Full Text of HB3031 102nd General Assembly
HB3031eng 102ND GENERAL ASSEMBLY |
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| 1 | | AN ACT concerning local government.
| 2 | | Be it enacted by the People of the State of Illinois,
| 3 | | represented in the General Assembly:
| 4 | | Section 5. The Illinois Police Training Act is amended by | 5 | | adding Section 10.25 as follows: | 6 | | (50 ILCS 705/10.25 new) | 7 | | Sec. 10.25. Tactical paramedics. | 8 | | (a) Notwithstanding any other provision of law following | 9 | | the effective date of this amendatory act of the 102nd General | 10 | | Assembly, the Illinois Law Enforcement Training Standards | 11 | | Board and the Department of Public Health shall jointly | 12 | | develop and establish a program of certification of tactical | 13 | | paramedics for the purposes of aiding special law enforcement | 14 | | teams involved in, but not limited to, search and rescues, | 15 | | civil disturbances, bomb threat responses, tactical or special | 16 | | operations team deployments, hostage negotiations, HazMat | 17 | | responses, executive and dignitary protection, and | 18 | | counterterrorism, as assigned and directed by a law | 19 | | enforcement agency that is recognized by the Illinois Law | 20 | | Enforcement Training and Standards Board. | 21 | | The Illinois Law Enforcement Training and Standards Board | 22 | | in conjunction with the Department of Public Health may | 23 | | establish any fees necessary to fund the training and |
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| 1 | | certification requirements of this Section and may establish | 2 | | other entities providing training to meet all or a portion of | 3 | | the requirements of this Section. | 4 | | (b) The tactical paramedic program certification | 5 | | requirements shall include, but are not limited to, the | 6 | | following: that the individual must be an emergency medical | 7 | | technician, paramedic, physician, physician's assistant, | 8 | | nurse, or other medical professional licensed to practice in | 9 | | the State or in possession of a suitable license as determined | 10 | | by the Illinois Law Enforcement Training Standards Board and | 11 | | the Department of Public Health; that the person has completed | 12 | | no less than a 40 hour basic firearms certification recognized | 13 | | by the Illinois Law Enforcement Training and Standards Board; | 14 | | that the person has completed no less than 50 hours of tactical | 15 | | medical training, approved by the Illinois Law Enforcement | 16 | | Training and Standards Board; that the person has attended no | 17 | | less than 50 hours of tactical and firearms training, | 18 | | including use of force training; and that the person operate | 19 | | under a medical facility in the State that is licensed by the | 20 | | Department of Public Health. | 21 | | (c) The Illinois Law Enforcement Training and Standards | 22 | | Board and the Department of Public Health shall establish | 23 | | annual requirements for certification of tactical paramedics | 24 | | including, but not limited to, proof of: a valid license or | 25 | | certification as a medical professional licensed or certified | 26 | | to practice in the State; that a person operates under a |
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| 1 | | medical facility in the State that is licensed by the | 2 | | Department of Public Health; completion of no less than 50 | 3 | | hours annually of tactical medical training; and completion of | 4 | | no less than 50 hours annually of tactical and firearms | 5 | | training, including use of force training. | 6 | | The Illinois Law Enforcement Training Standards Board and | 7 | | the Department of Public Health may require any additional | 8 | | qualifications, licensing, standards, certification, or | 9 | | training deemed necessary and pertinent by either agency. | 10 | | Section 10. The Counties Code is amended by adding Section | 11 | | 3-6012.3 as follows: | 12 | | (55 ILCS 5/3-6012.3 new) | 13 | | Sec. 3-6012.3. Tactical paramedic support. A Sheriff may | 14 | | employ and provide tactical paramedic support to first | 15 | | responders with tactical paramedics certified under Section | 16 | | 10.25 of the Illinois Police Training Act. In addition to any | 17 | | other requirements, the tactical paramedics will participate | 18 | | in routine, ongoing tactical and medical training with the | 19 | | first responders that they will support and meet any | 20 | | additional training, certification, and licensing as the | 21 | | Sheriff deems appropriate. | 22 | | Section 15. The Illinois Municipal Code is amended by | 23 | | adding Section 10-4-15 as follows: |
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| 1 | | (65 ILCS 5/10-4-15 new) | 2 | | Sec. 10-4-15. Tactical paramedic support. A municipality | 3 | | may provide tactical paramedic support to first responders | 4 | | with tactical paramedics certified under Section 10.25 of the | 5 | | Illinois Police Training Act. In addition to any other | 6 | | requirements, the tactical paramedics will participate in | 7 | | routine, ongoing tactical and medical training with the first | 8 | | responders that they will support and meet any additional | 9 | | training, certification, and licensing as the chief of police | 10 | | deems appropriate. | 11 | | Section 20. The Emergency Medical Services (EMS) Systems | 12 | | Act is amended by changing Sections 3.5 and 3.50 as follows:
| 13 | | (210 ILCS 50/3.5)
| 14 | | Sec. 3.5. Definitions. As used in this Act:
| 15 | | "Clinical observation" means the ongoing observation of a | 16 | | patient's condition by a licensed health care professional | 17 | | utilizing a medical skill set while continuing assessment and | 18 | | care. | 19 | | "Department" means the Illinois Department of Public | 20 | | Health.
| 21 | | "Director" means the Director of the Illinois Department | 22 | | of Public Health.
| 23 | | "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), Pre-Hospital | 11 | | Registered Nurse (PHRN), Pre-Hospital Advanced Practice | 12 | | Registered Nurse (PHAPRN), or Pre-Hospital Physician Assistant | 13 | | (PHPA) , or Tactical Paramedics . | 14 | | "Health care facility" means a hospital,
nursing home, | 15 | | physician's office or other fixed location at which
medical | 16 | | and health care services are performed. It does not
include | 17 | | "pre-hospital emergency care settings" which utilize EMS | 18 | | personnel to render
pre-hospital emergency care prior to the
| 19 | | arrival of a transport vehicle, as defined in this Act.
| 20 | | "Hospital" has the meaning ascribed to that
term in the | 21 | | Hospital Licensing Act.
| 22 | | "Medical monitoring" means the performance of medical | 23 | | tests and physical exams to evaluate an individual's ongoing | 24 | | exposure to a factor that could negatively impact that | 25 | | person's health. "Medical monitoring" includes close | 26 | | surveillance or supervision of patients liable to suffer |
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| 1 | | deterioration in physical or mental health and checks of | 2 | | various parameters such as pulse rate, temperature, | 3 | | respiration rate, the condition of the pupils, the level of | 4 | | consciousness and awareness, the degree of appreciation of | 5 | | pain, and blood gas concentrations such as oxygen and carbon | 6 | | dioxide. | 7 | | "Trauma" means any significant injury which
involves | 8 | | single or multiple organ systems.
| 9 | | (Source: P.A. 100-1082, eff. 8-24-19; 101-81, eff. 7-12-19.)
| 10 | | (210 ILCS 50/3.50)
| 11 | | Sec. 3.50. Emergency Medical Services personnel licensure | 12 | | levels.
| 13 | | (a) "Emergency Medical Technician" or
"EMT" means a person | 14 | | who has successfully completed a course in basic life support
| 15 | | as approved by the
Department, is currently licensed by the | 16 | | Department in
accordance with standards prescribed by this Act | 17 | | and rules
adopted by the Department pursuant to this Act, and | 18 | | practices within an EMS
System. A valid Emergency Medical | 19 | | Technician-Basic (EMT-B) license issued under this Act shall | 20 | | continue to be valid and shall be recognized as an Emergency | 21 | | Medical Technician (EMT) license until the Emergency Medical | 22 | | Technician-Basic (EMT-B) license expires.
| 23 | | (b) "Emergency Medical Technician-Intermediate"
or "EMT-I" | 24 | | means a person who has successfully completed a
course in | 25 | | intermediate life support
as approved
by the Department, is |
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| 1 | | currently licensed by the
Department in accordance with | 2 | | standards prescribed by this
Act and rules adopted by the | 3 | | Department pursuant to this
Act, and practices within an | 4 | | Intermediate or Advanced
Life Support EMS System.
| 5 | | (b-5) "Advanced Emergency Medical Technician" or "A-EMT" | 6 | | means a person who has successfully completed a course in | 7 | | basic and limited advanced emergency medical care as approved | 8 | | by the Department, is currently licensed by the Department in | 9 | | accordance with standards prescribed by this Act and rules | 10 | | adopted by the Department pursuant to this Act, and practices | 11 | | within an Intermediate or Advanced Life Support EMS System. | 12 | | (c) "Paramedic (EMT-P)" means a person who
has | 13 | | successfully completed a
course in advanced life support care
| 14 | | as approved
by the Department, is licensed by the Department
| 15 | | in accordance with standards prescribed by this Act and
rules | 16 | | adopted by the Department pursuant to this Act, and
practices | 17 | | within an Advanced Life Support EMS System. A valid Emergency | 18 | | Medical Technician-Paramedic (EMT-P) license issued under this | 19 | | Act shall continue to be valid and shall be recognized as a | 20 | | Paramedic license until the Emergency Medical | 21 | | Technician-Paramedic (EMT-P) license expires.
| 22 | | (c-3) "Tactical Paramedic" means a person who has | 23 | | successfully completed certification under the requirements of | 24 | | Section 10.25 of the Illinois Police Training Act. | 25 | | (c-5) "Emergency Medical Responder" or "EMR (First | 26 | | Responder)" means a person who has successfully completed a |
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| 1 | | course in emergency medical response as approved by the | 2 | | Department and provides emergency medical response services | 3 | | prior to the arrival of an ambulance or specialized emergency | 4 | | medical services vehicle, in accordance with the level of care | 5 | | established by the National EMS Educational Standards | 6 | | Emergency Medical Responder course as modified by the | 7 | | Department. An Emergency Medical Responder who provides | 8 | | services as part of an EMS System response plan shall comply | 9 | | with the applicable sections of the Program Plan, as approved | 10 | | by the Department, of that EMS System. The Department shall | 11 | | have the authority to adopt rules governing the curriculum, | 12 | | practice, and necessary equipment applicable to Emergency | 13 | | Medical Responders. | 14 | | On August 15, 2014 (the effective date of Public Act | 15 | | 98-973), a person who is licensed by the Department as a First | 16 | | Responder and has completed a Department-approved course in | 17 | | first responder defibrillator training based on, or equivalent | 18 | | to, the National EMS Educational Standards or other standards | 19 | | previously recognized by the Department shall be eligible for | 20 | | licensure as an Emergency Medical Responder upon meeting the | 21 | | licensure requirements and submitting an application to the | 22 | | Department. A valid First Responder license issued under this | 23 | | Act shall continue to be valid and shall be recognized as an | 24 | | Emergency Medical Responder license until the First Responder | 25 | | license expires. | 26 | | (c-10) All EMS Systems and licensees shall be fully |
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| 1 | | compliant with the National EMS Education Standards, as | 2 | | modified by the Department in administrative rules, within 24 | 3 | | months after the adoption of the administrative rules. | 4 | | (d) The Department shall have the authority and
| 5 | | responsibility to:
| 6 | | (1) Prescribe education and training requirements, | 7 | | which
includes training in the use of epinephrine,
for all | 8 | | levels of EMS personnel except for EMRs, based on the | 9 | | National EMS Educational Standards
and any modifications | 10 | | to those curricula specified by the
Department through | 11 | | rules adopted pursuant to this Act.
| 12 | | (2) Prescribe licensure testing requirements
for all | 13 | | levels of EMS personnel, which shall include a requirement | 14 | | that
all phases of instruction, training, and field | 15 | | experience be
completed before taking the appropriate | 16 | | licensure examination.
Candidates may elect to take the | 17 | | appropriate National Registry examination in lieu of the
| 18 | | Department's examination, but are responsible for making
| 19 | | their own arrangements for taking the National Registry
| 20 | | examination. In prescribing licensure testing requirements | 21 | | for honorably discharged members of the armed forces of | 22 | | the United States under this paragraph (2), the Department | 23 | | shall ensure that a candidate's military emergency medical | 24 | | training, emergency medical curriculum completed, and | 25 | | clinical experience, as described in paragraph (2.5), are | 26 | | recognized.
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| 1 | | (2.5) Review applications for EMS personnel licensure | 2 | | from
honorably discharged members of the armed forces of | 3 | | the United States with military emergency medical | 4 | | training. Applications shall be filed with the Department | 5 | | within one year after military discharge and shall | 6 | | contain: (i) proof of successful completion of military | 7 | | emergency medical training; (ii) a detailed description of | 8 | | the emergency medical curriculum completed; and (iii) a | 9 | | detailed description of the applicant's clinical | 10 | | experience. The Department may request additional and | 11 | | clarifying information. The Department shall evaluate the | 12 | | application, including the applicant's training and | 13 | | experience, consistent with the standards set forth under | 14 | | subsections (a), (b), (c), and (d) of Section 3.10. If the | 15 | | application clearly demonstrates that the training and | 16 | | experience meet such standards, the Department shall offer | 17 | | the applicant the opportunity to successfully complete a | 18 | | Department-approved EMS personnel examination for the | 19 | | level of license for which the applicant is qualified. | 20 | | Upon passage of an examination, the Department shall issue | 21 | | a license, which shall be subject to all provisions of | 22 | | this Act that are otherwise applicable to the level of EMS | 23 | | personnel
license issued. | 24 | | (3) License individuals as an EMR, EMT, EMT-I, A-EMT,
| 25 | | or Paramedic who have met the Department's education, | 26 | | training and
examination requirements.
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| 1 | | (4) Prescribe annual continuing education and
| 2 | | relicensure requirements for all EMS personnel licensure
| 3 | | levels.
| 4 | | (5) Relicense individuals as an EMD, EMR, EMT, EMT-I, | 5 | | A-EMT, PHRN, PHAPRN, PHPA,
or Paramedic every 4 years, | 6 | | based on their compliance with
continuing education and | 7 | | relicensure requirements as required by the Department | 8 | | pursuant to this Act. Every 4 years, a Paramedic shall | 9 | | have 100 hours of approved continuing education, an EMT-I | 10 | | and an advanced EMT shall have 80 hours of approved | 11 | | continuing education, and an EMT shall have 60 hours of | 12 | | approved continuing education. An Illinois licensed EMR, | 13 | | EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, PHPA, PHAPRN, or | 14 | | PHRN whose license has been expired for less than 36 | 15 | | months may apply for reinstatement by the Department. | 16 | | Reinstatement shall require that the applicant (i) submit | 17 | | satisfactory proof of completion of continuing medical | 18 | | education and clinical requirements to be prescribed by | 19 | | the Department in an administrative rule; (ii) submit a | 20 | | positive recommendation from an Illinois EMS Medical | 21 | | Director attesting to the applicant's qualifications for | 22 | | retesting; and (iii) pass a Department approved test for | 23 | | the level of EMS personnel license sought to be | 24 | | reinstated.
| 25 | | (6) Grant inactive status to any EMR, EMD, EMT, EMT-I, | 26 | | A-EMT, Paramedic, ECRN, PHAPRN, PHPA, or PHRN who
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| 1 | | qualifies, based on standards and procedures established | 2 | | by
the Department in rules adopted pursuant to this Act.
| 3 | | (7) Charge a fee for EMS personnel examination, | 4 | | licensure, and license renewal.
| 5 | | (8) Suspend, revoke, or refuse to issue or renew the
| 6 | | license of any licensee, after an opportunity for an | 7 | | impartial hearing before a neutral administrative law | 8 | | judge appointed by the Director, where the preponderance | 9 | | of the evidence shows one or more of the following:
| 10 | | (A) The licensee has not met continuing
education | 11 | | or relicensure requirements as prescribed by the | 12 | | Department;
| 13 | | (B) The licensee has failed to maintain
| 14 | | proficiency in the level of skills for which he or she | 15 | | is licensed;
| 16 | | (C) The licensee, during the provision of
medical | 17 | | services, engaged in dishonorable, unethical, or
| 18 | | unprofessional conduct of a character likely to | 19 | | deceive,
defraud, or harm the public;
| 20 | | (D) The licensee has failed to maintain or
has | 21 | | violated standards of performance and conduct as | 22 | | prescribed
by the Department in rules adopted pursuant | 23 | | to this Act or
his or her EMS System's Program Plan;
| 24 | | (E) The licensee is physically impaired to
the | 25 | | extent that he or she cannot physically perform the | 26 | | skills and
functions for which he or she is licensed, |
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| 1 | | as verified by a
physician, unless the person is on | 2 | | inactive status pursuant
to Department regulations;
| 3 | | (F) The licensee is mentally impaired to the
| 4 | | extent that he or she cannot exercise the appropriate | 5 | | judgment,
skill and safety for performing the | 6 | | functions for which he
or she is licensed, as verified | 7 | | by a physician, unless the person
is on inactive | 8 | | status pursuant to Department regulations;
| 9 | | (G) The licensee has violated this Act or any
rule | 10 | | adopted by the Department pursuant to this Act; or | 11 | | (H) The licensee has been convicted (or entered a | 12 | | plea of guilty or nolo contendere nolo-contendere ) by | 13 | | a court of competent jurisdiction of a Class X, Class | 14 | | 1, or Class 2 felony in this State or an out-of-state | 15 | | equivalent offense. | 16 | | (9) Prescribe education and training requirements in | 17 | | the administration and use of opioid antagonists for all | 18 | | levels of EMS personnel based on the National EMS | 19 | | Educational Standards and any modifications to those | 20 | | curricula specified by the Department through rules | 21 | | adopted pursuant to this Act. | 22 | | (d-5) An EMR, EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, | 23 | | PHAPRN, PHPA, or PHRN who is a member of the Illinois National | 24 | | Guard or an Illinois State Trooper or who exclusively serves | 25 | | as a volunteer for units of local government with a population | 26 | | base of less than 5,000 or as a volunteer
for a not-for-profit |
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| 1 | | organization that serves a service area
with a population base | 2 | | of less than 5,000 may submit an application to the Department | 3 | | for a waiver of the fees described under paragraph (7) of | 4 | | subsection (d) of this Section on a form prescribed by the | 5 | | Department. | 6 | | The education requirements prescribed by the Department | 7 | | under this Section must allow for the suspension of those | 8 | | requirements in the case of a member of the armed services or | 9 | | reserve forces of the United States or a member of the Illinois | 10 | | National Guard who is on active duty pursuant to an executive | 11 | | order of the President of the United States, an act of the | 12 | | Congress of the United States, or an order of the Governor at | 13 | | the time that the member would otherwise be required to | 14 | | fulfill a particular education requirement. Such a person must | 15 | | fulfill the education requirement within 6 months after his or | 16 | | her release from active duty.
| 17 | | (e) In the event that any rule of the
Department or an EMS | 18 | | Medical Director that requires testing for drug
use as a | 19 | | condition of the applicable EMS personnel license conflicts | 20 | | with or
duplicates a provision of a collective bargaining | 21 | | agreement
that requires testing for drug use, that rule shall | 22 | | not
apply to any person covered by the collective bargaining
| 23 | | agreement.
| 24 | | (f) At the time of applying for or renewing his or her | 25 | | license, an applicant for a license or license renewal may | 26 | | submit an email address to the Department. The Department |
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| 1 | | shall keep the email address on file as a form of contact for | 2 | | the individual. The Department shall send license renewal | 3 | | notices electronically and by mail to a licensee all licensees | 4 | | who provides provide the Department with his or her email | 5 | | address. The notices shall be sent at least 60 days prior to | 6 | | the expiration date of the license. | 7 | | (Source: P.A. 100-1082, eff. 8-24-19; 101-81, eff. 7-12-19; | 8 | | 101-153, eff. 1-1-20; revised 12-3-19.)
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