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.
AB59,108 4Section 108. 256.15 (4) (f) 2. a. of the statutes is amended to read:
AB59,35,75 256.15 (4) (f) 2. a. The ambulance service provider has undertaken efforts to
6recruit and train emergency medical technicians services practitioners capable of
7being licensed under this section.
AB59,109 8Section 109. 256.15 (4) (f) 2. b. of the statutes is amended to read:
AB59,35,119 256.15 (4) (f) 2. b. Despite efforts under subd. 2. a., licensed emergency medical
10technicians services practitioners are not available in sufficient numbers for staffing
11for the ambulance services provider.
AB59,110 12Section 110. 256.15 (4) (f) 2. c. of the statutes is amended to read:
AB59,35,1613 256.15 (4) (f) 2. c. Without a waiver under subd. 1., the municipality that the
14ambulance service provider serves is unable to meet staffing requirements for
15ambulances that require 2 emergency medical technicians services practitioners on
16every service call.
AB59,111 17Section 111. 256.15 (4) (f) 5. of the statutes is amended to read:
AB59,35,2018 256.15 (4) (f) 5. An ambulance service provider with a waiver under subd. 1.
19shall attempt to staff an ambulance with 2 licensed emergency medical technicians
20services practitioners whenever possible.
AB59,112 21Section 112. 256.15 (5) (title) of the statutes is amended to read:
AB59,35,2322 256.15 (5) (title) Licensing of ambulance service providers and emergency
23medical
technicians services practitioners; training permits.
AB59,113 24Section 113. 256.15 (5) (a) of the statutes is amended to read:
AB59,36,6
1256.15 (5) (a) Except as provided in ss. 256.17 and 256.18, the department shall
2license qualified applicants as ambulance service providers or emergency medical
3technicians services practitioners. The department shall, from the information on
4the certification form specified under sub. (6) (c) 2., establish in each ambulance
5service provider's biennial license the primary service or contract area of the
6ambulance service provider.
AB59,114 7Section 114. 256.15 (5) (d) 1. of the statutes is amended to read:
AB59,36,128 256.15 (5) (d) 1. If issued an emergency medical technician — basic emergency
9medical technician
training permit, he or she may perform the actions authorized
10under rules promulgated by the department for an emergency medical technician —
11basic
emergency medical technician, but only if an emergency medical technician
12services practitioner directly supervises him or her.
AB59,115 13Section 115. 256.15 (5) (d) 2m. of the statutes is created to read:
AB59,36,1714 256.15 (5) (d) 2m. If issued an advanced emergency medical technician training
15permit, he or she may perform the actions authorized under rules promulgated by
16the department for an advanced emergency medical technician, but only if a medical
17director or training instructor is present and giving direction.
AB59,116 18Section 116. 256.15 (5) (d) 3. of the statutes is amended to read:
AB59,36,2319 256.15 (5) (d) 3. If issued an emergency medical technician — paramedic a
20paramedic
training permit, he or she may perform the actions authorized under
21rules promulgated by the department for an emergency medical technician —
22paramedic
a paramedic, but only if a medical director or training instructor is
23present and giving direction.
AB59,117 24Section 117. 256.15 (5) (e) of the statutes is amended to read:
AB59,37,5
1256.15 (5) (e) A license or training permit issued under this subsection is
2nontransferable and is valid for the balance of the license or training permit period
3or until surrendered for cancellation or suspended or revoked for violation of this
4section or of any other statutes or rules relating to ambulance service providers or
5emergency medical technicians services practitioners.
AB59,118 6Section 118. 256.15 (5) (f) of the statutes is amended to read:
AB59,37,137 256.15 (5) (f) The department may charge a reasonable fee for a license or
8training permit issued under this subsection, except that no fee may be charged to
9an individual who is an employee of a public agency and who works for volunteer or
10paid-on-call ambulance service providers and who is an applicant for a license as an
11emergency medical technician — basic emergency medical technician or for a
12training permit, and no fee may be charged to an individual who is eligible for the
13veterans fee waiver program under s. 45.44.
AB59,119 14Section 119. 256.15 (5) (g) of the statutes is amended to read:
AB59,37,2015 256.15 (5) (g) Except as provided in ss. 256.17 and 256.18, an emergency
16medical technician services practitioner license shall be issued to the individual
17licensed, and the department may not impose a requirement that an individual be
18affiliated with an ambulance service provider in order to receive an emergency
19medical technician services practitioner license or to have an emergency medical
20technician services practitioner license renewed.
AB59,120 21Section 120. 256.15 (6) (a) (intro.) of the statutes is amended to read:
AB59,37,2422 256.15 (6) (a) (intro.) Except as provided in ss. 256.17 and 256.18, to be eligible
23for an initial license as an emergency medical technician services practitioner, an
24individual shall:
AB59,121 25Section 121. 256.15 (6) (a) 1. of the statutes is amended to read:
AB59,38,6
1256.15 (6) (a) 1. Be 18 years of age or older; be capable of performing the actions
2authorized in rules promulgated under sub. (13) (c) for an emergency medical
3technician — basic
emergency medical technician, an advanced emergency medical
4technician
, an emergency medical technician — intermediate , or an emergency
5medical technician — paramedic
a paramedic, for which licensure is sought; and,
6subject to ss. 111.321, 111.322 and 111.335, not have an arrest or conviction record.
AB59,122 7Section 122. 256.15 (6) (b) 1. of the statutes is amended to read:
AB59,38,128 256.15 (6) (b) 1. Except as provided in ss. 256.17 and 256.18, to be eligible for
9a renewal of a license as an emergency medical technician services practitioner, the
10licensee shall, in addition to meeting the requirements of par. (a) 1., complete the
11training, education, or examination requirements specified in rules promulgated
12under subd. 2.
AB59,123 13Section 123. 256.15 (6) (b) 2. of the statutes is amended to read:
AB59,38,1714 256.15 (6) (b) 2. The department, in conjunction with the technical college
15system board, shall promulgate rules specifying training, education, or examination
16requirements, including requirements for training for response to acts of terrorism,
17for license renewals for emergency medical technicians services practitioners.
AB59,124 18Section 124. 256.15 (6) (c) (intro.) of the statutes is amended to read:
AB59,39,319 256.15 (6) (c) (intro.) Except as provided in ss. 256.17 and 256.18, to be eligible
20for a license as an ambulance service provider, an individual shall be 18 years of age
21or older and have such additional qualifications as may be established in rules
22promulgated by the department, except that no ambulance service provider may be
23required to take training or an examination or receive education to qualify for
24licensure or for renewal of licensure. An ambulance service provider shall, as a
25condition of licensure, provide medical malpractice insurance sufficient to protect all

1emergency medical technicians services practitioners who perform for compensation
2as employees of the ambulance service provider. For renewal of a biennial license as
3an ambulance service provider, an applicant shall also provide all of the following:
AB59,125 4Section 125. 256.15 (6n) of the statutes is amended to read:
AB59,39,85 256.15 (6n) Authorized actions of emergency medical technicians services
6practitioners
. An emergency medical technician services practitioner may
7undertake only those actions that are authorized in rules promulgated under sub.
8(13) (c).
AB59,126 9Section 126. 256.15 (7) of the statutes is amended to read:
AB59,39,1610 256.15 (7) Licensing in other jurisdictions. Except as provided in ss. 256.17
11and 256.18, the department may issue a license as an emergency medical technician
12services practitioner, without examination, to any individual who holds a current
13license or certificate as an emergency medical technician services practitioner from
14another jurisdiction if the department finds that the standards for licensing or
15issuing certificates in the other jurisdiction are at least substantially equivalent to
16those in this state, and that the applicant is otherwise qualified.
AB59,127 17Section 127. 256.15 (8) (title) of the statutes is amended to read:
AB59,39,1818 256.15 (8) (title) Certification of first emergency medical responders.
AB59,128 19Section 128. 256.15 (8) (a) of the statutes is amended to read:
AB59,39,2120 256.15 (8) (a) Except as provided in ss. 256.17 and 256.18, the department shall
21certify qualified applicants as first emergency medical responders.
AB59,129 22Section 129. 256.15 (8) (b) (intro.) of the statutes is amended to read:
AB59,39,2523 256.15 (8) (b) (intro.) To be eligible for initial certification as a first an
24emergency medical
responder, except as provided in ss. 256.17 and 256.18, an
25individual shall meet all of the following requirements:
AB59,130
1Section 130. 256.15 (8) (b) 1. of the statutes is amended to read:
AB59,40,42 256.15 (8) (b) 1. The individual is 18 years of age or older and capable of
3performing the actions authorized under par. (e), or in rules promulgated under par.
4(e), for a first an emergency medical responder.
AB59,131 5Section 131. 256.15 (8) (b) 3. of the statutes is amended to read:
AB59,40,166 256.15 (8) (b) 3. The individual satisfactorily completes a first an emergency
7medical
responder course that meets or exceeds the guidelines issued by the National
8Highway Traffic Safety Administration under 23 CFR 1205.3 (a) (5), that includes
9training for response to acts of terrorism, and that is approved by the department.
10Any relevant education, training, instruction, or other experience that an applicant
11for initial certification as a first an emergency medical responder obtained in
12connection with any military service, as defined in s. 111.32 (12g), satisfies the
13completion of a first an emergency medical responder course, if the applicant
14demonstrates to the satisfaction of the department that the education, training,
15instruction, or other experience obtained by the applicant is substantially equivalent
16to the first emergency medical responder course.
AB59,132 17Section 132. 256.15 (8) (c) of the statutes is amended to read:
AB59,40,2318 256.15 (8) (c) To be eligible for a renewal of a certificate as a first an emergency
19medical
responder, except as provided in ss. 256.17 and 256.18, the holder of the
20certificate shall satisfactorily complete a first an emergency medical responder
21refresher course that meets or exceeds the guidelines issued by the National
22Highway Traffic Safety Administration under 23 CFR 1205.3 (a) (5), that includes
23training for response to acts of terrorism, and that is approved by the department.
AB59,133 24Section 133. 256.15 (8) (e) of the statutes is amended to read:
AB59,41,17
1256.15 (8) (e) A certified first emergency medical responder is authorized to use
2an automated external defibrillator, as prescribed for first emergency medical
3responders in rules promulgated by the department. The rules shall set forth
4authorization for the use of an automated external defibrillator or, for a defibrillator
5that may be operated in more than one mode, use as an automated external
6defibrillator only. A certified first emergency medical responder is authorized to
7administer naloxone or another opioid antagonist if the first emergency medical
8responder has received training necessary to safely administer naloxone or the other
9opioid antagonist, as determined by the department. A certified first emergency
10medical
responder is also authorized to employ other techniques, including the
11administration of nonvisualized advanced airways, and the administration of
12medications that are specified by the department by rule. In promulgating the rules
13under this paragraph, the department shall consult with the state medical director
14for emergency medical services and the emergency medical services board. The rule
15shall include those techniques that are specified in the most current guidelines
16issued by the National Highway Traffic Safety Administration under 23 CFR 1205.3
17(a) (5).
AB59,134 18Section 134. 256.15 (8) (f) of the statutes is amended to read:
AB59,42,219 256.15 (8) (f) Except as provided in ss. 256.17 and 256.18, the department may
20issue a certificate as a first an emergency medical responder, without requiring
21satisfactory completion of any instruction or training that may be required under
22par. (b), to any individual who holds a current license or certificate as a first an
23emergency medical
responder from another jurisdiction if the department finds that
24the standards for licensing or issuing certificates in the other jurisdiction are at least
25substantially equivalent to the standards for issuance of certificates for first

1emergency medical responders in this state, and that the applicant is otherwise
2qualified.
AB59,135 3Section 135. 256.15 (8) (g) of the statutes is amended to read:
AB59,42,64 256.15 (8) (g) The department may not impose a requirement that an
5individual be affiliated with an ambulance service provider in order to receive a first
6an emergency medical responder certificate.
AB59,136 7Section 136. 256.15 (9) of the statutes is amended to read:
AB59,42,198 256.15 (9) Training. The department may arrange for or approve courses of or
9instructional programs in or outside this state to meet the education and training
10requirements of this section, including training required for license or certificate
11renewal. If the department determines that an area or community need exists, the
12courses shall be offered at technical colleges in the area or community. Initial
13priority shall be given to the training of emergency medical technicians — basic
14emergency medical technicians serving the rural areas of the state. If an emergency
15medical technician — basic
emergency medical technician completes a course
16approved by the department on treatment of anaphylactic shock, the emergency
17medical technician — basic
emergency medical technician acts within the scope of
18the license if he or she performs injections or other treatment for anaphylactic shock
19under the direction of a physician.
AB59,137 20Section 137. 256.15 (9m) of the statutes is amended to read:
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