide administrative support to
22the Council for the preparation of the agenda and minutes for
23Council meetings and distribution of proposed rules to Council
24members.
25    (g) The Council shall act pursuant to bylaws which it
26adopts, which shall include the annual election of a Chair and

 

 

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1Vice-Chair.
2    (h) The Director or his designee shall be present at all
3Council meetings.
4    (i) Nothing in this Section shall preclude the Council from
5reviewing and commenting on proposed rules which fall under the
6purview of the State EMS Advisory Council.
7(Source: P.A. 90-655, eff. 7-30-98; 91-743, eff. 6-2-00.)
 
8    (210 ILCS 50/3.60 rep.)
9    Section 10. The Emergency Medical Services (EMS) Systems
10Act is amended by repealing Section 3.60.
 
11    Section 99. Effective date. This Act takes effect January
121, 2013.

 

 

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1 INDEX
2 Statutes amended in order of appearance
3    210 ILCS 50/3.5
4    210 ILCS 50/3.10
5    210 ILCS 50/3.15
6    210 ILCS 50/3.20
7    210 ILCS 50/3.25
8    210 ILCS 50/3.30
9    210 ILCS 50/3.35
10    210 ILCS 50/3.40
11    210 ILCS 50/3.45
12    210 ILCS 50/3.50
13    210 ILCS 50/3.55
14    210 ILCS 50/3.65
15    210 ILCS 50/3.70
16    210 ILCS 50/3.75
17    210 ILCS 50/3.80
18    210 ILCS 50/3.90
19    210 ILCS 50/3.105
20    210 ILCS 50/3.125
21    210 ILCS 50/3.140
22    210 ILCS 50/3.165
23    210 ILCS 50/3.170
24    210 ILCS 50/3.175
25    210 ILCS 50/3.180

 

 

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1    210 ILCS 50/3.200
2    210 ILCS 50/3.205
3    210 ILCS 50/3.60 rep.