Public Act 100-0255
 
HB1952 EnrolledLRB100 04415 MJP 14421 b



    AN ACT concerning regulation.

 
    Be it enacted by the People of the State of Illinois, 
represented in the General Assembly: 



 
    Section 5. The Emergency Medical Services (EMS) Systems Act 
is amended  by adding Section 3.88 as follows:
 
    (210 ILCS 50/3.88 new)
    Sec. 3.88. Ambulance assistance vehicle provider upgrades.
    (a) As used in this Section:
    "Ambulance assistance vehicle" has the meaning provided 
under 77 Ill. Adm. Code 515.825 and includes, but is not 
limited to, fire apparatus and fire department vehicles.
    "Ambulance assistance vehicle provider" or "provider" 
means a provider of ambulance assistance vehicles that is 
licensed under this Act and serves a population within the 
State. 
    (b) An ambulance assistance vehicle provider may submit a 
proposal to the EMS Medical Director requesting approval of an 
ambulance assistance vehicle provider in-field service level 
upgrade. 
        (1) An ambulance assistance vehicle provider may be 
    upgraded, as defined by the EMS Medical Director in a 
    policy or procedure, as long as the EMS Medical Director 
    and the Department have approved the proposal, to the 
    highest level of EMT license (advanced life 
    support/paramedic, intermediate life support, or basic 
    life support) or Pre-Hospital RN certification held by any 
    person staffing that provider's ambulance assistance 
    vehicle. The ambulance assistance vehicle provider's 
    proposal for an upgrade must include all of the following: 
            (A) The manner in which the provider will secure 
        and store advanced life support equipment, supplies, 
        and medications.
            (B) The type of quality assurance the provider will 
        perform.
            (C) An assurance that the provider will advertise 
        only the level of care that can be provided 24 hours a 
        day.
            (D) A statement that the provider will have that 
        vehicle inspected by the Department annually. 
        (2) If an ambulance assistance vehicle provider is 
    approved to provide an in-field service level upgrade based 
    on the licensed personnel on the vehicle, all the advanced 
    life support medical supplies, durable medical equipment, 
    and medications must be environmentally controlled, 
    secured, and locked with access by only the personnel who 
    have been authorized by the EMS Medical Director to utilize 
    those supplies.
        (3) The EMS System shall routinely perform quality 
    assurance, in compliance with the EMS System's quality 
    assurance plan approved by the Department, on in-field 
    service level upgrades authorized under this Section to 
    ensure compliance with the EMS System plan. 
    The EMS Medical Director may define what constitutes an 
in-field service level upgrade through an EMS System policy or 
procedure. An in-field service level upgrade may include, but 
need not be limited to, an upgrade to a licensed ambulance, 
alternate response vehicle, or specialized emergency medical 
services vehicle. 
    (c) If the EMS Medical Director approves a proposal for an 
ambulance assistance vehicle provider's in-field service level 
upgrade under this Section, he or she shall submit the proposal 
to the Department along with a statement of approval signed by 
him or her. Once the Department has approved the proposal, the 
ambulance assistance vehicle provider shall be authorized to 
function at the highest level of EMT license (advanced life 
support/paramedic, intermediate life support, or basic life 
support) or Pre-Hospital RN certification held by any person 
staffing the provider's ambulance assistance vehicle. 
    (d) Nothing in this Section shall allow for the approval of 
a request to downgrade the service level licensure for an 
ambulance assistance vehicle provider. 
 

    Section 99. Effective date. This Act takes effect upon 
becoming law.