Sen. Neil Anderson
Filed: 3/11/2021
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1 | AMENDMENT TO SENATE BILL 121
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2 | AMENDMENT NO. ______. Amend Senate Bill 121 by replacing | ||||||
3 | everything after the enacting clause with the following:
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4 | "Section 5. The Emergency Medical Services (EMS) Systems | ||||||
5 | Act is amended by changing Section 3.55 as follows:
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6 | (210 ILCS 50/3.55)
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7 | Sec. 3.55. Scope of practice.
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8 | (a) Any person currently licensed as an EMR, EMT, EMT-I,
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9 | A-EMT, PHRN, PHAPRN, PHPA, or Paramedic may perform emergency | ||||||
10 | and non-emergency medical
services as defined in this Act, in | ||||||
11 | accordance with his or her level of
education, training and | ||||||
12 | licensure, the standards of
performance and conduct prescribed | ||||||
13 | by the Department in
rules adopted pursuant to this Act, and | ||||||
14 | the requirements of
the EMS System in which he or she | ||||||
15 | practices, as contained in the
approved Program Plan for that | ||||||
16 | System. The Director may, by written order, temporarily modify |
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1 | individual scopes of practice in response to public health | ||||||
2 | emergencies for periods not exceeding 180 days.
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3 | (a-5) EMS personnel who have successfully completed a | ||||||
4 | Department approved
course in automated defibrillator | ||||||
5 | operation and who are functioning within a
Department approved | ||||||
6 | EMS System may utilize such automated defibrillator
according | ||||||
7 | to the standards of performance and conduct prescribed by the
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8 | Department
in rules adopted pursuant to this Act and the | ||||||
9 | requirements of the EMS System in
which they practice, as | ||||||
10 | contained in the approved Program Plan for that
System.
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11 | (a-7) An EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or | ||||||
12 | Paramedic
who has successfully completed a Department approved | ||||||
13 | course in the
administration of epinephrine shall be required | ||||||
14 | to carry epinephrine
with him or her as part of the EMS | ||||||
15 | personnel medical supplies whenever
he or she is performing | ||||||
16 | official duties as determined by the EMS System. The | ||||||
17 | epinephrine may be administered from a glass vial, | ||||||
18 | auto-injector, ampule, or pre-filled syringe.
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19 | (b) An EMR, EMT,
EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or | ||||||
20 | Paramedic may practice as an EMR, EMT, EMT-I, A-EMT, or | ||||||
21 | Paramedic or utilize his or her EMR, EMT, EMT-I, A-EMT, PHRN, | ||||||
22 | PHAPRN, PHPA, or Paramedic license
in pre-hospital or | ||||||
23 | inter-hospital emergency care settings or
non-emergency | ||||||
24 | medical transport situations, under the
written or verbal | ||||||
25 | direction of the EMS Medical Director.
For purposes of this | ||||||
26 | Section, a "pre-hospital emergency care
setting" may include a |
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1 | location, that is not a health care
facility, which utilizes | ||||||
2 | EMS personnel to render pre-hospital
emergency care prior to | ||||||
3 | the arrival of a transport vehicle.
The location shall include | ||||||
4 | communication equipment and all
of the portable equipment and | ||||||
5 | drugs appropriate for the EMR, EMT, EMT-I, A-EMT, or | ||||||
6 | Paramedic's
level of care, as required by this Act, rules | ||||||
7 | adopted
by the Department pursuant to this Act, and the | ||||||
8 | protocols of
the EMS Systems, and shall operate only with the | ||||||
9 | approval
and under the direction of the EMS Medical Director.
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10 | This Section shall not prohibit an EMR, EMT, EMT-I, A-EMT, | ||||||
11 | PHRN, PHAPRN, PHPA, or Paramedic
from practicing within an | ||||||
12 | emergency department or
other health care setting for the | ||||||
13 | purpose of receiving
continuing education or training approved | ||||||
14 | by the EMS Medical
Director. This Section shall also not | ||||||
15 | prohibit an EMT,
EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or | ||||||
16 | Paramedic from seeking credentials other than his or her EMT, | ||||||
17 | EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic
license and | ||||||
18 | utilizing such credentials to work in emergency
departments or | ||||||
19 | other health care settings under the
jurisdiction of that | ||||||
20 | employer.
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21 | (c) An EMT,
EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic | ||||||
22 | may honor Do Not Resuscitate (DNR) orders and powers
of | ||||||
23 | attorney for health care only in accordance with rules
adopted | ||||||
24 | by the Department pursuant to this Act and protocols
of the EMS | ||||||
25 | System in which he or she practices.
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26 | (d) A student enrolled in a Department approved EMS |
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1 | personnel
program, while fulfilling the
clinical training and | ||||||
2 | in-field supervised experience
requirements mandated for | ||||||
3 | licensure or approval by the
System and the Department, may | ||||||
4 | perform prescribed procedures
under the direct supervision of | ||||||
5 | a physician licensed to
practice medicine in all of its | ||||||
6 | branches, a qualified
registered professional nurse, or | ||||||
7 | qualified EMS personnel, only when
authorized by the EMS | ||||||
8 | Medical Director.
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9 | (e) An EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or | ||||||
10 | Paramedic may transport a police dog injured in the line of | ||||||
11 | duty to a veterinary clinic or similar facility if there are no | ||||||
12 | persons requiring medical attention or transport at that time. | ||||||
13 | For the purposes of this subsection, "police dog" means a dog | ||||||
14 | owned or used by a law enforcement department or agency in the | ||||||
15 | course of the department or agency's work, including a search | ||||||
16 | and rescue dog, service dog, accelerant detection canine, or | ||||||
17 | other dog that is in use by a county, municipal, or State law | ||||||
18 | enforcement agency. | ||||||
19 | (f) Nothing in this Act shall be construed to prohibit an | ||||||
20 | EMT, EMT-I, A-EMT, Paramedic, or PHRN from completing an | ||||||
21 | initial Occupational Safety and Health Administration | ||||||
22 | Respirator Medical Evaluation Questionnaire on behalf of fire | ||||||
23 | service personnel, as permitted by his or her EMS System | ||||||
24 | Medical Director. | ||||||
25 | (Source: P.A. 99-862, eff. 1-1-17; 100-108, eff. 1-1-18; | ||||||
26 | 100-1082, eff. 8-24-19 .)".
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