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|[ Introduced ]||[ Amendatory Veto Motion 001 ]||[ Engrossed ]|
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|[ House Amendment 001 ]||[ House Amendment 002 ]||[ Senate Amendment 001 ]|
92_HB0279ham004 LRB9203773LDpram04 1 AMENDMENT TO HOUSE BILL 279 2 AMENDMENT NO. . Amend House Bill 279, AS AMENDED, by 3 replacing everything after the enacting clause with the 4 following: 5 "Section 90. The Emergency Medical Services (EMS) 6 Systems Act is amended by changing Section 3.70 as follows: 7 (210 ILCS 50/3.70) 8 Sec. 3.70. Emergency Medical Dispatcher. 9 (a) "Emergency Medical Dispatcher" means a person who 10 has successfully completed a training course in emergency 11 medical dispatching
coursemeeting or exceeding the national 12 curriculum of the United States Department of Transportation 13 in accordance with rules adopted by the Department pursuant 14 to this Act, who accepts calls from the public for emergency 15 medical services and dispatches designated emergency medical 16 services personnel and vehicles. The Emergency Medical 17 Dispatcher must use the Department-approved emergency medical 18 dispatch priority reference system (EMDPRS) protocol selected 19 for use by its agency and approved by its EMS medical 20 director. This protocol must be used by an emergency medical 21 dispatcher in an emergency medical dispatch agency to 22 dispatch aid to medical emergencies which includes -2- LRB9203773LDpram04 1 systematized caller interrogation questions; systematized 2 dispatch life support instructions; and systematized coding 3 protocols that match the dispatcher's evaluation of the 4 injury or illness severity with the vehicle response mode and 5 vehicle response configuration and includes an appropriate 6 training curriculum and testing process consistent with the 7 specific EMDPRS protocol used by the emergency medical 8 dispatch agency. Dispatch life support instructions shall be 9 provided in a non-discretionary manner and shall be provided 10 in accordance with the EMDPRS established by the EMS medical 11 director of the EMS system in which the EMD operates. may or12 may not provide prearrival medical instructions to the13 caller, at the discretion of the entity or agency that14 employs him. Such instructions shall be provided in15 accordance with protocols established by the EMS Medical16 Director of the EMS System in which the dispatcher operates.17 If the dispatcher operates under the authority of an 18 Emergency Telephone System Board established under the 19 Emergency Telephone System Act, the protocols shall be 20 established by such Board in consultation with the EMS 21 Medical Director. Persons who have already completed a 22 course of instruction in emergency medical dispatch based on, 23 equivalent to or exceeding the national curriculum of the 24 United States Department of Transportation, or as otherwise 25 approved by the Department, shall be considered Emergency 26 Medical Dispatchers on the effective date of this amendatory 27 Act. 28 (b) The Department shall have the authority and 29 responsibility to: 30 (1) Require certification and recertification of a 31 person who meets the training and other requirements as 32 an emergency medical dispatcher pursuant to this Act. 33 (2) Require certification and recertification of a 34 person, organization, or government agency that operates -3- LRB9203773LDpram04 1 an emergency medical dispatch agency that meets the 2 minimum standards prescribed by the Department for an 3 emergency medical dispatch agency pursuant to this Act. 4 (3) (1)Prescribe minimum education and continuing 5 education requirements for the Emergency Medical 6 Dispatcher, which meet or exceed the national curriculum 7 of the United States Department of Transportation, 8 through rules adopted pursuant to this Act. ;9 (4) Require each EMD and EMD agency to report to 10 the Department whenever an action has taken place that 11 may require the revocation or suspension of a certificate 12 issued by the Department. 13 (5) Require each EMD to provide dispatch life 14 support (including prearrival instructions) in compliance 15 with the written text or scripts and other processes 16 within the approved EMDPRS, except that deviation from 17 the text or script may occur only for the express purpose 18 of clarifying the meaning or intent of a question or 19 facilitating the clear understanding of a required 20 action, instruction, or response from the caller. 21 (2) Require the Emergency Medical Dispatcher to22 notify the Department of the EMS System(s) in which he23 operates;24 (3) Require the Emergency Medical Dispatcher who25 provides prearrival instructions to callers to comply26 with the protocols for such instructions established by27 the EMS Medical Director(s) and Emergency Telephone28 System Board or Boards, or in the absence of an Emergency29 Telephone System Board or Boards the governmental agency30 performing the duties of an Emergency Telephone System31 Board or Boards, of the EMS System or Systems in which he32 operates;33 (6) (4)Require the Emergency Medical Dispatcher to 34 keep the Department currently informed as to the entity -4- LRB9203773LDpram04 1 or agency that employs or supervises his activities as an 2 Emergency Medical Dispatcher. ;3 (5) (Blank). Establish a mechanism for phasing in4 the Emergency Medical Dispatcher requirements over a5 five-year period;6 (7) Establish an annual recertification requirement 7 that requires at least 12 hours of medical 8 dispatch-specific continuing education each year. 9 (8) Approve all EMDPRS protocols used by emergency 10 medical dispatch agencies to assure compliance with 11 national standards. 12 (9) Require that Department-approved emergency 13 medical dispatch training programs are conducted in 14 accordance with national standards and the National 15 Institutes of Health recommendations for emergency 16 medical dispatcher training, and shall include a written 17 examination approved by the Department that tests for 18 competency in the specific EMDPRS taught in the training 19 program. 20 (10) Require that the emergency medical dispatch 21 agency be operated in accordance with national standards, 22 including but not limited to: 23 (i) The use on every request for medical 24 assistance of an emergency medical dispatch priority 25 reference system (EMDPRS); and 26 (ii) Under the approval and supervision of the 27 EMS medical director, the establishment of a 28 continuous quality improvement program that measures 29 compliance with protocol through ongoing random case 30 review for each EMD and provides feedback to the 31 individuals and management of the EMS agency 32 regarding the level of compliance. 33 (11) Require that a person may not represent 34 himself or herself, nor may an agency or business -5- LRB9203773LDpram04 1 represent an agent or employee of that agency or 2 business, as an emergency medical dispatcher unless 3 certified by the Department as an emergency medical 4 dispatcher. 5 (12) Require that a person, organization, or 6 government agency not represent itself as an emergency 7 medical dispatch agency unless the person, organization, 8 or government agency is certified by the Department as an 9 emergency medical dispatch agency. 10 (13) Require that a person, organization, or 11 government agency may not offer or conduct a training 12 course that is represented as a course for an emergency 13 medical dispatcher unless the person, organization, or 14 agency is approved by the Department to offer or conduct 15 that course. 16 (14) Require that Department-approved emergency 17 medical dispatcher training programs are conducted by 18 instructors that: 19 (i) are certified as emergency medical 20 dispatchers; 21 (ii) have completed a methods of instruction 22 course; 23 (iii) have previous experience in a medical 24 dispatch agency; and 25 (iv) have demonstrated experience as an EMS 26 instructor. 27 (15) (6)Establish criteria for modifying or 28 waiving Emergency Medical Dispatcher requirements based 29 on (i) the scope and frequency of dispatch activities and 30 the dispatcher's access to training or (ii) whether the 31 previously-attended dispatcher training program merits 32 automatic recertification for the dispatcher. 33 (c) Notwithstanding any other provision of this Act, the 34 Department shall grant EMD certification or recertification -6- LRB9203773LDpram04 1 without further examination to any person with a current 2 certification from any nationally approved dispatch course. 3 (Source: P.A. 89-177, eff. 7-19-95.)".
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