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92_SB1329enr
SB1329 Enrolled LRB9201653LBgc
1 AN ACT regarding emergency medical services.
2 Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
4 Section 5. The Emergency Medical Services (EMS) Systems
5 Act is amended by changing Sections 3.50, 3.55, and 3.155 as
6 follows:
7 (210 ILCS 50/3.50)
8 Sec. 3.50. Emergency Medical Technician (EMT) Licensure.
9 (a) "Emergency Medical Technician-Basic" or "EMT-B"
10 means a person who has successfully completed a course of
11 instruction in basic life support as prescribed by the
12 Department, is currently licensed by the Department in
13 accordance with standards prescribed by this Act and rules
14 adopted by the Department pursuant to this Act, and practices
15 within an EMS System.
16 (b) "Emergency Medical Technician-Intermediate" or
17 "EMT-I" means a person who has successfully completed a
18 course of instruction in intermediate life support as
19 prescribed by the Department, is currently licensed by the
20 Department in accordance with standards prescribed by this
21 Act and rules adopted by the Department pursuant to this Act,
22 and practices within an Intermediate or Advanced Life Support
23 EMS System.
24 (c) "Emergency Medical Technician-Paramedic" or "EMT-P"
25 means a person who has successfully completed a course of
26 instruction in advanced life support care as prescribed by
27 the Department, is licensed by the Department in accordance
28 with standards prescribed by this Act and rules adopted by
29 the Department pursuant to this Act, and practices within an
30 Advanced Life Support EMS System.
31 (d) The Department shall have the authority and
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1 responsibility to:
2 (1) Prescribe education and training requirements,
3 which includes training in the use of epinephrine, for
4 all levels of EMT, based on the respective national
5 curricula of the United States Department of
6 Transportation and any modifications to such curricula
7 specified by the Department through rules adopted
8 pursuant to this Act;
9 (2) Prescribe licensure testing requirements for
10 all levels of EMT, which shall include a requirement that
11 all phases of instruction, training, and field experience
12 be completed before taking the EMT licensure examination.
13 Candidates may elect to take the National Registry of
14 Emergency Medical Technicians examination in lieu of the
15 Department's examination, but are responsible for making
16 their own arrangements for taking the National Registry
17 examination;
18 (3) License individuals as an EMT-B, EMT-I, or
19 EMT-P who have met the Department's education, training
20 and testing requirements;
21 (4) Prescribe annual continuing education and
22 relicensure requirements for all levels of EMT;
23 (5) Relicense individuals as an EMT-B, EMT-I, or
24 EMT-P every 4 years, based on their compliance with
25 continuing education and relicensure requirements;
26 (6) Grant inactive status to any EMT who qualifies,
27 based on standards and procedures established by the
28 Department in rules adopted pursuant to this Act;
29 (7) Charge each candidate for EMT a fee to be
30 submitted with an application for a licensure
31 examination;
32 (8) Suspend, revoke, or refuse to renew the license
33 of an EMT, after an opportunity for a hearing, when
34 findings show one or more of the following:
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1 (A) The EMT has not met continuing education
2 or relicensure requirements as prescribed by the
3 Department;
4 (B) The EMT has failed to maintain proficiency
5 in the level of skills for which he or she is
6 licensed;
7 (C) The EMT, during the provision of medical
8 services, engaged in dishonorable, unethical or
9 unprofessional conduct of a character likely to
10 deceive, defraud or harm the public;
11 (D) The EMT has failed to maintain or has
12 violated standards of performance and conduct as
13 prescribed by the Department in rules adopted
14 pursuant to this Act or his or her EMS System's
15 Program Plan;
16 (E) The EMT is physically impaired to the
17 extent that he or she cannot physically perform the
18 skills and functions for which he or she is
19 licensed, as verified by a physician, unless the
20 person is on inactive status pursuant to Department
21 regulations;
22 (F) The EMT is mentally impaired to the extent
23 that he or she cannot exercise the appropriate
24 judgment, skill and safety for performing the
25 functions for which he or she is licensed, as
26 verified by a physician, unless the person is on
27 inactive status pursuant to Department regulations;
28 or
29 (G) The EMT has violated this Act or any rule
30 adopted by the Department pursuant to this Act.
31 (e) In the event that any rule of the Department or an
32 EMS Medical Director that requires testing for drug use as a
33 condition for EMT licensure conflicts with or duplicates a
34 provision of a collective bargaining agreement that requires
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1 testing for drug use, that rule shall not apply to any person
2 covered by the collective bargaining agreement.
3 (Source: P.A. 89-177, eff. 7-19-95.)
4 (210 ILCS 50/3.55)
5 Sec. 3.55. Scope of practice.
6 (a) Any person currently licensed as an EMT-B, EMT-I, or
7 EMT-P may perform emergency and non-emergency medical
8 services as defined in this Act, in accordance with his or
9 her level of education, training and licensure, the standards
10 of performance and conduct prescribed by the Department in
11 rules adopted pursuant to this Act, and the requirements of
12 the EMS System in which he or she practices, as contained in
13 the approved Program Plan for that System.
14 (a-5) A person currently approved as a First Responder
15 or licensed as an EMT-B, EMT-I, or EMT-P who has successfully
16 completed a Department approved course in automated
17 defibrillator operation and who is functioning within a
18 Department approved EMS System may utilize such automated
19 defibrillator according to the standards of performance and
20 conduct prescribed by the Department in rules adopted
21 pursuant to this Act and the requirements of the EMS System
22 in which he or she practices, as contained in the approved
23 Program Plan for that System.
24 (a-7) A person currently licensed as an EMT-B, EMT-I, or
25 EMT-P who has successfully completed a Department approved
26 course in the administration of epinephrine, shall be
27 required to carry epinephrine with him or her as part of the
28 EMT medical supplies whenever he or she is performing the
29 duties of an emergency medical technician.
30 (b) A person currently licensed as an EMT-B, EMT-I, or
31 EMT-P may only practice as an EMT or utilize his or her EMT
32 license in pre-hospital or inter-hospital emergency care
33 settings or non-emergency medical transport situations, under
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1 the written or verbal direction of the EMS Medical Director.
2 For purposes of this Section, a "pre-hospital emergency care
3 setting" may include a location, that is not a health care
4 facility, which utilizes EMTs to render pre-hospital
5 emergency care prior to the arrival of a transport vehicle.
6 The location shall include communication equipment and all of
7 the portable equipment and drugs appropriate for the EMT's
8 level of care, as required by this Act, rules adopted by the
9 Department pursuant to this Act, and the protocols of the EMS
10 Systems, and shall operate only with the approval and under
11 the direction of the EMS Medical Director.
12 This Section shall not prohibit an EMT-B, EMT-I, or EMT-P
13 from practicing within an emergency department or other
14 health care setting for the purpose of receiving continuing
15 education or training approved by the EMS Medical Director.
16 This Section shall also not prohibit an EMT-B, EMT-I, or
17 EMT-P from seeking credentials other than his or her EMT
18 license and utilizing such credentials to work in emergency
19 departments or other health care settings under the
20 jurisdiction of that employer.
21 (c) A person currently licensed as an EMT-B, EMT-I, or
22 EMT-P may honor Do Not Resuscitate (DNR) orders and powers of
23 attorney for health care only in accordance with rules
24 adopted by the Department pursuant to this Act and protocols
25 of the EMS System in which he or she practices.
26 (d) A student enrolled in a Department approved
27 emergency medical technician program, while fulfilling the
28 clinical training and in-field supervised experience
29 requirements mandated for licensure or approval by the System
30 and the Department, may perform prescribed procedures under
31 the direct supervision of a physician licensed to practice
32 medicine in all of its branches, a qualified registered
33 professional nurse or a qualified EMT, only when authorized
34 by the EMS Medical Director.
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1 (Source: P.A. 89-177, eff. 7-19-95; 90-440, eff. 1-1-98.)
2 (210 ILCS 50/3.155)
3 Sec. 3.155. General Provisions.
4 (a) Authority and responsibility for the EMS System
5 shall be vested in the EMS Resource Hospital, through the EMS
6 Medical Director or his designee.
7 (b) For an inter-hospital emergency or non-emergency
8 medical transport, in which the physician from the sending
9 hospital provides the EMS personnel with written medical
10 orders, such written medical orders cannot exceed the scope
11 of care which the EMS personnel are authorized to render
12 pursuant to this Act.
13 (c) For an inter-hospital emergency or non-emergency
14 medical transport of a patient who requires medical care
15 beyond the scope of care which the EMS personnel are
16 authorized to render pursuant to this Act, a qualified
17 physician, nurse, perfusionist, or respiratory therapist
18 familiar with the scope of care needed must accompany the
19 patient and the transferring hospital and physician shall
20 assume medical responsibility for that portion of the medical
21 care.
22 (d) No emergency medical services vehicles or personnel
23 from another State or nation may be utilized on a regular
24 basis to pick up and transport patients within this State
25 without first complying with this Act and all rules adopted
26 by the Department pursuant to this Act.
27 (e) This Act shall not prevent emergency medical
28 services vehicles or personnel from another State or nation
29 from rendering requested assistance in this State in a
30 disaster situation, or operating from a location outside the
31 State and occasionally transporting patients into this State
32 for needed medical care. Except as provided in Section 31 of
33 this Act, this Act shall not provide immunity from liability
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1 for such activities.
2 (f) Except as provided in subsection (e) of this
3 Section, no person or entity shall transport emergency or
4 non-emergency patients by ambulance, SEMSV, or medical
5 carrier without first complying with the provisions of this
6 Act and all rules adopted pursuant to this Act.
7 (g) Nothing in this Act or the rules adopted by the
8 Department under this Act shall be construed to authorize any
9 medical treatment to or transportation of any person who
10 objects on religious grounds.
11 (h) Patients, individuals who accompany a patient, and
12 emergency medical services personnel may not smoke while
13 inside an ambulance or SEMSV. The Department of Public
14 Health may impose a civil penalty on an individual who
15 violates this subsection in the amount of $100.
16 (Source: P.A. 89-177, eff. 7-19-95.)
17 Section 99. Effective date. This Act takes effect upon
18 becoming law.
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