AB521,5,75 146.38 (1) (b) "Health care provider" includes an ambulance service provider,
6as defined in s. 146.50 (1) (c), and an emergency medical technician, as defined in s.
7146.50 (1) (e), and a first responder, as defined in s. 146.50 (1) (hm).
AB521, s. 10 8Section 10. 146.50 (1) (d) of the statutes is amended to read:
AB521,5,149 146.50 (1) (d) "Basic life support" means emergency medical care that is
10rendered to a sick, disabled or injured individual, based on signs, symptoms or
11complaints, prior to the individual's hospitalization or while transporting the
12individual between health care facilities and that is limited to use of the knowledge,
13skills and techniques received from training required for licensure as an emergency
14medical technician - basic, or for certification as a first responder.
AB521, s. 11 15Section 11. 146.50 (1) (hm) of the statutes is amended to read:
AB521,5,1816 146.50 (1) (hm) "First responder - defibrillation responder" means an
17individual who is certified by the department as a first responder - defibrillation
18responder under sub. (8).
AB521, s. 12 19Section 12. 146.50 (2) of the statutes is amended to read:
AB521,6,220 146.50 (2) License or certificate required. No person may act as or advertise
21for the provision of services as an ambulance service provider unless the person holds
22an ambulance service provider license issued under this section. No individual may
23act as or advertise for the provision of services as an emergency medical technician
24unless he or she holds an emergency medical technician license or training permit
25issued under sub. (5). No individual may act as or advertise for the provision of

1services as a first responder - defibrillation responder unless he or she holds a first
2responder - defibrillation responder certificate issued under sub. (8).
AB521, s. 13 3Section 13. 146.50 (8) (title) of the statutes is amended to read:
AB521,6,54 146.50 (8) (title) Certification of first responders - defibrillation
5responders.
AB521, s. 14 6Section 14. 146.50 (8) (a) of the statutes is amended to read:
AB521,6,87 146.50 (8) (a) Except as provided in ss. 146.51 and 146.52, the department shall
8certify qualified applicants as first responders - defibrillation responders.
AB521, s. 15 9Section 15. 146.50 (8) (b) of the statutes is renumbered 146.50 (8) (b) (intro.)
10and amended to read:
AB521,6,1311 146.50 (8) (b) (intro.) To be eligible for initial certification as a first responder
12- defibrillation
responder, except as provided in ss. 146.51 and 146.52, an individual
13shall meet all of the following requirements specified in rules promulgated:
AB521,6,16 143. The individual satisfactorily completes a first responder course that meets
15or exceeds the guidelines issued by the National Highway Traffic Safety
16Administration under 23 CFR 1205.3 (5) and that is approved
by the department.
AB521, s. 16 17Section 16. 146.50 (8) (b) 1. and 2. of the statutes are created to read:
AB521,6,2018 146.50 (8) (b) 1. The individual is 18 years of age or older and capable of
19performing the actions authorized under par. (e), or in rules promulgated under par.
20(e), for a first responder.
AB521,6,2221 2. Subject to ss. 111.321, 111.322 and 111.335, the individual does not have an
22arrest or conviction record.
AB521, s. 17 23Section 17. 146.50 (8) (c) of the statutes is amended to read:
AB521,7,424 146.50 (8) (c) To be eligible for a renewal of a certificate as a first responder -
25defibrillation
responder, except as provided in ss. 146.51 and 146.52, the holder of the

1certificate shall satisfactorily complete any requirements specified in rules
2promulgated
a first responder refresher course that meets or exceeds the guidelines
3issued by the National Highway Traffic Safety Administration under 23 CFR 1205.3
4(5) and that is approved
by the department.
AB521, s. 18 5Section 18. 146.50 (8) (d) of the statutes is amended to read:
AB521,7,76 146.50 (8) (d) The department may not charge a reasonable fee for a certificate
7initially issued or renewed under this subsection.
AB521, s. 19 8Section 19. 146.50 (8) (e) of the statutes is amended to read:
AB521,7,229 146.50 (8) (e) A certified first responder - defibrillation responder is authorized
10to use an automatic or semiautomatic defibrillator, as prescribed for first responders
11- defibrillation
responders in rules promulgated by the department. The rules shall
12set forth authorization for the use of an automatic defibrillator, a semiautomatic
13defibrillator or, for a defibrillator that may be operated in more than one mode, use
14in the automatic or semiautomatic mode only. A certified first responder is also
15authorized to employ other techniques, including the administration of
16nonvisualized advanced airways, and the administration of medications that are
17specified by the department by rule. In promulgating the rules under this
18paragraph, the department shall consult with the state medical director for
19emergency medical services and the emergency medical services board. The rule
20shall include those techniques that are specified in the most current guidelines
21issued by the National Highway Traffic Safety Administration under 23 CFR 1205.3
22(5).
AB521, s. 20 23Section 20. 146.50 (8) (f) of the statutes is amended to read:
AB521,8,624 146.50 (8) (f) Except as provided in ss. 146.51 and 146.52, the department may
25issue a certificate as a first responder - defibrillation responder, without requiring

1satisfactory completion of any instruction or training that may be required under
2par. (b), to any individual who holds a current license or certificate as a first
3responder from another jurisdiction if the department finds that the standards for
4licensing or issuing certificates in the other jurisdiction are at least substantially
5equivalent to the standards for issuance of certificates for first responder -
6defibrillation
responders in this state, and that the applicant is otherwise qualified.
AB521, s. 21 7Section 21. 146.50 (8) (g) of the statutes is created to read:
AB521,8,108 146.50 (8) (g) The department may not impose a requirement that an
9individual be affiliated with an ambulance service provider in order to receive a first
10responder certificate.
AB521, s. 22 11Section 22. 146.50 (11) (f) of the statutes is amended to read:
AB521,8,1312 146.50 (11) (f) To restrain or prevent action by a first responder - defibrillation
13responder in violation of this section or a rule promulgated under this section.
AB521, s. 23 14Section 23. 146.50 (12) (a) of the statutes is amended to read:
AB521,8,2515 146.50 (12) (a) All records made by an ambulance service provider, an
16emergency medical technician or a first responder - defibrillation responder in
17administering emergency care procedures to and handling and transporting sick,
18disabled or injured individuals shall be maintained as confidential patient health
19care records subject to ss. 146.81 to 146.84 and, if applicable, s. 252.15 (5) (a) (intro.),
20(6), (8) and (9). For the purposes of this paragraph, an ambulance service provider,
21an emergency medical technician or a first responder - defibrillation responder shall
22be considered to be a health care provider under s. 146.81 (1). Nothing in this
23paragraph permits disclosure to an ambulance service provider, an emergency
24medical technician or a first responder - defibrillation responder under s. 252.15 (5)
25(a), except under s. 252.15 (5) (a) 11.
AB521, s. 24
1Section 24. 895.48 (1m) (intro.) of the statutes, as affected by 1997 Wisconsin
2Acts 67
and 156, is amended to read:
AB521,9,123 895.48 (1m) (intro.) Any physician licensed under ch. 448, chiropractor licensed
4under ch. 446, dentist licensed under ch. 447, emergency medical technician licensed
5under s. 146.50, first responder certified under s. 146.50 (8), physician assistant
6licensed under ch. 448, registered nurse licensed under ch. 441 or massage therapist
7or bodyworker issued a license of registration under subch. X XI of ch. 440 who
8renders voluntary health care to a participant in an athletic event or contest
9sponsored by a nonprofit corporation, as defined in s. 46.93 (1m) (c), a private school,
10as defined in s. 115.001 (3r), a public agency, as defined in s. 46.93 (1m) (e), or a school,
11as defined in s. 609.655 (1) (c), is immune from civil liability for his or her acts or
12omissions in rendering that care if all of the following conditions exist:
AB521, s. 25 13Section 25. 895.48 (1m) (b) of the statutes, as affected by 1997 Wisconsin Act
14156
, is amended to read:
AB521,9,1815 895.48 (1m) (b) The physician, chiropractor, dentist, emergency medical
16technician, first responder, physician assistant, registered nurse, massage therapist
17or bodyworker does not receive compensation for the health care, other than
18reimbursement for expenses.
AB521, s. 26 19Section 26. 941.37 (1) (c) of the statutes is amended to read:
AB521,9,2320 941.37 (1) (c) "Emergency medical personnel" means an emergency medical
21technician licensed under s. 146.50, first responder certified under s. 146.50 (8),
22peace officer or fire fighter, or other person operating or staffing an ambulance or an
23authorized emergency vehicle.
AB521, s. 27 24Section 27. Initial applicability.
AB521,9,2525 (1) Certification of first responders.
AB521,10,2
1(a) The treatment of section 146.50 (8) (b) of the statutes first applies to an
2application for initial certification made on the effective date of this paragraph.
AB521,10,43 (b) The treatment of section 146.50 (8) (c) of the statutes first applies to an
4application for renewal of certification made on the effective date of this paragraph.
AB521, s. 28 5Section 28. Effective date.
AB521,10,76 (1) First responders. This act takes effect on the first day of the 7th month
7beginning after publication.
AB521,10,88 (End)
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