Full Text of SB2704 99th General Assembly
SB2704sam001 99TH GENERAL ASSEMBLY | Sen. Chapin Rose Filed: 4/7/2016
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| 1 | | AMENDMENT TO SENATE BILL 2704
| 2 | | AMENDMENT NO. ______. Amend Senate Bill 2704 by replacing | 3 | | everything after the enacting clause with the following:
| 4 | | "Section 5. The Emergency Medical Services (EMS) Systems | 5 | | Act is amended by changing Sections 3.5 and 3.10 as follows:
| 6 | | (210 ILCS 50/3.5)
| 7 | | Sec. 3.5. Definitions. As used in this Act:
| 8 | | "Clinical observation" means the on-going observation of a | 9 | | patient's condition by a licensed health care professional | 10 | | utilizing a medical skill set while continuing assessment and | 11 | | care. | 12 | | "Department" means the Illinois Department of Public | 13 | | Health.
| 14 | | "Director" means the Director of the Illinois Department of | 15 | | Public Health.
| 16 | | "Emergency" means a medical condition of recent onset and |
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| 1 | | severity that
would lead a prudent layperson, possessing an | 2 | | average knowledge of medicine and
health, to believe that | 3 | | urgent or unscheduled medical care is required.
| 4 | | "Emergency Medical Services personnel" or "EMS personnel" | 5 | | means persons licensed as an Emergency Medical Responder (EMR) | 6 | | (First Responder), Emergency Medical Dispatcher (EMD), | 7 | | Emergency Medical Technician (EMT), Emergency Medical | 8 | | Technician-Intermediate (EMT-I), Advanced Emergency Medical | 9 | | Technician (A-EMT), Paramedic (EMT-P), Emergency | 10 | | Communications Registered Nurse (ECRN), or Pre-Hospital | 11 | | Registered Nurse (PHRN). | 12 | | "Health care facility" means a hospital,
nursing home, | 13 | | physician's office or other fixed location at which
medical and | 14 | | health care services are performed. It does not
include | 15 | | "pre-hospital emergency care settings" which utilize EMS | 16 | | personnel to render
pre-hospital emergency care prior to the
| 17 | | arrival of a transport vehicle, as defined in this Act.
| 18 | | "Hospital" has the meaning ascribed to that
term in the | 19 | | Hospital Licensing Act.
| 20 | | "Medical monitoring" means the performance of medical | 21 | | tests and physical exams to evaluate an individual's on-going | 22 | | exposure to a factor that could negatively impact that person's | 23 | | health. "Medical monitoring" includes close surveillance or | 24 | | supervision of patients liable to suffer deterioration in | 25 | | physical or mental health and checks of various parameters such | 26 | | as pulse rate, temperature, respiration rate, the condition of |
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| 1 | | the pupils, the level of consciousness and awareness, the | 2 | | degree of appreciation of pain, and blood gas concentrations | 3 | | such as oxygen and carbon dioxide. | 4 | | "Trauma" means any significant injury which
involves | 5 | | single or multiple organ systems.
| 6 | | (Source: P.A. 98-973, eff. 8-15-14 .)
| 7 | | (210 ILCS 50/3.10)
| 8 | | Sec. 3.10. Scope of Services.
| 9 | | (a) "Advanced Life Support (ALS) Services" means
an | 10 | | advanced level of pre-hospital and inter-hospital emergency
| 11 | | care and non-emergency medical services that includes basic | 12 | | life
support care, cardiac monitoring, cardiac defibrillation,
| 13 | | electrocardiography, intravenous therapy, administration of
| 14 | | medications, drugs and solutions, use of adjunctive medical
| 15 | | devices, trauma care, and other authorized techniques and
| 16 | | procedures, as outlined in the provisions of the National EMS | 17 | | Education Standards relating to Advanced Life Support and any | 18 | | modifications to that curriculum
specified in rules adopted by | 19 | | the Department pursuant to
this Act.
| 20 | | That care shall be initiated as authorized by the EMS
| 21 | | Medical Director in a Department approved advanced life
support | 22 | | EMS System, under the written or verbal direction of
a | 23 | | physician licensed to practice medicine in all of its
branches | 24 | | or under the verbal direction of an Emergency
Communications | 25 | | Registered Nurse.
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| 1 | | (b) "Intermediate Life Support (ILS) Services"
means an | 2 | | intermediate level of pre-hospital and inter-hospital
| 3 | | emergency care and non-emergency medical services that | 4 | | includes
basic life support care plus intravenous cannulation | 5 | | and
fluid therapy, invasive airway management, trauma care, and
| 6 | | other authorized techniques and procedures, as outlined in
the | 7 | | Intermediate Life Support national curriculum of the
United | 8 | | States Department of Transportation and any
modifications to | 9 | | that curriculum specified in rules adopted
by the Department | 10 | | pursuant to this Act.
| 11 | | That care shall be initiated as authorized by the EMS
| 12 | | Medical Director in a Department approved intermediate or
| 13 | | advanced life support EMS System, under the written or
verbal | 14 | | direction of a physician licensed to practice
medicine in all | 15 | | of its branches or under the verbal
direction of an Emergency | 16 | | Communications Registered Nurse.
| 17 | | (c) "Basic Life Support (BLS) Services" means a
basic level | 18 | | of pre-hospital and inter-hospital emergency care and
| 19 | | non-emergency medical services that includes medical | 20 | | monitoring, clinical observation, airway management,
| 21 | | cardiopulmonary resuscitation (CPR), control of shock and
| 22 | | bleeding and splinting of fractures, as outlined in the | 23 | | provisions of the National EMS Education Standards relating to | 24 | | Basic Life Support and any modifications to that
curriculum | 25 | | specified in rules adopted by the Department
pursuant to this | 26 | | Act.
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| 1 | | That care shall be initiated, where authorized by the
EMS | 2 | | Medical Director in a Department approved EMS System,
under the | 3 | | written or verbal direction of a physician
licensed to practice | 4 | | medicine in all of its branches or
under the verbal direction | 5 | | of an Emergency Communications
Registered Nurse.
| 6 | | (d) "Emergency Medical Responder Services" means a | 7 | | preliminary
level of pre-hospital emergency care that includes
| 8 | | cardiopulmonary resuscitation (CPR), monitoring vital signs
| 9 | | and control of bleeding, as outlined in the Emergency Medical | 10 | | Responder (EMR) curriculum of the National EMS Education | 11 | | Standards
and any modifications to that curriculum specified in | 12 | | rules
adopted by the Department pursuant to this Act.
| 13 | | (e) "Pre-hospital care" means those
medical services | 14 | | rendered to patients for analytic,
resuscitative, stabilizing, | 15 | | or preventive purposes,
precedent to and during transportation | 16 | | of such patients to
health care facilities.
| 17 | | (f) "Inter-hospital care" means those
medical services | 18 | | rendered to patients for
analytic, resuscitative, stabilizing, | 19 | | or preventive
purposes, during transportation of such patients | 20 | | from one
hospital to another hospital.
| 21 | | (f-5) "Critical care transport" means the pre-hospital or | 22 | | inter-hospital transportation of a critically injured or ill | 23 | | patient by a vehicle service provider, including the provision | 24 | | of medically necessary supplies and services, at a level of | 25 | | service beyond the scope of the Paramedic. When medically | 26 | | indicated for a patient, as determined by a physician licensed |
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| 1 | | to practice medicine in all of its branches, an advanced | 2 | | practice nurse, or a physician's assistant, in compliance with | 3 | | subsections (b) and (c) of Section 3.155 of this Act, critical | 4 | | care transport may be provided by: | 5 | | (1) Department-approved critical care transport | 6 | | providers, not owned or operated by a hospital, utilizing | 7 | | Paramedics with additional training, nurses, or other | 8 | | qualified health professionals; or | 9 | | (2) Hospitals, when utilizing any vehicle service | 10 | | provider or any hospital-owned or operated vehicle service | 11 | | provider. Nothing in Public Act 96-1469 requires a hospital | 12 | | to use, or to be, a Department-approved critical care | 13 | | transport provider when transporting patients, including | 14 | | those critically injured or ill. Nothing in this Act shall | 15 | | restrict or prohibit a hospital from providing, or | 16 | | arranging for, the medically appropriate transport of any | 17 | | patient, as determined by a physician licensed to practice | 18 | | in all of its branches, an advanced practice nurse, or a | 19 | | physician's assistant. | 20 | | (g) "Non-emergency medical services" means medical care , | 21 | | clinical observation, or medical monitoring rendered to
| 22 | | patients whose conditions do not meet this Act's definition of | 23 | | emergency, before or
during transportation of such patients to | 24 | | or from health care facilities visited for the
purpose of | 25 | | obtaining medical or health care services which are not | 26 | | emergency in
nature, using a vehicle regulated by this Act.
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| 1 | | (g-5) The Department shall have the authority to promulgate | 2 | | minimum standards for critical care transport providers | 3 | | through rules adopted pursuant to this Act. All critical care | 4 | | transport providers must function within a Department-approved | 5 | | EMS System. Nothing in Department rules shall restrict a | 6 | | hospital's ability to furnish personnel, equipment, and | 7 | | medical supplies to any vehicle service provider, including a | 8 | | critical care transport provider. Minimum critical care | 9 | | transport provider standards shall include, but are not limited | 10 | | to: | 11 | | (1) Personnel staffing and licensure. | 12 | | (2) Education, certification, and experience. | 13 | | (3) Medical equipment and supplies. | 14 | | (4) Vehicular standards. | 15 | | (5) Treatment and transport protocols. | 16 | | (6) Quality assurance and data collection. | 17 | | (h)
The provisions of this Act shall not apply to
the use | 18 | | of an ambulance or SEMSV, unless and until
emergency or | 19 | | non-emergency medical services are needed
during the use of the | 20 | | ambulance or SEMSV.
| 21 | | (Source: P.A. 98-973, eff. 8-15-14.)".
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