SB2643 98TH GENERAL ASSEMBLY

LRB098 14756 JLK 49656 b

98TH GENERAL ASSEMBLY
State of Illinois
2013 and 2014
SB2643

Introduced 1/21/2014, by Sen. Ira I. Silverstein

SYNOPSIS AS INTRODUCED:

55 ILCS 5/Div. 5-45 heading new
55 ILCS 5/5-45005 new
55 ILCS 5/5-45010 new
55 ILCS 5/5-45015 new
55 ILCS 5/5-45020 new
55 ILCS 5/5-45025 new
65 ILCS 5/Art. 11 Div. 153 heading new
65 ILCS 5/11-153-1 new
65 ILCS 5/11-153-2 new
65 ILCS 5/11-153-3 new
65 ILCS 5/11-153-4 new
65 ILCS 5/11-153-5 new

Amends the Counties Code and the Illinois Municipal Code. Adds a Division addressing emergency medical services at special events. Provides that, in counties of 100,000 or more, emergency medical services shall be provided at special events at which 2,500 or more persons are projected to be in attendance in the same place at the same time. Requires additional emergency medical personnel and resources when the projected number of attendees exceeds certain thresholds. Defines terms.

A BILL FOR

AN ACT concerning local government.

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

Section 5. The Counties Code is amended by adding Division 5-45 to Article 5 and Sections 5-45005, 5-45010, 5-45015, 5-45020, and 5-45025 as follows:

(55 ILCS 5/Div. 5-45 heading new)

Division 5-45. Emergency Medical Services for Special Events

(55 ILCS 5/5-45005 new)

Sec. 5-45005. Definitions. As used in this Division:

"Ambulance" means an ambulance or specialized emergency medical service vehicle ("SEMSV") designated under items (A) or (B) of paragraph (3) of subsection (a) of Section 3.85 of the Emergency Medical Services (EMS) Systems Act that:

(1) is capable of transporting a patient from a special event to a hospital but, upon delivering the patient, immediately returns to the site of the special event; and

(2) is staffed by:

(a) at least one Emergency Medical Technician-Intermediate ("EMT-I") or Emergency Medical Technician-Paramedic ("EMT-P"); or

(b) at least two other attendants, each with an equivalent or a higher level of skill than the levels described in paragraph (a).

"Automatic external defibrillator" or "defibrillator" shall have the same meaning as provided in Section 10 of the Automatic External Defibrillator Act.

"First-aid station" means a fixed location at the site of a special event that is staffed by at least one Emergency Medical Technician-Basic ("EMT-B"), EMT-I, EMT-P, or a person with a higher level of skill who is capable of providing first responses services, as defined under subsection (d) of Section 3.10 of the Emergency Medical Services (EMS) Systems Act, within his or her scope of practice.

"Host organization" means:

(1) if a permit was obtained for a special event, the person who obtained the permit; or

(2) if a permit was not obtained for a special event, the person who sponsored the special event.

"Roving emergency medical technician team" means a team at the site of a special event that:

(1) consists of two or more EMT-B personnel, EMT-I personnel, or EMT-P personnel; and

(2) has the medical supplies necessary to provide first response services, as defined under subsection (d) of Section 3.10 of the Emergency Medical Services (EMS) Systems Act.

"Roving intermediate emergency medical technician team" means a roving emergency medical technician team that consists of two or more EMT-I personnel or EMT-P personnel.

"Significant number" means, with regard to:

(1) contacts by emergency medical personnel with persons who attended a special event, the number of contacts is 0.07% or more of the total number of persons who attended the special event; and

(2) patients transported to a hospital, the number of patients transported from the special event to the hospital by ambulance or private vehicle is 15% or more of the total number of contacts at the special event by emergency medical personnel with persons who attended the special event.

"Special event" means a temporary event, including, without limitation, a concert or sporting event, at which 2,500 or more persons are projected to be in attendance in the same place at the same time. The term does not include a temporary event held at a location which is designed to host concerts, sporting events, conventions, trade shows and any other similar events and which has permanently established methods for providing first response services, as defined under subsection (d) of Section 3.10 of the Emergency Medical Services (EMS) Systems Act, or basic life support services, as defined under subsection (c) of Section 3.10 of the Emergency Medical Services (EMS) Systems Act, at the location.

(55 ILCS 5/5-45010 new)

Sec. 5-45010. First-aid stations; emergency medical technicians.

(a) In a county whose population is 100,000 or more, if a special event at which 2,500 or more persons but less than 10,000 persons are projected to be in attendance in the same place at the same time, the host organization shall provide at least one first-aid station at the site of the special event if:

(1) the special event is a concert; or

(2) three or more of the following factors apply to the special event:

(A) The special event involves a high-risk activity, including, without limitation, sports or racing.

(B) The special event poses environmental hazards to persons attending the special event or is held during a period of extreme heat or cold.

(C) The average age of the persons attending the special event is less than 25 years of age or more than 50 years of age.

(D) A large number of the persons attending the special event have acute or chronic illnesses.

(E) Alcohol is sold at the special event or, if the special event has been held before, there is a history of alcohol or drug use by the persons who attended the special event in the past.

(F) The density of the number of persons attending the special event increases the difficulty regarding:

(i) access to the persons who are attending the special event who require emergency medical care; or

(ii) the transfer of those persons who require emergency medical care to an ambulance.

(b) In a county whose population is 100,000 or more, if the host organization meets the requirements of paragraph (1) or (2) of subsection (a) and 10,000 or more persons but less than 15,000 persons are projected to be in attendance at the special event in the same place at the same time, the host organization shall:

(1) provide at least one first-aid station at the site of the special event and equip the first-aid station with an automated external defibrillator; and

(2) provide a roving emergency medical technician team at the site of the special event.

(c) In a county whose population is 100,000 or more, if the host organization meets the requirements of paragraph (1) or (2) of subsection (a) and 15,000 or more persons but less than 50,000 persons are projected to be in attendance at the special event in the same place at the same time, the host organization shall:

(1) provide at least one first-aid station at the site of the special event and staff the first-aid station with at least one registered nurse, licensed practical nurse, or EMT-P in lieu of an EMT-B; and

(2) provide two or more roving intermediate emergency medical technician teams at the site of the special event.

(55 ILCS 5/5-45015 new)

Sec. 5-45015. Ambulances.

(a) In a county whose population is 100,000 or more, if a special event at which 2,500 or more persons but less than 15,000 persons are projected to be in attendance in the same place at the same time, the host organization shall provide at least one ambulance at the special event if the special event:

(1) is located more than 5 miles from the closest hospital; or

(2) has been held before and there is a history of a significant number of:

(A) contacts by emergency medical personnel with persons who attended the special event to provide emergency medical care to those persons; or

(B) persons who attended the special event who were transported as patients from the special event to a hospital.

(b) In a county whose population is 100,000 or more, if the host organization meets the requirements of paragraph (1) or (2) of subsection (a) and 15,000 or more persons but less than 50,000 persons are projected to be in attendance at the special event in the same place at the same time, the host organization shall provide at least two ambulances at the special event.

(55 ILCS 5/5-45020 new)

Sec. 5-45020. Special events of 50,000 or more. If a special event at which 50,000 or more persons are projected to be in attendance in the same place at the same time, the host organization shall provide:

(a) two or more first-aid stations at the site of the special event;

(b) two or more licensed physicians;

(c) two or more roving emergency medical technician teams; and

(d) two or more ambulances.

(55 ILCS 5/5-45025 new)

Sec. 5-45025. Home rule. A home rule unit may not regulate the provision of emergency medical services at special events in a manner less restrictive than the requirements under this Act. This Section is a limitation under subsection (i) of Section 6 of Article VII of the Illinois Constitution on the concurrent exercise by home rule units of powers and functions exercised by the State.

Section 10. The Illinois Municipal Code is amended by adding Division 153 to Article 11 and Sections 11-153-1, 11-153-2, 11-153-3, 11-153-4, and 11-153-5 as follows:

(65 ILCS 5/Art. 11 Div. 153 heading new)

DIVISION 153. EMERGENCY MEDICAL SERVICE FOR SPECIAL EVENTS

(65 ILCS 5/11-153-1 new)

Sec. 11-153-1. Definitions. As used in this Division:

"Ambulance" means an ambulance or specialized emergency medical service vehicle ("SEMSV") designated under items (A) or (B) of paragraph (3) of subsection (a) of Section 3.85 of the Emergency Medical Services (EMS) Systems Act that:

(1) is capable of transporting a patient from a special event to a hospital but, upon delivering the patient, immediately returns to the site of the special event; and

(2) is staffed by:

(a) at least one Emergency Medical Technician-Intermediate ("EMT-I") or Emergency Medical Technician-Paramedic ("EMT-P"); or

(b) at least two other attendants, each with an equivalent or a higher level of skill than the levels described in paragraph (a).

"Automatic external defibrillator" or "defibrillator" shall have the same meaning as provided in Section 10 of the Automatic External Defibrillator Act.

"First-aid station" means a fixed location at the site of a special event that is staffed by at least one Emergency Medical Technician-Basic ("EMT-B"), EMT-I, EMT-P, or a person with a higher level of skill who is capable of providing first responses services, as defined under subsection (d) of Section 3.10 of the Emergency Medical Services (EMS) Systems Act, within his or her scope of practice.

"Host organization" means:

(1) if a permit was obtained for a special event, the person who obtained the permit; or

(2) if a permit was not obtained for a special event, the person who sponsored the special event.

"Roving emergency medical technician team" means a team at the site of a special event that:

(1) consists of two or more EMT-B personnel, EMT-I personnel, or EMT-P personnel; and

(2) has the medical supplies necessary to provide first response services, as defined under subsection (d) of Section 3.10 of the Emergency Medical Services (EMS) Systems Act.

"Roving intermediate emergency medical technician team" means a roving emergency medical technician team that consists of two or more EMT-I personnel or EMT-P personnel.

"Significant number" means, with regard to:

(1) contacts by emergency medical personnel with persons who attended a special event, the number of contacts is 0.07% or more of the total number of persons who attended the special event; and

(2) patients transported to a hospital, the number of patients transported from the special event to the hospital by ambulance or private vehicle is 15% or more of the total number of contacts at the special event by emergency medical personnel with persons who attended the special event.

"Special event" means a temporary event, including, without limitation, a concert or sporting event, at which 2,500 or more persons are projected to be in attendance in the same place at the same time. The term does not include a temporary event held at a location which is designed to host concerts, sporting events, conventions, trade shows and any other similar events and which has permanently established methods for providing first response services, as defined under subsection (d) of Section 3.10 of the Emergency Medical Services (EMS) Systems Act, or basic life support services, as defined under subsection (c) of Section 3.10 of the Emergency Medical Services (EMS) Systems Act, at the location.

(65 ILCS 5/11-153-2 new)

Sec. 11-153-2. First-aid stations; emergency medical technicians.

(a) In a county whose population is 100,000 or more, if a special event at which 2,500 or more persons but less than 10,000 persons are projected to be in attendance in the same place at the same time, the host organization shall provide at least one first-aid station at the site of the special event if:

(1) the special event is a concert; or

(2) three or more of the following factors apply to the special event:

(A) The special event involves a high-risk activity, including, without limitation, sports or racing.

(B) The special event poses environmental hazards to persons attending the special event or is held during a period of extreme heat or cold.

(C) The average age of the persons attending the special event is less than 25 years of age or more than 50 years of age.

(D) A large number of the persons attending the special event have acute or chronic illnesses.

(E) Alcohol is sold at the special event or, if the special event has been held before, there is a history of alcohol or drug use by the persons who attended the special event in the past.

(F) The density of the number of persons attending the special event increases the difficulty regarding:

(i) access to the persons who are attending the special event who require emergency medical care; or

(ii) the transfer of those persons who require emergency medical care to an ambulance.

(b) In a county whose population is 100,000 or more, if the host organization meets the requirements of paragraph (1) or (2) of subsection (a) and 10,000 or more persons but less than 15,000 persons are projected to be in attendance at the special event in the same place at the same time, the host organization shall:

(1) provide at least one first-aid station at the site of the special event and equip the first-aid station with an automated external defibrillator; and

(2) provide a roving emergency medical technician team at the site of the special event.

(c) In a county whose population is 100,000 or more, if the host organization meets the requirements of paragraph (1) or (2) of subsection (a) and 15,000 or more persons but less than 50,000 persons are projected to be in attendance at the special event in the same place at the same time, the host organization shall:

(1) provide at least one first-aid station at the site of the special event and staff the first-aid station with at least one registered nurse, licensed practical nurse, or EMT-P in lieu of an EMT-B; and

(2) provide two or more roving intermediate emergency medical technician teams at the site of the special event.

(65 ILCS 5/11-153-3 new)

Sec. 11-153-3. Ambulances.

(a) In a county whose population is 100,000 or more, if a special event at which 2,500 or more persons but less than 15,000 persons are projected to be in attendance in the same place at the same time, the host organization shall provide at least one ambulance at the special event if the special event:

(1) is located more than 5 miles from the closest hospital; or

(2) has been held before and there is a history of a significant number of:

(A) contacts by emergency medical personnel with persons who attended the special event to provide emergency medical care to those persons; or

(B) persons who attended the special event who were transported as patients from the special event to a hospital.

(b) In a county whose population is 100,000 or more, if the host organization meets the requirements of paragraph (1) or (2) of subsection (a) and 15,000 or more persons but less than 50,000 persons are projected to be in attendance at the special event in the same place at the same time, the host organization shall provide at least two ambulances at the special event.

(65 ILCS 5/11-153-4 new)

Sec. 11-153-4. Special events of 50,000 or more. If a special event at which 50,000 or more persons are projected to be in attendance in the same place at the same time, the host organization shall provide:

(a) two or more first-aid stations at the site of the special event;

(b) two or more licensed physicians;

(c) two or more roving emergency medical technician teams; and

(d) two or more ambulances.

(65 ILCS 5/11-153-5 new)

Sec. 11-153-5. Home rule. A home rule unit may not regulate the provision of emergency medical services at special events in a manner less restrictive than the requirements under this Act. This Section is a limitation under subsection (i) of Section 6 of Article VII of the Illinois Constitution on the concurrent exercise by home rule units of powers and functions exercised by the State.