Amendment ASA1-SB186

LRBs0418/2

DAK:jld:jf

2005 - 2006 LEGISLATURE

ASSEMBLY SUBSTITUTE AMENDMENT 1, TO 2005 SENATE BILL 186

January 30, 2006 - Offered by Representative Wasserman.

SB186-ASA1,1,9 An Act to repeal 146.50 (1) (cm), 146.50 (1) (o), 146.50 (6g) (b) 1., 146.50 (6g) (b) 2., 146.50 (8g) and 895.48 (4) (a) 4.; to renumber and amend 895.48 (4) (a); to amend 146.50 (1) (im) 3., 146.50 (8) (e), 895.48 (4) (b) (intro.) and 895.48 (4) (b) 1.; and to create 146.50 (1) (cr), 146.50 (6g) (b) 2m. and 895.48 (4) (ag) of the statutes; relating to: substituting the term automated external defibrillator for the terms automatic defibrillator and semiautomatic defibrillator; and providing immunity from civil liability for users, owners, and providers of automated external defibrillators for acts or omissions in rendering emergency care in good faith.

Analysis by the Legislative Reference Bureau

Under current law, certain persons who are not emergency medical technicians or first responders-defibrillation, but who have received training in a course that is approved by the Department of Health and Family Services (DHFS), may use semiautomatic defibrillators in rendering emergency care or treatment to others who appear to be in cardiac arrest. A semiautomatic defibrillator is a heart monitor and defibrillator that is capable of recognizing the presence or absence of ventricular fibrillation or rapid ventricular tachycardia, determining whether defibrillation should be performed, charging, and, upon the operator's command, delivering an electrical impulse to an individual's heart. A person who provides a semiautomatic defibrillator for this use must provide written notice and certain information to the nearest emergency services program and must ensure that the semiautomatic defibrillator is maintained and tested in accordance with the manufacturer's guidelines. If these requirements are complied with, the users, owners, and providers of semiautomatic defibrillators are immune from civil liability for acts or omissions in rendering emergency care in good faith and without gross negligence. In addition, DHFS certifies qualified applicants for the performance of defibrillation by use of an automatic defibrillator (a heart monitor and defibrillator that, after determining that defibrillation should be performed and charging, automatically delivers an electrical impulse to an individual's heart), a semiautomatic defibrillator, or a manual defibrillator.

This substitute amendment substitutes the term "automated external defibrillator" for the terms "automatic defibrillator" and "semiautomatic defibrillator" in the provisions relating to the performance of defibrillation. An automated external defibrillator has the capacity for use either as a semiautomatic defibrillator or as an automatic defibrillator. The substitute amendment eliminates requirements of training in a DHFS-approved course for persons who are not emergency medical technicians or first responders — defibrillation and who use automated external defibrillators in rendering emergency care or treatment to others who appear to be in cardiac arrest. The substitute amendment also eliminates the requirement that the person who provides the defibrillator for use provide written notification to the nearest emergency medical services program. The substitute amendment continues to provide immunity from civil liability, without the requirement, for acts or omissions of the person in rendering, in good faith and without gross negligence, emergency care by use of an automated external defibrillator and to the owner and provider of the defibrillator, except that this immunity for the provider applies only if the provider ensures that the automated external defibrillator is maintained and tested in accordance with any operational guidelines of the manufacturer.

The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:

SB186-ASA1, s. 1 Section 1. 146.50 (1) (cm) of the statutes is repealed.

SB186-ASA1, s. 2 Section 2. 146.50 (1) (cr) of the statutes is created to read:

SB186-ASA1,2,4 146.50 (1) (cr) "Automated external defibrillator" means a defibrillator device to which all of the following apply:

SB186-ASA1,3,2 1. It is approved for commercial distribution by the federal food and drug administration.

SB186-ASA1,3,5 2. It is capable of recognizing the presence or absence of ventricular fibrillation or rapid ventricular tachycardia and of determining without intervention by the user of the device whether defibrillation should be performed.

SB186-ASA1,3,8 3. After having determined that defibrillation should be performed, it is capable, either at the command of an operator or without intervention by an operator, of delivering an electrical shock to an individual.

SB186-ASA1, s. 3 Section 3. 146.50 (1) (im) 3. of the statutes is amended to read:

SB186-ASA1,3,12 146.50 (1) (im) 3. In the case of a defibrillator that may be operated in either an automatic or a manual mode as a manual defibrillator or as an automated external defibrillator, is set to operate in the manual mode as a manual defibrillator.

SB186-ASA1, s. 4 Section 4. 146.50 (1) (o) of the statutes is repealed.

SB186-ASA1, s. 5 Section 5. 146.50 (6g) (b) 1. of the statutes is repealed.

SB186-ASA1, s. 6 Section 6. 146.50 (6g) (b) 2. of the statutes is repealed.

SB186-ASA1, s. 7 Section 7. 146.50 (6g) (b) 2m. of the statutes is created to read:

SB186-ASA1,3,17 146.50 (6g) (b) 2m. An automated external defibrillator.

SB186-ASA1, s. 8 Section 8. 146.50 (8) (e) of the statutes is amended to read:

SB186-ASA1,4,7 146.50 (8) (e) A certified first responder is authorized to use an automatic or semiautomatic automated external defibrillator, as prescribed for first responders in rules promulgated by the department. The rules shall set forth authorization for the use of an automatic defibrillator, a semiautomatic automated external defibrillator or, for a defibrillator that may be operated in more than one mode, use in the automatic or semiautomatic mode as an automated external defibrillator only. A certified first responder is also authorized to employ other techniques, including the administration of nonvisualized advanced airways, and the administration of medications that are specified by the department by rule. In promulgating the rules under this paragraph, the department shall consult with the state medical director for emergency medical services and the emergency medical services board. The rule shall include those techniques that are specified in the most current guidelines issued by the National Highway Traffic Safety Administration under 23 CFR 1205.3 (a) (5).

SB186-ASA1, s. 9 Section 9. 146.50 (8g) of the statutes is repealed.

SB186-ASA1, s. 10 Section 10. 895.48 (4) (a) of the statutes is renumbered 895.48 (4) (am), and 895.48 (4) (am) (intro.), 2. and 3., as renumbered, are amended to read:

SB186-ASA1,4,17 895.48 (4) (am) (intro.) Any of the following who meets the applicable requirements of s. 146.50 (8g) and who acts within the applicable limitations of s. 146.50 (8g), other than an emergency medical technician or a first responder — defibrillation, is immune from civil liability for the acts or omissions of a person in rendering in good faith emergency care by use of a semiautomatic an automated external defibrillator under s. 146.50 (8g) to an individual who appears to be in cardiac arrest:

SB186-ASA1,4,19 2. The owner of the semiautomatic automated external defibrillator, as specified in s. 146.50 (8g) (c).

SB186-ASA1,4,23 3. The person who provides the semiautomatic automated external defibrillator for use, as specified in s. 146.50 (8g) (c) if the person ensures that the automated external defibrillator is maintained and tested in accordance with any operational guidelines of the manufacturer.

SB186-ASA1, s. 11 Section 11. 895.48 (4) (a) 4. of the statutes is repealed.

SB186-ASA1, s. 12 Section 12. 895.48 (4) (ag) of the statutes is created to read:

SB186-ASA1,5,1 895.48 (4) (ag) In this subsection:

SB186-ASA1,5,4 1. "Cardiac arrest" means the sudden cessation of cardiac function and the disappearance of arterial blood pressure that connote ventricular fibrillation or pulseless ventricular tachycardia.

SB186-ASA1,5,7 2. "Pulseless ventricular tachycardia" means a disturbance in the normal rhythm of the heart that is characterized by rapid electrical activity of the heart with no cardiac output.

SB186-ASA1, s. 13 Section 13. 895.48 (4) (b) (intro.) of the statutes is amended to read:

SB186-ASA1,5,10 895.48 (4) (b) (intro.) The immunity specified in par. (a) (am) does not extend to any of the following:

SB186-ASA1, s. 14 Section 14. 895.48 (4) (b) 1. of the statutes is amended to read:

SB186-ASA1,5,14 895.48 (4) (b) 1. A person whose act or omission resulting from the use or the provision for use of the semiautomatic automated external defibrillator constitutes gross negligence.

SB186-ASA1,5,15 (End)