Bill Amendment: IL HB5085 | 2023-2024 | 103rd General Assembly
NOTE: For additional amemendments please see the Bill Drafting List
Bill Title: EMS ACT TRAINING & CURRICULUM
Status: 2024-06-03 - Added as Alternate Co-Sponsor Sen. Laura M. Murphy [HB5085 Detail]
Download: Illinois-2023-HB5085-House_Amendment_001.html
Bill Title: EMS ACT TRAINING & CURRICULUM
Status: 2024-06-03 - Added as Alternate Co-Sponsor Sen. Laura M. Murphy [HB5085 Detail]
Download: Illinois-2023-HB5085-House_Amendment_001.html
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1 | AMENDMENT TO HOUSE BILL 5085 | ||||||
2 | AMENDMENT NO. ______. Amend House Bill 5085 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 Sections 3.5, 3.35, and 3.65 as | ||||||
6 | follows:
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7 | (210 ILCS 50/3.5) | ||||||
8 | Sec. 3.5. Definitions. As used in this Act: | ||||||
9 | "Clinical observation" means the ongoing observation of a | ||||||
10 | patient's medical or mental health condition by a licensed | ||||||
11 | health care professional utilizing a medical skill set while | ||||||
12 | continuing assessment and care. | ||||||
13 | "Department" means the Illinois Department of Public | ||||||
14 | Health. | ||||||
15 | "Director" means the Director of the Illinois Department | ||||||
16 | of Public Health. |
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1 | "Emergency" means a medical condition of recent onset and | ||||||
2 | severity that would lead a prudent layperson, possessing an | ||||||
3 | average knowledge of medicine and health, to believe that | ||||||
4 | urgent or unscheduled medical care is required. | ||||||
5 | "Emergency Medical Services personnel" or "EMS personnel" | ||||||
6 | means persons licensed as an Emergency Medical Responder (EMR) | ||||||
7 | (First Responder), Emergency Medical Dispatcher (EMD), | ||||||
8 | Emergency Medical Technician (EMT), Emergency Medical | ||||||
9 | Technician-Intermediate (EMT-I), Advanced Emergency Medical | ||||||
10 | Technician (A-EMT), Paramedic (EMT-P), Emergency | ||||||
11 | Communications Registered Nurse (ECRN), Pre-Hospital | ||||||
12 | Registered Nurse (PHRN), Pre-Hospital Advanced Practice | ||||||
13 | Registered Nurse (PHAPRN), or Pre-Hospital Physician Assistant | ||||||
14 | (PHPA). | ||||||
15 | "Exclusive representative" has the same meaning as defined | ||||||
16 | in Section 3 of the Illinois Public Labor Relations Act. | ||||||
17 | "Health care facility" means a hospital, nursing home, | ||||||
18 | physician's office or other fixed location at which medical | ||||||
19 | and health care services are performed. It does not include | ||||||
20 | "pre-hospital emergency care settings" which utilize EMS | ||||||
21 | personnel to render pre-hospital emergency care prior to the | ||||||
22 | arrival of a transport vehicle, as defined in this Act. | ||||||
23 | "Hospital" has the meaning ascribed to that term in the | ||||||
24 | Hospital Licensing Act. | ||||||
25 | "Labor organization" has the same meaning as defined in | ||||||
26 | Section 3 of the Illinois Public Labor Relations Act. |
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1 | "Medical monitoring" means the performance of medical | ||||||
2 | tests and physical exams to evaluate an individual's ongoing | ||||||
3 | exposure to a factor that could negatively impact that | ||||||
4 | person's health. "Medical monitoring" includes close | ||||||
5 | surveillance or supervision of patients liable to suffer | ||||||
6 | deterioration in physical or mental health and checks of | ||||||
7 | various parameters such as pulse rate, temperature, | ||||||
8 | respiration rate, the condition of the pupils, the level of | ||||||
9 | consciousness and awareness, the degree of appreciation of | ||||||
10 | pain, and blood gas concentrations such as oxygen and carbon | ||||||
11 | dioxide. | ||||||
12 | "Silver spanner program" means a program in which a member | ||||||
13 | under a fire department's or fire protection district's | ||||||
14 | collective bargaining agreement works on or at the EMS System | ||||||
15 | under another fire department's or fire protection district's | ||||||
16 | collective bargaining agreement and (i) the other fire | ||||||
17 | department or fire protection district is not the member's | ||||||
18 | full-time employer and (ii) any EMS services not included | ||||||
19 | under the original fire department's or fire protection | ||||||
20 | district's collective bargaining agreement are included in the | ||||||
21 | other fire department's or fire protection district's | ||||||
22 | collective bargaining agreement. | ||||||
23 | "Trauma" means any significant injury which involves | ||||||
24 | single or multiple organ systems. | ||||||
25 | (Source: P.A. 103-521, eff. 1-1-24 .)
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1 | (210 ILCS 50/3.35) | ||||||
2 | Sec. 3.35. Emergency Medical Services (EMS) Resource | ||||||
3 | Hospital; Functions. The Resource Hospital of an EMS System | ||||||
4 | shall: | ||||||
5 | (a) Prepare a Program Plan in accordance with the | ||||||
6 | provisions of this Act and minimum standards and criteria | ||||||
7 | established in rules adopted by the Department pursuant to | ||||||
8 | this Act, and submit such Program Plan to the Department | ||||||
9 | for approval. | ||||||
10 | (b) Appoint an EMS Medical Director, who will | ||||||
11 | continually monitor and supervise the System and who will | ||||||
12 | have the responsibility and authority for total management | ||||||
13 | of the System as delegated by the EMS Resource Hospital. | ||||||
14 | The Program Plan shall require the EMS Medical | ||||||
15 | Director to appoint an alternate EMS Medical Director and | ||||||
16 | establish a written protocol addressing the functions to | ||||||
17 | be carried out in his or her absence. | ||||||
18 | (c) Appoint an EMS System Coordinator and EMS | ||||||
19 | Administrative Director in consultation with the EMS | ||||||
20 | Medical Director and in accordance with rules adopted by | ||||||
21 | the Department pursuant to this Act. | ||||||
22 | (d) Identify potential EMS System participants and | ||||||
23 | obtain commitments from them for the provision of | ||||||
24 | services. | ||||||
25 | (e) Educate or coordinate the education of EMS | ||||||
26 | personnel and all other license holders in accordance with |
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1 | the requirements of this Act, rules adopted by the | ||||||
2 | Department pursuant to this Act, and the EMS System | ||||||
3 | Program Plan. An EMS System may coordinate education | ||||||
4 | outside of the region of which it is located with valid | ||||||
5 | justification and Department approval. The didactic | ||||||
6 | portion of education may be conducted through an online | ||||||
7 | platform with EMS System and Department approval. An | ||||||
8 | education plan within a Resource Hospital may include | ||||||
9 | classes performed outside of the region in which the | ||||||
10 | Resource Hospital is located. When considering whether to | ||||||
11 | approve or deny an education plan for classes performed | ||||||
12 | outside of the region in which a Resource Hospital is | ||||||
13 | located, the Department shall give deference to the EMS | ||||||
14 | Medical Director's education plan request and shall not | ||||||
15 | unreasonably withhold approval. | ||||||
16 | (f) Notify the Department of EMS personnel who have | ||||||
17 | successfully completed the requirements as provided by law | ||||||
18 | for initial licensure, license renewal, and license | ||||||
19 | reinstatement by the Department. | ||||||
20 | (g) Educate or coordinate the education of Emergency | ||||||
21 | Medical Dispatcher candidates, in accordance with the | ||||||
22 | requirements of this Act, rules adopted by the Department | ||||||
23 | pursuant to this Act, and the EMS System Program Plan. | ||||||
24 | (h) Establish or approve protocols for prearrival | ||||||
25 | medical instructions to callers by System Emergency | ||||||
26 | Medical Dispatchers who provide such instructions. |
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1 | (i) Educate or coordinate the education of | ||||||
2 | Pre-Hospital Registered Nurse, Pre-Hospital Advanced | ||||||
3 | Practice Registered Nurse, Pre-Hospital Physician | ||||||
4 | Assistant, and ECRN candidates, in accordance with the | ||||||
5 | requirements of this Act, rules adopted by the Department | ||||||
6 | pursuant to this Act, and the EMS System Program Plan. | ||||||
7 | (j) Approve Pre-Hospital Registered Nurse, | ||||||
8 | Pre-Hospital Advanced Practice Registered Nurse, | ||||||
9 | Pre-Hospital Physician Assistant, and ECRN candidates to | ||||||
10 | practice within the System, and reapprove Pre-Hospital | ||||||
11 | Registered Nurses, Pre-Hospital Advanced Practice | ||||||
12 | Registered Nurses, Pre-Hospital Physician Assistants, and | ||||||
13 | ECRNs every 4 years in accordance with the requirements of | ||||||
14 | the Department and the System Program Plan. | ||||||
15 | (k) Establish protocols for the use of Pre-Hospital | ||||||
16 | Registered Nurses, Pre-Hospital Advanced Practice | ||||||
17 | Registered Nurses, and Pre-Hospital Physician Assistants | ||||||
18 | within the System. | ||||||
19 | (l) Establish protocols for utilizing ECRNs and | ||||||
20 | physicians licensed to practice medicine in all of its | ||||||
21 | branches to monitor telecommunications from, and give | ||||||
22 | voice orders to, EMS personnel, under the authority of the | ||||||
23 | EMS Medical Director. | ||||||
24 | (m) Monitor emergency and non-emergency medical | ||||||
25 | transports within the System, in accordance with rules | ||||||
26 | adopted by the Department pursuant to this Act. |
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1 | (n) Utilize levels of personnel required by the | ||||||
2 | Department to provide emergency care to the sick and | ||||||
3 | injured at the scene of an emergency, during transport to | ||||||
4 | a hospital or during inter-hospital transport and within | ||||||
5 | the hospital emergency department until the responsibility | ||||||
6 | for the care of the patient is assumed by the medical | ||||||
7 | personnel of a hospital emergency department or other | ||||||
8 | facility within the hospital to which the patient is first | ||||||
9 | delivered by System personnel. | ||||||
10 | (o) Utilize levels of personnel required by the | ||||||
11 | Department to provide non-emergency medical services | ||||||
12 | during transport to a health care facility and within the | ||||||
13 | health care facility until the responsibility for the care | ||||||
14 | of the patient is assumed by the medical personnel of the | ||||||
15 | health care facility to which the patient is delivered by | ||||||
16 | System personnel. | ||||||
17 | (p) Establish and implement a program for System | ||||||
18 | participant information and education, in accordance with | ||||||
19 | rules adopted by the Department pursuant to this Act. | ||||||
20 | (q) Establish and implement a program for public | ||||||
21 | information and education, in accordance with rules | ||||||
22 | adopted by the Department pursuant to this Act. | ||||||
23 | (r) Operate in compliance with the EMS Region Plan. | ||||||
24 | (Source: P.A. 100-1082, eff. 8-24-19 .)
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25 | (210 ILCS 50/3.65) |
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1 | Sec. 3.65. EMS Lead Instructor. | ||||||
2 | (a) "EMS Lead Instructor" means a person who has | ||||||
3 | successfully completed a course of education as approved by | ||||||
4 | the Department, and who is currently approved by the | ||||||
5 | Department to coordinate or teach education, training and | ||||||
6 | continuing education courses, in accordance with standards | ||||||
7 | prescribed by this Act and rules adopted by the Department | ||||||
8 | pursuant to this Act. | ||||||
9 | (b) The Department shall have the authority and | ||||||
10 | responsibility to: | ||||||
11 | (1) Prescribe education requirements for EMS Lead | ||||||
12 | Instructor candidates through rules adopted pursuant to | ||||||
13 | this Act. | ||||||
14 | (2) Prescribe testing requirements for EMS Lead | ||||||
15 | Instructor candidates through rules adopted pursuant to | ||||||
16 | this Act. | ||||||
17 | (3) Charge each candidate for EMS Lead Instructor a | ||||||
18 | fee to be submitted with an application for an | ||||||
19 | examination, an application for licensure, and an | ||||||
20 | application for relicensure. | ||||||
21 | (4) Approve individuals as EMS Lead Instructors who | ||||||
22 | have met the Department's education and testing | ||||||
23 | requirements. | ||||||
24 | (5) Require that all education, training and | ||||||
25 | continuing education courses for EMT, EMT-I, A-EMT, | ||||||
26 | Paramedic, PHRN, PHPA, PHAPRN, ECRN, EMR, and Emergency |
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1 | Medical Dispatcher be coordinated by at least one approved | ||||||
2 | EMS Lead Instructor. A program which includes education, | ||||||
3 | training or continuing education for more than one type of | ||||||
4 | personnel may use one EMS Lead Instructor to coordinate | ||||||
5 | the program, and a single EMS Lead Instructor may | ||||||
6 | simultaneously coordinate more than one program or course. | ||||||
7 | An EMS Lead Instructor may oversee a paramedic with at | ||||||
8 | least 3 years of experience to teach EMT classes, with a | ||||||
9 | licensed teacher, in high schools. High school students | ||||||
10 | electing to not take the National Registry of Emergency | ||||||
11 | Medical Technicians (NREMT) Certification exam shall not | ||||||
12 | be accounted for in calculating the course pass rate by | ||||||
13 | the EMS System or Department. | ||||||
14 | (6) Provide standards and procedures for awarding EMS | ||||||
15 | Lead Instructor approval to persons previously approved by | ||||||
16 | the Department to coordinate such courses, based on | ||||||
17 | qualifications prescribed by the Department through rules | ||||||
18 | adopted pursuant to this Act. | ||||||
19 | (7) Suspend, revoke, or refuse to issue or renew the | ||||||
20 | approval of an EMS Lead Instructor, after an opportunity | ||||||
21 | for a hearing, when findings show one or more of the | ||||||
22 | following: | ||||||
23 | (A) The EMS Lead Instructor has failed to conduct | ||||||
24 | a course in accordance with the curriculum prescribed | ||||||
25 | by this Act and rules adopted by the Department | ||||||
26 | pursuant to this Act; or |
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