Public Act 099-0661
 
SB2704 EnrolledLRB099 16933 MJP 41280 b



    AN ACT concerning regulation.

 
    Be it enacted by the People of the State of Illinois, 
represented in the General Assembly: 



 
    Section 5. The Emergency Medical Services (EMS) Systems Act 
is amended  by changing Sections 3.5 and 3.10 as follows:
 



    (210 ILCS 50/3.5)



    Sec. 3.5. Definitions. As used in this Act:

    "Clinical observation" means the on-going observation of a 
patient's 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), 
Emergency Medical Technician (EMT), Emergency Medical 
Technician-Intermediate (EMT-I), Advanced Emergency Medical 
Technician (A-EMT), Paramedic (EMT-P), Emergency 
Communications Registered Nurse (ECRN), or Pre-Hospital 
Registered Nurse (PHRN). 
    "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.

    "Medical monitoring" means the performance of medical 
tests and physical exams to evaluate an individual's on-going 
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, 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. 
    "Trauma" means any significant injury which
involves 
single or multiple organ systems.

(Source: P.A. 98-973, eff. 8-15-14.)

 



    (210 ILCS 50/3.10)



    Sec. 3.10. Scope of Services. 

    (a) "Advanced Life Support (ALS) Services" means
an 
advanced level of pre-hospital and inter-hospital emergency

care and non-emergency medical services that includes basic 
life
support care, cardiac monitoring, cardiac defibrillation,

electrocardiography, intravenous therapy, administration of

medications, drugs and solutions, use of adjunctive medical

devices, trauma care, and other authorized techniques and

procedures, as outlined in the provisions of the National EMS 
Education Standards relating to Advanced Life Support and any 
modifications to that curriculum
specified in rules adopted by 
the Department pursuant to
this Act.

    That care shall be initiated as authorized by the EMS

Medical Director in a Department approved advanced life
support 
EMS System, under the written or verbal direction of
a 
physician licensed to practice medicine in all of its
branches 
or under the verbal direction of an Emergency
Communications 
Registered Nurse.

    (b) "Intermediate Life Support (ILS) Services"
means an 
intermediate level of pre-hospital and inter-hospital

emergency care and non-emergency medical services that 
includes
basic life support care plus intravenous cannulation 
and
fluid therapy, invasive airway management, trauma care, and

other authorized techniques and procedures, as outlined in
the  
Intermediate Life Support national curriculum of the
United 
States Department of Transportation and any
modifications to 
that curriculum specified in rules adopted
by the Department 
pursuant to this Act.

    That care shall be initiated as authorized by the EMS

Medical Director in a Department approved intermediate or

advanced life support EMS System, under the written or
verbal 
direction of a physician licensed to practice
medicine in all 
of its branches or under the verbal
direction of an Emergency 
Communications Registered Nurse.

    (c) "Basic Life Support (BLS) Services" means a
basic level 
of pre-hospital and inter-hospital emergency care and

non-emergency medical services that includes medical 
monitoring, clinical observation, airway management,

cardiopulmonary resuscitation (CPR), control of shock and

bleeding and splinting of fractures, as outlined in the 
provisions of the National EMS Education Standards relating to 
Basic Life Support and any modifications to that
curriculum 
specified in rules adopted by the Department
pursuant to this 
Act.

    That care shall be initiated, where authorized by the
EMS 
Medical Director in a Department approved EMS System,
under the 
written or verbal direction of a physician
licensed to practice 
medicine in all of its branches or
under the verbal direction 
of an Emergency Communications
Registered Nurse.

    (d) "Emergency Medical Responder Services" means a 
preliminary
level of pre-hospital emergency care that includes

cardiopulmonary resuscitation (CPR), monitoring vital signs

and control of bleeding, as outlined in the Emergency Medical 
Responder (EMR) curriculum of the National EMS Education 
Standards
and any modifications to that curriculum specified in 
rules
adopted by the Department pursuant to this Act.

    (e) "Pre-hospital care" means those
medical services 
rendered to patients for analytic,
resuscitative, stabilizing, 
or preventive purposes,
precedent to and during transportation 
of such patients to
health care facilities.

    (f) "Inter-hospital care" means those
medical services 
rendered to patients for
analytic, resuscitative, stabilizing, 
or preventive
purposes, during transportation of such patients 
from one
hospital to another hospital.

    (f-5) "Critical care transport" means the pre-hospital or 
inter-hospital transportation of a critically injured or ill 
patient by a vehicle service provider, including the provision 
of medically necessary supplies and services, at a level of 
service beyond the scope of the Paramedic. When medically 
indicated for a patient, as determined by a physician licensed 
to practice medicine in all of its branches, an advanced 
practice nurse, or a physician's assistant, in compliance with 
subsections (b) and (c) of Section 3.155 of this Act, critical 
care transport may be provided by: 
        (1)  Department-approved critical care transport 
    providers, not owned or operated by a hospital, utilizing 
    Paramedics with additional training, nurses, or other 
    qualified health professionals; or 
        (2)  Hospitals, when utilizing any vehicle service 
    provider or any hospital-owned or operated vehicle service 
    provider. Nothing in Public Act 96-1469 requires a hospital 
    to use, or to be, a Department-approved critical care 
    transport provider when transporting patients, including 
    those critically injured or ill. Nothing in this Act shall 
    restrict or prohibit a hospital from providing, or 
    arranging for, the medically appropriate transport of any 
    patient, as determined by a physician licensed to practice 
    in all of its branches, an advanced practice nurse, or a 
    physician's assistant. 
    (g) "Non-emergency medical services" means medical care, 
clinical observation, or medical monitoring rendered to

patients whose conditions do not meet this Act's definition of 
emergency, before or
during transportation of such patients to 
or from health care facilities visited for the
purpose of 
obtaining medical or health care services which are not 
emergency in
nature, using a vehicle regulated by this Act.

    (g-5)  The Department shall have the authority to promulgate 
minimum standards for critical care transport providers 
through rules adopted pursuant to this Act. All critical care 
transport providers must function within a Department-approved 
EMS System. Nothing in Department rules shall restrict a 
hospital's ability to furnish personnel, equipment, and 
medical supplies to any vehicle service provider, including a 
critical care transport provider. Minimum critical care 
transport provider standards shall include, but are not limited 
to:
        (1) Personnel staffing and licensure. 
        (2) Education, certification, and experience. 
        (3) Medical equipment and supplies.
        (4) Vehicular standards.
        (5) Treatment and transport protocols.
        (6) Quality assurance and data collection.
    (h)
The provisions of this Act shall not apply to
the use 
of an ambulance or SEMSV, unless and until
emergency or 
non-emergency medical services are needed
during the use of the 
ambulance or SEMSV.

(Source: P.A. 98-973, eff. 8-15-14.)