SB736,10,76 146.81 (1) (t) An individual with a privilege to practice, as defined in s. 256.60
7(2) (L).
SB736,20 8Section 20. 146.81 (4) of the statutes is amended to read:
SB736,10,249 146.81 (4) “Patient health care records" means all records related to the health
10of a patient prepared by or under the supervision of a health care provider; and all
11records made by an ambulance service provider, as defined in s. 256.01 (3), an
12emergency medical services practitioner, as defined in s. 256.01 (5), or an emergency
13medical responder, as defined in s. 256.01 (4p), or an individual with a privilege to
14practice, as defined in s. 256.60 (2) (L),
in administering emergency care procedures
15to and handling and transporting sick, disabled, or injured individuals. “ Patient
16health care records" includes billing statements and invoices for treatment or
17services provided by a health care provider and includes health summary forms
18prepared under s. 302.388 (2). “Patient health care records" does not include those
19records subject to s. 51.30, reports collected under s. 69.186, records of tests
20administered under s. 252.15 (5g) or (5j), 343.305, 938.296 (4) or (5) or 968.38 (4) or
21(5), records related to sales of pseudoephedrine products, as defined in s. 961.01 (20c),
22that are maintained by pharmacies under s. 961.235, fetal monitor tracings, as
23defined under s. 146.817 (1), or a pupil's physical health records maintained by a
24school under s. 118.125.
SB736,21 25Section 21. 146.997 (1) (d) 14. of the statutes is amended to read:
SB736,11,3
1146.997 (1) (d) 14. An emergency medical services practitioner licensed under
2s. 256.15 (5) or, an emergency medical responder, or an individual with a privilege
3to practice, as defined in s. 256.60 (2) (L)
.
SB736,22 4Section 22 . 154.19 (3) (a) of the statutes is amended to read:
SB736,11,105 154.19 (3) (a) Except as provided in par. (b), emergency medical services
6practitioners, as defined in s. 256.01 (5), emergency medical responders, as defined
7in s. 256.01 (4p), individuals with a privilege to practice, as defined in s. 256.60 (2)
8(L),
and emergency health care facilities personnel shall follow do-not-resuscitate
9orders. The procedures used in following a do-not-resuscitate order shall be in
10accordance with any procedures established by the department by rule.
SB736,23 11Section 23 . 154.19 (3) (b) 3. of the statutes is amended to read:
SB736,11,1412 154.19 (3) (b) 3. The emergency medical services practitioner, emergency
13medical responder, individual with a privilege to practice, or member of the
14emergency health care facility knows that the patient is pregnant.
SB736,24 15Section 24 . 154.21 (1) (a) of the statutes is amended to read:
SB736,11,2216 154.21 (1) (a) The patient expresses to an emergency medical services
17practitioner, to an emergency medical responder, to an individual with a privilege to
18practice, as defined in s. 256.60 (2) (L),
or to a person who serves as a member of an
19emergency health care facility's personnel the desire to be resuscitated. The
20emergency medical services practitioner, emergency medical responder, individual
21with a privilege to practice,
or the member of the emergency health care facility shall
22promptly remove the do-not-resuscitate bracelet.
SB736,25 23Section 25 . 154.225 (2) (a) of the statutes is amended to read:
SB736,12,524 154.225 (2) (a) The guardian or health care agent directs an emergency medical
25services practitioner, an emergency medical responder, an individual with a

1privilege to practice, as defined in s. 256.60 (2) (L),
or a person who serves as a
2member of an emergency health care facility's personnel to resuscitate the patient.
3The emergency medical services practitioner, the emergency medical responder,
4individual with a privilege to practice, or the member of the emergency health care
5facility shall promptly remove the do-not-resuscitate bracelet.
SB736,26 6Section 26 . 154.25 (6) of the statutes is amended to read:
SB736,12,127 154.25 (6) Valid do-not-resuscitate bracelet. A do-not-resuscitate bracelet
8that has not been removed, altered, or tampered with in any way shall be presumed
9valid, unless the patient, the patient's guardian, or the patient's health care agent
10expresses to the emergency medical services practitioner, emergency medical
11responder, individual with a privilege to practice, as defined in s. 256.60 (2) (L), or
12emergency health care facility personnel the patient's desire to be resuscitated.
SB736,27 13Section 27. 157.06 (12) (a) 1. of the statutes is amended to read:
SB736,12,1614 157.06 (12) (a) 1. A law enforcement officer, fire fighter, emergency medical
15services practitioner, emergency medical responder, individual with a privilege to
16practice, as defined in s. 256.60 (2) (L),
or ambulance service provider.
SB736,28 17Section 28. 252.14 (1) (ar) 16. of the statutes is created to read:
SB736,12,1918 252.14 (1) (ar) 16. An individual with a privilege to practice, as defined in s.
19256.60 (2) (L).
SB736,29 20Section 29. 252.15 (5g) (a) 1. of the statutes is amended to read:
SB736,13,321 252.15 (5g) (a) 1. The person is an emergency medical services practitioner;
22emergency medical responder; individual with a privilege to practice, as defined in
23s. 256.60 (2) (L);
fire fighter; peace officer; correctional officer; person who is
24employed at a juvenile correctional facility, as defined in s. 938.02 (10p), or a secured
25residential care center for children and youth, as defined in s. 938.02 (15g); state

1patrol officer; jailer, keeper of a jail, or person designated with custodial authority
2by the jailer or keeper and the contact occurred during the course of the person
3providing care or services to the individual.
SB736,30 4Section 30. Subchapter I (title) of chapter 256 [precedes 256.01] of the statutes
5is created to read:
SB736,13,66 chapter 256
SB736,13,77 SUBCHAPTER I
SB736,13,98 EMERGENCY MEDICAL SERVICES
9 IN GENERAL
SB736,31 10Section 31. 256.01 (intro.) of the statutes is amended to read:
SB736,13,11 11256.01 Definitions. (intro.) In this chapter subchapter:
SB736,32 12Section 32 . 256.12 (2) (a) of the statutes is amended to read:
SB736,14,1113 256.12 (2) (a) Any county, city, town, village, hospital, ambulance service
14provider, or combination thereof may, after submission of a plan approved by the
15department, conduct an emergency medical services program using emergency
16medical services practitioners or individuals with a privilege to practice, as defined
17in s. 256.60 (2) (L),
for the delivery of emergency medical care to sick, disabled, or
18injured individuals at the scene of an emergency and during transport to a hospital,
19while in the hospital emergency department until responsibility for care is assumed
20by the regular hospital staff, and during transfer of a patient between health care
21facilities. An ambulance service provider may, after submission of a plan approved
22by the department, conduct an emergency medical services program using
23emergency medical services practitioners or individuals with a privilege to practice
24for the delivery of emergency medical care to sick, disabled, or injured individuals
25during transfer of the individuals between health care facilities. Nothing in this

1section prohibits an emergency medical services program from using community
2paramedics and community emergency medical services practitioners for services
3described in ss. 256.205 (6) and 256.21 (6) or from providing nonemergency services
4in accordance with s. 256.15 (6p). Nothing in this section shall be construed to
5prohibit the operation of fire department, police department, for-profit ambulance
6service provider, or other emergency vehicles using the services of emergency
7medical services practitioners or individuals with a privilege to practice in
8conjunction with a program approved by the department. Hospitals that offer
9approved training courses for emergency medical services practitioners should, if
10feasible, serve as the base of operation for approved programs using emergency
11medical services practitioners.
SB736,33 12Section 33. Subchapter II of chapter 256 [precedes 256.60] of the statutes is
13created to read:
SB736,14,1414 chapter 256
SB736,14,1515 SUBCHAPTER II
SB736,14,1816 EMERGENCY MEDICAL SERVICES
17 PERSONNEL LICENSURE
18 INTERSTATE COMPACT
SB736,15,7 19256.60 Emergency medical services personnel licensure interstate
20compact. (1)
Purpose. (a) In order to protect the public through verification of
21competency and ensure accountability for patient care related activities, all states
22license emergency medical services personnel, such as emergency medical
23technicians, advanced emergency medical technicians, and paramedics. This
24compact is intended to facilitate the day-to-day movement of emergency medical
25services personnel across state boundaries in the performance of their emergency

1medical services duties as assigned by an appropriate authority and authorize state
2emergency medical services offices to afford immediate legal recognition to
3emergency medical services personnel licensed in a member state. This compact
4recognizes that states have a vested interest in protecting the public's health and
5safety through their licensing and regulation of emergency medical services
6personnel and that such state regulation shared among the member states will best
7protect public health and safety.
SB736,15,88 (b) This compact is designed to achieve the following purposes and objectives:
SB736,15,99 1. Increase public access to emergency medical services personnel.
SB736,15,1110 2. Enhance the states' ability to protect the public's health and safety, especially
11patient safety.
SB736,15,1312 3. Encourage the cooperation of member states in the areas of emergency
13medical services personnel licensure and regulation.
SB736,15,1514 4. Support licensing of military members who are separating from an active
15duty tour and their spouses.
SB736,15,1816 5. Facilitate the exchange of information between member states regarding
17emergency medical services personnel licensure, adverse action, and significant
18investigatory information.
SB736,15,2019 6. Promote compliance with the laws governing emergency medical services
20personnel practice in each member state.
SB736,15,2321 7. Invest all member states with the authority to hold emergency medical
22services personnel accountable through the mutual recognition of member state
23licenses.
SB736,15,24 24(2) Definitions. In this section:
SB736,16,4
1(a) “Advanced emergency medical technician” or “AEMT” means an individual
2licensed with cognitive knowledge and a scope of practice that corresponds to that
3level in the National Emergency Medical Services Education Standards and
4National Emergency Medical Services Scope of Practice Model.
SB736,16,115 (b) “Adverse action” means any administrative, civil, equitable, or criminal
6action permitted by a state's laws that may be imposed against licensed emergency
7medical services personnel by a state EMS authority or state court, including, but
8not limited to, actions against an individual's license such as revocation, suspension,
9probation, consent agreement, monitoring or other limitation or encumbrance on the
10individual's practice, letters of reprimand or admonition, fines, criminal convictions,
11and state court judgments enforcing adverse actions by the state EMS authority.
SB736,16,1312 (c) “Alternative program” means a voluntary, nondisciplinary substance abuse
13recovery program approved by a state EMS authority.
SB736,16,1614 (d) “Certification” means the successful verification of entry-level cognitive
15and psychomotor competency using a reliable, validated, and legally defensible
16examination.
SB736,16,1817 (e) “Commission” means the national administrative body of which all states
18that have enacted the compact are members.
SB736,16,2219 (f) “Emergency medical technician” or “EMT” means an individual licensed
20with cognitive knowledge and a scope of practice that corresponds to that level in the
21National Emergency Medical Services Education Standards and National
22Emergency Medical Services Scope of Practice Model.
SB736,16,2423 (g) “Home state” means a member state where an individual is licensed to
24practice emergency medical services.
SB736,17,2
1(h) “License” means the authorization by a state for an individual to practice
2as an EMT, AEMT, paramedic, or a level in between EMT and paramedic.
SB736,17,43 (i) “Medical director” means a physician licensed in a member state who is
4accountable for the care delivered by emergency medical services personnel.
SB736,17,55 (j) “Member state” means a state that has enacted this compact.
SB736,17,96 (k) “Paramedic” means an individual licensed with cognitive knowledge and a
7scope of practice that corresponds to that level in the National Emergency Medical
8Services Education Standards and National Emergency Medical Services Scope of
9Practice Model.
SB736,17,1110 (L) “Privilege to practice” means an individual's authority to deliver emergency
11medical services in remote states as authorized under this compact.
SB736,17,1312 (m) “Remote state” means a member state in which an individual is not
13licensed.
SB736,17,1514 (n) “Restricted” means the outcome of an adverse action that limits a license
15or the privilege to practice.
SB736,17,2116 (o) “Rule” means a written statement by the interstate commission
17promulgated pursuant to sub. (12) that is of general applicability; implements,
18interprets, or prescribes a policy or provision of the compact; or is an organizational,
19procedural, or practice requirement of the commission and has the force and effect
20of statutory law in a member state and includes the amendment, repeal, or
21suspension of an existing rule.
SB736,17,2522 (p) “Scope of practice” means defined parameters of various duties or services
23that may be provided by an individual with specific credentials. Whether regulated
24by rule, statute, or court decision, it tends to represent the limits of services an
25individual may perform.
SB736,18,1
1(q) “Significant investigatory information” means any of the following:
SB736,18,52 1. Investigative information that a state EMS authority, after a preliminary
3inquiry that includes notification and an opportunity to respond if required by state
4law, has reason to believe, if proven true, would result in the imposition of an adverse
5action on a license or privilege to practice.
SB736,18,86 2. Investigative information that indicates that the individual represents an
7immediate threat to public health and safety regardless of whether the individual
8has been notified and had an opportunity to respond.
SB736,18,109 (r) “State” means any state, commonwealth, district, or territory of the United
10States.
SB736,18,1211 (s) “State EMS authority” means the board, office, or other agency with the
12legislative mandate to license emergency medical services personnel.
SB736,18,14 13(3) Home state licensure. (a) Any member state in which an individual holds
14a current license shall be deemed a home state for purposes of this compact.
SB736,18,1715 (b) Any member state may require an individual to obtain and retain a license
16to be authorized to practice in the member state under circumstances not authorized
17by the privilege to practice under the terms of this compact.
SB736,18,1918 (c) A home state's license authorizes an individual to practice in a remote state
19under the privilege to practice only if the home state does all of the following:
SB736,18,2220 1. Currently requires the use of the National Registry of Emergency Medical
21Technicians examination as a condition of issuing initial licenses at the EMT and
22paramedic levels.
SB736,18,2423 2. Has a mechanism in place for receiving and investigating complaints about
24individuals.
SB736,19,2
13. Notifies the commission, in compliance with the terms herein, of any adverse
2action or significant investigatory information regarding an individual.
SB736,19,83 4. No later than 5 years after activation of the compact, requires a criminal
4background check of all applicants for initial licensure, including the use of the
5results of fingerprint or other biometric data checks compliant with the
6requirements of the federal bureau of investigation with the exception of federal
7employees who have suitability determination in accordance with 5 CFR 731.202
8and submit documentation of such as promulgated in the rules of the commission.
SB736,19,99 5. Complies with the rules of the commission.
SB736,19,12 10(4) Compact privilege to practice. (a) Member states shall recognize the
11privilege to practice of an individual licensed in another member state that is in
12conformance with sub. (3).
SB736,19,1413 (b) To exercise the privilege to practice under the terms and provisions of this
14compact, an individual must satisfy all of the following requirements:
SB736,19,1515 1. Be at least 18 years of age.
SB736,19,1816 2. Possess a current unrestricted license in a member state as an EMT, AEMT,
17paramedic, or state recognized and licensed level with a scope of practice and
18authority between EMT and paramedic.
SB736,19,1919 3. Practice under the supervision of a medical director.
SB736,19,2320 (c) An individual providing patient care in a remote state under the privilege
21to practice shall function within the scope of practice authorized by the home state
22unless and until modified by an appropriate authority in the remote state as may be
23defined in the rules of the commission.
SB736,20,424 (d) Except as provided in par. (c), an individual practicing in a remote state will
25be subject to the remote state's authority and laws. A remote state may, in

1accordance with due process and that state's laws, restrict, suspend, or revoke an
2individual's privilege to practice in the remote state and may take any other
3necessary actions to protect the health and safety of its citizens. If a remote state
4takes action, it shall promptly notify the home state and the commission.
SB736,20,75 (e) If an individual's license in any home state is restricted or suspended, the
6individual shall not be eligible to practice in a remote state under the privilege to
7practice until the individual's home state license is restored.
SB736,20,108 (f) If an individual's privilege to practice in any remote state is restricted,
9suspended, or revoked, the individual shall not be eligible to practice in any remote
10state until the individual's privilege to practice is restored.
SB736,20,15 11(5) Conditions of practice in a remote state. An individual may practice in
12a remote state under a privilege to practice only in the performance of the
13individual's emergency medical services duties as assigned by an appropriate
14authority, as defined in the rules of the commission, and under all of the following
15circumstances:
SB736,20,1716 (a) The individual originates in the home state and transports the patient to
17a remote state.
SB736,20,1918 (b) The individual originates in the home state and enters a remote state to pick
19up a patient and provide care and transport of the patient to the home state.
SB736,20,2120 (c) The individual enters a remote state to provide patient care or transport
21within that remote state.
SB736,20,2322 (d) The individual enters a remote state to pick up a patient and provide care
23and transport to a 3rd member state.
SB736,20,2424 (e) Other conditions as determined by rules promulgated by the commission.
SB736,21,8
1(6) Relationship to emergency management assistance compact. Upon a
2member state's governor's declaration of a state of emergency or disaster that
3activates the Emergency Management Assistance Compact, all relevant terms and
4provisions of the Emergency Management Assistance Compact shall apply and to the
5extent any terms or provisions of this compact conflicts with the Emergency
6Management Assistance Compact, the terms of the Emergency Management
7Assistance Compact shall prevail with respect to any individual practicing in the
8remote state in response to such declaration.
SB736,21,15 9(7) Veterans, service members separating from active duty military, and their
10spouses.
(a) Member states shall consider a veteran, active military service member,
11and member of the National Guard and Reserves separating from an active duty
12tour, and a spouse thereof, who holds a current valid and unrestricted certification
13by the National Registry of Emergency Medical Technicians at or above the level of
14the state license being sought as satisfying the minimum training and examination
15requirements for such licensure.
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