SB24: Bill Text

SB24,25,9 154.25 (6) Valid do-not-resuscitate bracelet. A do-not-resuscitate bracelet that has not been removed, altered, or tampered with in any way shall be presumed valid, unless the patient, the patient's guardian, or the patient's health care agent expresses to the emergency medical technician, first services practitioner, emergency medical responder, or emergency health care facility personnel the patient's desire to be resuscitated.

SB24,72 Section 72 . 157.06 (12) (a) 1. of the statutes is amended to read:

SB24,25,13 157.06 (12) (a) 1. A law enforcement officer, fire fighter, emergency medical technician, first services practitioner, emergency medical responder, or ambulance service provider.

SB24,73 Section 73 . 252.01 (1g) of the statutes is repealed and recreated to read:

SB24,25,16 252.01 (1g) “Emergency medical responder" has the meaning given in s. 256.01 (4p).

SB24,74 Section 74 . 252.14 (1) (ar) 13. of the statutes is amended to read:

SB24,25,19 252.14 (1) (ar) 13. An emergency medical technician services practitioner licensed under s. 256.15 (5).

SB24,75 Section 75 . 252.14 (1) (ar) 15. of the statutes is amended to read:

SB24,25,21 252.14 (1) (ar) 15. A first An emergency medical responder.

SB24,76 Section 76 . 252.15 (1) (af) of the statutes is amended to read:

SB24,25,24 252.15 (1) (af) “Emergency medical technician services practitioner" has the meaning given in s. 256.01 (5).

SB24,77 Section 77 . 252.15 (5g) (a) 1. of the statutes is amended to read:

SB24,26,7 252.15 (5g) (a) 1. The person is an emergency medical technician; first services practitioner; emergency medical responder; fire fighter; peace officer; correctional officer; person who is employed at a juvenile correctional facility, as defined in s. 938.02 (10p), or a secured residential care center for children and youth, as defined in s. 938.02 (15g); state patrol officer; jailer, keeper of a jail, or person designated with custodial authority by the jailer or keeper and the contact occurred during the course of the person providing care or services to the individual.

SB24,78 Section 78 . 255.35 (1m) (a) 1. of the statutes is amended to read:

SB24,26,12 255.35 (1m) (a) 1. Licensure as an emergency medical technician — basic, emergency medical technician, advanced emergency medical technician, emergency medical technician — intermediate or emergency medical technician — paramedic, or paramedic under s. 256.15 (5) (a).

SB24,79 Section 79 . 256.01 (1) of the statutes is renumbered 256.01 (1t).

SB24,80 Section 80 . 256.01 (1k) of the statutes is created to read:

SB24,26,16 256.01 (1k) “Advanced emergency medical technician” means an emergency medical services practitioner who has completed intermediate technician training.

SB24,81 Section 81 . 256.01 (5) of the statutes is amended to read:

SB24,26,21 256.01 (5) “Emergency medical technician services practitioner" means an emergency medical technician — basic emergency medical technician, an advanced emergency medical technician, an emergency medical technician — intermediate or an emergency medical technician — paramedic, or a paramedic.

SB24,82 Section 82 . 256.01 (6) of the statutes is amended to read:

SB24,27,2 256.01 (6) “Emergency medical technician — basic Emergency medical technician" means an individual who is licensed by the department to administer basic life support and to properly handle and transport sick, disabled, or injured individuals or is exempt under s. 256.15 (2) (b) or (c).

SB24,83 Section 83 . 256.01 (8) of the statutes is renumbered 256.01 (14) and amended to read:

SB24,27,10 256.01 (14) “Emergency medical technician — paramedic Paramedic" means an individual who is specially trained in emergency cardiac, trauma , and other lifesaving or emergency procedures in a training program or course of instruction prescribed by the department and who is examined and licensed as an emergency medical technician — paramedic a paramedic under s. 256.15 (5) or is exempt under s. 256.15 (2) (b) or (c).

SB24,84 Section 84 . 256.01 (9) of the statutes is renumbered 256.01 (4p) and amended to read:

SB24,27,18 256.01 (4p) “First Emergency medical responder" means a person who is certified by the department as a first an emergency medical responder under s. 256.15 (8) (a) or is exempt under s. 256.15 (2) (b) or (c) and who, as a condition of employment or as a member of an organization that provides emergency medical care before hospitalization, provides emergency medical care to a sick, disabled, or injured individual.

SB24,85 Section 85 . 256.01 (11) of the statutes is amended to read:

SB24,27,24 256.01 (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.

SB24,86 Section 86 . 256.04 (6) of the statutes is amended to read:

SB24,28,4 256.04 (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.

SB24,87 Section 87 . 256.08 (4) (c) of the statutes is amended to read:

SB24,28,9 256.08 (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.

SB24,88 Section 88 . 256.08 (4) (d) of the statutes is amended to read:

SB24,28,14 256.08 (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.

SB24,89 Section 89 . 256.08 (4) (e) of the statutes is amended to read:

SB24,28,19 256.08 (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.

SB24,90 Section 90 . 256.08 (4) (h) of the statutes is amended to read:

SB24,28,25 256.08 (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.

SB24,91 Section 91. 256.08 (4) (j) of the statutes is amended to read:

SB24,29,5 256.08 (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.

SB24,92 Section 92 . 256.12 (2) (a) of the statutes is amended to read:

SB24,29,25 256.12 (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.

SB24,93 Section 93. 256.12 (2) (b) 1. of the statutes is amended to read:

SB24,30,4 256.12 (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.

SB24,94 Section 94 . 256.12 (2) (b) 3. of the statutes is amended to read:

SB24,30,7 256.12 (2) (b) 3. Assist the development of training for emergency medical technicians services practitioners.

SB24,95 Section 95 . 256.12 (5) (title) and (a) of the statutes are amended to read:

SB24,30,17 256.12 (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.

SB24,96 Section 96 . 256.12 (7) of the statutes is amended to read:

SB24,30,24 256.12 (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).

SB24,97 Section 97 . 256.15 (1) (d) of the statutes is amended to read:

SB24,31,7 256.15 (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.

SB24,98 Section 98 . 256.15 (2) (a) of the statutes is amended to read:

SB24,31,19 256.15 (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).

SB24,99 Section 99 . 256.15 (2) (b) of the statutes is amended to read:

SB24,32,6 256.15 (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.

SB24,100 Section 100 . 256.15 (2) (c) of the statutes is amended to read:

SB24,32,11 256.15 (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:

SB24,32,15 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.

SB24,32,20 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.

SB24,101 Section 101 . 256.15 (4) (a) 1. of the statutes is amended to read:

SB24,32,24 256.15 (4) (a) 1. Any 2 emergency medical technicians services practitioners, licensed registered nurses, licensed physician assistants or physicians, or any combination thereof.

SB24,102 Section 102 . 256.15 (4) (a) 2. of the statutes is amended to read:

SB24,33,3 256.15 (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).

SB24,103 Section 103 . 256.15 (4) (b) of the statutes is amended to read:

SB24,33,11 256.15 (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.

SB24,104 Section 104 . 256.15 (4) (c) of the statutes is amended to read:

SB24,33,18 256.15 (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.

SB24,105 Section 105 . 256.15 (4) (d) of the statutes is amended to read:

SB24,34,3 256.15 (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.

SB24,106 Section 106 . 256.15 (4) (e) 1. of the statutes is amended to read:

SB24,34,15 256.15 (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.

SB24,107 Section 107 . 256.15 (4) (e) 2. of the statutes is amended to read:

SB24,35,3 256.15 (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.

SB24,108 Section 108 . 256.15 (4) (f) 2. a. of the statutes is amended to read:

SB24,35,7 256.15 (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.

SB24,109 Section 109 . 256.15 (4) (f) 2. b. of the statutes is amended to read:

SB24,35,11 256.15 (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.

SB24,110 Section 110 . 256.15 (4) (f) 2. c. of the statutes is amended to read:

SB24,35,16 256.15 (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.

SB24,111 Section 111 . 256.15 (4) (f) 5. of the statutes is amended to read:

SB24,35,20 256.15 (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.

SB24,112 Section 112 . 256.15 (5) (title) of the statutes is amended to read:

SB24,35,23 256.15 (5) (title) Licensing of ambulance service providers and emergency medical technicians services practitioners; training permits.

SB24,113 Section 113 . 256.15 (5) (a) of the statutes is amended to read:

SB24,36,6 256.15 (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.

SB24,114 Section 114 . 256.15 (5) (d) 1. of the statutes is amended to read:

SB24,36,12 256.15 (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.

SB24,115 Section 115 . 256.15 (5) (d) 2m. of the statutes is created to read: