Rep. Ann M. Williams

Filed: 5/9/2023

 

 


 

 


 
10300HB1595ham002LRB103 06018 BMS 61309 a

1
AMENDMENT TO HOUSE BILL 1595

2    AMENDMENT NO. ______. Amend House Bill 1595 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Emergency Medical Services (EMS) Systems
5Act is amended by changing Sections 3.5, 3.25, 3.40, 3.45,
63.50, 3.55, and 3.125 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.

 

 

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1    "Emergency" means a medical condition of recent onset and
2severity that would lead a prudent layperson, possessing an
3average knowledge of medicine and health, to believe that
4urgent or unscheduled medical care is required.
5    "Emergency Medical Services personnel" or "EMS personnel"
6means persons licensed as an Emergency Medical Responder (EMR)
7(First Responder), Emergency Medical Dispatcher (EMD),
8Emergency Medical Technician (EMT), Emergency Medical
9Technician-Intermediate (EMT-I), Advanced Emergency Medical
10Technician (A-EMT), Paramedic (EMT-P), Emergency
11Communications Registered Nurse (ECRN), Pre-Hospital
12Registered Nurse (PHRN), Pre-Hospital Advanced Practice
13Registered Nurse (PHAPRN), or Pre-Hospital Physician Assistant
14(PHPA).
15    "Exclusive representative" has the same meaning as defined
16in Section 3 of the Illinois Public Labor Relations Act.
17    "Health care facility" means a hospital, nursing home,
18physician's office or other fixed location at which medical
19and health care services are performed. It does not include
20"pre-hospital emergency care settings" which utilize EMS
21personnel to render pre-hospital emergency care prior to the
22arrival of a transport vehicle, as defined in this Act.
23    "Hospital" has the meaning ascribed to that term in the
24Hospital Licensing Act.
25    "Labor organization" has the same meaning as defined in
26Section 3 of the Illinois Public Labor Relations Act.

 

 

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1    "Medical monitoring" means the performance of medical
2tests and physical exams to evaluate an individual's ongoing
3exposure to a factor that could negatively impact that
4person's health. "Medical monitoring" includes close
5surveillance or supervision of patients liable to suffer
6deterioration in physical or mental health and checks of
7various parameters such as pulse rate, temperature,
8respiration rate, the condition of the pupils, the level of
9consciousness and awareness, the degree of appreciation of
10pain, and blood gas concentrations such as oxygen and carbon
11dioxide.
12    "Silver spanner program" means a program in which a member
13under a fire department's or fire protection district's
14collective bargaining agreement works on or at the EMS System
15under another fire department's or fire protection district's
16collective bargaining agreement and (i) the other fire
17department or fire protection district is not the member's
18full-time employer and (ii) any EMS services not included
19under the original fire department's or fire protection
20district's collective bargaining agreement are included in the
21other fire department's or fire protection district's
22collective bargaining agreement.
23    "Trauma" means any significant injury which involves
24single or multiple organ systems.
25(Source: P.A. 100-1082, eff. 8-24-19; 101-81, eff. 7-12-19.)
 

 

 

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1    (210 ILCS 50/3.25)
2    Sec. 3.25. EMS Region Plan; Development.
3    (a) Within 6 months after designation of an EMS Region, an
4EMS Region Plan addressing at least the information prescribed
5in Section 3.30 shall be submitted to the Department for
6approval. The Plan shall be developed by the Region's EMS
7Medical Directors Committee with advice from the Regional EMS
8Advisory Committee; portions of the plan concerning trauma
9shall be developed jointly with the Region's Trauma Center
10Medical Directors or Trauma Center Medical Directors
11Committee, whichever is applicable, with advice from the
12Regional Trauma Advisory Committee, if such Advisory Committee
13has been established in the Region. Portions of the Plan
14concerning stroke shall be developed jointly with the Regional
15Stroke Advisory Subcommittee.
16        (1) A Region's EMS Medical Directors Committee shall
17    be comprised of the Region's EMS Medical Directors, along
18    with the medical advisor to a fire department vehicle
19    service provider. For regions which include a municipal
20    fire department serving a population of over 2,000,000
21    people, that fire department's medical advisor shall serve
22    on the Committee. For other regions, the fire department
23    vehicle service providers shall select which medical
24    advisor to serve on the Committee on an annual basis.
25        (2) A Region's Trauma Center Medical Directors
26    Committee shall be comprised of the Region's Trauma Center

 

 

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1    Medical Directors.
2    (b) A Region's Trauma Center Medical Directors may choose
3to participate in the development of the EMS Region Plan
4through membership on the Regional EMS Advisory Committee,
5rather than through a separate Trauma Center Medical Directors
6Committee. If that option is selected, the Region's Trauma
7Center Medical Director shall also determine whether a
8separate Regional Trauma Advisory Committee is necessary for
9the Region.
10    (c) In the event of disputes over content of the Plan
11between the Region's EMS Medical Directors Committee and the
12Region's Trauma Center Medical Directors or Trauma Center
13Medical Directors Committee, whichever is applicable, the
14Director of the Illinois Department of Public Health shall
15intervene through a mechanism established by the Department
16through rules adopted pursuant to this Act. An individual
17interviewed or investigated by an EMS Medical Director or the
18Department shall have the right to a union representative and
19legal counsel of the individual's choosing present at any
20interview or investigation. The union representative must
21comply with any confidentiality requirements and requirements
22for the protection of any patient information presented during
23the proceeding.
24    (d) "Regional EMS Advisory Committee" means a committee
25formed within an Emergency Medical Services (EMS) Region to
26advise the Region's EMS Medical Directors Committee and to

 

 

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1select the Region's representative to the State Emergency
2Medical Services Advisory Council, consisting of at least the
3members of the Region's EMS Medical Directors Committee, the
4Chair of the Regional Trauma Committee, the EMS System
5Coordinators from each Resource Hospital within the Region,
6one administrative representative from an Associate Hospital
7within the Region, one administrative representative from a
8Participating Hospital within the Region, one administrative
9representative from the vehicle service provider which
10responds to the highest number of calls for emergency service
11within the Region, one representative from the vehicle service
12provider that responds to the highest number of calls for
13non-emergency services within the Region, one representative
14from the labor organization recognized as the exclusive
15representative of employees of the vehicle service provider
16that responds to the highest number of calls for non-emergency
17services within the Region, if applicable, one administrative
18representative of a vehicle service provider from each System
19within the Region, one representative from a labor
20organization recognized as the exclusive representative of a
21vehicle service provider's employees in each System and
22selected by a statewide organization of such labor
23organizations, one individual from each level of license
24provided in Section 3.50 of this Act, one Pre-Hospital
25Registered Nurse practicing within the Region, and one
26registered professional nurse currently practicing in an

 

 

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

 

 

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1Nurse Specialist (TNS) currently practicing in a trauma
2center. The Department's Regional EMS Coordinator for each
3Region shall serve as a non-voting member of that Region's
4Trauma Advisory Committee.
5    Every 2 years, the members of the Trauma Center Medical
6Directors Committee shall rotate serving as Committee Chair,
7and select the vehicle service providers, EMS personnel,
8emergency physician, EMS System Coordinator and TNS who shall
9serve on the Advisory Committee.
10(Source: P.A. 98-973, eff. 8-15-14.)
 
11    (210 ILCS 50/3.40)
12    Sec. 3.40. EMS System Participation Suspensions and Due
13Process.
14    (a) An EMS Medical Director may suspend from participation
15within the System any EMS personnel, EMS Lead Instructor (LI),
16individual, individual provider or other participant
17considered not to be meeting the requirements of the Program
18Plan of that approved EMS System. An EMS Medical Director must
19submit a suspension order to the Department describing which
20requirements of the Program Plan were not met and the
21suspension's duration. The Department shall review and confirm
22receipt of the suspension order, request additional
23information, or initiate an investigation. The Department
24shall incorporate the duration of that suspension into any
25further action taken by the Department to suspend, revoke, or

 

 

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1refuse to issue or renew the license of the individual or
2entity for any violation of this Act or the Program Plan
3arising from the same conduct for which the suspension order
4was issued if the suspended party has neither requested a
5Department hearing on the suspension nor worked as a provider
6in any other System during the term of the suspension.
7    (b) Prior to suspending any individual or entity, an EMS
8Medical Director shall provide an opportunity for a hearing
9before the local System review board in accordance with
10subsection (f) and the rules promulgated by the Department.
11        (1) If the local System review board affirms or
12    modifies the EMS Medical Director's suspension order, the
13    individual or entity shall have the opportunity for a
14    review of the local board's decision by the State EMS
15    Disciplinary Review Board, pursuant to Section 3.45 of
16    this Act.
17        (2) If the local System review board reverses or
18    modifies the EMS Medical Director's order, the EMS Medical
19    Director shall have the opportunity for a review of the
20    local board's decision by the State EMS Disciplinary
21    Review Board, pursuant to Section 3.45 of this Act.
22        (3) The suspension shall commence only upon the
23    occurrence of one of the following:
24            (A) the individual or entity has waived the
25        opportunity for a hearing before the local System
26        review board; or

 

 

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

 

 

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

 

 

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1    this Act, or whether the suspension should continue during
2    the course of that hearing or review. The Director or the
3    Director's designee shall issue this determination to the
4    EMS Medical Director, who shall immediately notify the
5    suspended individual or entity. The suspension shall
6    remain in effect during this period of review by the
7    Director or the Director's designee.
8    (e) (d) Upon issuance of a suspension order for reasons
9directly related to medical care, the EMS Medical Director
10shall also provide the individual or entity with the
11opportunity for a hearing before the local System review
12board, in accordance with subsection (f) and the rules
13promulgated by the Department.
14        (1) If the local System review board affirms or
15    modifies the EMS Medical Director's suspension order, the
16    individual or entity shall have the opportunity for a
17    review of the local board's decision by the State EMS
18    Disciplinary Review Board, pursuant to Section 3.45 of
19    this Act.
20        (2) If the local System review board reverses or
21    modifies the EMS Medical Director's suspension order, the
22    EMS Medical Director shall have the opportunity for a
23    review of the local board's decision by the State EMS
24    Disciplinary Review Board, pursuant to Section 3.45 of
25    this Act.
26        (3) The suspended individual or entity may elect to

 

 

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1    bypass the local System review board and seek direct
2    review of the EMS Medical Director's suspension order by
3    the State EMS Disciplinary Review Board.
4    (f) (e) The Resource Hospital shall designate a local
5System review board in accordance with the rules of the
6Department, for the purpose of providing a hearing to any
7individual or entity participating within the System who is
8suspended from participation by the EMS Medical Director. The
9EMS Medical Director shall arrange for a certified shorthand
10reporter to make a stenographic record of that hearing and
11thereafter prepare a transcript of the proceedings. The EMS
12Medical Director shall inform the individual of the
13individual's right to have a union representative and legal
14counsel of the individual's choosing present at any interview.
15The union representative must comply with any confidentiality
16requirements and requirements for the protection of any
17patient information presented during the proceeding. The
18transcript, all documents or materials received as evidence
19during the hearing and the local System review board's written
20decision shall be retained in the custody of the EMS system.
21The System shall implement a decision of the local System
22review board unless that decision has been appealed to the
23State Emergency Medical Services Disciplinary Review Board in
24accordance with this Act and the rules of the Department.
25    (g) (f) The Resource Hospital shall implement a decision
26of the State Emergency Medical Services Disciplinary Review

 

 

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1Board which has been rendered in accordance with this Act and
2the rules of the Department.
3(Source: P.A. 100-201, eff. 8-18-17; 100-1082, eff. 8-24-19.)
 
4    (210 ILCS 50/3.45)
5    Sec. 3.45. State Emergency Medical Services Disciplinary
6Review Board.
7    (a) The Governor shall appoint a State Emergency Medical
8Services Disciplinary Review Board, composed of an EMS Medical
9Director, an EMS System Coordinator, a Paramedic, an Emergency
10Medical Technician (EMT), and the following members, who shall
11only review cases in which a party is from the same
12professional category: a Pre-Hospital Registered Nurse, a
13Pre-Hospital Advanced Practice Registered Nurse, a
14Pre-Hospital Physician Assistant, an ECRN, a Trauma Nurse
15Specialist, an Emergency Medical Technician-Intermediate
16(EMT-I), an Advanced Emergency Medical Technician (A-EMT), a
17representative from a private vehicle service provider, a
18representative from a public vehicle service provider, and an
19emergency physician who monitors telecommunications from and
20gives voice orders to EMS personnel. The Governor shall also
21appoint one alternate for each member of the Board, from the
22same professional category as the member of the Board.
23    (b) The members shall be appointed for a term of 3 years.
24All appointees shall serve until their successors are
25appointed. The alternate members shall be appointed and serve

 

 

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1in the same fashion as the members of the Board. If a member
2resigns his or her appointment, the corresponding alternate
3shall serve the remainder of that member's term until a
4subsequent member is appointed by the Governor.
5    (c) The function of the Board is to review and affirm,
6reverse or modify disciplinary orders.
7    (d) Any individual or entity, who received an immediate
8suspension from an EMS Medical Director may request the Board
9to reverse or modify the suspension order. If the suspension
10had been affirmed or modified by a local System review board,
11the suspended individual or entity may request the Board to
12reverse or modify the local board's decision.
13    (e) Any individual or entity who received a non-immediate
14suspension order from an EMS Medical Director which was
15affirmed or modified by a local System review board may
16request the Board to reverse or modify the local board's
17decision. The individual shall be informed of the individual's
18right to have one representative from the labor organization
19recognized as the exclusive representative of that
20individual's bargaining unit present and a legal
21representative present during the State Emergency Medical
22Services Disciplinary Review Board proceedings during open
23session. The labor organization's representative must also
24comply with all confidentiality requirements and requirements
25for the protection of any patient information presented during
26the proceeding.

 

 

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

 

 

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1days prior to a scheduled meeting shall be considered at the
2Board's next scheduled meeting, except that requests for
3direct review of an immediate suspension order may be
4scheduled up to 3 working days prior to the Board's meeting
5date.
6    (j) A quorum shall be required for the Board to meet, which
7shall consist of 3 members or alternates, including the EMS
8Medical Director or alternate and the member or alternate from
9the same professional category as the subject of the
10suspension order. At each meeting of the Board, the members or
11alternates present shall select a Chairperson to conduct the
12meeting.
13    (k) Deliberations for decisions of the State EMS
14Disciplinary Review Board shall be conducted in closed
15session. Department staff may attend for the purpose of
16providing clerical assistance, but no other persons may be in
17attendance except for the parties to the dispute being
18reviewed by the Board and their attorneys, unless by request
19of the Board.
20    (l) The Board shall review the transcript, evidence, and
21written decision of the local review board, or the written
22decision and supporting documentation of the EMS Medical
23Director, whichever is applicable, along with any additional
24written or verbal testimony or argument offered by the parties
25to the dispute.
26    (m) At the conclusion of its review, the Board shall issue

 

 

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1its decision and the basis for its decision on a form provided
2by the Department, and shall submit to the Department its
3written decision together with the record of the local System
4review board. The Department shall promptly issue a copy of
5the Board's decision to all affected parties. The Board's
6decision shall be binding on all parties.
7(Source: P.A. 100-1082, eff. 8-24-19.)
 
8    (210 ILCS 50/3.55)
9    Sec. 3.55. Scope of practice.
10    (a) Any person currently licensed as an EMR, EMT, EMT-I,
11A-EMT, PHRN, PHAPRN, PHPA, or Paramedic may perform emergency
12and non-emergency medical services as defined in this Act, in
13accordance with his or her level of education, training and
14licensure, the standards of performance and conduct prescribed
15by the Department in rules adopted pursuant to this Act, and
16the requirements of the EMS System in which he or she
17practices, as contained in the approved Program Plan for that
18System. The Director may, by written order, temporarily modify
19individual scopes of practice in response to public health
20emergencies for periods not exceeding 180 days.
21    (a-5) EMS personnel who have successfully completed a
22Department approved course in automated defibrillator
23operation and who are functioning within a Department approved
24EMS System may utilize such automated defibrillator according
25to the standards of performance and conduct prescribed by the

 

 

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

 

 

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1protocols of the EMS Systems, and shall operate only with the
2approval and under the direction of the EMS Medical Director.
3    This Section shall not prohibit an EMR, EMT, EMT-I, A-EMT,
4PHRN, PHAPRN, PHPA, or Paramedic from practicing within an
5emergency department or other health care setting for the
6purpose of receiving continuing education or training approved
7by the EMS Medical Director. This Section shall also not
8prohibit an EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or
9Paramedic from seeking credentials other than his or her EMT,
10EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic license and
11utilizing such credentials to work in emergency departments or
12other health care settings under the jurisdiction of that
13employer.
14    (c) An EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic
15may honor Do Not Resuscitate (DNR) orders and powers of
16attorney for health care only in accordance with rules adopted
17by the Department pursuant to this Act and protocols of the EMS
18System in which he or she practices.
19    (d) A student enrolled in a Department approved EMS
20personnel program, while fulfilling the clinical training and
21in-field supervised experience requirements mandated for
22licensure or approval by the System and the Department, may
23perform prescribed procedures under the direct supervision of
24a physician licensed to practice medicine in all of its
25branches, a qualified registered professional nurse, or
26qualified EMS personnel, only when authorized by the EMS

 

 

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1Medical Director.
2    (e) An EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or
3Paramedic may transport a police dog injured in the line of
4duty to a veterinary clinic or similar facility if there are no
5persons requiring medical attention or transport at that time.
6For the purposes of this subsection, "police dog" means a dog
7owned or used by a law enforcement department or agency in the
8course of the department or agency's work, including a search
9and rescue dog, service dog, accelerant detection canine, or
10other dog that is in use by a county, municipal, or State law
11enforcement agency.
12    (f) Nothing in this Act shall be construed to prohibit an
13EMT, EMT-I, A-EMT, Paramedic, or PHRN from completing an
14initial Occupational Safety and Health Administration
15Respirator Medical Evaluation Questionnaire on behalf of fire
16service personnel, as permitted by his or her EMS System
17Medical Director.
18    (g) A member of a fire department's or fire protection
19district's collective bargaining unit shall be eligible to
20work under a silver spanner program for another EMS System's
21fire department or fire protection district that is not the
22full-time employer of that member, for a period not to exceed 2
23weeks, if the member: (1) is under the direct supervision of
24another licensed individual operating at the same or higher
25licensure level as the member; (2) made a written request to
26the EMS System's Medical Director for approval to work under

 

 

10300HB1595ham002- 22 -LRB103 06018 BMS 61309 a

1the silver spanner program, which shall be approved or denied
2within 24 hours after the EMS System's Medical Director
3received the request; and (3) tests into the EMS System based
4upon appropriate standards as outlined in the EMS System
5Program Plan. The EMS System within which the member is
6seeking to join must make all required testing available to
7the member within 2 weeks of the written request. Failure to do
8so by the EMS System shall allow the member to continue working
9under a silver spanner program until all required testing
10becomes available.
11(Source: P.A. 102-79, eff. 1-1-22.)".