Bill Text: MI SB0460 | 2019-2020 | 100th Legislature | Engrossed
Bill Title: Health facilities; emergency medical services; reporting requirements for the Michigan Emergency Medical Services Information System; exempt certain life support agencies. Amends secs. 20904 & 20910 of 1978 PA 368 (MCL 333.20904 & 333.20910).
Spectrum: Partisan Bill (Republican 1-0)
Status: (Engrossed - Dead) 2019-09-24 - Referred To Committee On Health Policy [SB0460 Detail]
Download: Michigan-2019-SB0460-Engrossed.html
Substitute For
SENATE BILL NO. 460
A bill to amend 1978 PA 368, entitled
"Public health code,"
by amending sections 20904 and 20910 (MCL 333.20904 and 333.20910), section 20904 as amended by 2000 PA 375 and section 20910 as amended by 2006 PA 582.
the people of the state of michigan enact:
Sec. 20904. (1) "Education program sponsor" means a person, other than an individual, that meets the standards of the department to conduct training at the following levels:
(a) Medical first responder.
(b) Emergency medical technician.
(c) Emergency medical technician specialist.
(d) Paramedic.
(e) Emergency medical services instructor-coordinator.
(2) "Emergency" means a condition or situation in which an individual declares a need for immediate medical attention for any individual, or where that need is declared by emergency medical services personnel or a public safety official.
(3) "Emergency medical services coordination committee" means the state emergency medical services coordination committee created in section 20915.
(4) (3) "Emergency medical services instructor-coordinator" means an individual licensed under this part to conduct and instruct emergency medical services education programs.
(5) (4) "Emergency medical services" means the emergency medical services personnel, ambulances, nontransport prehospital life support vehicles, aircraft transport vehicles, medical first response vehicles, and equipment required for transport or treatment of an individual requiring medical first response life support, basic life support, limited advanced life support, or advanced life support.
(6) (5) "Emergency medical services personnel" means a medical first responder, emergency medical technician, emergency medical technician specialist, paramedic, or emergency medical services instructor-coordinator.
(7) (6) "Emergency medical services system" means a comprehensive and integrated arrangement of the personnel, facilities, equipment, services, communications, medical control, and organizations necessary to provide emergency medical services and trauma care within a particular geographic region.
(8) (7) "Emergency medical technician" means an individual who is licensed by the department to provide basic life support.
(9) (8) "Emergency medical technician specialist" means an individual who is licensed by the department to provide limited advanced life support.
(10) (9) "Emergency patient" means an individual with a physical or mental condition that manifests itself by acute symptoms of sufficient severity, including, but not limited to, pain such that a prudent layperson, possessing average knowledge of health and medicine, could reasonably expect to result in 1 or all of the following:
(a) Placing the health of the individual or, in the case of a pregnant woman, the health of the patient or the unborn child, or both, in serious jeopardy.
(b) Serious impairment of bodily function.
(c) Serious dysfunction of a body organ or part.
(11) (10) "Examination" means a written and practical evaluation approved or developed by the national registry of emergency medical technicians National Registry of Emergency Medical Technicians or other organization with equivalent national recognition and expertise in emergency medical services personnel testing and approved by the department.
Sec. 20910. (1) The department shall do all of the following:
(a) Be responsible for the development, coordination, and administration of a statewide emergency medical services system.
(b) Facilitate and promote programs of public information and education concerning emergency medical services.
(c) In case of actual disasters and disaster training drills and exercises, provide emergency medical services resources pursuant to under applicable provisions of the Michigan emergency preparedness plan, or as prescribed by the director of emergency services pursuant to under the emergency management act, 1976 PA 390, MCL 30.401 to 30.421.
(d) Consistent with the rules of the federal communications commission, Federal Communications Commission, plan, develop, coordinate, and administer a statewide emergency medical services communications system.
(e) Develop and maintain standards of emergency medical services and emergency medical services personnel as follows:
(i) License emergency medical services personnel in accordance with this part.
(ii) License ambulance operations, nontransport prehospital life support operations, and medical first response services in accordance with this part.
(iii) At least annually, inspect or provide for the inspection of each life support agency, except medical first response services. As part of that inspection, the department shall conduct random inspections of life support vehicles. If a life support vehicle is determined by the department to be out of compliance, the department shall give the life support agency 24 hours to bring the life support vehicle into compliance. If the life support vehicle is not brought into compliance in that time period, the department shall order the life support vehicle taken out of service until the life support agency demonstrates to the department, in writing, that the life support vehicle has been brought into compliance.
(iv) Promulgate rules to establish the requirements for licensure of life support agencies, vehicles, and individuals licensed under this part to provide emergency medical services and other rules necessary to implement this part. The department shall submit all proposed rules and changes to the state emergency medical services coordination committee and provide a reasonable time for the committee's review and recommendations before submitting the rules for public hearing under the administrative procedures act of 1969.
(f) Promulgate rules to establish and maintain standards for and regulate the use of descriptive words, phrases, symbols, or emblems that represent or denote that an ambulance operation, nontransport prehospital life support operation, or medical first response service is or may be provided. The department's authority to regulate use of the descriptive devices includes use for the purposes of advertising, promoting, or selling the services rendered by an ambulance operation, nontransport prehospital life support operation, or medical first response service, or by emergency medical services personnel.
(g) Designate a medical control authority as the medical control for emergency medical services for a particular geographic region as provided for under this part.
(h) Develop and implement field studies involving the use of skills, techniques, procedures, or equipment that are not included as part of the standard education for medical first responders, emergency medical technicians, emergency medical technician specialists, or paramedics, if all of the following conditions are met:
(i) The state emergency medical services coordination committee reviews the field study prior to implementation.
(ii) The field study is conducted in an area for which a medical control authority has been approved pursuant to under subdivision (g).
(iii) The medical first responders, emergency medical technicians, emergency medical technician specialists, and paramedics participating in the field study receive training for the new skill, technique, procedure, or equipment.
(i) Collect Except as otherwise provided in subsection (3), collect data as necessary to assess the need for and quality of emergency medical services throughout the this state pursuant to under 1967 PA 270, MCL 331.531 to 331.533.331.534.
(j) Develop, with the advice of the emergency medical services coordination committee, an emergency medical services plan that includes rural issues.
(k) Develop recommendations for territorial boundaries of medical control authorities that are designed to assure ensure that there exists reasonable emergency medical services capacity within the boundaries for the estimated demand for emergency medical services.
(l) Within 1 year after the statewide trauma care advisory subcommittee is established under section 20917a and in consultation with the statewide trauma care advisory subcommittee, develop, implement, and promulgate rules for the implementation and operation of a statewide trauma care system within the emergency medical services system consistent with the document entitled "Michigan Trauma Systems Plan" prepared by the Michigan trauma coalition, Trauma Coalition, dated November 2003. The implementation and operation of the statewide trauma care system, including the rules promulgated in accordance with this subdivision, are subject to review by the emergency medical services coordination committee and the statewide trauma care advisory subcommittee. The rules promulgated under this subdivision shall must not require a hospital to be designated as providing a certain level of trauma care. Upon implementation of a statewide trauma care system, the department shall review and identify potential funding mechanisms and sources for the statewide trauma care system.
(m) Promulgate other rules to implement this part.
(n) Perform other duties as set forth in this part.
(2) The department may do all of the following:
(a) In consultation with the emergency medical services coordination committee, promulgate rules to require an ambulance operation, nontransport prehospital life support operation, or medical first response service to periodically submit designated records and data for evaluation by the department.
(b) Establish a grant program or contract with a public or private agency, emergency medical services professional association, or emergency medical services coalition to provide training, public information, and assistance to medical control authorities and emergency medical services systems or to conduct other activities as specified in this part.
(3) The department shall not require a medical first response service to submit data for purposes of the Michigan emergency medical services information system if the medical first response service is located in a county with a population of less than 85,000 according to the most recent federal decennial census and is composed of only medical first responders who provide services regulated under this part without expecting or receiving money, goods, or services in return for providing those services. A medical first response service described in this subsection shall ensure that a medical first responder provides, in writing, at least all of the following information to an emergency medical technician, emergency medical technician specialist, or paramedic, arriving at the scene after the medical first responder:
(a) The time of the initial medical first responder's arrival at the scene.
(b) The patient's condition at the time of the initial medical first responder's arrival at the scene.
(c) Information gathered from a patient assessment, including, but not limited to, the patient's vital signs and level of consciousness.
(d) Each treatment provided to the patient, the time that each treatment is provided, and the patient's response to each treatment, if any.
(e) Any change in the patient's condition after the initial patient assessment and the time of each change.
(f) The name of each emergency medical services personnel who arrives at the scene.
(4) Subsection (3) does not apply to data collection and sharing required by a medical control authority for the purpose of a quality monitoring and improvement activity or by a medical control authority that has approved extended interventions for medical first responders.
(5) The department may develop and circulate to each medical first response service described in subsection (3) a standardized form that may be used by a medical first responder when providing the information described in subsection (3).
