SB0693 EnrolledLRB102 04346 CPF 14364 b

1    AN ACT concerning regulation.
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
5Act is amended by changing Sections 3.10, 3.50, 3.85, and
63.155 as follows:
7    (210 ILCS 50/3.10)
8    Sec. 3.10. Scope of services.
9    (a) "Advanced Life Support (ALS) Services" means an
10advanced level of pre-hospital and inter-hospital emergency
11care and non-emergency medical services that includes basic
12life support care, cardiac monitoring, cardiac defibrillation,
13electrocardiography, intravenous therapy, administration of
14medications, drugs and solutions, use of adjunctive medical
15devices, trauma care, and other authorized techniques and
16procedures, as outlined in the provisions of the National EMS
17Education Standards relating to Advanced Life Support and any
18modifications to that curriculum specified in rules adopted by
19the Department pursuant to this Act.
20    That care shall be initiated as authorized by the EMS
21Medical Director in a Department approved advanced life
22support EMS System, under the written or verbal direction of a
23physician licensed to practice medicine in all of its branches



SB0693 Enrolled- 2 -LRB102 04346 CPF 14364 b

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



SB0693 Enrolled- 3 -LRB102 04346 CPF 14364 b

1specified in rules adopted by the Department pursuant to this
3    That care shall be initiated, where authorized by the EMS
4Medical Director in a Department approved EMS System, under
5the written or verbal direction of a physician licensed to
6practice medicine in all of its branches or under the verbal
7direction of an Emergency Communications Registered Nurse.
8    (d) "Emergency Medical Responder Services" means a
9preliminary level of pre-hospital emergency care that includes
10cardiopulmonary resuscitation (CPR), monitoring vital signs
11and control of bleeding, as outlined in the Emergency Medical
12Responder (EMR) curriculum of the National EMS Education
13Standards and any modifications to that curriculum specified
14in rules adopted by the Department pursuant to this Act.
15    (e) "Pre-hospital care" means those medical services
16rendered to patients for analytic, resuscitative, stabilizing,
17or preventive purposes, precedent to and during transportation
18of such patients to health care facilities.
19    (f) "Inter-hospital care" means those medical services
20rendered to patients for analytic, resuscitative, stabilizing,
21or preventive purposes, during transportation of such patients
22from one hospital to another hospital.
23    (f-5) "Critical care transport" means the pre-hospital or
24inter-hospital transportation of a critically injured or ill
25patient by a vehicle service provider, including the provision
26of medically necessary supplies and services, at a level of



SB0693 Enrolled- 4 -LRB102 04346 CPF 14364 b

1service beyond the scope of the Paramedic. When medically
2indicated for a patient, as determined by a physician licensed
3to practice medicine in all of its branches, an advanced
4practice registered nurse, or a physician's assistant, in
5compliance with subsections (b) and (c) of Section 3.155 of
6this Act, critical care transport may be provided by:
7        (1) Department-approved critical care transport
8    providers, not owned or operated by a hospital, utilizing
9    Paramedics with additional training, nurses, or other
10    qualified health professionals; or
11        (2) Hospitals, when utilizing any vehicle service
12    provider or any hospital-owned or operated vehicle service
13    provider. Nothing in Public Act 96-1469 requires a
14    hospital to use, or to be, a Department-approved critical
15    care transport provider when transporting patients,
16    including those critically injured or ill. Nothing in this
17    Act shall restrict or prohibit a hospital from providing,
18    or arranging for, the medically appropriate transport of
19    any patient, as determined by a physician licensed to
20    practice in all of its branches, an advanced practice
21    registered nurse, or a physician's assistant.
22    (g) "Non-emergency medical services" means the provision
23of, and all actions necessary before and after the provision
24of, Basic Life Support (BLS) Services, Advanced Life Support
25(ALS) Services, and critical care transport medical care,
26clinical observation, or medical monitoring rendered to



SB0693 Enrolled- 5 -LRB102 04346 CPF 14364 b

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



SB0693 Enrolled- 6 -LRB102 04346 CPF 14364 b

1(Source: P.A. 99-661, eff. 1-1-17; 100-513, eff. 1-1-18.)
2    (210 ILCS 50/3.50)
3    Sec. 3.50. Emergency Medical Services personnel licensure
5    (a) "Emergency Medical Technician" or "EMT" means a person
6who has successfully completed a course in basic life support
7as approved by the Department, is currently licensed by the
8Department in accordance with standards prescribed by this Act
9and rules adopted by the Department pursuant to this Act, and
10practices within an EMS System. A valid Emergency Medical
11Technician-Basic (EMT-B) license issued under this Act shall
12continue to be valid and shall be recognized as an Emergency
13Medical Technician (EMT) license until the Emergency Medical
14Technician-Basic (EMT-B) license expires.
15    (b) "Emergency Medical Technician-Intermediate" or "EMT-I"
16means a person who has successfully completed a course in
17intermediate life support as approved by the Department, is
18currently licensed by the Department in accordance with
19standards prescribed by this Act and rules adopted by the
20Department pursuant to this Act, and practices within an
21Intermediate or Advanced Life Support EMS System.
22    (b-5) "Advanced Emergency Medical Technician" or "A-EMT"
23means a person who has successfully completed a course in
24basic and limited advanced emergency medical care as approved
25by the Department, is currently licensed by the Department in



SB0693 Enrolled- 7 -LRB102 04346 CPF 14364 b

1accordance with standards prescribed by this Act and rules
2adopted by the Department pursuant to this Act, and practices
3within an Intermediate or Advanced Life Support EMS System.
4    (c) "Paramedic (EMT-P)" means a person who has
5successfully completed a course in advanced life support care
6as approved by the Department, is licensed by the Department
7in accordance with standards prescribed by this Act and rules
8adopted by the Department pursuant to this Act, and practices
9within an Advanced Life Support EMS System. A valid Emergency
10Medical Technician-Paramedic (EMT-P) license issued under this
11Act shall continue to be valid and shall be recognized as a
12Paramedic license until the Emergency Medical
13Technician-Paramedic (EMT-P) license expires.
14    (c-5) "Emergency Medical Responder" or "EMR (First
15Responder)" means a person who has successfully completed a
16course in emergency medical response as approved by the
17Department and provides emergency medical response services
18prior to the arrival of an ambulance or specialized emergency
19medical services vehicle, in accordance with the level of care
20established by the National EMS Educational Standards
21Emergency Medical Responder course as modified by the
22Department, or who . An Emergency Medical Responder who
23provides services as part of an EMS System response plan shall
24comply with the applicable sections of the Program Plan, as
25approved by the Department, of that EMS System. The Department
26shall have the authority to adopt rules governing the



SB0693 Enrolled- 8 -LRB102 04346 CPF 14364 b

1curriculum, practice, and necessary equipment applicable to
2Emergency Medical Responders.
3    On August 15, 2014 (the effective date of Public Act
498-973), a person who is licensed by the Department as a First
5Responder and has completed a Department-approved course in
6first responder defibrillator training based on, or equivalent
7to, the National EMS Educational Standards or other standards
8previously recognized by the Department shall be eligible for
9licensure as an Emergency Medical Responder upon meeting the
10licensure requirements and submitting an application to the
11Department. A valid First Responder license issued under this
12Act shall continue to be valid and shall be recognized as an
13Emergency Medical Responder license until the First Responder
14license expires.
15    (c-10) All EMS Systems and licensees shall be fully
16compliant with the National EMS Education Standards, as
17modified by the Department in administrative rules, within 24
18months after the adoption of the administrative rules.
19    (d) The Department shall have the authority and
20responsibility to:
21        (1) Prescribe education and training requirements,
22    which includes training in the use of epinephrine, for all
23    levels of EMS personnel except for EMRs, based on the
24    National EMS Educational Standards and any modifications
25    to those curricula specified by the Department through
26    rules adopted pursuant to this Act.



SB0693 Enrolled- 9 -LRB102 04346 CPF 14364 b

1        (2) Prescribe licensure testing requirements for all
2    levels of EMS personnel, which shall include a requirement
3    that all phases of instruction, training, and field
4    experience be completed before taking the appropriate
5    licensure examination. Candidates may elect to take the
6    appropriate National Registry examination in lieu of the
7    Department's examination, but are responsible for making
8    their own arrangements for taking the National Registry
9    examination. In prescribing licensure testing requirements
10    for honorably discharged members of the armed forces of
11    the United States under this paragraph (2), the Department
12    shall ensure that a candidate's military emergency medical
13    training, emergency medical curriculum completed, and
14    clinical experience, as described in paragraph (2.5), are
15    recognized.
16        (2.5) Review applications for EMS personnel licensure
17    from honorably discharged members of the armed forces of
18    the United States with military emergency medical
19    training. Applications shall be filed with the Department
20    within one year after military discharge and shall
21    contain: (i) proof of successful completion of military
22    emergency medical training; (ii) a detailed description of
23    the emergency medical curriculum completed; and (iii) a
24    detailed description of the applicant's clinical
25    experience. The Department may request additional and
26    clarifying information. The Department shall evaluate the



SB0693 Enrolled- 10 -LRB102 04346 CPF 14364 b

1    application, including the applicant's training and
2    experience, consistent with the standards set forth under
3    subsections (a), (b), (c), and (d) of Section 3.10. If the
4    application clearly demonstrates that the training and
5    experience meet such standards, the Department shall offer
6    the applicant the opportunity to successfully complete a
7    Department-approved EMS personnel examination for the
8    level of license for which the applicant is qualified.
9    Upon passage of an examination, the Department shall issue
10    a license, which shall be subject to all provisions of
11    this Act that are otherwise applicable to the level of EMS
12    personnel license issued.
13        (3) License individuals as an EMR, EMT, EMT-I, A-EMT,
14    or Paramedic who have met the Department's education,
15    training and examination requirements.
16        (4) Prescribe annual continuing education and
17    relicensure requirements for all EMS personnel licensure
18    levels.
19        (5) Relicense individuals as an EMD, EMR, EMT, EMT-I,
20    A-EMT, PHRN, PHAPRN, PHPA, or Paramedic every 4 years,
21    based on their compliance with continuing education and
22    relicensure requirements as required by the Department
23    pursuant to this Act. Every 4 years, a Paramedic shall
24    have 100 hours of approved continuing education, an EMT-I
25    and an advanced EMT shall have 80 hours of approved
26    continuing education, and an EMT shall have 60 hours of



SB0693 Enrolled- 11 -LRB102 04346 CPF 14364 b

1    approved continuing education. An Illinois licensed EMR,
2    EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, PHPA, PHAPRN, or
3    PHRN whose license has been expired for less than 36
4    months may apply for reinstatement by the Department.
5    Reinstatement shall require that the applicant (i) submit
6    satisfactory proof of completion of continuing medical
7    education and clinical requirements to be prescribed by
8    the Department in an administrative rule; (ii) submit a
9    positive recommendation from an Illinois EMS Medical
10    Director attesting to the applicant's qualifications for
11    retesting; and (iii) pass a Department approved test for
12    the level of EMS personnel license sought to be
13    reinstated.
14        (6) Grant inactive status to any EMR, EMD, EMT, EMT-I,
15    A-EMT, Paramedic, ECRN, PHAPRN, PHPA, or PHRN who
16    qualifies, based on standards and procedures established
17    by the Department in rules adopted pursuant to this Act.
18        (7) Charge a fee for EMS personnel examination,
19    licensure, and license renewal.
20        (8) Suspend, revoke, or refuse to issue or renew the
21    license of any licensee, after an opportunity for an
22    impartial hearing before a neutral administrative law
23    judge appointed by the Director, where the preponderance
24    of the evidence shows one or more of the following:
25            (A) The licensee has not met continuing education
26        or relicensure requirements as prescribed by the



SB0693 Enrolled- 12 -LRB102 04346 CPF 14364 b

1        Department;
2            (B) The licensee has failed to maintain
3        proficiency in the level of skills for which he or she
4        is licensed;
5            (C) The licensee, during the provision of medical
6        services, engaged in dishonorable, unethical, or
7        unprofessional conduct of a character likely to
8        deceive, defraud, or harm the public;
9            (D) The licensee has failed to maintain or has
10        violated standards of performance and conduct as
11        prescribed by the Department in rules adopted pursuant
12        to this Act or his or her EMS System's Program Plan;
13            (E) The licensee is physically impaired to the
14        extent that he or she cannot physically perform the
15        skills and functions for which he or she is licensed,
16        as verified by a physician, unless the person is on
17        inactive status pursuant to Department regulations;
18            (F) The licensee is mentally impaired to the
19        extent that he or she cannot exercise the appropriate
20        judgment, skill and safety for performing the
21        functions for which he or she is licensed, as verified
22        by a physician, unless the person is on inactive
23        status pursuant to Department regulations;
24            (G) The licensee has violated this Act or any rule
25        adopted by the Department pursuant to this Act; or
26            (H) The licensee has been convicted (or entered a



SB0693 Enrolled- 13 -LRB102 04346 CPF 14364 b

1        plea of guilty or nolo contendere nolo-contendere) by
2        a court of competent jurisdiction of a Class X, Class
3        1, or Class 2 felony in this State or an out-of-state
4        equivalent offense.
5        (9) Prescribe education and training requirements in
6    the administration and use of opioid antagonists for all
7    levels of EMS personnel based on the National EMS
8    Educational Standards and any modifications to those
9    curricula specified by the Department through rules
10    adopted pursuant to this Act.
11    (d-5) An EMR, EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN,
12PHAPRN, PHPA, or PHRN who is a member of the Illinois National
13Guard or an Illinois State Trooper or who exclusively serves
14as a volunteer for units of local government with a population
15base of less than 5,000 or as a volunteer for a not-for-profit
16organization that serves a service area with a population base
17of less than 5,000 may submit an application to the Department
18for a waiver of the fees described under paragraph (7) of
19subsection (d) of this Section on a form prescribed by the
21    The education requirements prescribed by the Department
22under this Section must allow for the suspension of those
23requirements in the case of a member of the armed services or
24reserve forces of the United States or a member of the Illinois
25National Guard who is on active duty pursuant to an executive
26order of the President of the United States, an act of the



SB0693 Enrolled- 14 -LRB102 04346 CPF 14364 b

1Congress of the United States, or an order of the Governor at
2the time that the member would otherwise be required to
3fulfill a particular education requirement. Such a person must
4fulfill the education requirement within 6 months after his or
5her release from active duty.
6    (e) In the event that any rule of the Department or an EMS
7Medical Director that requires testing for drug use as a
8condition of the applicable EMS personnel license conflicts
9with or duplicates a provision of a collective bargaining
10agreement that requires testing for drug use, that rule shall
11not apply to any person covered by the collective bargaining
13    (f) At the time of applying for or renewing his or her
14license, an applicant for a license or license renewal may
15submit an email address to the Department. The Department
16shall keep the email address on file as a form of contact for
17the individual. The Department shall send license renewal
18notices electronically and by mail to a licensee all licensees
19who provides provide the Department with his or her email
20address. The notices shall be sent at least 60 days prior to
21the expiration date of the license.
22(Source: P.A. 100-1082, eff. 8-24-19; 101-81, eff. 7-12-19;
23101-153, eff. 1-1-20; revised 12-3-19.)
24    (210 ILCS 50/3.85)
25    Sec. 3.85. Vehicle Service Providers.



SB0693 Enrolled- 15 -LRB102 04346 CPF 14364 b

1    (a) "Vehicle Service Provider" means an entity licensed by
2the Department to provide emergency or non-emergency medical
3services in compliance with this Act, the rules promulgated by
4the Department pursuant to this Act, and an operational plan
5approved by its EMS System(s), utilizing at least ambulances
6or specialized emergency medical service vehicles (SEMSV).
7        (1) "Ambulance" means any publicly or privately owned
8    on-road vehicle that is specifically designed, constructed
9    or modified and equipped, and is intended to be used for,
10    and is maintained or operated for the emergency
11    transportation of persons who are sick, injured, wounded
12    or otherwise incapacitated or helpless, or the
13    non-emergency medical transportation of persons who
14    require the presence of medical personnel to monitor the
15    individual's condition or medical apparatus being used on
16    such individuals.
17        (2) "Specialized Emergency Medical Services Vehicle"
18    or "SEMSV" means a vehicle or conveyance, other than those
19    owned or operated by the federal government, that is
20    primarily intended for use in transporting the sick or
21    injured by means of air, water, or ground transportation,
22    that is not an ambulance as defined in this Act. The term
23    includes watercraft, aircraft and special purpose ground
24    transport vehicles or conveyances not intended for use on
25    public roads.
26        (3) An ambulance or SEMSV may also be designated as a



SB0693 Enrolled- 16 -LRB102 04346 CPF 14364 b

1    Limited Operation Vehicle or Special-Use Vehicle:
2            (A) "Limited Operation Vehicle" means a vehicle
3        which is licensed by the Department to provide basic,
4        intermediate or advanced life support emergency or
5        non-emergency medical services that are exclusively
6        limited to specific events or locales.
7            (B) "Special-Use Vehicle" means any publicly or
8        privately owned vehicle that is specifically designed,
9        constructed or modified and equipped, and is intended
10        to be used for, and is maintained or operated solely
11        for the emergency or non-emergency transportation of a
12        specific medical class or category of persons who are
13        sick, injured, wounded or otherwise incapacitated or
14        helpless (e.g. high-risk obstetrical patients,
15        neonatal patients).
16            (C) "Reserve Ambulance" means a vehicle that meets
17        all criteria set forth in this Section and all
18        Department rules, except for the required inventory of
19        medical supplies and durable medical equipment, which
20        may be rapidly transferred from a fully functional
21        ambulance to a reserve ambulance without the use of
22        tools or special mechanical expertise.
23    (b) The Department shall have the authority and
24responsibility to:
25        (1) Require all Vehicle Service Providers, both
26    publicly and privately owned, to function within an EMS



SB0693 Enrolled- 17 -LRB102 04346 CPF 14364 b

1    System.
2        (2) Require a Vehicle Service Provider utilizing
3    ambulances to have a primary affiliation with an EMS
4    System within the EMS Region in which its Primary Service
5    Area is located, which is the geographic areas in which
6    the provider renders the majority of its emergency
7    responses. This requirement shall not apply to Vehicle
8    Service Providers which exclusively utilize Limited
9    Operation Vehicles.
10        (3) Establish licensing standards and requirements for
11    Vehicle Service Providers, through rules adopted pursuant
12    to this Act, including but not limited to:
13            (A) Vehicle design, specification, operation and
14        maintenance standards, including standards for the use
15        of reserve ambulances;
16            (B) Equipment requirements;
17            (C) Staffing requirements; and
18            (D) License renewal at intervals determined by the
19        Department, which shall be not less than every 4
20        years.
21        The Department's standards and requirements with
22    respect to vehicle staffing for private, nonpublic local
23    government employers must allow for an alternative rural
24    staffing models that include an EMR who drives an
25    ambulance with a licensed EMT, EMT-I, A-EMT, Paramedic, or
26    PHRN, as appropriate, in the patient compartment providing



SB0693 Enrolled- 18 -LRB102 04346 CPF 14364 b

1    care to the patient pursuant to the approval of the EMS
2    System Program Plan developed and approved by the EMS
3    Medical Director for an EMS System. The Department shall
4    monitor the implementation and performance of alternative
5    staffing models and may issue a notice of termination of
6    an alternative staffing model only upon evidence that an
7    EMS System Program Plan is not being adhered to.
8        An EMS System Program Plan for a Basic Life Support
9    transport utilizing an EMR and an EMT shall include the
10    following:
11            (A) Alternative staffing models for a Basic Life
12        Support transport utilizing an EMR and an EMT shall
13        only be utilized for interfacility Basic Life Support
14        transports and medical appointments, excluding any
15        transport to or from a dialysis center.
16            (B) Protocols that shall include dispatch
17        procedures to properly screen and assess patients for
18        EMR-staffed and EMT-staffed Basic Life Support
19        transport.
20            (C) A requirement that a provider shall implement
21        a quality assurance plan with mechanisms outlined to
22        audit dispatch screening and the outcome of transports
23        performed.
24            (D) The EMT shall have at least one year of
25        experience in performance of pre-hospital emergency
26        care.



SB0693 Enrolled- 19 -LRB102 04346 CPF 14364 b

1            (E) The licensed EMR must complete a defensive
2        driving course prior to participation in the
3        Department's alternative staffing model.
4            (F) The length of the EMS System Program Plan for a
5        Basic Life Support transport utilizing an EMR and an
6        EMT shall be for one year, and must be renewed annually
7        if proof of the criteria being met is submitted,
8        validated, and approved by the EMS Medical Director
9        for the EMS System and the Department.
10        The Department must allow for an alternative rural
11    staffing model for those vehicle service providers that
12    serve a rural or semi-rural population of 10,000 or fewer
13    inhabitants and exclusively uses volunteers, paid-on-call,
14    or a combination thereof.
15        (4) License all Vehicle Service Providers that have
16    met the Department's requirements for licensure, unless
17    such Provider is owned or licensed by the federal
18    government. All Provider licenses issued by the Department
19    shall specify the level and type of each vehicle covered
20    by the license (BLS, ILS, ALS, ambulance, SEMSV, limited
21    operation vehicle, special use vehicle, reserve
22    ambulance).
23        (5) Annually inspect all licensed vehicles operated by
24    Vehicle Service Providers.
25        (6) Suspend, revoke, refuse to issue or refuse to
26    renew the license of any Vehicle Service Provider, or that



SB0693 Enrolled- 20 -LRB102 04346 CPF 14364 b

1    portion of a license pertaining to a specific vehicle
2    operated by the Provider, after an opportunity for a
3    hearing, when findings show that the Provider or one or
4    more of its vehicles has failed to comply with the
5    standards and requirements of this Act or rules adopted by
6    the Department pursuant to this Act.
7        (7) Issue an Emergency Suspension Order for any
8    Provider or vehicle licensed under this Act, when the
9    Director or his designee has determined that an immediate
10    and serious danger to the public health, safety and
11    welfare exists. Suspension or revocation proceedings which
12    offer an opportunity for hearing shall be promptly
13    initiated after the Emergency Suspension Order has been
14    issued.
15        (8) Exempt any licensed vehicle from subsequent
16    vehicle design standards or specifications required by the
17    Department, as long as said vehicle is continuously in
18    compliance with the vehicle design standards and
19    specifications originally applicable to that vehicle, or
20    until said vehicle's title of ownership is transferred.
21        (9) Exempt any vehicle (except an SEMSV) which was
22    being used as an ambulance on or before December 15, 1980,
23    from vehicle design standards and specifications required
24    by the Department, until said vehicle's title of ownership
25    is transferred. Such vehicles shall not be exempt from all
26    other licensing standards and requirements prescribed by



SB0693 Enrolled- 21 -LRB102 04346 CPF 14364 b

1    the Department.
2        (10) Prohibit any Vehicle Service Provider from
3    advertising, identifying its vehicles, or disseminating
4    information in a false or misleading manner concerning the
5    Provider's type and level of vehicles, location, primary
6    service area, response times, level of personnel,
7    licensure status or System participation.
8        (10.5) Prohibit any Vehicle Service Provider, whether
9    municipal, private, or hospital-owned, from advertising
10    itself as a critical care transport provider unless it
11    participates in a Department-approved EMS System critical
12    care transport plan.
13        (11) Charge each Vehicle Service Provider a fee per
14    transport vehicle, due annually at time of inspection. The
15    fee per transport vehicle shall be set by administrative
16    rule by the Department and shall not exceed 100 vehicles
17    per provider.
18(Source: P.A. 97-333, eff. 8-12-11; 97-1014, eff. 1-1-13;
1998-452, eff. 1-1-14.)
20    (210 ILCS 50/3.155)
21    Sec. 3.155. General Provisions.
22    (a) Authority and responsibility for the EMS System shall
23be vested in the EMS Resource Hospital, through the EMS
24Medical Director or his designee.
25    (b) For an inter-hospital emergency or non-emergency



SB0693 Enrolled- 22 -LRB102 04346 CPF 14364 b

1medical transport, in which the physician from the sending
2hospital provides the EMS personnel with written medical
3orders, such written medical orders cannot exceed the scope of
4care which the EMS personnel are authorized to render pursuant
5to this Act.
6    (c) For an inter-hospital emergency or non-emergency
7medical transport of a patient who requires medical care
8beyond the scope of care which the EMS personnel are
9authorized to render pursuant to this Act, a qualified
10physician, nurse, perfusionist, or respiratory therapist
11familiar with the scope of care needed must accompany the
12patient and the transferring hospital and physician shall
13assume medical responsibility for that portion of the medical
15    (d) No emergency medical services vehicles or personnel
16from another State or nation may be utilized on a regular basis
17to pick up and transport patients within this State without
18first complying with this Act and all rules adopted by the
19Department pursuant to this Act.
20    (e) This Act shall not prevent emergency medical services
21vehicles or personnel from another State or nation from
22rendering requested assistance in this State in a disaster
23situation, or operating from a location outside the State and
24occasionally transporting patients into this State for needed
25medical care. Except as provided in Section 31 of this Act,
26this Act shall not provide immunity from liability for such



SB0693 Enrolled- 23 -LRB102 04346 CPF 14364 b

2    (f) Except as provided in subsection (e) of this Section,
3no person or entity shall transport emergency or non-emergency
4patients by ambulance, SEMSV, or medical carrier without first
5complying with the provisions of this Act and all rules
6adopted pursuant to this Act.
7    (g) Nothing in this Act or the rules adopted by the
8Department under this Act shall be construed to authorize any
9medical treatment to or transportation of any person who
10objects on religious grounds.
11    (h) Patients, individuals who accompany a patient, and
12emergency medical services personnel may not smoke while
13inside an ambulance or SEMSV. The Department of Public Health
14may impose a civil penalty on an individual who violates this
15subsection in the amount of $100.
16    (i) When a patient has been determined by EMS personnel to
17(1) have no immediate life-threatening injuries or illness,
18(2) not be under the influence of drugs or alcohol, (3) have no
19immediate or obvious need for transport to an emergency
20department, and (4) have an immediate need for transport to an
21EMS System-approved mental health facility, the EMS personnel
22may contact Online Medical Control or his or her EMS Medical
23Director or Emergency Communications Registered Nurse to
24request bypass or diversion of the closest emergency
25department, as outlined in paragraph (5) of subsection (c) of
26Section 3.20, and request transport to the closest or



SB0693 Enrolled- 24 -LRB102 04346 CPF 14364 b

1appropriate EMS System-approved mental health facility. In
2addition, EMS personnel may transport a patient to an EMS
3System-approved urgent care or immediate care facility that
4meets the proper criteria and is approved by Online Medical
5Control or his or her EMS Medical Director or Emergency
6Communications Registered Nurse.
7(Source: P.A. 92-376, eff. 8-15-01.)
8    Section 99. Effective date. This Act takes effect upon
9becoming law.