Date of enactment: November 27, 2017
2017 Assembly Bill 151   Date of publication*: November 28, 2017
* Section 991.11, Wisconsin Statutes: Effective date of acts. “Every act and every portion of an act enacted by the legislature over the governor's partial veto which does not expressly prescribe the time when it takes effect shall take effect on the day after its date of publication."
2017 WISCONSIN ACT 66
An Act to amend 256.01 (3), 256.04 (10), 256.12 (2) (a), 256.15 (6p), 256.205 (2) (a) and (b) and (5) (b), 256.21 (title), (1), (2) (intro.), (a) and (b), (3), (4), (5) (a) and (b) and (6) and 256.215 (1) (b) and (d) and (2) (intro.), (b) and (c); to repeal and recreate 256.12 (2) (a); and to create 256.04 (10), 256.15 (6p), 256.205, 256.21 and 256.215 of the statutes; relating to: community paramedics, community emergency medical technicians, community emergency medical services providers, and services provided by emergency medical technicians.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
66,1 Section 1 . 256.01 (3) of the statutes is amended to read:
256.01 (3) “Ambulance service provider" means a person engaged primarily in the business of transporting sick, disabled, or injured individuals by ambulance to or from facilities or institutions providing health services.
66,2 Section 2 . 256.04 (10) of the statutes is created to read:
256.04 (10) Prepare recommendations on training and approval qualifications for community paramedics and community emergency medical technicians.
66,2m Section 2m. 256.04 (10) of the statutes, as created by 2017 Wisconsin Act .... (this act), is amended to read:
256.04 (10) Prepare recommendations on training and approval qualifications for community paramedics and community emergency medical technicians services practitioners.
66,3 Section 3 . 256.12 (2) (a) of the statutes is amended to read:
256.12 (2) (a) Any county, city, town, village, hospital, ambulance service provider, or combination thereof may, after submission of a plan approved by the department, conduct an emergency medical services program using emergency medical technicians — paramedics for the delivery of emergency medical care to sick, disabled, or injured individuals at the scene of an emergency and during transport to a hospital, while in the hospital emergency department until responsibility for care is assumed by the regular hospital staff, and during transfer of a patient between health care facilities. An ambulance service provider may, after submission of a plan approved by the department, conduct an emergency medical services program using emergency medical technicians — paramedics for the delivery of emergency medical care to sick, disabled, or injured individuals during transfer of the individuals between health care facilities. Nothing in this section prohibits an emergency medical services program from using community paramedics and community emergency medical technicians for services described in ss. 256.205 (6) and 256.21 (6) or from providing nonemergency services in accordance with s. 256.15 (6p). Nothing in this section shall be construed to prohibit the operation of fire department, police department, for-profit ambulance service provider, or other emergency vehicles using the services of emergency medical technicians — paramedics in conjunction with a program approved by the department. Hospitals that offer approved training courses for emergency medical technicians — paramedics should, if feasible, serve as the base of operation for approved programs using emergency medical technicians — paramedics.
66,3m Section 3m. 256.12 (2) (a) of the statutes, as affected by 2017 Wisconsin Act .... (this act), is repealed and recreated to read:
256.12 (2) (a) Any county, city, town, village, hospital, ambulance service provider, or combination thereof may, after submission of a plan approved by the department, conduct an emergency medical services program using emergency medical services practitioners for the delivery of emergency medical care to sick, disabled, or injured individuals at the scene of an emergency and during transport to a hospital, while in the hospital emergency department until responsibility for care is assumed by the regular hospital staff, and during transfer of a patient between health care facilities. An ambulance service provider may, after submission of a plan approved by the department, conduct an emergency medical services program using emergency medical services practitioners for the delivery of emergency medical care to sick, disabled, or injured individuals during transfer of the individuals between health care facilities. Nothing in this section prohibits an emergency medical services program from using community paramedics and community emergency medical services practitioners for services described in ss. 256.205 (6) and 256.21 (6) or from providing nonemergency services in accordance with s. 256.15 (6p). Nothing in this section shall be construed to prohibit the operation of fire department, police department, for-profit ambulance service provider, or other emergency vehicles using the services of emergency medical services practitioners in conjunction with a program approved by the department. Hospitals that offer approved training courses for emergency medical services practitioners should, if feasible, serve as the base of operation for approved programs using emergency medical services practitioners.
66,4 Section 4 . 256.15 (6p) of the statutes is created to read:
256.15 (6p) Delegation from a health care provider. An emergency medical technician who is acting upon a delegation by a health care provider does not violate the actions authorized for emergency services under sub. (6n) for actions taken in accordance with that delegation.
66,4m Section 4m. 256.15 (6p) of the statutes, as created by 2017 Wisconsin Act .... (this act), is amended to read:
256.15 (6p) Delegation from a health care provider. An emergency medical technician services practitioner who is acting upon a delegation by a health care provider does not violate the actions authorized for emergency services under sub. (6n) for actions taken in accordance with that delegation.
66,5 Section 5 . 256.205 of the statutes is created to read:
256.205 Community paramedics. (1) Definition. In this section, “community paramedic" means an individual who has obtained an approval issued under sub. (2).
(2) Departmental approval. No person may use the title “community paramedic" unless he or she obtains an approval from the department issued under this section to provide services as a community paramedic. To be eligible for an approval by the department as a community paramedic, an individual shall meet all of the following criteria:
(a) The individual is licensed as an emergency medical technician — paramedic, that license is not suspended or revoked, and the individual is not the subject of an action under s. 256.15 (11).
(b) The individual has the equivalent of 2 years of service as an emergency medical technician — paramedic.
(c) The individual successfully completes a training program that has been approved by the department under sub. (3).
(d) The individual submits an application for the approval on a form specified by the department.
(e) The individual satisfies any other requirements established by the department.
(3) Training program. The department shall, after consulting the board, approve training programs for community paramedics that include clinical experience, that provide flexibility in addressing local service needs, and that meet any other criteria established by the department.
(4) Affiliation. A community paramedic may provide services under sub. (6) only if he or she is a volunteer for or an employee of a community emergency medical services provider, as defined in s. 256.215 (1) (a), or if he or she is an employee of or under contract with a hospital, clinic, or physician.
(5) Requirements. (a) A community paramedic shall follow any protocols and supervisory standards established by the department or by a medical director.
(b) A community paramedic is subject to certification, disciplinary, complaint, and other regulatory requirements that apply to emergency medical technicians under s. 256.15.
(6) Services provided. Notwithstanding the actions authorized for emergency services under s. 256.15 (6n), a community paramedic may provide services for which he or she is trained under a training program approved by the department under sub. (3), that are not duplicative of services already being provided to a patient, and that are approved by the hospital, clinic, or physician for which the community paramedic is an employee or contractor or are incorporated in the patient care protocols under s. 256.215 (2) (b).
66,5m Section 5m. 256.205 (2) (a) and (b) and (5) (b) of the statutes, as created by 2017 Wisconsin Act .... (this act), are amended to read:
256.205 (2) (a) The individual is licensed as an emergency medical technician — paramedic a paramedic, that license is not suspended or revoked, and the individual is not the subject of an action under s. 256.15 (11).
(b) The individual has the equivalent of 2 years of service as an emergency medical technician — paramedic a paramedic.
(5) (b) A community paramedic is subject to certification, disciplinary, complaint, and other regulatory requirements that apply to emergency medical technicians services practitioners under s. 256.15.
66,6 Section 6 . 256.21 of the statutes is created to read:
256.21 Community emergency medical technicians. (1) Definition. In this section, “community emergency medical technician" means an individual who has obtained an approval issued under sub. (2).
(2) Departmental approval. No person may use the title “community emergency medical technician" unless he or she obtains an approval from the department issued under this section to provide services as a community emergency medical technician. To be eligible for an approval by the department as a community emergency medical technician, an individual shall meet all of the following criteria:
(a) The individual is licensed as an emergency medical technician of any level, that license is not suspended or revoked, and the individual is not the subject of an action under s. 256.15 (11).
(b) The individual has the equivalent of 2 years of service as an emergency medical technician at any level.
(c) The individual successfully completes a training program that has been approved by the department under sub. (3).
(d) The individual submits an application for the approval on a form specified by the department.
(e) The individual satisfies any other requirements established by the department.
(3) Training program. The department shall, after consulting the board, approve training programs for community emergency medical technicians that include clinical experience, that provide flexibility in addressing local service needs, and that meet any other criteria established by the department.
(4) Affiliation. A community emergency medical technician may provide services under sub. (6) only if he or she is a volunteer for or an employee of a community emergency medical services provider, as defined in s. 256.215 (1) (a), or if he or she is an employee of or under contract with a hospital, clinic, or physician.
(5) Requirements. (a) A community emergency medical technician shall follow any protocols and supervisory standards established by the department or by a medical director.
(b) A community emergency medical technician is subject to certification, disciplinary, complaint, and other regulatory requirements that apply to emergency medical technicians under s. 256.15.
(6) Services provided. Notwithstanding the actions authorized for emergency services under s. 256.15 (6n), a community emergency medical technician may provide services for which he or she is trained under a training program approved by the department under sub. (3), that are not duplicative of services already being provided to a patient, and that are approved by the hospital, clinic, or physician for which the community emergency medical technician is an employee or contractor or are incorporated in the patient care protocols under s. 256.215 (2) (b).
66,6m Section 6m. 256.21 (title), (1), (2) (intro.), (a) and (b), (3), (4), (5) (a) and (b) and (6) of the statutes, as created by 2017 Wisconsin Act .... (this act), are amended to read:
256.21 (title) Community emergency medical technicians services practitioners. (1) Definition. In this section, “community emergency medical technician services practitioner" means an individual who has obtained an approval issued under sub. (2).
(2) Departmental approval. (intro.) No person may use the title “community emergency medical technician services practitioner" unless he or she obtains an approval from the department issued under this section to provide services as a community emergency medical technician services practitioner. To be eligible for an approval by the department as a community emergency medical technician services practitioner, an individual shall meet all of the following criteria:
(a) The individual is licensed as an emergency medical technician services practitioner of any level, that license is not suspended or revoked, and the individual is not the subject of an action under s. 256.15 (11).
(b) The individual has the equivalent of 2 years of service as an emergency medical technician services practitioner at any level.
(3) Training program. The department shall, after consulting the board, approve training programs for community emergency medical technicians services practitioners that include clinical experience, that provide flexibility in addressing local service needs, and that meet any other criteria established by the department.
(4) Affiliation. A community emergency medical technician services practitioner may provide services under sub. (6) only if he or she is a volunteer for or an employee of a community emergency medical services provider, as defined in s. 256.215 (1) (a), or if he or she is an employee of or under contract with a hospital, clinic, or physician.
(5) (a) A community emergency medical technician services practitioner shall follow any protocols and supervisory standards established by the department or by a medical director.
(b) A community emergency medical technician services practitioner is subject to certification, disciplinary, complaint, and other regulatory requirements that apply to emergency medical technicians services practitioners under s. 256.15.
(6) Services provided. Notwithstanding the actions authorized for emergency services under s. 256.15 (6n), a community emergency medical technician services practitioner may provide services for which he or she is trained under a training program approved by the department under sub. (3), that are not duplicative of services already being provided to a patient, and that are approved by the hospital, clinic, or physician for which the community emergency medical technician services practitioner is an employee or contractor or are incorporated in the patient care protocols under s. 256.215 (2) (b).
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