AB59: Bill Text

AB59,27,24 256.01 (11) “Medical director" means a physician who trains, medically coordinates, directs, supervises, establishes standard operating procedures for, and designates physicians for direction and supervision of, emergency medical technicians services practitioners and who reviews the performance of emergency medical technicians services practitioners and ambulance service providers.

AB59,86 Section 86. 256.04 (6) of the statutes is amended to read:

AB59,28,4 256.04 (6) Seek involvement in its deliberations by ambulance service provider personnel, emergency medical technicians, first services practitioners, emergency medical responders, persons who train emergency medical services personnel and other interested persons.

AB59,87 Section 87. 256.08 (4) (c) of the statutes is amended to read:

AB59,28,9 256.08 (4) (c) Provide quality assurance in the emergency medical services system, including collecting and analyzing data relating to local and regional emergency medical services systems, ambulance service providers, first emergency medical responders, and emergency medical technicians services practitioners.

AB59,88 Section 88. 256.08 (4) (d) of the statutes is amended to read:

AB59,28,14 256.08 (4) (d) Provide technical assistance to ambulance service providers, first emergency medical responders, and emergency medical technicians services practitioners in developing plans, expanding services, and complying with applicable statutes and rules.

AB59,89 Section 89. 256.08 (4) (e) of the statutes is amended to read:

AB59,28,19 256.08 (4) (e) Set standards for all organizations that offer training to first emergency medical responders and emergency medical technicians services practitioners on what topics should be included in initial training and continuing training.

AB59,90 Section 90. 256.08 (4) (h) of the statutes is amended to read:

AB59,28,25 256.08 (4) (h) Investigate complaints received regarding ambulance service providers, first emergency medical responders, emergency medical technicians services practitioners, and medical directors and take appropriate actions after first consulting with the board and the state medical director for emergency medical services.

AB59,91 Section 91. 256.08 (4) (j) of the statutes is amended to read:

AB59,29,5 256.08 (4) (j) Consult at least annually with the technical college system board and the department of transportation on issues that affect ambulance service providers, first emergency medical responders, and emergency medical technicians services practitioners.

AB59,92 Section 92. 256.12 (2) (a) of the statutes is amended to read:

AB59,29,25 256.12 (2) (a) Any county, city, town, village, hospital, or combination thereof may, after submission of a plan approved by the department, conduct an emergency medical services program using emergency medical technicians — paramedics 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 technicians — paramedics 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 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 services practitioners in conjunction with a program approved by the department. Hospitals that offer approved training courses for emergency medical technicians — paramedics services practitioners should, if feasible, serve as the base of operation for approved programs using emergency medical technicians — paramedics services practitioners.

AB59,93 Section 93. 256.12 (2) (b) 1. of the statutes is amended to read:

AB59,30,4 256.12 (2) (b) 1. Provide administrative support and technical assistance to emergency medical services programs that use emergency medical technicians services practitioners or ambulance service providers.

AB59,94 Section 94. 256.12 (2) (b) 3. of the statutes is amended to read:

AB59,30,7 256.12 (2) (b) 3. Assist the development of training for emergency medical technicians services practitioners.

AB59,95 Section 95. 256.12 (5) (title) and (a) of the statutes are amended to read:

AB59,30,17 256.12 (5) (title) Emergency medical technician services practitioner training and examination aid. (a) From the appropriation account under s. 20.435 (1) (ch), the department shall annually distribute funds to ambulance service providers that are public agencies, volunteer fire departments, or nonprofit corporations to purchase the training required for licensure and renewal of licensure as an emergency medical technician — basic emergency medical technician under s. 256.15 (6), and to pay for administration of the examination required for licensure or renewal of licensure as an emergency medical technician — basic emergency medical technician under s. 256.15 (6) (a) 3. and (b) 1.

AB59,96 Section 96. 256.12 (7) of the statutes is amended to read:

AB59,30,24 256.12 (7) Insurance. A physician who participates in an emergency medical services program under this section or as required under s. 256.15 shall purchase health care liability insurance in compliance with subch. III of ch. 655, except for those acts or omissions of a physician who, as a medical director, reviews the performance of emergency medical technicians services practitioners or ambulance service providers, as specified under s. 146.37 (1g).

AB59,97 Section 97. 256.15 (1) (d) of the statutes is amended to read:

AB59,31,7 256.15 (1) (d) “Basic life support" means emergency medical care that is rendered to a sick, disabled, or injured individual, based on signs, symptoms, or complaints, prior to the individual's hospitalization or while transporting the individual between health care facilities and that is limited to use of the knowledge, skills, and techniques received from training required for licensure as an emergency medical technician — basic emergency medical technician, or for certification as a first an emergency medical responder.

AB59,98 Section 98. 256.15 (2) (a) of the statutes is amended to read:

AB59,31,19 256.15 (2) (a) Except when acting under s. 257.03 and except as provided in pars. (b) and (c), no person may act as or advertise for the provision of services as an ambulance service provider unless the person holds an ambulance service provider license issued under this section. Except when acting under s. 257.03 and except as provided in pars. (b) and (c), no individual may act as or advertise for the provision of services as an emergency medical technician services practitioner unless he or she holds an emergency medical technician services practitioner license or training permit issued under sub. (5). Except when acting under s. 257.03 and except as provided in pars. (b) and (c), no individual may act as or advertise for the provision of services as a first an emergency medical responder unless he or she holds a first an emergency medical responder certificate issued under sub. (8).

AB59,99 Section 99. 256.15 (2) (b) of the statutes is amended to read:

AB59,32,6 256.15 (2) (b) An ambulance service provider licensed in another state that makes 10 or fewer patient transports per year that originate and terminate within this state is not required to hold an ambulance service provider license under this section. An emergency medical technician services practitioner licensed in or holding a training permit in another state who is involved in 10 or fewer patient transports per year that originate and terminate within this state is not required to hold an emergency medical technician services practitioner license or training permit under this section. A first An emergency medical responder certified in another state who provides emergency medical care to 10 or fewer patients per year within this state is not required to hold a first an emergency medical responder certificate under this section.

AB59,100 Section 100. 256.15 (2) (c) of the statutes is amended to read:

AB59,32,11 256.15 (2) (c) Notwithstanding par. (a), a person may act as an ambulance service provider, emergency medical technician services practitioner, or first emergency medical responder without a license, training permit, or certificate described under par. (a) if all of the following apply:

AB59,32,15 1. The person holds a valid license, training permit, certificate, or other credential allowing the person to act as an ambulance service provider, emergency medical technician services practitioner, or first emergency medical responder in another state.

AB59,32,20 2. The person is acting in response to a request for mutual aid and responding from the state in which that person holds a license, training permit, certificate, or other credential allowing the person to act as an ambulance service provider, emergency medical technician services practitioner, or first emergency medical responder.

AB59,101 Section 101. 256.15 (4) (a) 1. of the statutes is amended to read:

AB59,32,24 256.15 (4) (a) 1. Any 2 emergency medical technicians services practitioners, licensed registered nurses, licensed physician assistants or physicians, or any combination thereof.

AB59,102 Section 102. 256.15 (4) (a) 2. of the statutes is amended to read:

AB59,33,3 256.15 (4) (a) 2. One emergency medical technician services practitioner plus one individual with a training permit issued under sub. (5) (b) or plus one first emergency medical responder, subject to par. (e).

AB59,103 Section 103. 256.15 (4) (b) of the statutes is amended to read:

AB59,33,11 256.15 (4) (b) An ambulance driver who is not an emergency medical technician services practitioner may assist with the handling and movement of a sick, injured, or disabled individual if an emergency medical technician services practitioner, registered nurse, physician assistant, or physician directly supervises the driver. No ambulance driver may administer care procedures that an emergency medical technician services practitioner is authorized to administer unless he or she is an emergency medical technician services practitioner.

AB59,104 Section 104. 256.15 (4) (c) of the statutes is amended to read:

AB59,33,18 256.15 (4) (c) Notwithstanding par. (a) 1. and 2. and subject to pars. (d) and (e), the department may promulgate rules that establish standards for staffing of ambulances in which the primary services provided are those which an advanced emergency medical technician or emergency medical technician — intermediate is authorized to provide or those which an emergency medical technician — paramedic a paramedic is authorized to provide.

AB59,105 Section 105. 256.15 (4) (d) of the statutes is amended to read:

AB59,34,3 256.15 (4) (d) If an ambulance service provider that was initially licensed at the paramedic level in 1993 and is located in a municipality in Dodge and Jefferson counties has dispatched an ambulance containing 2 emergency medical technicians — paramedics paramedics, the department shall allow that ambulance service provider to staff an ambulance at the paramedic level for a subsequent call with one emergency medical technician — paramedic paramedic and one emergency medical technician services practitioner of any level while the first ambulance containing 2 emergency medical technicians — paramedics paramedics is occupied providing service.

AB59,106 Section 106. 256.15 (4) (e) 1. of the statutes is amended to read:

AB59,34,15 256.15 (4) (e) 1. The department shall allow an ambulance service provider providing services at the emergency medical technician — basic emergency medical technician level to staff an ambulance with at least one emergency medical technician — basic emergency medical technician and one individual who is an emergency medical technician — basic emergency medical technician, an individual with an emergency medical technician — basic emergency medical technician training permit, or a first an emergency medical responder. An ambulance service provider providing services at the emergency medical technician — basic emergency medical technician level shall require an emergency medical technician — basic emergency medical technician to be in the patient compartment of the ambulance during transport.

AB59,107 Section 107. 256.15 (4) (e) 2. of the statutes is amended to read:

AB59,35,3 256.15 (4) (e) 2. The department shall allow an ambulance service provider providing services at the emergency medical technician — intermediate or emergency medical technician — intermediate technician advanced emergency medical technician level to staff an ambulance with one emergency medical technician services practitioner at the level of the ambulance service and one individual who holds a credential at the first emergency medical responder level or higher. An ambulance service provider providing services at the emergency medical technician — intermediate or emergency medical technician — intermediate technician advanced emergency medical technician level shall require the individual who holds the same level credential as the ambulance service to remain with the patient at all times during care and transport of the patient, if the patient requires that level of care.

AB59,108 Section 108. 256.15 (4) (f) 2. a. of the statutes is amended to read:

AB59,35,7 256.15 (4) (f) 2. a. The ambulance service provider has undertaken efforts to recruit and train emergency medical technicians services practitioners capable of being licensed under this section.

AB59,109 Section 109. 256.15 (4) (f) 2. b. of the statutes is amended to read:

AB59,35,11 256.15 (4) (f) 2. b. Despite efforts under subd. 2. a., licensed emergency medical technicians services practitioners are not available in sufficient numbers for staffing for the ambulance services provider.

AB59,110 Section 110. 256.15 (4) (f) 2. c. of the statutes is amended to read:

AB59,35,16 256.15 (4) (f) 2. c. Without a waiver under subd. 1., the municipality that the ambulance service provider serves is unable to meet staffing requirements for ambulances that require 2 emergency medical technicians services practitioners on every service call.

AB59,111 Section 111. 256.15 (4) (f) 5. of the statutes is amended to read:

AB59,35,20 256.15 (4) (f) 5. An ambulance service provider with a waiver under subd. 1. shall attempt to staff an ambulance with 2 licensed emergency medical technicians services practitioners whenever possible.

AB59,112 Section 112. 256.15 (5) (title) of the statutes is amended to read:

AB59,35,23 256.15 (5) (title) Licensing of ambulance service providers and emergency medical technicians services practitioners; training permits.

AB59,113 Section 113. 256.15 (5) (a) of the statutes is amended to read:

AB59,36,6 256.15 (5) (a) Except as provided in ss. 256.17 and 256.18, the department shall license qualified applicants as ambulance service providers or emergency medical technicians services practitioners. The department shall, from the information on the certification form specified under sub. (6) (c) 2., establish in each ambulance service provider's biennial license the primary service or contract area of the ambulance service provider.

AB59,114 Section 114. 256.15 (5) (d) 1. of the statutes is amended to read:

AB59,36,12 256.15 (5) (d) 1. If issued an emergency medical technician — basic emergency medical technician training permit, he or she may perform the actions authorized under rules promulgated by the department for an emergency medical technician — basic emergency medical technician, but only if an emergency medical technician services practitioner directly supervises him or her.

AB59,115 Section 115. 256.15 (5) (d) 2m. of the statutes is created to read:

AB59,36,17 256.15 (5) (d) 2m. If issued an advanced emergency medical technician training permit, he or she may perform the actions authorized under rules promulgated by the department for an advanced emergency medical technician, but only if a medical director or training instructor is present and giving direction.

AB59,116 Section 116. 256.15 (5) (d) 3. of the statutes is amended to read:

AB59,36,23 256.15 (5) (d) 3. If issued an emergency medical technician — paramedic a paramedic training permit, he or she may perform the actions authorized under rules promulgated by the department for an emergency medical technician — paramedic a paramedic, but only if a medical director or training instructor is present and giving direction.

AB59,117 Section 117. 256.15 (5) (e) of the statutes is amended to read:

AB59,37,5 256.15 (5) (e) A license or training permit issued under this subsection is nontransferable and is valid for the balance of the license or training permit period or until surrendered for cancellation or suspended or revoked for violation of this section or of any other statutes or rules relating to ambulance service providers or emergency medical technicians services practitioners.

AB59,118 Section 118. 256.15 (5) (f) of the statutes is amended to read:

AB59,37,13 256.15 (5) (f) The department may charge a reasonable fee for a license or training permit issued under this subsection, except that no fee may be charged to an individual who is an employee of a public agency and who works for volunteer or paid-on-call ambulance service providers and who is an applicant for a license as an emergency medical technician — basic emergency medical technician or for a training permit, and no fee may be charged to an individual who is eligible for the veterans fee waiver program under s. 45.44.

AB59,119 Section 119. 256.15 (5) (g) of the statutes is amended to read:

AB59,37,20 256.15 (5) (g) Except as provided in ss. 256.17 and 256.18, an emergency medical technician services practitioner license shall be issued to the individual licensed, and the department may not impose a requirement that an individual be affiliated with an ambulance service provider in order to receive an emergency medical technician services practitioner license or to have an emergency medical technician services practitioner license renewed.

AB59,120 Section 120. 256.15 (6) (a) (intro.) of the statutes is amended to read:

AB59,37,24 256.15 (6) (a) (intro.) Except as provided in ss. 256.17 and 256.18, to be eligible for an initial license as an emergency medical technician services practitioner, an individual shall:

AB59,121 Section 121. 256.15 (6) (a) 1. of the statutes is amended to read:

AB59,38,6 256.15 (6) (a) 1. Be 18 years of age or older; be capable of performing the actions authorized in rules promulgated under sub. (13) (c) for an emergency medical technician — basic emergency medical technician, an advanced emergency medical technician, an emergency medical technician — intermediate , or an emergency medical technician — paramedic a paramedic, for which licensure is sought; and, subject to ss. 111.321, 111.322 and 111.335, not have an arrest or conviction record.

AB59,122 Section 122. 256.15 (6) (b) 1. of the statutes is amended to read:

AB59,38,12 256.15 (6) (b) 1. Except as provided in ss. 256.17 and 256.18, to be eligible for a renewal of a license as an emergency medical technician services practitioner, the licensee shall, in addition to meeting the requirements of par. (a) 1., complete the training, education, or examination requirements specified in rules promulgated under subd. 2.

AB59,123 Section 123. 256.15 (6) (b) 2. of the statutes is amended to read:

AB59,38,17 256.15 (6) (b) 2. The department, in conjunction with the technical college system board, shall promulgate rules specifying training, education, or examination requirements, including requirements for training for response to acts of terrorism, for license renewals for emergency medical technicians services practitioners.

AB59,124 Section 124. 256.15 (6) (c) (intro.) of the statutes is amended to read:

AB59,39,3 256.15 (6) (c) (intro.) Except as provided in ss. 256.17 and 256.18, to be eligible for a license as an ambulance service provider, an individual shall be 18 years of age or older and have such additional qualifications as may be established in rules promulgated by the department, except that no ambulance service provider may be required to take training or an examination or receive education to qualify for licensure or for renewal of licensure. An ambulance service provider shall, as a condition of licensure, provide medical malpractice insurance sufficient to protect all emergency medical technicians services practitioners who perform for compensation as employees of the ambulance service provider. For renewal of a biennial license as an ambulance service provider, an applicant shall also provide all of the following:

AB59,125 Section 125. 256.15 (6n) of the statutes is amended to read:

AB59,39,8 256.15 (6n) Authorized actions of emergency medical technicians services practitioners. An emergency medical technician services practitioner may undertake only those actions that are authorized in rules promulgated under sub. (13) (c).

AB59,126 Section 126. 256.15 (7) of the statutes is amended to read:

AB59,39,16 256.15 (7) Licensing in other jurisdictions. Except as provided in ss. 256.17 and 256.18, the department may issue a license as an emergency medical technician services practitioner, without examination, to any individual who holds a current license or certificate as an emergency medical technician services practitioner from another jurisdiction if the department finds that the standards for licensing or issuing certificates in the other jurisdiction are at least substantially equivalent to those in this state, and that the applicant is otherwise qualified.

AB59,127 Section 127. 256.15 (8) (title) of the statutes is amended to read:

AB59,39,18 256.15 (8) (title) Certification of first emergency medical responders.

AB59,128 Section 128. 256.15 (8) (a) of the statutes is amended to read:

AB59,39,21 256.15 (8) (a) Except as provided in ss. 256.17 and 256.18, the department shall certify qualified applicants as first emergency medical responders.