Sen. Neil Anderson

Filed: 3/11/2021

 

 


 

 


 
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1
AMENDMENT TO SENATE BILL 121

2    AMENDMENT NO. ______. Amend Senate Bill 121 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Emergency Medical Services (EMS) Systems
5Act is amended by changing Section 3.55 as follows:
 
6    (210 ILCS 50/3.55)
7    Sec. 3.55. Scope of practice.
8    (a) Any person currently licensed as an EMR, EMT, EMT-I,
9A-EMT, PHRN, PHAPRN, PHPA, or Paramedic may perform emergency
10and non-emergency medical services as defined in this Act, in
11accordance with his or her level of education, training and
12licensure, the standards of performance and conduct prescribed
13by the Department in rules adopted pursuant to this Act, and
14the requirements of the EMS System in which he or she
15practices, as contained in the approved Program Plan for that
16System. The Director may, by written order, temporarily modify

 

 

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1individual scopes of practice in response to public health
2emergencies for periods not exceeding 180 days.
3    (a-5) EMS personnel who have successfully completed a
4Department approved course in automated defibrillator
5operation and who are functioning within a Department approved
6EMS System may utilize such automated defibrillator according
7to the standards of performance and conduct prescribed by the
8Department in rules adopted pursuant to this Act and the
9requirements of the EMS System in which they practice, as
10contained in the approved Program Plan for that System.
11    (a-7) An EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or
12Paramedic who has successfully completed a Department approved
13course in the administration of epinephrine shall be required
14to carry epinephrine with him or her as part of the EMS
15personnel medical supplies whenever he or she is performing
16official duties as determined by the EMS System. The
17epinephrine may be administered from a glass vial,
18auto-injector, ampule, or pre-filled syringe.
19    (b) An EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or
20Paramedic may practice as an EMR, EMT, EMT-I, A-EMT, or
21Paramedic or utilize his or her EMR, EMT, EMT-I, A-EMT, PHRN,
22PHAPRN, PHPA, or Paramedic license in pre-hospital or
23inter-hospital emergency care settings or non-emergency
24medical transport situations, under the written or verbal
25direction of the EMS Medical Director. For purposes of this
26Section, a "pre-hospital emergency care setting" may include a

 

 

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1location, that is not a health care facility, which utilizes
2EMS personnel to render pre-hospital emergency care prior to
3the arrival of a transport vehicle. The location shall include
4communication equipment and all of the portable equipment and
5drugs appropriate for the EMR, EMT, EMT-I, A-EMT, or
6Paramedic's level of care, as required by this Act, rules
7adopted by the Department pursuant to this Act, and the
8protocols of the EMS Systems, and shall operate only with the
9approval and under the direction of the EMS Medical Director.
10    This Section shall not prohibit an EMR, EMT, EMT-I, A-EMT,
11PHRN, PHAPRN, PHPA, or Paramedic from practicing within an
12emergency department or other health care setting for the
13purpose of receiving continuing education or training approved
14by the EMS Medical Director. This Section shall also not
15prohibit an EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or
16Paramedic from seeking credentials other than his or her EMT,
17EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic license and
18utilizing such credentials to work in emergency departments or
19other health care settings under the jurisdiction of that
20employer.
21    (c) An EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic
22may honor Do Not Resuscitate (DNR) orders and powers of
23attorney for health care only in accordance with rules adopted
24by the Department pursuant to this Act and protocols of the EMS
25System in which he or she practices.
26    (d) A student enrolled in a Department approved EMS

 

 

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1personnel program, while fulfilling the clinical training and
2in-field supervised experience requirements mandated for
3licensure or approval by the System and the Department, may
4perform prescribed procedures under the direct supervision of
5a physician licensed to practice medicine in all of its
6branches, a qualified registered professional nurse, or
7qualified EMS personnel, only when authorized by the EMS
8Medical Director.
9    (e) An EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or
10Paramedic may transport a police dog injured in the line of
11duty to a veterinary clinic or similar facility if there are no
12persons requiring medical attention or transport at that time.
13For the purposes of this subsection, "police dog" means a dog
14owned or used by a law enforcement department or agency in the
15course of the department or agency's work, including a search
16and rescue dog, service dog, accelerant detection canine, or
17other dog that is in use by a county, municipal, or State law
18enforcement agency.
19    (f) Nothing in this Act shall be construed to prohibit an
20EMT, EMT-I, A-EMT, Paramedic, or PHRN from completing an
21initial Occupational Safety and Health Administration
22Respirator Medical Evaluation Questionnaire on behalf of fire
23service personnel, as permitted by his or her EMS System
24Medical Director.
25(Source: P.A. 99-862, eff. 1-1-17; 100-108, eff. 1-1-18;
26100-1082, eff. 8-24-19.)".