HB5085 EngrossedLRB103 38312 CES 68447 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, 3.35, and 3.65 as
6follows:
 
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 medical or mental health condition by a licensed
11health care professional utilizing a medical skill set while
12continuing assessment and care.
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. 103-521, eff. 1-1-24.)
 
19    (210 ILCS 50/3.35)
20    Sec. 3.35. Emergency Medical Services (EMS) Resource
21Hospital; Functions. The Resource Hospital of an EMS System
22shall:
23        (a) Prepare a Program Plan in accordance with the
24    provisions of this Act and minimum standards and criteria
25    established in rules adopted by the Department pursuant to

 

 

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1    this Act, and submit such Program Plan to the Department
2    for approval.
3        (b) Appoint an EMS Medical Director, who will
4    continually monitor and supervise the System and who will
5    have the responsibility and authority for total management
6    of the System as delegated by the EMS Resource Hospital.
7        The Program Plan shall require the EMS Medical
8    Director to appoint an alternate EMS Medical Director and
9    establish a written protocol addressing the functions to
10    be carried out in his or her absence.
11        (c) Appoint an EMS System Coordinator and EMS
12    Administrative Director in consultation with the EMS
13    Medical Director and in accordance with rules adopted by
14    the Department pursuant to this Act.
15        (d) Identify potential EMS System participants and
16    obtain commitments from them for the provision of
17    services.
18        (e) Educate or coordinate the education of EMS
19    personnel and all other license holders in accordance with
20    the requirements of this Act, rules adopted by the
21    Department pursuant to this Act, and the EMS System
22    Program Plan. An EMS System may coordinate education
23    outside of the region of which it is located with valid
24    justification and Department approval. The didactic
25    portion of education may be conducted through an online
26    platform with EMS System and Department approval. An

 

 

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1    education plan within a Resource Hospital may include
2    classes performed outside of the region in which the
3    Resource Hospital is located. When considering whether to
4    approve or deny an education plan for classes performed
5    outside of the region in which a Resource Hospital is
6    located, the Department shall give deference to the EMS
7    Medical Director's education plan request and shall not
8    unreasonably withhold approval.
9        (f) Notify the Department of EMS personnel who have
10    successfully completed the requirements as provided by law
11    for initial licensure, license renewal, and license
12    reinstatement by the Department.
13        (g) Educate or coordinate the education of Emergency
14    Medical Dispatcher candidates, in accordance with the
15    requirements of this Act, rules adopted by the Department
16    pursuant to this Act, and the EMS System Program Plan.
17        (h) Establish or approve protocols for prearrival
18    medical instructions to callers by System Emergency
19    Medical Dispatchers who provide such instructions.
20        (i) Educate or coordinate the education of
21    Pre-Hospital Registered Nurse, Pre-Hospital Advanced
22    Practice Registered Nurse, Pre-Hospital Physician
23    Assistant, and ECRN candidates, in accordance with the
24    requirements of this Act, rules adopted by the Department
25    pursuant to this Act, and the EMS System Program Plan.
26        (j) Approve Pre-Hospital Registered Nurse,

 

 

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1    Pre-Hospital Advanced Practice Registered Nurse,
2    Pre-Hospital Physician Assistant, and ECRN candidates to
3    practice within the System, and reapprove Pre-Hospital
4    Registered Nurses, Pre-Hospital Advanced Practice
5    Registered Nurses, Pre-Hospital Physician Assistants, and
6    ECRNs every 4 years in accordance with the requirements of
7    the Department and the System Program Plan.
8        (k) Establish protocols for the use of Pre-Hospital
9    Registered Nurses, Pre-Hospital Advanced Practice
10    Registered Nurses, and Pre-Hospital Physician Assistants
11    within the System.
12        (l) Establish protocols for utilizing ECRNs and
13    physicians licensed to practice medicine in all of its
14    branches to monitor telecommunications from, and give
15    voice orders to, EMS personnel, under the authority of the
16    EMS Medical Director.
17        (m) Monitor emergency and non-emergency medical
18    transports within the System, in accordance with rules
19    adopted by the Department pursuant to this Act.
20        (n) Utilize levels of personnel required by the
21    Department to provide emergency care to the sick and
22    injured at the scene of an emergency, during transport to
23    a hospital or during inter-hospital transport and within
24    the hospital emergency department until the responsibility
25    for the care of the patient is assumed by the medical
26    personnel of a hospital emergency department or other

 

 

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1    facility within the hospital to which the patient is first
2    delivered by System personnel.
3        (o) Utilize levels of personnel required by the
4    Department to provide non-emergency medical services
5    during transport to a health care facility and within the
6    health care facility until the responsibility for the care
7    of the patient is assumed by the medical personnel of the
8    health care facility to which the patient is delivered by
9    System personnel.
10        (p) Establish and implement a program for System
11    participant information and education, in accordance with
12    rules adopted by the Department pursuant to this Act.
13        (q) Establish and implement a program for public
14    information and education, in accordance with rules
15    adopted by the Department pursuant to this Act.
16        (r) Operate in compliance with the EMS Region Plan.
17(Source: P.A. 100-1082, eff. 8-24-19.)
 
18    (210 ILCS 50/3.65)
19    Sec. 3.65. EMS Lead Instructor.
20    (a) "EMS Lead Instructor" means a person who has
21successfully completed a course of education as approved by
22the Department, and who is currently approved by the
23Department to coordinate or teach education, training and
24continuing education courses, in accordance with standards
25prescribed by this Act and rules adopted by the Department

 

 

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1pursuant to this Act.
2    (b) The Department shall have the authority and
3responsibility to:
4        (1) Prescribe education requirements for EMS Lead
5    Instructor candidates through rules adopted pursuant to
6    this Act.
7        (2) Prescribe testing requirements for EMS Lead
8    Instructor candidates through rules adopted pursuant to
9    this Act.
10        (3) Charge each candidate for EMS Lead Instructor a
11    fee to be submitted with an application for an
12    examination, an application for licensure, and an
13    application for relicensure.
14        (4) Approve individuals as EMS Lead Instructors who
15    have met the Department's education and testing
16    requirements.
17        (5) Require that all education, training and
18    continuing education courses for EMT, EMT-I, A-EMT,
19    Paramedic, PHRN, PHPA, PHAPRN, ECRN, EMR, and Emergency
20    Medical Dispatcher be coordinated by at least one approved
21    EMS Lead Instructor. A program which includes education,
22    training or continuing education for more than one type of
23    personnel may use one EMS Lead Instructor to coordinate
24    the program, and a single EMS Lead Instructor may
25    simultaneously coordinate more than one program or course.
26    An EMS Lead Instructor may oversee a paramedic with at

 

 

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1    least 3 years of experience to teach EMT classes, with a
2    licensed teacher, in high schools. High school students
3    electing to not take the National Registry of Emergency
4    Medical Technicians (NREMT) Certification exam shall not
5    be accounted for in calculating the course pass rate by
6    the EMS System or Department.
7        (6) Provide standards and procedures for awarding EMS
8    Lead Instructor approval to persons previously approved by
9    the Department to coordinate such courses, based on
10    qualifications prescribed by the Department through rules
11    adopted pursuant to this Act.
12        (7) Suspend, revoke, or refuse to issue or renew the
13    approval of an EMS Lead Instructor, after an opportunity
14    for a hearing, when findings show one or more of the
15    following:
16            (A) The EMS Lead Instructor has failed to conduct
17        a course in accordance with the curriculum prescribed
18        by this Act and rules adopted by the Department
19        pursuant to this Act; or
20            (B) The EMS Lead Instructor has failed to comply
21        with protocols prescribed by the Department through
22        rules adopted pursuant to this Act.
23(Source: P.A. 100-1082, eff. 8-24-19.)