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| Public Act 103-0689
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| HB5085 Enrolled | LRB103 38312 CES 68447 b |
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AN ACT concerning regulation.
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Be it enacted by the People of the State of Illinois, |
represented in the General Assembly:
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Section 5. The Emergency Medical Services (EMS) Systems |
Act is amended by changing Sections 3.5, 3.35, and 3.65 as |
follows:
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(210 ILCS 50/3.5) |
Sec. 3.5. Definitions. As used in this Act: |
"Clinical observation" means the ongoing observation of a |
patient's medical or mental health 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), |
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Emergency Medical Technician (EMT), Emergency Medical |
Technician-Intermediate (EMT-I), Advanced Emergency Medical |
Technician (A-EMT), Paramedic (EMT-P), Emergency |
Communications Registered Nurse (ECRN), Pre-Hospital |
Registered Nurse (PHRN), Pre-Hospital Advanced Practice |
Registered Nurse (PHAPRN), or Pre-Hospital Physician Assistant |
(PHPA). |
"Exclusive representative" has the same meaning as defined |
in Section 3 of the Illinois Public Labor Relations Act. |
"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. |
"Labor organization" has the same meaning as defined in |
Section 3 of the Illinois Public Labor Relations Act. |
"Medical monitoring" means the performance of medical |
tests and physical exams to evaluate an individual's ongoing |
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, |
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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. |
"Silver spanner program" means a program in which a member |
under a fire department's or fire protection district's |
collective bargaining agreement works on or at the EMS System |
under another fire department's or fire protection district's |
collective bargaining agreement and (i) the other fire |
department or fire protection district is not the member's |
full-time employer and (ii) any EMS services not included |
under the original fire department's or fire protection |
district's collective bargaining agreement are included in the |
other fire department's or fire protection district's |
collective bargaining agreement. |
"Trauma" means any significant injury which involves |
single or multiple organ systems. |
(Source: P.A. 103-521, eff. 1-1-24.)
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(210 ILCS 50/3.35) |
Sec. 3.35. Emergency Medical Services (EMS) Resource |
Hospital; Functions. The Resource Hospital of an EMS System |
shall: |
(a) Prepare a Program Plan in accordance with the |
provisions of this Act and minimum standards and criteria |
established in rules adopted by the Department pursuant to |
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this Act, and submit such Program Plan to the Department |
for approval. |
(b) Appoint an EMS Medical Director, who will |
continually monitor and supervise the System and who will |
have the responsibility and authority for total management |
of the System as delegated by the EMS Resource Hospital. |
The Program Plan shall require the EMS Medical |
Director to appoint an alternate EMS Medical Director and |
establish a written protocol addressing the functions to |
be carried out in his or her absence. |
(c) Appoint an EMS System Coordinator and EMS |
Administrative Director in consultation with the EMS |
Medical Director and in accordance with rules adopted by |
the Department pursuant to this Act. |
(d) Identify potential EMS System participants and |
obtain commitments from them for the provision of |
services. |
(e) Educate or coordinate the education of EMS |
personnel and all other license holders in accordance with |
the requirements of this Act, rules adopted by the |
Department pursuant to this Act, and the EMS System |
Program Plan. An EMS System may coordinate education |
outside of the region of which it is located with valid |
justification and Department approval. The didactic |
portion of education may be conducted through an online |
platform with EMS System and Department approval. An |
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education plan within a Resource Hospital may include |
classes performed outside of the region in which the |
Resource Hospital is located. When considering whether to |
approve or deny an education plan for classes performed |
outside of the region in which a Resource Hospital is |
located, the Department shall give deference to the EMS |
Medical Director's education plan request and shall not |
unreasonably withhold approval. |
(f) Notify the Department of EMS personnel who have |
successfully completed the requirements as provided by law |
for initial licensure, license renewal, and license |
reinstatement by the Department. |
(g) Educate or coordinate the education of Emergency |
Medical Dispatcher candidates, in accordance with the |
requirements of this Act, rules adopted by the Department |
pursuant to this Act, and the EMS System Program Plan. |
(h) Establish or approve protocols for prearrival |
medical instructions to callers by System Emergency |
Medical Dispatchers who provide such instructions. |
(i) Educate or coordinate the education of |
Pre-Hospital Registered Nurse, Pre-Hospital Advanced |
Practice Registered Nurse, Pre-Hospital Physician |
Assistant, and ECRN candidates, in accordance with the |
requirements of this Act, rules adopted by the Department |
pursuant to this Act, and the EMS System Program Plan. |
(j) Approve Pre-Hospital Registered Nurse, |
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Pre-Hospital Advanced Practice Registered Nurse, |
Pre-Hospital Physician Assistant, and ECRN candidates to |
practice within the System, and reapprove Pre-Hospital |
Registered Nurses, Pre-Hospital Advanced Practice |
Registered Nurses, Pre-Hospital Physician Assistants, and |
ECRNs every 4 years in accordance with the requirements of |
the Department and the System Program Plan. |
(k) Establish protocols for the use of Pre-Hospital |
Registered Nurses, Pre-Hospital Advanced Practice |
Registered Nurses, and Pre-Hospital Physician Assistants |
within the System. |
(l) Establish protocols for utilizing ECRNs and |
physicians licensed to practice medicine in all of its |
branches to monitor telecommunications from, and give |
voice orders to, EMS personnel, under the authority of the |
EMS Medical Director. |
(m) Monitor emergency and non-emergency medical |
transports within the System, in accordance with rules |
adopted by the Department pursuant to this Act. |
(n) Utilize levels of personnel required by the |
Department to provide emergency care to the sick and |
injured at the scene of an emergency, during transport to |
a hospital or during inter-hospital transport and within |
the hospital emergency department until the responsibility |
for the care of the patient is assumed by the medical |
personnel of a hospital emergency department or other |
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facility within the hospital to which the patient is first |
delivered by System personnel. |
(o) Utilize levels of personnel required by the |
Department to provide non-emergency medical services |
during transport to a health care facility and within the |
health care facility until the responsibility for the care |
of the patient is assumed by the medical personnel of the |
health care facility to which the patient is delivered by |
System personnel. |
(p) Establish and implement a program for System |
participant information and education, in accordance with |
rules adopted by the Department pursuant to this Act. |
(q) Establish and implement a program for public |
information and education, in accordance with rules |
adopted by the Department pursuant to this Act. |
(r) Operate in compliance with the EMS Region Plan. |
(Source: P.A. 100-1082, eff. 8-24-19.)
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