AB59,64 16Section 64. 154.17 (3) of the statutes is amended to read:
AB59,23,1817 154.17 (3) “Emergency medical technician services practitioner" has the
18meaning given under s. 256.01 (5).
AB59,65 19Section 65. 154.17 (3m) of the statutes is renumbered 154.17 (2r) and
20amended to read:
AB59,23,2221 154.17 (2r)First Emergency medical responder" has the meaning given under
22s. 256.01 (9) (4p).
AB59,66 23Section 66. 154.19 (3) (a) of the statutes is amended to read:
AB59,24,424 154.19 (3) (a) Except as provided in par. (b), emergency medical technicians,
25first
services practitioners, as defined in s. 256.01 (5), emergency medical

1responders, as defined in s. 256.01 (4p), and emergency health care facilities
2personnel shall follow do-not-resuscitate orders. The procedures used in following
3a do-not-resuscitate order shall be in accordance with any procedures established
4by the department by rule.
AB59,67 5Section 67. 154.19 (3) (b) 3. of the statutes is amended to read:
AB59,24,86 154.19 (3) (b) 3. The emergency medical technician, first services practitioner,
7emergency medical
responder or member of the emergency health care facility knows
8that the patient is pregnant.
AB59,68 9Section 68. 154.21 (1) (a) of the statutes is amended to read:
AB59,24,1510 154.21 (1) (a) The patient expresses to an emergency medical technician, first
11services practitioner, to an emergency medical responder, or to a person who serves
12as a member of an emergency health care facility's personnel the desire to be
13resuscitated. The emergency medical technician, first services practitioner,
14emergency medical
responder, or the member of the emergency health care facility
15shall promptly remove the do-not-resuscitate bracelet.
AB59,69 16Section 69. 154.225 (2) (a) of the statutes is amended to read:
AB59,24,2217 154.225 (2) (a) The guardian or health care agent directs an emergency medical
18technician, first services practitioner, an emergency medical responder, or a person
19who serves as a member of an emergency health care facility's personnel to
20resuscitate the patient. The emergency medical technician, first services
21practitioner, the emergency medical
responder, or the member of the emergency
22health care facility shall promptly remove the do-not-resuscitate bracelet.
AB59,70 23Section 70. 154.23 (intro.) of the statutes is amended to read:
AB59,25,2 24154.23 Liability. (intro.) No physician, emergency medical technician, first
25services practitioner, emergency medical responder, health care professional, or

1emergency health care facility may be held criminally or civilly liable, or charged
2with unprofessional conduct, for any of the following:
AB59,71 3Section 71. 154.25 (6) of the statutes is amended to read:
AB59,25,94 154.25 (6) Valid do-not-resuscitate bracelet. A do-not-resuscitate bracelet
5that has not been removed, altered, or tampered with in any way shall be presumed
6valid, unless the patient, the patient's guardian, or the patient's health care agent
7expresses to the emergency medical technician, first services practitioner,
8emergency medical
responder, or emergency health care facility personnel the
9patient's desire to be resuscitated.
AB59,72 10Section 72. 157.06 (12) (a) 1. of the statutes is amended to read:
AB59,25,1311 157.06 (12) (a) 1. A law enforcement officer, fire fighter, emergency medical
12technician, first services practitioner, emergency medical responder, or ambulance
13service provider.
AB59,73 14Section 73. 252.01 (1g) of the statutes is repealed and recreated to read:
AB59,25,1615 252.01 (1g) “Emergency medical responder" has the meaning given in s. 256.01
16(4p).
AB59,74 17Section 74. 252.14 (1) (ar) 13. of the statutes is amended to read:
AB59,25,1918 252.14 (1) (ar) 13. An emergency medical technician services practitioner
19licensed under s. 256.15 (5).
AB59,75 20Section 75. 252.14 (1) (ar) 15. of the statutes is amended to read:
AB59,25,2121 252.14 (1) (ar) 15. A first An emergency medical responder.
AB59,76 22Section 76. 252.15 (1) (af) of the statutes is amended to read:
AB59,25,2423 252.15 (1) (af) “Emergency medical technician services practitioner" has the
24meaning given in s. 256.01 (5).
AB59,77 25Section 77. 252.15 (5g) (a) 1. of the statutes is amended to read:
AB59,26,7
1252.15 (5g) (a) 1. The person is an emergency medical technician; first services
2practitioner; emergency medical
responder; fire fighter; peace officer; correctional
3officer; person who is employed at a juvenile correctional facility, as defined in s.
4938.02 (10p), or a secured residential care center for children and youth, as defined
5in s. 938.02 (15g); state patrol officer; jailer, keeper of a jail, or person designated with
6custodial authority by the jailer or keeper and the contact occurred during the course
7of the person providing care or services to the individual.
AB59,78 8Section 78. 255.35 (1m) (a) 1. of the statutes is amended to read:
AB59,26,129 255.35 (1m) (a) 1. Licensure as an emergency medical technician — basic,
10emergency medical technician, advanced emergency medical technician, emergency
11medical technician — intermediate or emergency medical technician — paramedic,
12or paramedic
under s. 256.15 (5) (a).
AB59,79 13Section 79. 256.01 (1) of the statutes is renumbered 256.01 (1t).
AB59,80 14Section 80. 256.01 (1k) of the statutes is created to read:
AB59,26,1615 256.01 (1k) “Advanced emergency medical technician” means an emergency
16medical services practitioner who has completed intermediate technician training.
AB59,81 17Section 81. 256.01 (5) of the statutes is amended to read:
AB59,26,2118 256.01 (5) “Emergency medical technician services practitioner" means an
19emergency medical technician — basic emergency medical technician, an advanced
20emergency medical technician
, an emergency medical technician — intermediate or
21an emergency medical technician — paramedic
, or a paramedic.
AB59,82 22Section 82. 256.01 (6) of the statutes is amended to read:
AB59,27,223 256.01 (6)Emergency medical technician — basic Emergency medical
24technician
" means an individual who is licensed by the department to administer

1basic life support and to properly handle and transport sick, disabled, or injured
2individuals or is exempt under s. 256.15 (2) (b) or (c).
AB59,83 3Section 83. 256.01 (8) of the statutes is renumbered 256.01 (14) and amended
4to read:
AB59,27,105 256.01 (14)Emergency medical technician — paramedic Paramedic" means
6an individual who is specially trained in emergency cardiac, trauma , and other
7lifesaving or emergency procedures in a training program or course of instruction
8prescribed by the department and who is examined and licensed as an emergency
9medical technician — paramedic
a paramedic under s. 256.15 (5) or is exempt under
10s. 256.15 (2) (b) or (c).
AB59,84 11Section 84. 256.01 (9) of the statutes is renumbered 256.01 (4p) and amended
12to read:
AB59,27,1813 256.01 (4p)First Emergency medical responder" means a person who is
14certified by the department as a first an emergency medical responder under s.
15256.15 (8) (a) or is exempt under s. 256.15 (2) (b) or (c) and who, as a condition of
16employment or as a member of an organization that provides emergency medical
17care before hospitalization, provides emergency medical care to a sick, disabled, or
18injured individual.
AB59,85 19Section 85. 256.01 (11) of the statutes is amended to read:
AB59,27,2420 256.01 (11) “Medical director" means a physician who trains, medically
21coordinates, directs, supervises, establishes standard operating procedures for, and
22designates physicians for direction and supervision of, emergency medical
23technicians services practitioners and who reviews the performance of emergency
24medical technicians services practitioners and ambulance service providers.
AB59,86 25Section 86. 256.04 (6) of the statutes is amended to read:
AB59,28,4
1256.04 (6) Seek involvement in its deliberations by ambulance service provider
2personnel, emergency medical technicians, first services practitioners, emergency
3medical
responders, persons who train emergency medical services personnel and
4other interested persons.
AB59,87 5Section 87. 256.08 (4) (c) of the statutes is amended to read:
AB59,28,96 256.08 (4) (c) Provide quality assurance in the emergency medical services
7system, including collecting and analyzing data relating to local and regional
8emergency medical services systems, ambulance service providers, first emergency
9medical
responders, and emergency medical technicians services practitioners.
AB59,88 10Section 88. 256.08 (4) (d) of the statutes is amended to read:
AB59,28,1411 256.08 (4) (d) Provide technical assistance to ambulance service providers, first
12emergency medical responders, and emergency medical technicians services
13practitioners
in developing plans, expanding services, and complying with
14applicable statutes and rules.
AB59,89 15Section 89. 256.08 (4) (e) of the statutes is amended to read:
AB59,28,1916 256.08 (4) (e) Set standards for all organizations that offer training to first
17emergency medical responders and emergency medical technicians services
18practitioners
on what topics should be included in initial training and continuing
19training.
AB59,90 20Section 90. 256.08 (4) (h) of the statutes is amended to read:
AB59,28,2521 256.08 (4) (h) Investigate complaints received regarding ambulance service
22providers, first emergency medical responders, emergency medical technicians
23services practitioners, and medical directors and take appropriate actions after first
24consulting with the board and the state medical director for emergency medical
25services.
AB59,91
1Section 91. 256.08 (4) (j) of the statutes is amended to read:
AB59,29,52 256.08 (4) (j) Consult at least annually with the technical college system board
3and the department of transportation on issues that affect ambulance service
4providers, first emergency medical responders, and emergency medical technicians
5services practitioners.
AB59,92 6Section 92. 256.12 (2) (a) of the statutes is amended to read:
AB59,29,257 256.12 (2) (a) Any county, city, town, village, hospital, or combination thereof
8may, after submission of a plan approved by the department, conduct an emergency
9medical services program using emergency medical technicians — paramedics
10services practitioners for the delivery of emergency medical care to sick, disabled, or
11injured individuals at the scene of an emergency and during transport to a hospital,
12while in the hospital emergency department until responsibility for care is assumed
13by the regular hospital staff, and during transfer of a patient between health care
14facilities. An ambulance service provider may, after submission of a plan approved
15by the department, conduct an emergency medical services program using
16emergency medical technicians — paramedics services practitioners for the delivery
17of emergency medical care to sick, disabled, or injured individuals during transfer
18of the individuals between health care facilities. Nothing in this section shall be
19construed to prohibit the operation of fire department, police department, for-profit
20ambulance service provider, or other emergency vehicles using the services of
21emergency medical technicians — paramedics services practitioners in conjunction
22with a program approved by the department. Hospitals that offer approved training
23courses for emergency medical technicians — paramedics services practitioners
24should, if feasible, serve as the base of operation for approved programs using
25emergency medical technicians — paramedics services practitioners.
AB59,93
1Section 93. 256.12 (2) (b) 1. of the statutes is amended to read:
AB59,30,42 256.12 (2) (b) 1. Provide administrative support and technical assistance to
3emergency medical services programs that use emergency medical technicians
4services practitioners or ambulance service providers.
AB59,94 5Section 94. 256.12 (2) (b) 3. of the statutes is amended to read:
AB59,30,76 256.12 (2) (b) 3. Assist the development of training for emergency medical
7technicians services practitioners.
AB59,95 8Section 95. 256.12 (5) (title) and (a) of the statutes are amended to read:
AB59,30,179 256.12 (5) (title) Emergency medical technician services practitioner
10training and examination aid.
(a) From the appropriation account under s. 20.435
11(1) (ch), the department shall annually distribute funds to ambulance service
12providers that are public agencies, volunteer fire departments, or nonprofit
13corporations to purchase the training required for licensure and renewal of licensure
14as an emergency medical technician — basic emergency medical technician under
15s. 256.15 (6), and to pay for administration of the examination required for licensure
16or renewal of licensure as an emergency medical technician — basic emergency
17medical technician
under s. 256.15 (6) (a) 3. and (b) 1.
AB59,96 18Section 96. 256.12 (7) of the statutes is amended to read:
AB59,30,2419 256.12 (7) Insurance. A physician who participates in an emergency medical
20services program under this section or as required under s. 256.15 shall purchase
21health care liability insurance in compliance with subch. III of ch. 655, except for
22those acts or omissions of a physician who, as a medical director, reviews the
23performance of emergency medical technicians services practitioners or ambulance
24service providers, as specified under s. 146.37 (1g).
AB59,97 25Section 97. 256.15 (1) (d) of the statutes is amended to read:
AB59,31,7
1256.15 (1) (d) “Basic life support" means emergency medical care that is
2rendered to a sick, disabled, or injured individual, based on signs, symptoms, or
3complaints, prior to the individual's hospitalization or while transporting the
4individual between health care facilities and that is limited to use of the knowledge,
5skills, and techniques received from training required for licensure as an emergency
6medical technician — basic
emergency medical technician, or for certification as a
7first
an emergency medical responder.
AB59,98 8Section 98. 256.15 (2) (a) of the statutes is amended to read:
AB59,31,199 256.15 (2) (a) Except when acting under s. 257.03 and except as provided in
10pars. (b) and (c), no person may act as or advertise for the provision of services as an
11ambulance service provider unless the person holds an ambulance service provider
12license issued under this section. Except when acting under s. 257.03 and except as
13provided in pars. (b) and (c), no individual may act as or advertise for the provision
14of services as an emergency medical technician services practitioner unless he or she
15holds an emergency medical technician services practitioner license or training
16permit issued under sub. (5). Except when acting under s. 257.03 and except as
17provided in pars. (b) and (c), no individual may act as or advertise for the provision
18of services as a first an emergency medical responder unless he or she holds a first
19an emergency medical responder certificate issued under sub. (8).
AB59,99 20Section 99. 256.15 (2) (b) of the statutes is amended to read:
AB59,32,621 256.15 (2) (b) An ambulance service provider licensed in another state that
22makes 10 or fewer patient transports per year that originate and terminate within
23this state is not required to hold an ambulance service provider license under this
24section. An emergency medical technician services practitioner licensed in or
25holding a training permit in another state who is involved in 10 or fewer patient

1transports per year that originate and terminate within this state is not required to
2hold an emergency medical technician services practitioner license or training
3permit under this section. A first An emergency medical responder certified in
4another state who provides emergency medical care to 10 or fewer patients per year
5within this state is not required to hold a first an emergency medical responder
6certificate under this section.
AB59,100 7Section 100. 256.15 (2) (c) of the statutes is amended to read:
AB59,32,118 256.15 (2) (c) Notwithstanding par. (a), a person may act as an ambulance
9service provider, emergency medical technician services practitioner, or first
10emergency medical responder without a license, training permit, or certificate
11described under par. (a) if all of the following apply:
AB59,32,1512 1. The person holds a valid license, training permit, certificate, or other
13credential allowing the person to act as an ambulance service provider, emergency
14medical technician services practitioner, or first emergency medical responder in
15another state.
AB59,32,2016 2. The person is acting in response to a request for mutual aid and responding
17from the state in which that person holds a license, training permit, certificate, or
18other credential allowing the person to act as an ambulance service provider,
19emergency medical technician services practitioner, or first emergency medical
20responder.
AB59,101 21Section 101. 256.15 (4) (a) 1. of the statutes is amended to read:
AB59,32,2422 256.15 (4) (a) 1. Any 2 emergency medical technicians services practitioners,
23licensed registered nurses, licensed physician assistants or physicians, or any
24combination thereof.
AB59,102 25Section 102. 256.15 (4) (a) 2. of the statutes is amended to read:
AB59,33,3
1256.15 (4) (a) 2. One emergency medical technician services practitioner plus
2one individual with a training permit issued under sub. (5) (b) or plus one first
3emergency medical responder, subject to par. (e).
AB59,103 4Section 103. 256.15 (4) (b) of the statutes is amended to read:
AB59,33,115 256.15 (4) (b) An ambulance driver who is not an emergency medical technician
6services practitioner may assist with the handling and movement of a sick, injured,
7or disabled individual if an emergency medical technician services practitioner,
8registered nurse, physician assistant, or physician directly supervises the driver. No
9ambulance driver may administer care procedures that an emergency medical
10technician services practitioner is authorized to administer unless he or she is an
11emergency medical technician services practitioner.
AB59,104 12Section 104. 256.15 (4) (c) of the statutes is amended to read:
AB59,33,1813 256.15 (4) (c) Notwithstanding par. (a) 1. and 2. and subject to pars. (d) and (e),
14the department may promulgate rules that establish standards for staffing of
15ambulances in which the primary services provided are those which an advanced
16emergency medical technician or
emergency medical technician — intermediate is
17authorized to provide or those which an emergency medical technician — paramedic
18a paramedic is authorized to provide.
AB59,105 19Section 105. 256.15 (4) (d) of the statutes is amended to read:
AB59,34,320 256.15 (4) (d) If an ambulance service provider that was initially licensed at
21the paramedic level in 1993 and is located in a municipality in Dodge and Jefferson
22counties has dispatched an ambulance containing 2 emergency medical technicians
23— paramedics
paramedics, the department shall allow that ambulance service
24provider to staff an ambulance at the paramedic level for a subsequent call with one
25emergency medical technician — paramedic paramedic and one emergency medical

1technician services practitioner of any level while the first ambulance containing 2
2emergency medical technicians — paramedics paramedics is occupied providing
3service.
AB59,106 4Section 106. 256.15 (4) (e) 1. of the statutes is amended to read:
AB59,34,155 256.15 (4) (e) 1. The department shall allow an ambulance service provider
6providing services at the emergency medical technician — basic emergency medical
7technician
level to staff an ambulance with at least one emergency medical
8technician — basic
emergency medical technician and one individual who is an
9emergency medical technician — basic emergency medical technician, an individual
10with an emergency medical technician — basic emergency medical technician
11training permit, or a first an emergency medical responder. An ambulance service
12provider providing services at the emergency medical technician — basic emergency
13medical technician
level shall require an emergency medical technician — basic
14emergency medical technician to be in the patient compartment of the ambulance
15during transport.
AB59,107 16Section 107. 256.15 (4) (e) 2. of the statutes is amended to read:
AB59,35,317 256.15 (4) (e) 2. The department shall allow an ambulance service provider
18providing services at the emergency medical technician — intermediate or
19emergency medical technician — intermediate technician advanced emergency
20medical technician
level to staff an ambulance with one emergency medical
21technician services practitioner at the level of the ambulance service and one
22individual who holds a credential at the first emergency medical responder level or
23higher. An ambulance service provider providing services at the emergency medical
24technician — intermediate or emergency medical technician — intermediate
25technician
advanced emergency medical technician level shall require the individual

1who holds the same level credential as the ambulance service to remain with the
2patient at all times during care and transport of the patient, if the patient requires
3that level of care.
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