Sen. Antonio Muņoz

Filed: 4/28/2014

 

 


 

 


 
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1
AMENDMENT TO SENATE BILL 650

2    AMENDMENT NO. ______. Amend Senate Bill 650 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The State Finance Act is amended by adding
5Section 5.855 as follows:
 
6    (30 ILCS 105/5.855 new)
7    Sec. 5.855. The Medical Assisted Transport Licensure Fund.
 
8    Section 10. The Emergency Medical Services (EMS) Systems
9Act is amended by changing Sections 3.10 and 3.220 and by
10adding Section 3.88 as follows:
 
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

 

 

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

 

 

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

 

 

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1the Department pursuant to this Act.
2    (e) "Pre-hospital care" means those emergency medical
3services rendered to emergency patients for analytic,
4resuscitative, stabilizing, or preventive purposes, precedent
5to and during transportation of such patients to hospitals.
6    (f) "Inter-hospital care" means those emergency medical
7services rendered to emergency patients for analytic,
8resuscitative, stabilizing, or preventive purposes, during
9transportation of such patients from one hospital to another
10hospital.
11    (f-5) "Critical care transport" means the pre-hospital or
12inter-hospital transportation of a critically injured or ill
13patient by a vehicle service provider, including the provision
14of medically necessary supplies and services, at a level of
15service beyond the scope of the EMT-paramedic. When medically
16indicated for a patient, as determined by a physician licensed
17to practice medicine in all of its branches, an advanced
18practice nurse, or a physician's assistant, in compliance with
19subsections (b) and (c) of Section 3.155 of this Act, critical
20care transport may be provided by:
21        (1) Department-approved critical care transport
22    providers, not owned or operated by a hospital, utilizing
23    EMT-paramedics with additional training, nurses, or other
24    qualified health professionals; or
25        (2) Hospitals, when utilizing any vehicle service
26    provider or any hospital-owned or operated vehicle service

 

 

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1    provider. Nothing in this amendatory Act of the 96th
2    General Assembly requires a hospital to use, or to be, a
3    Department-approved critical care transport provider when
4    transporting patients, including those critically injured
5    or ill. Nothing in this Act shall restrict or prohibit a
6    hospital from providing, or arranging for, the medically
7    appropriate transport of any patient, as determined by a
8    physician licensed to practice in all of its branches, an
9    advanced practice nurse, or a physician's assistant.
10    (g) "Non-emergency medical services" means medical care or
11monitoring rendered to patients whose conditions do not meet
12this Act's definition of emergency, before or during
13transportation of such patients to or from health care
14facilities visited for the purpose of obtaining medical or
15health care services which are not emergency in nature, using a
16vehicle regulated by this Act.
17    (g-1) "Clinical observation" means the ongoing observation
18of a patient's condition by a licensed physician, nurse, or
19emergency medical technician using a medical skill set while
20the licensed physician, nurse, or emergency medical technician
21continues assessment and care of the patient.
22    (g-5) The Department shall have the authority to promulgate
23minimum standards for critical care transport providers
24through rules adopted pursuant to this Act. All critical care
25transport providers must function within a Department-approved
26EMS System. Nothing in Department rules shall restrict a

 

 

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1hospital's ability to furnish personnel, equipment, and
2medical supplies to any vehicle service provider, including a
3critical care transport provider. Minimum critical care
4transport provider standards shall include, but are not limited
5to:
6        (1) Personnel staffing and licensure.
7        (2) Education, certification, and experience.
8        (3) Medical equipment and supplies.
9        (4) Vehicular standards.
10        (5) Treatment and transport protocols.
11        (6) Quality assurance and data collection.
12    (h) The provisions of this Act shall not apply to the use
13of an ambulance or SEMSV, unless and until emergency or
14non-emergency medical services are needed during the use of the
15ambulance or SEMSV.
16(Source: P.A. 96-1469, eff. 1-1-11.)
 
17    (210 ILCS 50/3.88 new)
18    Sec. 3.88. Medical assisted transport providers.
19    (a) In this Section, "medical assisted transport provider"
20means an entity licensed by the Department to provide
21non-emergency bedside-to-bedside transportation of passengers
22in compliance with this Act or the rules adopted by the
23Department pursuant to this Act, using a medical assisted
24transport vehicle.
25    In this Section, "medical assisted transport vehicle"

 

 

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1means any publicly or privately owned on-road vehicle that is
2equipped for, intended to be used for, and operated for
3non-emergency bedside-to-bedside transportation.
4    (b) The Department has the authority and the responsibility
5to do the following:
6        (1) Require that all medical assisted transport
7    providers, both publicly and privately owned, be licensed
8    by the Department.
9        (2) Establish licensing, safety, and training
10    standards and requirements for medical assisted transport
11    providers through rules adopted pursuant to this Act,
12    including, but not limited to, the following:
13            (A) Vehicle design, specification, operation, and
14        maintenance standards.
15            (B) Safety equipment requirements and standards.
16            (C) Medical supply and equipment requirements and
17        standards, including, but not limited to, the
18        requirement to have the following medical supply and
19        equipment items on each medical assisted transport
20        vehicle:
21                (i) a first aid kit; and
22                (ii) an automated external defibrillator
23            (AED), as described in Section 10 of the Automated
24            External Defibrillator Act.
25            (D) Training requirements, including, but not
26        limited to, the requirement that all staff members

 

 

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1        providing medical assisted transport services under
2        this Section receive the following training:
3                (i) safety training as specified in subsection
4            (e) of Section 5-4.2 of the Illinois Public Aid
5            Code;
6                (ii) defensive driving training equivalent to
7            the National Safety Council's Coaching the Van
8            Driver 3 course;
9                (iii) basic first aid training equivalent to
10            the American Red Cross's First Aid course; and
11                (iv) cardiopulmonary resuscitation (CPR)
12            training, including training in the proper use of
13            an automated external defibrillator (AED),
14            equivalent to the American Red Cross's CPR/AED for
15            Professional Rescuers and Health Care Providers
16            course.
17            (E) Annual license renewal.
18        (3) License all medical assisted transport providers
19    that have met the Department's requirements for licensure.
20        (4) Annually inspect all licensed medical assisted
21    transport providers and relicense providers that have met
22    the Department's requirements for license renewal.
23        (5) Suspend, revoke, refuse to issue, or refuse to
24    renew the license of any medical assisted transport
25    provider, or that portion of a license pertaining to a
26    specific vehicle operated by a provider, after an

 

 

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1    opportunity for a hearing when findings show that the
2    provider or one or more of its vehicles has failed to
3    comply with the rules adopted by the Department pursuant to
4    this Act.
5        (6) Issue an emergency suspension order for any medical
6    assisted transport provider or vehicle licensed under this
7    Act when the Director or his or her designee has determined
8    that an immediate or serious danger to the public health,
9    safety, and welfare exists. Suspension or revocation
10    proceedings that offer an opportunity for a hearing shall
11    be promptly initiated after the emergency suspension order
12    has been issued.
13        (7) Prohibit any medical assisted transport provider
14    from advertising, identifying its vehicles, or
15    disseminating information in a false or misleading manner
16    concerning the provider's type and level of vehicles,
17    location, response times, level of personnel, licensure
18    status, or EMS System participation.
19        (8) Charge each medical assisted transport provider a
20    fee that shall not exceed $25 per vehicle nor $500 per
21    provider. The fee shall be submitted with each application
22    for licensure and license renewal.
23    (c) A medical assisted transport provider may provide
24transport of a passenger who is ambulatory or is in a
25wheelchair, provided that all of the following requirements are
26met:

 

 

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1        (1) The passenger needs no medical monitoring or
2    clinical observation.
3        (2) The passenger is transported as follows: (A) if the
4    passenger resides in a facility licensed under the Nursing
5    Home Care Act, he or she is transported from the inside of
6    his or her room to a room at a physician's office or to a
7    ward, unit, or room of a hospital licensed under the
8    Hospital Licensing Act or operated under the University of
9    Illinois Hospital Act or (B) from a room at a physician's
10    office or ward, unit, or room of a hospital licensed under
11    the Hospital Licensing Act or operated under the University
12    of Illinois Hospital Act to the inside of his or her
13    residence or, if the passenger resides in a facility
14    licensed under the Nursing Home Care Act, to the inside of
15    his or her room.
16    (d) A medical assisted transport provider may not transport
17a passenger who meets any of the following conditions:
18        (1) He or she is acutely ill, wounded, or medically
19    unstable as determined by a licensed physician.
20        (2) He or she is experiencing an emergency medical
21    condition, an acute medical condition, or a sudden illness
22    or injury.
23        (3) He or she was administered a medication that might
24    prevent the passenger from caring for himself or herself.
25        (4) He or she requires active medical monitoring,
26    clinical observation, isolation precautions, supplemental

 

 

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1    oxygen that is not self-administered, continuous airway
2    management, suctioning during transport, or the
3    administration of intravenous fluids during transport.
4    (e) The Medical Assisted Transport Licensure Fund is
5created as a special fund in the State treasury. All fees
6received by the Department in connection with the licensure of
7medical assisted transport providers under this Section shall
8be deposited into the Fund. Moneys in the Fund shall be used by
9the Department, subject to appropriation, to implement this
10Section.
 
11    (210 ILCS 50/3.220)
12    Sec. 3.220. EMS Assistance Fund.
13    (a) There is hereby created an "EMS Assistance Fund" within
14the State treasury, for the purpose of receiving fines and fees
15collected by the Illinois Department of Health pursuant to this
16Act.
17    (b) (Blank).
18    (b-5) All licensing, testing, and certification fees
19authorized by this Act, excluding ambulance licensure fees,
20within this fund shall be used by the Department for
21administration, oversight, and enforcement of activities
22authorized under this Act.
23    (c) All other moneys within this fund shall be distributed
24by the Department to the EMS Regions for disbursement in
25accordance with protocols established in the EMS Region Plans,

 

 

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1for the purposes of organization, development and improvement
2of Emergency Medical Services Systems, including but not
3limited to training of personnel and acquisition, modification
4and maintenance of necessary supplies, equipment and vehicles.
5    (d) All fees and fines collected pursuant to this Act shall
6be deposited into the EMS Assistance Fund, except that all fees
7collected under Section 3.86 in connection with the licensure
8of stretcher van providers shall be deposited into the
9Stretcher Van Licensure Fund and all fees collected under
10Section 3.88 in connection with the licensure of medical
11assisted transport providers shall be deposited into the
12Medical Assisted Transport Licensure Fund.
13(Source: P.A. 96-702, eff. 8-25-09; 96-1469, eff. 1-1-11.)
 
14    Section 99. Effective date. This Act takes effect upon
15becoming law.".