Bill Text: AZ HB2530 | 2020 | Fifty-fourth Legislature 2nd Regular | Introduced
Bill Title: Emergency medical services; council; care
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2020-05-19 - Assigned to House RULES Committee [HB2530 Detail]
Download: Arizona-2020-HB2530-Introduced.html
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REFERENCE TITLE: emergency medical
services; council; care |
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State of
Arizona House of
Representatives Fifty-fourth
Legislature Second Regular
Session 2020 |
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HB 2530 |
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Introduced by Representative Shah |
AN ACT
amending sections
36‑2203, 36-2203.01 and 36‑2204, Arizona Revised Statutes; relating
to emergency medical services.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it enacted by the Legislature of the State of Arizona:
Section 1. Section 36-2203, Arizona Revised Statutes, is amended to read:
36-2203. Emergency medical services council; membership; delayed repeal
A. The emergency medical services council is established. The medical director of the emergency medical services and trauma system shall chair the council. The council is composed of the director of the department of public safety and the governor's highway safety coordinator, or their designees, and the following members who are appointed by the governor to three-year terms:
1. One representative from each of the four local emergency medical services coordinating systems prescribed in section 36‑2210.
2. One physician who specializes in
emergency medicine and who represents a professional association of emergency
physicians.
3. One physician who specializes in
emergency medicine and who represents a professional association of emergency
medical services physicians.
2. 4. One physician specializing who specializes in emergency medicine from each of the four local emergency medical services coordinating regions prescribed in section 36‑2210.
3. 5. One professional nurse who is licensed pursuant to title 32, chapter 15 and who specializes in emergency medicine.
4. 6. One emergency medical care technician.
5. 7. Two representatives from ambulance service corporations.
6. 8. Two hospital administrators, one of whom represents a county with a population of less than five hundred thousand persons.
7. 9. One representative from each of the three employers of the largest number of emergency medical care technicians and paramedics.
8. 10. One representative from a nongovernmental employer of emergency medical technicians I‑99.
9. 11. One representative from the state fire districts.
10. 12. One physician who is licensed pursuant to title 32, chapter 13 or 17 and who specializes in trauma surgery.
11. 13. One representative of a prehospital emergency medical training program.
12. 14. Six public members.
13. 15. One representative of a volunteer medical rescue program.
B. Public members of the council are eligible to receive compensation pursuant to section 38‑611.
C. This section is repealed from and after January 1, 2028.
Sec. 2. Section 36-2203.01, Arizona Revised Statutes, is amended to read:
36-2203.01. Medical direction commission; membership; duties
A. The medical direction commission is established consisting of the following twelve members:
1. The medical director of the emergency medical services and trauma system in the department of health services who shall serve as chairman.
2. The four emergency physicians who serve on the emergency medical services council pursuant to section 36‑2203, subsection A, paragraph 2 4.
3. One physician who specializes in toxicology and who has a demonstrated interest or expertise in emergency medical services systems.
4. One full‑time faculty representative of an emergency medicine residency program approved by a residency review commission.
5. One physician who specializes in trauma surgery and who has a demonstrated interest or expertise in emergency medical services systems.
6. One emergency physician who has a full‑time practice based in a rural area.
7. One physician who specializes in severe acute head injury treatment or spinal cord care and who has a demonstrated interest or expertise in emergency medical services systems.
8. One physician who specializes in pediatric medicine and who has a demonstrated interest or expertise in emergency medical services systems.
9. One physician who specializes in cardiac care and who has a demonstrated interest or expertise in emergency medical services systems.
B. The governor shall make all appointments of members designated pursuant to subsection A, paragraphs 3 through 9 of this section. The governor may accept recommendations for the appointment of commission members from the following organizations:
1. The Arizona chapter of the American college of emergency physicians.
2. The Arizona chapter of the American college of surgeons.
3. The Arizona chapter of the American college of pediatrics.
4. The Arizona chapter of the American college of physicians.
C. The commission shall assist the director in developing medical protocols governing the medical treatments, procedures, medications, training and techniques that may be administered or performed by each classification of emergency medical care technicians pursuant to section 36‑2205.
D. Members of the commission serve three year three-year terms.
E. Members of the commission are not entitled to compensation but are entitled to reimbursement of expenses pursuant to title 38, chapter 4, article 2.
Sec. 3. Section 36-2204, Arizona Revised Statutes, is amended to read:
36-2204. Medical control
The medical director of the statewide emergency medical services and trauma system, the emergency medical services council and the medical direction commission shall recommend to the director the following standards and criteria that pertain to the quality of emergency patient care:
1. Statewide standardized training, certification and recertification standards for all classifications of emergency medical care technicians.
2. A standardized and validated testing procedure for all classifications of emergency medical care technicians.
3. Medical standards for certification and recertification of training programs for all classifications of emergency medical care technicians.
4. Standardized continuing education criteria for all classifications of emergency medical care technicians.
5. Medical standards for certification and recertification of certified emergency receiving facilities, and advanced life support base hospitals and centralized medical direction communications centers and approval of physicians any physician providing medical control or medical direction for any classification of emergency medical care technicians who are required to be under medical control or medical direction.
6. Standards and mechanisms for monitoring and ongoing evaluation of performance levels of all classifications of emergency medical care technicians, emergency receiving facilities and advanced life support base hospitals and approval of physicians providing medical control or medical direction for any classification of emergency medical care technicians who are required to be under medical control or medical direction.
7. Objective criteria and mechanisms for decertification of all classifications of emergency medical care technicians, emergency receiving facilities and advanced life support base hospitals and for disapproval of physicians providing medical control or medical direction for any classification of emergency care technicians who are required to be under medical control or medical direction.
8. Medical standards for nonphysician prehospital treatment and prehospital triage of patients requiring emergency medical services.
9. Standards for emergency medical dispatcher training, including prearrival instructions. For the purposes of this paragraph, "emergency medical dispatch" means the receipt of calls requesting emergency medical services and the response of appropriate resources to the appropriate location.
10. Standards for a quality assurance process for components of the statewide emergency medical services and trauma system, including standards for maintaining the confidentiality of the information considered in the course of quality assurance and the records of the quality assurance activities pursuant to section 36‑2403.
11. Standards for ambulance service and medical transportation that give consideration to the differences between urban, rural and wilderness areas.
12. Standards to allow an ambulance to transport a
patient to a health care institution that is licensed as a special hospital and
that is physically connected to an emergency receiving facility.
