HB1595 EnrolledLRB103 06018 CPF 51045 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 3.5, 3.25, 3.40, 3.45, and
63.55 as follows:
 
7    (210 ILCS 50/3.5)
8    Sec. 3.5. Definitions. As used in this Act:
9    "Clinical observation" means the ongoing observation of a
10patient's condition by a licensed health care professional
11utilizing a medical skill set while continuing assessment and
12care.
13    "Department" means the Illinois Department of Public
14Health.
15    "Director" means the Director of the Illinois Department
16of Public Health.
17    "Emergency" means a medical condition of recent onset and
18severity that would lead a prudent layperson, possessing an
19average knowledge of medicine and health, to believe that
20urgent or unscheduled medical care is required.
21    "Emergency Medical Services personnel" or "EMS personnel"
22means persons licensed as an Emergency Medical Responder (EMR)
23(First Responder), Emergency Medical Dispatcher (EMD),

 

 

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1Emergency Medical Technician (EMT), Emergency Medical
2Technician-Intermediate (EMT-I), Advanced Emergency Medical
3Technician (A-EMT), Paramedic (EMT-P), Emergency
4Communications Registered Nurse (ECRN), Pre-Hospital
5Registered Nurse (PHRN), Pre-Hospital Advanced Practice
6Registered Nurse (PHAPRN), or Pre-Hospital Physician Assistant
7(PHPA).
8    "Exclusive representative" has the same meaning as defined
9in Section 3 of the Illinois Public Labor Relations Act.
10    "Health care facility" means a hospital, nursing home,
11physician's office or other fixed location at which medical
12and health care services are performed. It does not include
13"pre-hospital emergency care settings" which utilize EMS
14personnel to render pre-hospital emergency care prior to the
15arrival of a transport vehicle, as defined in this Act.
16    "Hospital" has the meaning ascribed to that term in the
17Hospital Licensing Act.
18    "Labor organization" has the same meaning as defined in
19Section 3 of the Illinois Public Labor Relations Act.
20    "Medical monitoring" means the performance of medical
21tests and physical exams to evaluate an individual's ongoing
22exposure to a factor that could negatively impact that
23person's health. "Medical monitoring" includes close
24surveillance or supervision of patients liable to suffer
25deterioration in physical or mental health and checks of
26various parameters such as pulse rate, temperature,

 

 

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1respiration rate, the condition of the pupils, the level of
2consciousness and awareness, the degree of appreciation of
3pain, and blood gas concentrations such as oxygen and carbon
4dioxide.
5    "Silver spanner program" means a program in which a member
6under a fire department's or fire protection district's
7collective bargaining agreement works on or at the EMS System
8under another fire department's or fire protection district's
9collective bargaining agreement and (i) the other fire
10department or fire protection district is not the member's
11full-time employer and (ii) any EMS services not included
12under the original fire department's or fire protection
13district's collective bargaining agreement are included in the
14other fire department's or fire protection district's
15collective bargaining agreement.
16    "Trauma" means any significant injury which involves
17single or multiple organ systems.
18(Source: P.A. 100-1082, eff. 8-24-19; 101-81, eff. 7-12-19.)
 
19    (210 ILCS 50/3.25)
20    Sec. 3.25. EMS Region Plan; Development.
21    (a) Within 6 months after designation of an EMS Region, an
22EMS Region Plan addressing at least the information prescribed
23in Section 3.30 shall be submitted to the Department for
24approval. The Plan shall be developed by the Region's EMS
25Medical Directors Committee with advice from the Regional EMS

 

 

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1Advisory Committee; portions of the plan concerning trauma
2shall be developed jointly with the Region's Trauma Center
3Medical Directors or Trauma Center Medical Directors
4Committee, whichever is applicable, with advice from the
5Regional Trauma Advisory Committee, if such Advisory Committee
6has been established in the Region. Portions of the Plan
7concerning stroke shall be developed jointly with the Regional
8Stroke Advisory Subcommittee.
9        (1) A Region's EMS Medical Directors Committee shall
10    be comprised of the Region's EMS Medical Directors, along
11    with the medical advisor to a fire department vehicle
12    service provider. For regions which include a municipal
13    fire department serving a population of over 2,000,000
14    people, that fire department's medical advisor shall serve
15    on the Committee. For other regions, the fire department
16    vehicle service providers shall select which medical
17    advisor to serve on the Committee on an annual basis.
18        (2) A Region's Trauma Center Medical Directors
19    Committee shall be comprised of the Region's Trauma Center
20    Medical Directors.
21    (b) A Region's Trauma Center Medical Directors may choose
22to participate in the development of the EMS Region Plan
23through membership on the Regional EMS Advisory Committee,
24rather than through a separate Trauma Center Medical Directors
25Committee. If that option is selected, the Region's Trauma
26Center Medical Director shall also determine whether a

 

 

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1separate Regional Trauma Advisory Committee is necessary for
2the Region.
3    (c) In the event of disputes over content of the Plan
4between the Region's EMS Medical Directors Committee and the
5Region's Trauma Center Medical Directors or Trauma Center
6Medical Directors Committee, whichever is applicable, the
7Director of the Illinois Department of Public Health shall
8intervene through a mechanism established by the Department
9through rules adopted pursuant to this Act. An individual
10interviewed or investigated by an EMS Medical Director or the
11Department shall have the right to a union representative and
12legal counsel of the individual's choosing present at any
13interview. The union representative must comply with any
14confidentiality requirements and requirements for the
15protection of any patient information presented during the
16proceeding.
17    (d) "Regional EMS Advisory Committee" means a committee
18formed within an Emergency Medical Services (EMS) Region to
19advise the Region's EMS Medical Directors Committee and to
20select the Region's representative to the State Emergency
21Medical Services Advisory Council, consisting of at least the
22members of the Region's EMS Medical Directors Committee, the
23Chair of the Regional Trauma Committee, the EMS System
24Coordinators from each Resource Hospital within the Region,
25one administrative representative from an Associate Hospital
26within the Region, one administrative representative from a

 

 

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1Participating Hospital within the Region, one administrative
2representative from the vehicle service provider which
3responds to the highest number of calls for emergency service
4within the Region, one representative from the vehicle service
5provider that responds to the highest number of calls for
6non-emergency services within the Region, one representative
7from the labor organization recognized as the exclusive
8representative of employees of the vehicle service provider
9that responds to the highest number of calls for non-emergency
10services within the Region, if applicable, one administrative
11representative of a vehicle service provider from each System
12within the Region, one representative from a labor
13organization recognized as the exclusive representative of a
14vehicle service provider's employees in each System and
15selected by a statewide organization of such labor
16organizations, one individual from each level of license
17provided in Section 3.50 of this Act, one Pre-Hospital
18Registered Nurse practicing within the Region, and one
19registered professional nurse currently practicing in an
20emergency department within the Region. Of the 2
21administrative representatives of vehicle service providers,
22at least one shall be an administrative representative of a
23private vehicle service provider. The Department's Regional
24EMS Coordinator for each Region shall serve as a non-voting
25member of that Region's EMS Advisory Committee.
26    Every 2 years, the members of the Region's EMS Medical

 

 

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1Directors Committee shall rotate serving as Committee Chair,
2and select the Associate Hospital, Participating Hospital and
3vehicle service providers which shall send representatives to
4the Advisory Committee, and the EMS personnel and nurse who
5shall serve on the Advisory Committee.
6    (e) "Regional Trauma Advisory Committee" means a committee
7formed within an Emergency Medical Services (EMS) Region, to
8advise the Region's Trauma Center Medical Directors Committee,
9consisting of at least the Trauma Center Medical Directors and
10Trauma Coordinators from each Trauma Center within the Region,
11one EMS Medical Director from a resource hospital within the
12Region, one EMS System Coordinator from another resource
13hospital within the Region, one representative each from a
14public and private vehicle service provider which transports
15trauma patients within the Region, an administrative
16representative from each trauma center within the Region, one
17EMR, EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, or PHRN
18representing the highest level of EMS personnel practicing
19within the Region, one emergency physician, and one Trauma
20Nurse Specialist (TNS) currently practicing in a trauma
21center. The Department's Regional EMS Coordinator for each
22Region shall serve as a non-voting member of that Region's
23Trauma Advisory Committee.
24    Every 2 years, the members of the Trauma Center Medical
25Directors Committee shall rotate serving as Committee Chair,
26and select the vehicle service providers, EMS personnel,

 

 

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1emergency physician, EMS System Coordinator and TNS who shall
2serve on the Advisory Committee.
3(Source: P.A. 98-973, eff. 8-15-14.)
 
4    (210 ILCS 50/3.40)
5    Sec. 3.40. EMS System Participation Suspensions and Due
6Process.
7    (a) An EMS Medical Director may suspend from participation
8within the System any EMS personnel, EMS Lead Instructor (LI),
9individual, individual provider or other participant
10considered not to be meeting the requirements of the Program
11Plan of that approved EMS System. An EMS Medical Director must
12submit a suspension order to the Department describing which
13requirements of the Program Plan were not met and the
14suspension's duration. The Department shall review and confirm
15receipt of the suspension order, request additional
16information, or initiate an investigation. The Department
17shall incorporate the duration of that suspension into any
18further action taken by the Department to suspend, revoke, or
19refuse to issue or renew the license of the individual or
20entity for any violation of this Act or the Program Plan
21arising from the same conduct for which the suspension order
22was issued if the suspended party has neither requested a
23Department hearing on the suspension nor worked as a provider
24in any other System during the term of the suspension.
25    (b) Prior to suspending any individual or entity, an EMS

 

 

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1Medical Director shall provide an opportunity for a hearing
2before the local System review board in accordance with
3subsection (f) and the rules promulgated by the Department.
4        (1) If the local System review board affirms or
5    modifies the EMS Medical Director's suspension order, the
6    individual or entity shall have the opportunity for a
7    review of the local board's decision by the State EMS
8    Disciplinary Review Board, pursuant to Section 3.45 of
9    this Act.
10        (2) If the local System review board reverses or
11    modifies the EMS Medical Director's order, the EMS Medical
12    Director shall have the opportunity for a review of the
13    local board's decision by the State EMS Disciplinary
14    Review Board, pursuant to Section 3.45 of this Act.
15        (3) The suspension shall commence only upon the
16    occurrence of one of the following:
17            (A) the individual or entity has waived the
18        opportunity for a hearing before the local System
19        review board; or
20            (B) the order has been affirmed or modified by the
21        local system review board and the individual or entity
22        has waived the opportunity for review by the State
23        Board; or
24            (C) the order has been affirmed or modified by the
25        local system review board, and the local board's
26        decision has been affirmed or modified by the State

 

 

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1        Board.
2    (c) An individual interviewed or investigated by the local
3system review board or the Department shall have the right to a
4union representative and legal counsel of the individual's
5choosing present at any interview. The union representative
6must comply with any confidentiality requirements and
7requirements for the protection of any patient information
8presented during the proceeding.
9    (d) (c) An EMS Medical Director may immediately suspend an
10EMR, EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, PHRN, LI, PHPA,
11PHAPRN, or other individual or entity if he or she finds that
12the continuation in practice by the individual or entity would
13constitute an imminent danger to the public. The suspended
14individual or entity shall be issued an immediate verbal
15notification followed by a written suspension order by the EMS
16Medical Director which states the length, terms and basis for
17the suspension.
18        (1) Within 24 hours following the commencement of the
19    suspension, the EMS Medical Director shall deliver to the
20    Department, by messenger, telefax, or other
21    Department-approved electronic communication, a copy of
22    the suspension order and copies of any written materials
23    which relate to the EMS Medical Director's decision to
24    suspend the individual or entity. All medical and
25    patient-specific information, including Department
26    findings with respect to the quality of care rendered,

 

 

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1    shall be strictly confidential pursuant to the Medical
2    Studies Act (Part 21 of Article VIII of the Code of Civil
3    Procedure).
4        (2) Within 24 hours following the commencement of the
5    suspension, the suspended individual or entity may deliver
6    to the Department, by messenger, telefax, or other
7    Department-approved electronic communication, a written
8    response to the suspension order and copies of any written
9    materials which the individual or entity feels are
10    appropriate. All medical and patient-specific information,
11    including Department findings with respect to the quality
12    of care rendered, shall be strictly confidential pursuant
13    to the Medical Studies Act.
14        (3) Within 24 hours following receipt of the EMS
15    Medical Director's suspension order or the individual or
16    entity's written response, whichever is later, the
17    Director or the Director's designee shall determine
18    whether the suspension should be stayed pending an
19    opportunity for a hearing or review in accordance with
20    this Act, or whether the suspension should continue during
21    the course of that hearing or review. The Director or the
22    Director's designee shall issue this determination to the
23    EMS Medical Director, who shall immediately notify the
24    suspended individual or entity. The suspension shall
25    remain in effect during this period of review by the
26    Director or the Director's designee.

 

 

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1    (e) (d) Upon issuance of a suspension order for reasons
2directly related to medical care, the EMS Medical Director
3shall also provide the individual or entity with the
4opportunity for a hearing before the local System review
5board, in accordance with subsection (f) and the rules
6promulgated by the Department.
7        (1) If the local System review board affirms or
8    modifies the EMS Medical Director's suspension order, the
9    individual or entity 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
12    this Act.
13        (2) If the local System review board reverses or
14    modifies the EMS Medical Director's suspension order, the
15    EMS Medical Director shall have the opportunity for a
16    review of the local board's decision by the State EMS
17    Disciplinary Review Board, pursuant to Section 3.45 of
18    this Act.
19        (3) The suspended individual or entity may elect to
20    bypass the local System review board and seek direct
21    review of the EMS Medical Director's suspension order by
22    the State EMS Disciplinary Review Board.
23    (f) (e) The Resource Hospital shall designate a local
24System review board in accordance with the rules of the
25Department, for the purpose of providing a hearing to any
26individual or entity participating within the System who is

 

 

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1suspended from participation by the EMS Medical Director. The
2EMS Medical Director shall arrange for a certified shorthand
3reporter to make a stenographic record of that hearing and
4thereafter prepare a transcript of the proceedings. The EMS
5Medical Director shall inform the individual of the
6individual's right to have a union representative and legal
7counsel of the individual's choosing present at any interview.
8The union representative must comply with any confidentiality
9requirements and requirements for the protection of any
10patient information presented during the proceeding. The
11transcript, all documents or materials received as evidence
12during the hearing and the local System review board's written
13decision shall be retained in the custody of the EMS system.
14The System shall implement a decision of the local System
15review board unless that decision has been appealed to the
16State Emergency Medical Services Disciplinary Review Board in
17accordance with this Act and the rules of the Department.
18    (g) (f) The Resource Hospital shall implement a decision
19of the State Emergency Medical Services Disciplinary Review
20Board which has been rendered in accordance with this Act and
21the rules of the Department.
22(Source: P.A. 100-201, eff. 8-18-17; 100-1082, eff. 8-24-19.)
 
23    (210 ILCS 50/3.45)
24    Sec. 3.45. State Emergency Medical Services Disciplinary
25Review Board.

 

 

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1    (a) The Governor shall appoint a State Emergency Medical
2Services Disciplinary Review Board, composed of an EMS Medical
3Director, an EMS System Coordinator, a Paramedic, an Emergency
4Medical Technician (EMT), and the following members, who shall
5only review cases in which a party is from the same
6professional category: a Pre-Hospital Registered Nurse, a
7Pre-Hospital Advanced Practice Registered Nurse, a
8Pre-Hospital Physician Assistant, an ECRN, a Trauma Nurse
9Specialist, an Emergency Medical Technician-Intermediate
10(EMT-I), an Advanced Emergency Medical Technician (A-EMT), a
11representative from a private vehicle service provider, a
12representative from a public vehicle service provider, and an
13emergency physician who monitors telecommunications from and
14gives voice orders to EMS personnel. The Governor shall also
15appoint one alternate for each member of the Board, from the
16same professional category as the member of the Board.
17    (b) The members shall be appointed for a term of 3 years.
18All appointees shall serve until their successors are
19appointed. The alternate members shall be appointed and serve
20in the same fashion as the members of the Board. If a member
21resigns his or her appointment, the corresponding alternate
22shall serve the remainder of that member's term until a
23subsequent member is appointed by the Governor.
24    (c) The function of the Board is to review and affirm,
25reverse or modify disciplinary orders.
26    (d) Any individual or entity, who received an immediate

 

 

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1suspension from an EMS Medical Director may request the Board
2to reverse or modify the suspension order. If the suspension
3had been affirmed or modified by a local System review board,
4the suspended individual or entity may request the Board to
5reverse or modify the local board's decision.
6    (e) Any individual or entity who received a non-immediate
7suspension order from an EMS Medical Director which was
8affirmed or modified by a local System review board may
9request the Board to reverse or modify the local board's
10decision. The individual shall be informed of the individual's
11right to have one representative from the labor organization
12recognized as the exclusive representative of that
13individual's bargaining unit present and a legal
14representative present during the State Emergency Medical
15Services Disciplinary Review Board proceedings during open
16session. The labor organization's representative must also
17comply with all confidentiality requirements and requirements
18for the protection of any patient information presented during
19the proceeding.
20    (f) An EMS Medical Director whose suspension order was
21reversed or modified by a local System review board may
22request the Board to reverse or modify the local board's
23decision.
24    (g) The Board shall meet on the first Tuesday of every
25month, unless no requests for review have been submitted.
26Additional meetings of the Board shall be scheduled to ensure

 

 

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1that a request for direct review of an immediate suspension
2order is scheduled within 14 days after the Department
3receives the request for review or as soon thereafter as a
4quorum is available. The Board shall meet in Springfield or
5Chicago, whichever location is closer to the majority of the
6members or alternates attending the meeting. The Department
7shall reimburse the members and alternates of the Board for
8reasonable travel expenses incurred in attending meetings of
9the Board.
10    (h) A request for review shall be submitted in writing to
11the Chief of the Department's Division of Emergency Medical
12Services and Highway Safety, within 10 days after receiving
13the local board's decision or the EMS Medical Director's
14suspension order, whichever is applicable, a copy of which
15shall be enclosed.
16    (i) At its regularly scheduled meetings, the Board shall
17review requests which have been received by the Department at
18least 10 working days prior to the Board's meeting date.
19Requests for review which are received less than 10 working
20days prior to a scheduled meeting shall be considered at the
21Board's next scheduled meeting, except that requests for
22direct review of an immediate suspension order may be
23scheduled up to 3 working days prior to the Board's meeting
24date.
25    (j) A quorum shall be required for the Board to meet, which
26shall consist of 3 members or alternates, including the EMS

 

 

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1Medical Director or alternate and the member or alternate from
2the same professional category as the subject of the
3suspension order. At each meeting of the Board, the members or
4alternates present shall select a Chairperson to conduct the
5meeting.
6    (k) Deliberations for decisions of the State EMS
7Disciplinary Review Board shall be conducted in closed
8session. Department staff may attend for the purpose of
9providing clerical assistance, but no other persons may be in
10attendance except for the parties to the dispute being
11reviewed by the Board and their attorneys, unless by request
12of the Board.
13    (l) The Board shall review the transcript, evidence, and
14written decision of the local review board, or the written
15decision and supporting documentation of the EMS Medical
16Director, whichever is applicable, along with any additional
17written or verbal testimony or argument offered by the parties
18to the dispute.
19    (m) At the conclusion of its review, the Board shall issue
20its decision and the basis for its decision on a form provided
21by the Department, and shall submit to the Department its
22written decision together with the record of the local System
23review board. The Department shall promptly issue a copy of
24the Board's decision to all affected parties. The Board's
25decision shall be binding on all parties.
26(Source: P.A. 100-1082, eff. 8-24-19.)
 

 

 

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1    (210 ILCS 50/3.55)
2    Sec. 3.55. Scope of practice.
3    (a) Any person currently licensed as an EMR, EMT, EMT-I,
4A-EMT, PHRN, PHAPRN, PHPA, or Paramedic may perform emergency
5and non-emergency medical services as defined in this Act, in
6accordance with his or her level of education, training and
7licensure, the standards of performance and conduct prescribed
8by the Department in rules adopted pursuant to this Act, and
9the requirements of the EMS System in which he or she
10practices, as contained in the approved Program Plan for that
11System. The Director may, by written order, temporarily modify
12individual scopes of practice in response to public health
13emergencies for periods not exceeding 180 days.
14    (a-5) EMS personnel who have successfully completed a
15Department approved course in automated defibrillator
16operation and who are functioning within a Department approved
17EMS System may utilize such automated defibrillator according
18to the standards of performance and conduct prescribed by the
19Department in rules adopted pursuant to this Act and the
20requirements of the EMS System in which they practice, as
21contained in the approved Program Plan for that System.
22    (a-7) An EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or
23Paramedic who has successfully completed a Department approved
24course in the administration of epinephrine shall be required
25to carry epinephrine with him or her as part of the EMS

 

 

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1personnel medical supplies whenever he or she is performing
2official duties as determined by the EMS System. The
3epinephrine may be administered from a glass vial,
4auto-injector, ampule, or pre-filled syringe.
5    (b) An EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or
6Paramedic may practice as an EMR, EMT, EMT-I, A-EMT, or
7Paramedic or utilize his or her EMR, EMT, EMT-I, A-EMT, PHRN,
8PHAPRN, PHPA, or Paramedic license in pre-hospital or
9inter-hospital emergency care settings or non-emergency
10medical transport situations, under the written or verbal
11direction of the EMS Medical Director. For purposes of this
12Section, a "pre-hospital emergency care setting" may include a
13location, that is not a health care facility, which utilizes
14EMS personnel to render pre-hospital emergency care prior to
15the arrival of a transport vehicle. The location shall include
16communication equipment and all of the portable equipment and
17drugs appropriate for the EMR, EMT, EMT-I, A-EMT, or
18Paramedic's level of care, as required by this Act, rules
19adopted by the Department pursuant to this Act, and the
20protocols of the EMS Systems, and shall operate only with the
21approval and under the direction of the EMS Medical Director.
22    This Section shall not prohibit an EMR, EMT, EMT-I, A-EMT,
23PHRN, PHAPRN, PHPA, or Paramedic from practicing within an
24emergency department or other health care setting for the
25purpose of receiving continuing education or training approved
26by the EMS Medical Director. This Section shall also not

 

 

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1prohibit an EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or
2Paramedic from seeking credentials other than his or her EMT,
3EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic license and
4utilizing such credentials to work in emergency departments or
5other health care settings under the jurisdiction of that
6employer.
7    (c) An EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic
8may honor Do Not Resuscitate (DNR) orders and powers of
9attorney for health care only in accordance with rules adopted
10by the Department pursuant to this Act and protocols of the EMS
11System in which he or she practices.
12    (d) A student enrolled in a Department approved EMS
13personnel program, while fulfilling the clinical training and
14in-field supervised experience requirements mandated for
15licensure or approval by the System and the Department, may
16perform prescribed procedures under the direct supervision of
17a physician licensed to practice medicine in all of its
18branches, a qualified registered professional nurse, or
19qualified EMS personnel, only when authorized by the EMS
20Medical Director.
21    (e) An EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or
22Paramedic may transport a police dog injured in the line of
23duty to a veterinary clinic or similar facility if there are no
24persons requiring medical attention or transport at that time.
25For the purposes of this subsection, "police dog" means a dog
26owned or used by a law enforcement department or agency in the

 

 

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1course of the department or agency's work, including a search
2and rescue dog, service dog, accelerant detection canine, or
3other dog that is in use by a county, municipal, or State law
4enforcement agency.
5    (f) Nothing in this Act shall be construed to prohibit an
6EMT, EMT-I, A-EMT, Paramedic, or PHRN from completing an
7initial Occupational Safety and Health Administration
8Respirator Medical Evaluation Questionnaire on behalf of fire
9service personnel, as permitted by his or her EMS System
10Medical Director.
11    (g) A member of a fire department's or fire protection
12district's collective bargaining unit shall be eligible to
13work under a silver spanner program for another EMS System's
14fire department or fire protection district that is not the
15full-time employer of that member, for a period not to exceed 2
16weeks, if the member: (1) is under the direct supervision of
17another licensed individual operating at the same or higher
18licensure level as the member; (2) made a written request to
19the EMS System's Medical Director for approval to work under
20the silver spanner program, which shall be approved or denied
21within 24 hours after the EMS System's Medical Director
22received the request; and (3) tests into the EMS System based
23upon appropriate standards as outlined in the EMS System
24Program Plan. The EMS System within which the member is
25seeking to join must make all required testing available to
26the member within 2 weeks of the written request. Failure to do

 

 

HB1595 Enrolled- 22 -LRB103 06018 CPF 51045 b

1so by the EMS System shall allow the member to continue working
2under a silver spanner program until all required testing
3becomes available.
4(Source: P.A. 102-79, eff. 1-1-22.)