LRBa0176/1
TJD:klm
2017 - 2018 LEGISLATURE
ASSEMBLY AMENDMENT 1,
TO ASSEMBLY BILL 151
March 27, 2017 - Offered by Representative Loudenbeck.
AB151-AA1,1,11 At the locations indicated, amend the bill as follows:
AB151-AA1,1,2 21. Page 2, line 7: after that line insert:
AB151-AA1,1,4 3 Section 2m. 256.04 (10) of the statutes, as created by 2017 Wisconsin Act ....
4(this act), is amended to read:
AB151-AA1,1,75 256.04 (10) Prepare recommendations on training and approval qualifications
6for community paramedics and community emergency medical technicians services
7practitioners
.”.
AB151-AA1,1,8 82. Page 3, line 13: delete “ sub." and substitute “s. 256.15".
AB151-AA1,1,9 93. Page 3, line 20: after that line insert:
AB151-AA1,1,11 10 Section 3m. 256.12 (2) (a) of the statutes, as affected by 2017 Wisconsin Act
11.... (this act), is repealed and recreated to read:
AB151-AA1,2,2012 256.12 (2) (a) Any county, city, town, village, hospital, ambulance service
13provider, or combination thereof may, after submission of a plan approved by the

1department, conduct an emergency medical services program using emergency
2medical services practitioners 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 services practitioners 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 services practitioners for services described in ss.
13256.205 (6) and 256.21 (6) or from providing nonemergency services in accordance
14with s. 256.15 (6p). Nothing in this section shall be construed to prohibit the
15operation of fire department, police department, for-profit ambulance service
16provider, or other emergency vehicles using the services of emergency medical
17services practitioners in conjunction with a program approved by the department.
18Hospitals that offer approved training courses for emergency medical services
19practitioners should, if feasible, serve as the base of operation for approved programs
20using emergency medical services practitioners.”.
AB151-AA1,2,21 214. Page 3, line 25: after that line insert:
AB151-AA1,2,23 22 Section 4m. 256.15 (6p) of the statutes, as created by 2017 Wisconsin Act ....
23(this act), is amended to read:
AB151-AA1,3,4
1256.15 (6p) Delegation from a health care provider. An emergency medical
2technician services practitioner who is acting upon a delegation by a health care
3provider does not violate the actions authorized for emergency services under sub.
4(6n) for actions taken in accordance with that delegation.”.
AB151-AA1,3,5 55. Page 5, line 16: after that line insert:
AB151-AA1,3,7 6 Section 5m. 256.205 (2) (a) and (b) and (5) (b) of the statutes, as created by
72017 Wisconsin Act .... (this act), are amended to read:
AB151-AA1,3,10 8(2) (a) The individual is licensed as an emergency medical technician —
9paramedic
a paramedic, that license is not suspended or revoked, and the individual
10is not the subject of an action under s. 256.15 (11).
AB151-AA1,3,1211 (b) The individual has the equivalent of 2 years of service as an emergency
12medical technician — paramedic
a paramedic.
AB151-AA1,3,15 13(5) (b) A community paramedic is subject to certification, disciplinary,
14complaint, and other regulatory requirements that apply to emergency medical
15technicians services practitioners under s. 256.15.”.
AB151-AA1,3,16 166. Page 7, line 7: after that line insert:
AB151-AA1,3,19 17 Section 6m. 256.21 (title), (1), (2) (intro.), (a) and (b), (3), (4), (5) (a) and (b)
18and (6) of the statutes, as created by 2017 Wisconsin Act .... (this act), are amended
19to read:
AB151-AA1,3,23 20256.21 Community emergency medical technicians services
21practitioners
. (1) Definition. In this section, “community emergency medical
22technician services practitioner" means an individual who has obtained an approval
23issued under sub. (2).
AB151-AA1,4,6
1(2) (intro.) No person may use the title “community emergency medical
2technician services practitioner" unless he or she obtains an approval from the
3department issued under this section to provide services as a community emergency
4medical technician services practitioner. To be eligible for an approval by the
5department as a community emergency medical technician services practitioner, an
6individual shall meet all of the following criteria:
AB151-AA1,4,97 (a) The individual is licensed as an emergency medical technician services
8practitioner
of any level, that license is not suspended or revoked, and the individual
9is not the subject of an action under s. 256.15 (11).
AB151-AA1,4,1110 (b) The individual has the equivalent of 2 years of service as an emergency
11medical technician services practitioner at any level.
AB151-AA1,4,15 12(3) Training program. The department shall, after consulting the board,
13approve training programs for community emergency medical technicians services
14practitioners
that include clinical experience, that provide flexibility in addressing
15local service needs, and that meet any other criteria established by the department.
AB151-AA1,4,20 16(4) Affiliation. A community emergency medical technician services
17practitioner
may provide services under sub. (6) only if he or she is a volunteer for
18or an employee of a community emergency medical services provider, as defined in
19s. 256.215 (1) (a), or if he or she is an employee of or under contract with a hospital,
20clinic, or physician.
AB151-AA1,4,23 21(5) Requirements. (a) A community emergency medical technician services
22practitioner
shall follow any protocols and supervisory standards established by the
23department or by a medical director.
AB151-AA1,5,3
1(b) A community emergency medical technician services practitioner is subject
2to certification, disciplinary, complaint, and other regulatory requirements that
3apply to emergency medical technicians services practitioners under s. 256.15.
AB151-AA1,5,11 4(6) Services provided. Notwithstanding the actions authorized for emergency
5services under s. 256.15 (6n), a community emergency medical technician services
6practitioner
may provide services for which he or she is trained under a training
7program approved by the department under sub. (3), that are not duplicative of
8services already being provided to a patient, and that are approved by the hospital,
9clinic, or physician for which the community emergency medical technician services
10practitioner
is an employee or contractor or are incorporated in the patient care
11protocols under s. 256.215 (2) (b).”.
AB151-AA1,5,12 127. Page 8, line 21: after that line insert:
AB151-AA1,5,14 13 Section 7m. 256.215 (1) (b) and (d) and (2) (intro.), (b) and (c) of the statutes,
14as created by 2017 Wisconsin Act .... (this act), are amended to read:
AB151-AA1,5,16 15(1) (b) “Community emergency medical technician services practitioner” has
16the meaning given under s. 256.21 (1).
AB151-AA1,5,2017 (d) “Emergency medical services provider” means an emergency medical
18services program under s. 256.12 that provides services as a nontransporting
19emergency medical technician services practitioner provider or an ambulance
20service provider licensed under s. 256.15 (5).
AB151-AA1,6,3 21(2) (intro.) No emergency medical services provider may advertise as providing
22community emergency medical services or may advertise having community
23paramedics or community emergency medical technicians services practitioners
24unless the emergency medical services provider has approval from the department

1under this subsection. To be eligible for approval to provide community emergency
2medical services, an emergency medical services provider shall satisfy all of the
3following criteria:
AB151-AA1,6,104 (b) The emergency medical services provider establishes, submits to the
5department, and maintains patient care protocols corresponding to the appropriate
6service level to be used by a community paramedic or a community emergency
7medical technician services practitioner. The emergency medical services provider
8may include in a patient care protocol only those services that do not require a
9license, certificate, or other credential under subch. II, III, IV, or VII of ch. 448 or ch.
10441, 446, 447, 449, 450, 451, 455, 457, or 459 to provide.
AB151-AA1,6,1811 (c) The emergency medical services provider agrees to provide to the
12department a list identifying each community paramedic and community emergency
13medical technician services practitioner providing community emergency medical
14services as a volunteer or employee of that emergency medical services provider. If
15the emergency medical services provider is approved under this subsection as a
16community emergency medical services provider, the emergency medical services
17provider shall provide and update its list of community paramedics and community
18emergency medical technicians services practitioners.
AB151-AA1,8m 19Section 8m. Effective dates. This act takes effect on the day after
20publication, except as follows:
AB151-AA1,7,10 21(1) Terminology change reconciliation. If either 2017 Assembly Bill 59 or
222017 Senate Bill 24 is enacted into law, the treatment of sections 256.04 (10) (by
23Section 2m), 256.15 (6p) (by Section 4m), 256.205 (2) (a) and (b) and (5) (b) (by
24Section 5m), 256.21 (title), (1), (2) (intro.), (a), and (b), (3), (4), (5) (a) and (b), and (6)
25(by Section 6m), and 256.215 (1) (b) and (d) and (2) (intro.), (b), and (c) (by Section

17m) of the statutes and the repeal and recreation of section 256.12 (2) (a) of the
2statutes take effect on the effective date of 2017 Wisconsin Act ... (Assembly Bill 59)
3or 2017 Wisconsin Act .... (Senate Bill 24) or on the effective date of 2017 Wisconsin
4Act .... (Assembly Bill 151), whichever is later. If either 2017 Assembly Bill 59 or 2017
5Senate Bill 24 is not enacted into law in the 2017-18 legislative session, the
6treatment of sections 256.04 (10) (by Section 2m), 256.15 (6p) (by Section 4m),
7256.205 (2) (a) and (b) and (5) (b) (by Section 5m), 256.21 (title), (1), (2) (intro.), (a),
8and (b), (3), (4), (5) (a) and (b), and (6) (by Section 6m), and 256.215 (1) (b) and (d)
9and (2) (intro.), (b), and (c) (by Section 7m) of the statutes and the repeal and
10recreation of section 256.12 (2) (a) of the statutes are void.”.
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