Illinois General Assembly - Full Text of HB5828
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Full Text of HB5828  98th General Assembly


Rep. Donald L. Moffitt

Filed: 3/19/2014





09800HB5828ham001LRB098 17201 RPS 56752 a


2    AMENDMENT NO. ______. Amend House Bill 5828 by replacing
3everything after the enacting clause with the following:
4    "Section 5. The Emergency Medical Services (EMS) Systems
5Act is amended by changing Section 3.87 as follows:
6    (210 ILCS 50/3.87)
7    Sec. 3.87. Ambulance service provider and vehicle service
8provider upgrades; rural population.
9    (a) In this Section, "rural ambulance service provider"
10means an ambulance service provider licensed under this Act
11that serves a rural population of 7,500 or fewer inhabitants.
12    In this Section, "rural vehicle service provider" means an
13entity that serves a rural population of 7,500 or fewer
14inhabitants and is licensed by the Department to provide
15emergency or non-emergency medical services in compliance with
16this Act, the rules adopted by the Department pursuant to this



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1Act, and an operational plan approved by the entity's EMS
2System, utilizing at least an ambulance, alternate response
3vehicle as defined by the Department in rules, or specialized
4emergency medical services vehicle.
5    (b) A rural ambulance service provider or rural vehicle
6service provider may submit a proposal to the EMS System
7Medical Director requesting approval of either or both of the
9        (1) Rural ambulance service provider or rural vehicle
10    service provider in-field service level upgrade.
11            (A) An ambulance operated by a rural ambulance
12        service provider or an ambulance, specialized
13        emergency medical services vehicle, or alternate
14        response vehicle operated by a rural vehicle service
15        provider may be upgraded, as defined by the EMS System
16        Medical Director in a policy or procedure, as long as
17        the EMS System Medical Director and the Department have
18        approved the proposal, to the highest level of EMT
19        license (advanced life support/paramedic, intermediate
20        life support, or basic life support) held by any person
21        staffing that ambulance, specialized emergency medical
22        services vehicle, or alternate response vehicle. The
23        ambulance service provider's or rural vehicle service
24        provider's proposal for an upgrade must include all of
25        the following:
26                (i) The manner in which the provider will



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1            secure advanced life support equipment, supplies,
2            and medications.
3                (ii) The type of quality assurance the
4            provider will perform.
5                (iii) An assurance that the provider will
6            advertise only the level of care that can be
7            provided 24 hours a day.
8            (B) If a rural ambulance service provider or rural
9        vehicle service provider is approved to provide an
10        in-field service level upgrade based on the licensed
11        personnel on the vehicle, all the advanced life support
12        medical supplies, durable medical equipment, and
13        medications must be secured and locked with access by
14        only the personnel who have been authorized by the EMS
15        System Medical Director to utilize those supplies.
16            (C) The EMS System shall routinely perform quality
17        assurance, in compliance with the EMS System's quality
18        assurance plan approved by the Department, on in-field
19        service level upgrades authorized under this Section
20        to ensure compliance with the EMS System plan.
21        (2) Rural ambulance service provider or rural vehicle
22    service provider in-field service level upgrade. The EMS
23    System Medical Director may define what constitutes an
24    in-field service level upgrade through an EMS System policy
25    or procedure. An in-field service level upgrade may
26    include, but need not be limited to, an upgrade to a



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1    licensed ambulance, alternate response vehicle as defined
2    by the Department in rules, or specialized emergency
3    medical services vehicle.
4    (c) If the EMS System Medical Director approves a proposal
5for a rural in-field service level upgrade under this Section,
6he or she shall submit the proposal to the Department along
7with a statement of approval signed by him or her. Once the
8Department has approved the proposal, the rural ambulance
9service provider or rural vehicle service provider will be
10authorized to function at the highest level of EMT license
11(advanced life support/paramedic, intermediate life support,
12or basic life support) held by any person staffing the vehicle.
13(Source: P.A. 98-608, eff. 12-27-13.)
14    Section 99. Effective date. This Act takes effect upon
15becoming law.".