Wisconsin State Fire Chiefs Association, Professional Fire Fighters of Wisconsin, the Wisconsin EMS Association, and the Professional Ambulance Association of Wisconsin all participated in the drafting of the proposed revision and were asked to provide comments. In addition, public comment was solicited as required and posted. Over 340 public comments were received during the 14-day economic impact public comment period.

The
department solicited input and advice from our advisory committee and from those who attended the advisory committee meetings representing fire-based EMS, municipal EMS, volunteer EMS, and stakeholder associations who may be affected by the proposed rule for use in analyzing and determining the economic impact that the proposed rules and rule revisions would have on EMS services, businesses, individual practitioners, and local governments May 1, 2019 through December 1, 2019
Effect on small business
Based on the foregoing, the rule is not anticipated to have any effect on small businesses.
Agency contact person
Chris Gjestson
Administrative Rules Coordinator

Division of Public Health

1 W. Wilson St. Madison, WI 53701
Christopher.Gjestson@dhs.wisconsin.gov
608-266-0472

1
Statement on quality of agency data
The data sources referenced and used to draft the rules and analyses are objective, accurate, and reliable as discussed in the “Summary of Factual Data and Analytical Methodologies.”
Place where comments are to be submitted and deadline for submission
Comments may be submitted to the agency contact person that is listed above until the deadline given in the upcoming notice of public hearing. The notice of public hearing and deadline for submitting comments will be published in the Wisconsin Administrative Register and to the department’s website, at https://www.dhs.wisconsin.gov/rules/permanent.htm. Comments may also be submitted through the Wisconsin Administrative Rules Website, at: https://docs.legis.wisconsin.gov/code/chr/active.
RULE TEXT
SECTION 1. DHS 110.01 (1), (2) are amended to read:
DHS 110.01 (1) Certifying, training, and credentialing first emergency medical responders.
DHS 110.02 (2) Licensing, training, and credentialing emergency medical technician services practitioners.
SECTION 2. DHS 110.02 (1), (2), (3), (5) are amended to read:
DHS 110.02 (1) First Emergency medical responders.
DHS 110.02 (2) Emergency medical technicians - basic.
DHS 110.02 (3) Advanced emergency medical technicians – intermediate technicians.
DHS 110.02 (5) Emergency medical technician - Paramedics.
SECTION 3. DHS 110.04 (1) is renumbered DHS 110.04 (1r).
SECTION 4. DHS 110.04 (1g) is created to read:
DHS 110.04 (1) - “Advanced emergency medical technician" or “AEMT" has the meaning given in s. 256.01 (1k), Stats.
SECTION 5. DHS 110.04 (11) is repealed.
SECTION 6. DHS 110.04 (10) is re-numbered to DHS 110.04 (11).
SECTION 7. DHS 110.04 (12) is amended to read:
DHS 110.04 (12) - “CPR organization" means an entity whose program is authorized to provide CPR certification or training based on national standards and is approved by the department to fulfill the CPR requirement for certified first emergency medical responders and licensed EMT’ emergency medical services practitioners.
SECTION 8. DHS 110.04 (14e), (14m), and (14s) are created to read:
DHS 110.04 (14e) - “Community emergency medical services provider” or “CEMS” provider has the meaning given under s. 256.215(1)(a), Stats.
DHS 110.04 (14m) - “Community emergency medical services practitioner” has the meaning given under s. 256.21 (1), Stats.
DHS 110.04 (14s) - “Community paramedic” has the meaning given under s. 256.205 (1), Stats.
SECTION 9. DHS 110.04 (16) is amended to read:
DHS 110.04 (16) - “Credential" means written authorization by the service director and medical director of a licensed emergency medical services provider permitting a certified first emergency medical responder or licensed emergency medical technician services practitioners to perform specified emergency medical care while in the service of the provider. To be “credentialed" means to hold a credential issued by a licensed emergency medical services provider.
SECTION 10. DHS 110.04 (17) is amended to read:
DHS 110.04 (20) - “Critical care paramedic" means an emergency medical technician- paramedic who is licensed and endorsed by the department to provide an advanced level of paramedic care based on completion of an advanced level of paramedic training.
SECTION 11. DHS 110.04 (21e), (21m), and (21s) are created to read:
DHS 110.04 (21e) - “Emergency medical dispatch” means a policy or protocol used by a public safety answering point or dispatch center to determine whether to dispatch an advanced life support or basic life support ambulance based on information obtained from a 9-1-1 caller.
DHS 110.04 (21m) - “Emergency medical responder" has the meaning given in s. 256.01 (4p), Stats.
DHS 110.04 (21s) - “Emergency medical responder service provider" means an emergency medical service provider that provides emergency medical care with staff certified as emergency medical responders to sick, disabled or injured individuals before hospitalization and the arrival of an ambulance, but that does not provide transportation for patients.
SECTION 12. DHS 110.04 (24) is amended to read:
DHS 110.04 (24) - “EMS professional" or “EMS personnel" means a certified first emergency medical responder, licensed emergency medical technician services practitioner, registered nurse, physician assistant or physician, who is authorized to provide emergency medical care.
SECTION 13. DHS 110.04 (25) is amended to read:
DHS 110.04 (25) – “Emergency medical service provider" or “EMS provider" means an emergency medical services program under s. 256.12, Stats., that provides emergency medical services as an first emergency medical responder service provider, non-transporting EMT emergency medical services practitioner provider, or ambulance service provider.
SECTION 14. DHS 110.04 (26) is amended to read:
DHS 110.04 (32) - “Emergency medical technician" or EMT services practitioner has the meaning given in s. 256.01 (5), Stats.
SECTION 15. DHS 110.04 (27) and DHS 110.04 (28) are amended to read:
DHS 110.04 (27) – “Emergency medical technician - basic" or “EMT-B" has the meaning given in s. 256.01 (6), Stats.
DHS 110.04 (28) - “Emergency medical technician — intermediate" or “EMT-I EMT-Intermediate" has the meaning given in s. 256.01 (7), Stats.
SECTION 16. DHS 110.04 (29) and (30) are repealed.
SECTION 17. DHS 110.04 (31) is amended to read:
DHS 110.04 (31) - “Endorsement" means validation by the department that a licensed EMT emergency medical services practitioner has received the training and education required to be a specialist within a license level.
SECTION 18. DHS 110.04 (33) and (34) are repealed.
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