| |
Public Act 099-0661 Public Act 0661 99TH GENERAL ASSEMBLY |
Public Act 099-0661 | SB2704 Enrolled | LRB099 16933 MJP 41280 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 changing Sections 3.5 and 3.10 as follows:
| (210 ILCS 50/3.5)
| Sec. 3.5. Definitions. As used in this Act:
| "Clinical observation" means the on-going observation of a | patient's condition by a licensed health care professional | utilizing a medical skill set while continuing assessment and | care. | "Department" means the Illinois Department of Public | Health.
| "Director" means the Director of the Illinois Department of | Public Health.
| "Emergency" means a medical condition of recent onset and | severity that
would lead a prudent layperson, possessing an | average knowledge of medicine and
health, to believe that | urgent or unscheduled medical care is required.
| "Emergency Medical Services personnel" or "EMS personnel" | means persons licensed as an Emergency Medical Responder (EMR) | (First Responder), Emergency Medical Dispatcher (EMD), | Emergency Medical Technician (EMT), Emergency Medical |
| Technician-Intermediate (EMT-I), Advanced Emergency Medical | Technician (A-EMT), Paramedic (EMT-P), Emergency | Communications Registered Nurse (ECRN), or Pre-Hospital | Registered Nurse (PHRN). | "Health care facility" means a hospital,
nursing home, | physician's office or other fixed location at which
medical and | health care services are performed. It does not
include | "pre-hospital emergency care settings" which utilize EMS | personnel to render
pre-hospital emergency care prior to the
| arrival of a transport vehicle, as defined in this Act.
| "Hospital" has the meaning ascribed to that
term in the | Hospital Licensing Act.
| "Medical monitoring" means the performance of medical | tests and physical exams to evaluate an individual's on-going | exposure to a factor that could negatively impact that person's | health. "Medical monitoring" includes close surveillance or | supervision of patients liable to suffer deterioration in | physical or mental health and checks of various parameters such | as pulse rate, temperature, respiration rate, the condition of | the pupils, the level of consciousness and awareness, the | degree of appreciation of pain, and blood gas concentrations | such as oxygen and carbon dioxide. | "Trauma" means any significant injury which
involves | single or multiple organ systems.
| (Source: P.A. 98-973, eff. 8-15-14 .)
|
| (210 ILCS 50/3.10)
| Sec. 3.10. Scope of Services.
| (a) "Advanced Life Support (ALS) Services" means
an | advanced level of pre-hospital and inter-hospital emergency
| care and non-emergency medical services that includes basic | life
support care, cardiac monitoring, cardiac defibrillation,
| electrocardiography, intravenous therapy, administration of
| medications, drugs and solutions, use of adjunctive medical
| devices, trauma care, and other authorized techniques and
| procedures, as outlined in the provisions of the National EMS | Education Standards relating to Advanced Life Support and any | modifications to that curriculum
specified in rules adopted by | the Department pursuant to
this Act.
| That care shall be initiated as authorized by the EMS
| Medical Director in a Department approved advanced life
support | EMS System, under the written or verbal direction of
a | physician licensed to practice medicine in all of its
branches | or under the verbal direction of an Emergency
Communications | Registered Nurse.
| (b) "Intermediate Life Support (ILS) Services"
means an | intermediate level of pre-hospital and inter-hospital
| emergency care and non-emergency medical services that | includes
basic life support care plus intravenous cannulation | and
fluid therapy, invasive airway management, trauma care, and
| other authorized techniques and procedures, as outlined in
the | Intermediate Life Support national curriculum of the
United |
| States Department of Transportation and any
modifications to | that curriculum specified in rules adopted
by the Department | pursuant to this Act.
| That care shall be initiated as authorized by the EMS
| Medical Director in a Department approved intermediate or
| advanced life support EMS System, under the written or
verbal | direction of a physician licensed to practice
medicine in all | of its branches or under the verbal
direction of an Emergency | Communications Registered Nurse.
| (c) "Basic Life Support (BLS) Services" means a
basic level | of pre-hospital and inter-hospital emergency care and
| non-emergency medical services that includes medical | monitoring, clinical observation, airway management,
| cardiopulmonary resuscitation (CPR), control of shock and
| bleeding and splinting of fractures, as outlined in the | provisions of the National EMS Education Standards relating to | Basic Life Support and any modifications to that
curriculum | specified in rules adopted by the Department
pursuant to this | Act.
| That care shall be initiated, where authorized by the
EMS | Medical Director in a Department approved EMS System,
under the | written or verbal direction of a physician
licensed to practice | medicine in all of its branches or
under the verbal direction | of an Emergency Communications
Registered Nurse.
| (d) "Emergency Medical Responder Services" means a | preliminary
level of pre-hospital emergency care that includes
|
| cardiopulmonary resuscitation (CPR), monitoring vital signs
| and control of bleeding, as outlined in the Emergency Medical | Responder (EMR) curriculum of the National EMS Education | Standards
and any modifications to that curriculum specified in | rules
adopted by the Department pursuant to this Act.
| (e) "Pre-hospital care" means those
medical services | rendered to patients for analytic,
resuscitative, stabilizing, | or preventive purposes,
precedent to and during transportation | of such patients to
health care facilities.
| (f) "Inter-hospital care" means those
medical services | rendered to patients for
analytic, resuscitative, stabilizing, | or preventive
purposes, during transportation of such patients | from one
hospital to another hospital.
| (f-5) "Critical care transport" means the pre-hospital or | inter-hospital transportation of a critically injured or ill | patient by a vehicle service provider, including the provision | of medically necessary supplies and services, at a level of | service beyond the scope of the Paramedic. When medically | indicated for a patient, as determined by a physician licensed | to practice medicine in all of its branches, an advanced | practice nurse, or a physician's assistant, in compliance with | subsections (b) and (c) of Section 3.155 of this Act, critical | care transport may be provided by: | (1) Department-approved critical care transport | providers, not owned or operated by a hospital, utilizing | Paramedics with additional training, nurses, or other |
| qualified health professionals; or | (2) Hospitals, when utilizing any vehicle service | provider or any hospital-owned or operated vehicle service | provider. Nothing in Public Act 96-1469 requires a hospital | to use, or to be, a Department-approved critical care | transport provider when transporting patients, including | those critically injured or ill. Nothing in this Act shall | restrict or prohibit a hospital from providing, or | arranging for, the medically appropriate transport of any | patient, as determined by a physician licensed to practice | in all of its branches, an advanced practice nurse, or a | physician's assistant. | (g) "Non-emergency medical services" means medical care , | clinical observation, or medical monitoring rendered to
| patients whose conditions do not meet this Act's definition of | emergency, before or
during transportation of such patients to | or from health care facilities visited for the
purpose of | obtaining medical or health care services which are not | emergency in
nature, using a vehicle regulated by this Act.
| (g-5) The Department shall have the authority to promulgate | minimum standards for critical care transport providers | through rules adopted pursuant to this Act. All critical care | transport providers must function within a Department-approved | EMS System. Nothing in Department rules shall restrict a | hospital's ability to furnish personnel, equipment, and | medical supplies to any vehicle service provider, including a |
| critical care transport provider. Minimum critical care | transport provider standards shall include, but are not limited | to: | (1) Personnel staffing and licensure. | (2) Education, certification, and experience. | (3) Medical equipment and supplies. | (4) Vehicular standards. | (5) Treatment and transport protocols. | (6) Quality assurance and data collection. | (h)
The provisions of this Act shall not apply to
the use | of an ambulance or SEMSV, unless and until
emergency or | non-emergency medical services are needed
during the use of the | ambulance or SEMSV.
| (Source: P.A. 98-973, eff. 8-15-14.)
|
Effective Date: 1/1/2017
|
|
|