HB3031 EngrossedLRB102 04441 AWJ 14459 b

1    AN ACT concerning local government.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Police Training Act is amended by
5adding Section 10.25 as follows:
 
6    (50 ILCS 705/10.25 new)
7    Sec. 10.25. Tactical paramedics.
8    (a) Notwithstanding any other provision of law following
9the effective date of this amendatory act of the 102nd General
10Assembly, the Illinois Law Enforcement Training Standards
11Board and the Department of Public Health shall jointly
12develop and establish a program of certification of tactical
13paramedics for the purposes of aiding special law enforcement
14teams involved in, but not limited to, search and rescues,
15civil disturbances, bomb threat responses, tactical or special
16operations team deployments, hostage negotiations, HazMat
17responses, executive and dignitary protection, and
18counterterrorism, as assigned and directed by a law
19enforcement agency that is recognized by the Illinois Law
20Enforcement Training and Standards Board.
21    The Illinois Law Enforcement Training and Standards Board
22in conjunction with the Department of Public Health may
23establish any fees necessary to fund the training and

 

 

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1certification requirements of this Section and may establish
2other entities providing training to meet all or a portion of
3the requirements of this Section.
4    (b) The tactical paramedic program certification
5requirements shall include, but are not limited to, the
6following: that the individual must be an emergency medical
7technician, paramedic, physician, physician's assistant,
8nurse, or other medical professional licensed to practice in
9the State or in possession of a suitable license as determined
10by the Illinois Law Enforcement Training Standards Board and
11the Department of Public Health; that the person has completed
12no less than a 40 hour basic firearms certification recognized
13by the Illinois Law Enforcement Training and Standards Board;
14that the person has completed no less than 50 hours of tactical
15medical training, approved by the Illinois Law Enforcement
16Training and Standards Board; that the person has attended no
17less than 50 hours of tactical and firearms training,
18including use of force training; and that the person operate
19under a medical facility in the State that is licensed by the
20Department of Public Health.
21    (c) The Illinois Law Enforcement Training and Standards
22Board and the Department of Public Health shall establish
23annual requirements for certification of tactical paramedics
24including, but not limited to, proof of: a valid license or
25certification as a medical professional licensed or certified
26to practice in the State; that a person operates under a

 

 

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1medical facility in the State that is licensed by the
2Department of Public Health; completion of no less than 50
3hours annually of tactical medical training; and completion of
4no less than 50 hours annually of tactical and firearms
5training, including use of force training.
6    The Illinois Law Enforcement Training Standards Board and
7the Department of Public Health may require any additional
8qualifications, licensing, standards, certification, or
9training deemed necessary and pertinent by either agency.
 
10    Section 10. The Counties Code is amended by adding Section
113-6012.3 as follows:
 
12    (55 ILCS 5/3-6012.3 new)
13    Sec. 3-6012.3. Tactical paramedic support. A Sheriff may
14employ and provide tactical paramedic support to first
15responders with tactical paramedics certified under Section
1610.25 of the Illinois Police Training Act. In addition to any
17other requirements, the tactical paramedics will participate
18in routine, ongoing tactical and medical training with the
19first responders that they will support and meet any
20additional training, certification, and licensing as the
21Sheriff deems appropriate.
 
22    Section 15. The Illinois Municipal Code is amended by
23adding Section 10-4-15 as follows:
 

 

 

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1    (65 ILCS 5/10-4-15 new)
2    Sec. 10-4-15. Tactical paramedic support. A municipality
3may provide tactical paramedic support to first responders
4with tactical paramedics certified under Section 10.25 of the
5Illinois Police Training Act. In addition to any other
6requirements, the tactical paramedics will participate in
7routine, ongoing tactical and medical training with the first
8responders that they will support and meet any additional
9training, certification, and licensing as the chief of police
10deems appropriate.
 
11    Section 20. The Emergency Medical Services (EMS) Systems
12Act is amended by changing Sections 3.5 and 3.50 as follows:
 
13    (210 ILCS 50/3.5)
14    Sec. 3.5. Definitions. As used in this Act:
15    "Clinical observation" means the ongoing observation of a
16patient's condition by a licensed health care professional
17utilizing a medical skill set while continuing assessment and
18care.
19    "Department" means the Illinois Department of Public
20Health.
21    "Director" means the Director of the Illinois Department
22of Public Health.
23    "Emergency" means a medical condition of recent onset and

 

 

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1severity that would lead a prudent layperson, possessing an
2average knowledge of medicine and health, to believe that
3urgent or unscheduled medical care is required.
4    "Emergency Medical Services personnel" or "EMS personnel"
5means persons licensed as an Emergency Medical Responder (EMR)
6(First Responder), Emergency Medical Dispatcher (EMD),
7Emergency Medical Technician (EMT), Emergency Medical
8Technician-Intermediate (EMT-I), Advanced Emergency Medical
9Technician (A-EMT), Paramedic (EMT-P), Emergency
10Communications Registered Nurse (ECRN), Pre-Hospital
11Registered Nurse (PHRN), Pre-Hospital Advanced Practice
12Registered Nurse (PHAPRN), or Pre-Hospital Physician Assistant
13(PHPA), or Tactical Paramedics.
14    "Health care facility" means a hospital, nursing home,
15physician's office or other fixed location at which medical
16and health care services are performed. It does not include
17"pre-hospital emergency care settings" which utilize EMS
18personnel to render pre-hospital emergency care prior to the
19arrival of a transport vehicle, as defined in this Act.
20    "Hospital" has the meaning ascribed to that term in the
21Hospital Licensing Act.
22    "Medical monitoring" means the performance of medical
23tests and physical exams to evaluate an individual's ongoing
24exposure to a factor that could negatively impact that
25person's health. "Medical monitoring" includes close
26surveillance or supervision of patients liable to suffer

 

 

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1deterioration in physical or mental health and checks of
2various parameters such as pulse rate, temperature,
3respiration rate, the condition of the pupils, the level of
4consciousness and awareness, the degree of appreciation of
5pain, and blood gas concentrations such as oxygen and carbon
6dioxide.
7    "Trauma" means any significant injury which involves
8single or multiple organ systems.
9(Source: P.A. 100-1082, eff. 8-24-19; 101-81, eff. 7-12-19.)
 
10    (210 ILCS 50/3.50)
11    Sec. 3.50. Emergency Medical Services personnel licensure
12levels.
13    (a) "Emergency Medical Technician" or "EMT" means a person
14who has successfully completed a course in basic life support
15as approved by the Department, is currently licensed by the
16Department in accordance with standards prescribed by this Act
17and rules adopted by the Department pursuant to this Act, and
18practices within an EMS System. A valid Emergency Medical
19Technician-Basic (EMT-B) license issued under this Act shall
20continue to be valid and shall be recognized as an Emergency
21Medical Technician (EMT) license until the Emergency Medical
22Technician-Basic (EMT-B) license expires.
23    (b) "Emergency Medical Technician-Intermediate" or "EMT-I"
24means a person who has successfully completed a course in
25intermediate life support as approved by the Department, is

 

 

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1currently licensed by the Department in accordance with
2standards prescribed by this Act and rules adopted by the
3Department pursuant to this Act, and practices within an
4Intermediate or Advanced Life Support EMS System.
5    (b-5) "Advanced Emergency Medical Technician" or "A-EMT"
6means a person who has successfully completed a course in
7basic and limited advanced emergency medical care as approved
8by the Department, is currently licensed by the Department in
9accordance with standards prescribed by this Act and rules
10adopted by the Department pursuant to this Act, and practices
11within an Intermediate or Advanced Life Support EMS System.
12    (c) "Paramedic (EMT-P)" means a person who has
13successfully completed a course in advanced life support care
14as approved by the Department, is licensed by the Department
15in accordance with standards prescribed by this Act and rules
16adopted by the Department pursuant to this Act, and practices
17within an Advanced Life Support EMS System. A valid Emergency
18Medical Technician-Paramedic (EMT-P) license issued under this
19Act shall continue to be valid and shall be recognized as a
20Paramedic license until the Emergency Medical
21Technician-Paramedic (EMT-P) license expires.
22    (c-3) "Tactical Paramedic" means a person who has
23successfully completed certification under the requirements of
24Section 10.25 of the Illinois Police Training Act.
25    (c-5) "Emergency Medical Responder" or "EMR (First
26Responder)" means a person who has successfully completed a

 

 

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1course in emergency medical response as approved by the
2Department and provides emergency medical response services
3prior to the arrival of an ambulance or specialized emergency
4medical services vehicle, in accordance with the level of care
5established by the National EMS Educational Standards
6Emergency Medical Responder course as modified by the
7Department. An Emergency Medical Responder who provides
8services as part of an EMS System response plan shall comply
9with the applicable sections of the Program Plan, as approved
10by the Department, of that EMS System. The Department shall
11have the authority to adopt rules governing the curriculum,
12practice, and necessary equipment applicable to Emergency
13Medical Responders.
14    On August 15, 2014 (the effective date of Public Act
1598-973), a person who is licensed by the Department as a First
16Responder and has completed a Department-approved course in
17first responder defibrillator training based on, or equivalent
18to, the National EMS Educational Standards or other standards
19previously recognized by the Department shall be eligible for
20licensure as an Emergency Medical Responder upon meeting the
21licensure requirements and submitting an application to the
22Department. A valid First Responder license issued under this
23Act shall continue to be valid and shall be recognized as an
24Emergency Medical Responder license until the First Responder
25license expires.
26    (c-10) All EMS Systems and licensees shall be fully

 

 

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1compliant with the National EMS Education Standards, as
2modified by the Department in administrative rules, within 24
3months after the adoption of the administrative rules.
4    (d) The Department shall have the authority and
5responsibility to:
6        (1) Prescribe education and training requirements,
7    which includes training in the use of epinephrine, for all
8    levels of EMS personnel except for EMRs, based on the
9    National EMS Educational Standards and any modifications
10    to those curricula specified by the Department through
11    rules adopted pursuant to this Act.
12        (2) Prescribe licensure testing requirements for all
13    levels of EMS personnel, which shall include a requirement
14    that all phases of instruction, training, and field
15    experience be completed before taking the appropriate
16    licensure examination. Candidates may elect to take the
17    appropriate National Registry examination in lieu of the
18    Department's examination, but are responsible for making
19    their own arrangements for taking the National Registry
20    examination. In prescribing licensure testing requirements
21    for honorably discharged members of the armed forces of
22    the United States under this paragraph (2), the Department
23    shall ensure that a candidate's military emergency medical
24    training, emergency medical curriculum completed, and
25    clinical experience, as described in paragraph (2.5), are
26    recognized.

 

 

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1        (2.5) Review applications for EMS personnel licensure
2    from honorably discharged members of the armed forces of
3    the United States with military emergency medical
4    training. Applications shall be filed with the Department
5    within one year after military discharge and shall
6    contain: (i) proof of successful completion of military
7    emergency medical training; (ii) a detailed description of
8    the emergency medical curriculum completed; and (iii) a
9    detailed description of the applicant's clinical
10    experience. The Department may request additional and
11    clarifying information. The Department shall evaluate the
12    application, including the applicant's training and
13    experience, consistent with the standards set forth under
14    subsections (a), (b), (c), and (d) of Section 3.10. If the
15    application clearly demonstrates that the training and
16    experience meet such standards, the Department shall offer
17    the applicant the opportunity to successfully complete a
18    Department-approved EMS personnel examination for the
19    level of license for which the applicant is qualified.
20    Upon passage of an examination, the Department shall issue
21    a license, which shall be subject to all provisions of
22    this Act that are otherwise applicable to the level of EMS
23    personnel license issued.
24        (3) License individuals as an EMR, EMT, EMT-I, A-EMT,
25    or Paramedic who have met the Department's education,
26    training and examination requirements.

 

 

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1        (4) Prescribe annual continuing education and
2    relicensure requirements for all EMS personnel licensure
3    levels.
4        (5) Relicense individuals as an EMD, EMR, EMT, EMT-I,
5    A-EMT, PHRN, PHAPRN, PHPA, or Paramedic every 4 years,
6    based on their compliance with continuing education and
7    relicensure requirements as required by the Department
8    pursuant to this Act. Every 4 years, a Paramedic shall
9    have 100 hours of approved continuing education, an EMT-I
10    and an advanced EMT shall have 80 hours of approved
11    continuing education, and an EMT shall have 60 hours of
12    approved continuing education. An Illinois licensed EMR,
13    EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, PHPA, PHAPRN, or
14    PHRN whose license has been expired for less than 36
15    months may apply for reinstatement by the Department.
16    Reinstatement shall require that the applicant (i) submit
17    satisfactory proof of completion of continuing medical
18    education and clinical requirements to be prescribed by
19    the Department in an administrative rule; (ii) submit a
20    positive recommendation from an Illinois EMS Medical
21    Director attesting to the applicant's qualifications for
22    retesting; and (iii) pass a Department approved test for
23    the level of EMS personnel license sought to be
24    reinstated.
25        (6) Grant inactive status to any EMR, EMD, EMT, EMT-I,
26    A-EMT, Paramedic, ECRN, PHAPRN, PHPA, or PHRN who

 

 

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1    qualifies, based on standards and procedures established
2    by the Department in rules adopted pursuant to this Act.
3        (7) Charge a fee for EMS personnel examination,
4    licensure, and license renewal.
5        (8) Suspend, revoke, or refuse to issue or renew the
6    license of any licensee, after an opportunity for an
7    impartial hearing before a neutral administrative law
8    judge appointed by the Director, where the preponderance
9    of the evidence shows one or more of the following:
10            (A) The licensee has not met continuing education
11        or relicensure requirements as prescribed by the
12        Department;
13            (B) The licensee has failed to maintain
14        proficiency in the level of skills for which he or she
15        is licensed;
16            (C) The licensee, during the provision of medical
17        services, engaged in dishonorable, unethical, or
18        unprofessional conduct of a character likely to
19        deceive, defraud, or harm the public;
20            (D) The licensee has failed to maintain or has
21        violated standards of performance and conduct as
22        prescribed by the Department in rules adopted pursuant
23        to this Act or his or her EMS System's Program Plan;
24            (E) The licensee is physically impaired to the
25        extent that he or she cannot physically perform the
26        skills and functions for which he or she is licensed,

 

 

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1        as verified by a physician, unless the person is on
2        inactive status pursuant to Department regulations;
3            (F) The licensee is mentally impaired to the
4        extent that he or she cannot exercise the appropriate
5        judgment, skill and safety for performing the
6        functions for which he or she is licensed, as verified
7        by a physician, unless the person is on inactive
8        status pursuant to Department regulations;
9            (G) The licensee has violated this Act or any rule
10        adopted by the Department pursuant to this Act; or
11            (H) The licensee has been convicted (or entered a
12        plea of guilty or nolo contendere nolo-contendere) by
13        a court of competent jurisdiction of a Class X, Class
14        1, or Class 2 felony in this State or an out-of-state
15        equivalent offense.
16        (9) Prescribe education and training requirements in
17    the administration and use of opioid antagonists for all
18    levels of EMS personnel based on the National EMS
19    Educational Standards and any modifications to those
20    curricula specified by the Department through rules
21    adopted pursuant to this Act.
22    (d-5) An EMR, EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN,
23PHAPRN, PHPA, or PHRN who is a member of the Illinois National
24Guard or an Illinois State Trooper or who exclusively serves
25as a volunteer for units of local government with a population
26base of less than 5,000 or as a volunteer for a not-for-profit

 

 

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1organization that serves a service area with a population base
2of less than 5,000 may submit an application to the Department
3for a waiver of the fees described under paragraph (7) of
4subsection (d) of this Section on a form prescribed by the
5Department.
6    The education requirements prescribed by the Department
7under this Section must allow for the suspension of those
8requirements in the case of a member of the armed services or
9reserve forces of the United States or a member of the Illinois
10National Guard who is on active duty pursuant to an executive
11order of the President of the United States, an act of the
12Congress of the United States, or an order of the Governor at
13the time that the member would otherwise be required to
14fulfill a particular education requirement. Such a person must
15fulfill the education requirement within 6 months after his or
16her release from active duty.
17    (e) In the event that any rule of the Department or an EMS
18Medical Director that requires testing for drug use as a
19condition of the applicable EMS personnel license conflicts
20with or duplicates a provision of a collective bargaining
21agreement that requires testing for drug use, that rule shall
22not apply to any person covered by the collective bargaining
23agreement.
24    (f) At the time of applying for or renewing his or her
25license, an applicant for a license or license renewal may
26submit an email address to the Department. The Department

 

 

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1shall keep the email address on file as a form of contact for
2the individual. The Department shall send license renewal
3notices electronically and by mail to a licensee all licensees
4who provides provide the Department with his or her email
5address. The notices shall be sent at least 60 days prior to
6the expiration date of the license.
7(Source: P.A. 100-1082, eff. 8-24-19; 101-81, eff. 7-12-19;
8101-153, eff. 1-1-20; revised 12-3-19.)