Bill Text: MI SB0288 | 2017-2018 | 99th Legislature | Introduced
Bill Title: Health occupations; emergency medical services personnel; community paramedics; regulate and provide for certification. Amends 1978 PA 368 (MCL 333.1101 - 333.25211) by adding secs. 17039 & 17539. TIE BAR WITH: SB 0289'17
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2017-03-30 - Referred To Committee On Health Policy [SB0288 Detail]
Download: Michigan-2017-SB0288-Introduced.html
SENATE BILL No. 288
March 30, 2017, Introduced by Senator ROBERTSON and referred to the Committee on Health Policy.
A bill to amend 1978 PA 368, entitled
"Public health code,"
(MCL 333.1101 to 333.25211) by adding sections 17039 and 17539.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 17039. (1) Subject to section 16215, a physician who
supervises a community paramedic may delegate to the community
paramedic the performance of medical care services for a patient
who is under the case management responsibility of the physician,
if the delegation is consistent with the community paramedic's
training. However, a physician shall not delegate ultimate
responsibility for the quality of medical care services, even if
the medical care services are provided by a community paramedic.
(2) A physician who supervises a community paramedic is
responsible for the clinical supervision of a community paramedic
to whom the physician delegates the performance of medical care
services under subsection (1).
(3) An individual shall not engage in practice as a community
paramedic unless he or she is certified as a community paramedic by
the department of health and human services. The department of
health and human services shall issue a certificate as a community
paramedic to an individual only if he or she meets all of the
following requirements:
(a) Is currently licensed as a paramedic under section 20950.
(b) Has 2 years of full-time service as a paramedic, or an
equivalent amount of part-time experience as determined by the
department of health and human services.
(c) Has successfully completed a community paramedic training
program from a college or university that is approved by the
department of health and human services or accredited by a
department-approved national accreditation organization. The
training program must include clinical experience and didactic
instruction that has a family practice or tertiary care focus and
meets 1 of the following:
(i) Is provided under the supervision of a medical director.
(ii) Is provided by an advanced practice registered nurse who
is operating under the direct supervision of a primary care
physician, a nurse practitioner who is operating under the direct
supervision of a primary care physician, or a physician's assistant
with whom a primary care physician has a practice agreement.
(4) In his or her practice as a community paramedic, an
individual may provide services according to the terms of a written
patient care plan developed by the patient's primary care
physician, by a nurse practitioner who is operating under the
supervision of that primary care physician, or by a physician's
assistant with whom that primary care physician has a practice
agreement. The care plan must ensure that the services provided by
the community paramedic are consistent with the services offered by
the patient's primary care physician, that the patient receives the
necessary services, and that there is no duplication of services to
the patient.
(5) All licensure, disciplinary, complaint, renewal, and other
regulatory requirements that apply to paramedics under part 209
apply to a community paramedic's license as a paramedic under
section 20950.
(6) The department of health and human services by rule shall
establish a process for the application, grant, and renewal of
community paramedic certificates for purposes of this section.
(7) As used in this section, "practice as a community
paramedic" means the practice of medicine or osteopathic medicine
and surgery delegated by and performed under the supervision of a
physician who is licensed under this article.
Sec. 17539. (1) Subject to section 16215, a physician who
supervises a community paramedic may delegate to the community
paramedic the performance of medical care services for a patient
who is under the case management responsibility of the physician,
if the delegation is consistent with the community paramedic's
training. However, a physician shall not delegate ultimate
responsibility for the quality of medical care services, even if
the medical care services are provided by a community paramedic.
(2) A physician who supervises a community paramedic is
responsible for the clinical supervision of a community paramedic
to whom the physician delegates the performance of medical care
services under subsection (1).
(3) An individual shall not engage in practice as a community
paramedic unless he or she is certified as a community paramedic by
the department of health and human services. The department of
health and human services shall issue a certificate as a community
paramedic to an individual only if he or she meets all of the
following requirements:
(a) Is currently licensed as a paramedic under section 20950.
(b) Has 2 years of full-time service as a paramedic, or an
equivalent amount of part-time experience as determined by the
department of health and human services.
(c) Has successfully completed a community paramedic training
program from a college or university that is approved by the
department of health and human services or accredited by a
department-approved national accreditation organization. The
training program must include clinical experience and didactic
instruction that has a family practice or tertiary care focus and
meets 1 of the following:
(i) Is provided under the supervision of a medical director.
(ii) Is provided by an advanced practice registered nurse who
is operating under the direct supervision of a primary care
physician, a nurse practitioner who is operating under the direct
supervision of a primary care physician, or a physician's assistant
with whom a primary care physician has a practice agreement.
(4) In his or her practice as a community paramedic, an
individual may provide services according to the terms of a written
patient care plan developed by the patient's primary care
physician, by a nurse practitioner who is operating under the
supervision of that primary care physician, or by a physician's
assistant with whom that primary care physician has a practice
agreement. The care plan must ensure that the services provided by
the community paramedic are consistent with the services offered by
the patient's primary care physician, that the patient receives the
necessary services, and that there is no duplication of services to
the patient.
(5) All licensure, disciplinary, complaint, renewal, and other
regulatory requirements that apply to paramedics under part 209
apply to a community paramedic's license as a paramedic under
section 20950.
(6) The department of health and human services by rule shall
establish a process for the application, grant, and renewal of
community paramedic certificates for purposes of this section.
(7) As used in this section, "practice as a community
paramedic" means the practice of medicine or osteopathic medicine
and surgery delegated by and performed under the supervision of a
physician who is licensed under this article.
Enacting section 1. This amendatory act takes effect 90 days
after the date it is enacted into law.
Enacting section 2. This amendatory act does not take effect
unless Senate Bill No. 289
of the 99th Legislature is enacted into law.
