LRB-0116/2
TJD:amn/wlj/kjf/emw
2017 - 2018 LEGISLATURE
March 17, 2017 - Introduced by Representatives Loudenbeck, Shankland,
Anderson, Berceau, Bernier, Bowen, E. Brooks, Considine, Felzkowski,
Kerkman, Kremer, Kulp, Meyers, Murphy, Mursau, Novak, Quinn, Ripp,
Rohrkaste, Sinicki, Snyder, Tauchen, C. Taylor, Tittl, Vruwink, Wachs and
Brandtjen, cosponsored by Senators Moulton, Bewley, Carpenter, Cowles,
Feyen, Hansen, Miller, Olsen, Petrowski, Ringhand, L. Taylor, Vinehout
and Wirch. Referred to Committee on Health.
AB151,1,5 1An Act to amend 256.01 (3) and 256.12 (2) (a); and to create 256.04 (10), 256.15
2(6p), 256.205, 256.21 and 256.215 of the statutes; relating to: community
3paramedics, community emergency medical technicians, community
4emergency medical services providers, and services provided by emergency
5medical technicians.
Analysis by the Legislative Reference Bureau
This bill creates an approval process for community paramedics, community
emergency medical technicians, and community emergency medical services
providers. The bill also specifies that an emergency medical technician who is acting
upon a delegation by a health care provider does not violate the actions authorized
by the Department of Health Services for emergency services when performing
actions in accordance with the delegation.
The bill establishes criteria for an approval as a community paramedic or
community emergency medical technician, including completion of a training
program approved by DHS. An individual may provide services as a community
paramedic or community emergency medical technician only if he or she is a
volunteer for or an employee of an ambulance service provider or nontransporting
emergency medical technician provider that has approval as a community
emergency medical services provider or if he or she is an employee of or under
contract with a hospital, clinic, or physician. A community paramedic or community
emergency medical technician is required to follow any protocols and supervisory

standards established by DHS or by a medical director. A community paramedic or
community emergency medical technician may perform services 1) for which he or
she is trained under the training program; 2) that are not duplicative of services
already being provided to a patient; and 3) that are either approved by the hospital,
clinic, or physician for which he or she is an employee or contractor or that are
incorporated in the patient care protocol submitted by the community emergency
medical services provider.
The bill also establishes criteria for ambulance service providers and
nontransporting emergency medical technician providers to be approved as
community emergency medical services providers including establishing,
submitting to DHS, and maintaining patient care protocols for use by community
paramedics or community emergency medical technicians and providing a list of
each community paramedic or community emergency medical technician of the
community emergency medical services provider. A community emergency medical
services provider may include in its patient care protocols only those services that
do not require a license, certificate, or other credential from any of the following
examining boards: medical; physical or occupational therapy; podiatry; nursing;
chiropractic; dentistry; optometry; pharmacy; psychology; marriage and family
therapy, professional counseling, and social work; or hearing and speech or as an
acupuncturist.
For further information see the state and local fiscal estimate, which will be
printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB151,1 1Section 1. 256.01 (3) of the statutes is amended to read:
AB151,2,42 256.01 (3) “Ambulance service provider" means a person engaged primarily in
3the business of transporting sick, disabled, or injured individuals by ambulance to
4or from facilities or institutions providing health services.
AB151,2 5Section 2. 256.04 (10) of the statutes is created to read:
AB151,2,76 256.04 (10) Prepare recommendations on training and approval qualifications
7for community paramedics and community emergency medical technicians.
AB151,3 8Section 3. 256.12 (2) (a) of the statutes is amended to read:
AB151,3,209 256.12 (2) (a) Any county, city, town, village, hospital, ambulance service
10provider,
or combination thereof may, after submission of a plan approved by the

1department, conduct an emergency medical services program using emergency
2medical technicians — paramedics for the delivery of emergency medical care to sick,
3disabled, or injured individuals at the scene of an emergency and during transport
4to a hospital, while in the hospital emergency department until responsibility for
5care is assumed by the regular hospital staff, and during transfer of a patient
6between health care facilities. An ambulance service provider may, after submission
7of a plan approved by the department, conduct an emergency medical services
8program using emergency medical technicians — paramedics for the delivery of
9emergency medical care to sick, disabled, or injured individuals during transfer of
10the individuals between health care facilities. Nothing in this section prohibits an
11emergency medical services program from using community paramedics and
12community emergency medical technicians for services described in ss. 256.205 (6)
13and 256.21 (6) or from providing nonemergency services in accordance with sub. (6p).

14Nothing in this section shall be construed to prohibit the operation of fire
15department, police department, for-profit ambulance service provider , or other
16emergency vehicles using the services of emergency medical technicians —
17paramedics in conjunction with a program approved by the department. Hospitals
18that offer approved training courses for emergency medical technicians —
19paramedics should, if feasible, serve as the base of operation for approved programs
20using emergency medical technicians — paramedics.
AB151,4 21Section 4. 256.15 (6p) of the statutes is created to read:
AB151,3,2522 256.15 (6p) Delegation from a health care provider. An emergency medical
23technician who is acting upon a delegation by a health care provider does not violate
24the actions authorized for emergency services under sub. (6n) for actions taken in
25accordance with that delegation.
AB151,5
1Section 5. 256.205 of the statutes is created to read:
AB151,4,4 2256.205 Community paramedics. (1) Definition. In this section,
3“community paramedic" means an individual who has obtained an approval issued
4under sub. (2).
AB151,4,9 5(2) Departmental approval. No person may use the title “community
6paramedic" unless he or she obtains an approval from the department issued under
7this section to provide services as a community paramedic. To be eligible for an
8approval by the department as a community paramedic, an individual shall meet all
9of the following criteria:
AB151,4,1210 (a) The individual is licensed as an emergency medical technician —
11paramedic, that license is not suspended or revoked, and the individual is not the
12subject of an action under s. 256.15 (11).
AB151,4,1413 (b) The individual has the equivalent of 2 years of service as an emergency
14medical technician — paramedic.
AB151,4,1615 (c) The individual successfully completes a training program that has been
16approved by the department under sub. (3).
AB151,4,1817 (d) The individual submits an application for the approval on a form specified
18by the department.
AB151,4,2019 (e) The individual satisfies any other requirements established by the
20department.
AB151,4,24 21(3) Training program. The department shall, after consulting the board,
22approve training programs for community paramedics that include clinical
23experience, that provide flexibility in addressing local service needs, and that meet
24any other criteria established by the department.
AB151,5,4
1(4) Affiliation. A community paramedic may provide services under sub. (6)
2only if he or she is a volunteer for or an employee of a community emergency medical
3services provider, as defined in s. 256.215 (1) (a), or if he or she is an employee of or
4under contract with a hospital, clinic, or physician.
AB151,5,6 5(5) Requirements. (a) A community paramedic shall follow any protocols and
6supervisory standards established by the department or by a medical director.
AB151,5,97 (b) A community paramedic is subject to certification, disciplinary, complaint,
8and other regulatory requirements that apply to emergency medical technicians
9under s. 256.15.
AB151,5,16 10(6) Services provided. Notwithstanding the actions authorized for emergency
11services under s. 256.15 (6n), a community paramedic may provide services for which
12he or she is trained under a training program approved by the department under sub.
13(3), that are not duplicative of services already being provided to a patient, and that
14are approved by the hospital, clinic, or physician for which the community paramedic
15is an employee or contractor or are incorporated in the patient care protocols under
16s. 256.215 (2) (b).
AB151,6 17Section 6. 256.21 of the statutes is created to read:
AB151,5,20 18256.21 Community emergency medical technicians. (1) Definition. In
19this section, “community emergency medical technician" means an individual who
20has obtained an approval issued under sub. (2).
AB151,5,25 21(2) Departmental approval. No person may use the title “community
22emergency medical technician" unless he or she obtains an approval from the
23department issued under this section to provide services as a community emergency
24medical technician. To be eligible for an approval by the department as a community
25emergency medical technician, an individual shall meet all of the following criteria:
AB151,6,3
1(a) The individual is licensed as an emergency medical technician of any level,
2that license is not suspended or revoked, and the individual is not the subject of an
3action under s. 256.15 (11).
AB151,6,54 (b) The individual has the equivalent of 2 years of service as an emergency
5medical technician at any level.
AB151,6,76 (c) The individual successfully completes a training program that has been
7approved by the department under sub. (3).
AB151,6,98 (d) The individual submits an application for the approval on a form specified
9by the department.
AB151,6,1110 (e) The individual satisfies any other requirements established by the
11department.
AB151,6,15 12(3) Training program. The department shall, after consulting the board,
13approve training programs for community emergency medical technicians that
14include clinical experience, that provide flexibility in addressing local service needs,
15and that meet any other criteria established by the department.
AB151,6,19 16(4) Affiliation. A community emergency medical technician may provide
17services under sub. (6) only if he or she is a volunteer for or an employee of a
18community emergency medical services provider, as defined in s. 256.215 (1) (a), or
19if he or she is an employee of or under contract with a hospital, clinic, or physician.
AB151,6,22 20(5) Requirements. (a) A community emergency medical technician shall follow
21any protocols and supervisory standards established by the department or by a
22medical director.
AB151,6,2523 (b) A community emergency medical technician is subject to certification,
24disciplinary, complaint, and other regulatory requirements that apply to emergency
25medical technicians under s. 256.15.
AB151,7,7
1(6) Services provided. Notwithstanding the actions authorized for emergency
2services under s. 256.15 (6n), a community emergency medical technician may
3provide services for which he or she is trained under a training program approved
4by the department under sub. (3), that are not duplicative of services already being
5provided to a patient, and that are approved by the hospital, clinic, or physician for
6which the community emergency medical technician is an employee or contractor or
7are incorporated in the patient care protocols under s. 256.215 (2) (b).
AB151,7 8Section 7. 256.215 of the statutes is created to read:
AB151,7,10 9256.215 Providers of community emergency medical services. (1)
10Definitions. In this section:
AB151,7,1311 (a) “Community emergency medical services provider” means an emergency
12medical services provider that has approval from the department for its personnel
13to provide community emergency medical services under sub. (2).
AB151,7,1514 (b) “Community emergency medical technician” has the meaning given under
15s. 256.21 (1).
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