Illinois General Assembly - Full Text of HB5085
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Full Text of HB5085  103rd General Assembly

HB5085ham001 103RD GENERAL ASSEMBLY

Rep. William "Will" Davis

Filed: 4/17/2024

 

 


 

 


 
10300HB5085ham001LRB103 38312 RPS 72493 a

1
AMENDMENT TO HOUSE BILL 5085

2    AMENDMENT NO. ______. Amend House Bill 5085 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Emergency Medical Services (EMS) Systems
5Act is amended by changing Sections 3.5, 3.35, and 3.65 as
6follows:
 
7    (210 ILCS 50/3.5)
8    Sec. 3.5. Definitions. As used in this Act:
9    "Clinical observation" means the ongoing observation of a
10patient's medical or mental health condition by a licensed
11health care professional utilizing a medical skill set while
12continuing assessment and care.
13    "Department" means the Illinois Department of Public
14Health.
15    "Director" means the Director of the Illinois Department
16of Public Health.

 

 

10300HB5085ham001- 2 -LRB103 38312 RPS 72493 a

1    "Emergency" means a medical condition of recent onset and
2severity that would lead a prudent layperson, possessing an
3average knowledge of medicine and health, to believe that
4urgent or unscheduled medical care is required.
5    "Emergency Medical Services personnel" or "EMS personnel"
6means persons licensed as an Emergency Medical Responder (EMR)
7(First Responder), Emergency Medical Dispatcher (EMD),
8Emergency Medical Technician (EMT), Emergency Medical
9Technician-Intermediate (EMT-I), Advanced Emergency Medical
10Technician (A-EMT), Paramedic (EMT-P), Emergency
11Communications Registered Nurse (ECRN), Pre-Hospital
12Registered Nurse (PHRN), Pre-Hospital Advanced Practice
13Registered Nurse (PHAPRN), or Pre-Hospital Physician Assistant
14(PHPA).
15    "Exclusive representative" has the same meaning as defined
16in Section 3 of the Illinois Public Labor Relations Act.
17    "Health care facility" means a hospital, nursing home,
18physician's office or other fixed location at which medical
19and health care services are performed. It does not include
20"pre-hospital emergency care settings" which utilize EMS
21personnel to render pre-hospital emergency care prior to the
22arrival of a transport vehicle, as defined in this Act.
23    "Hospital" has the meaning ascribed to that term in the
24Hospital Licensing Act.
25    "Labor organization" has the same meaning as defined in
26Section 3 of the Illinois Public Labor Relations Act.

 

 

10300HB5085ham001- 3 -LRB103 38312 RPS 72493 a

1    "Medical monitoring" means the performance of medical
2tests and physical exams to evaluate an individual's ongoing
3exposure to a factor that could negatively impact that
4person's health. "Medical monitoring" includes close
5surveillance or supervision of patients liable to suffer
6deterioration in physical or mental health and checks of
7various parameters such as pulse rate, temperature,
8respiration rate, the condition of the pupils, the level of
9consciousness and awareness, the degree of appreciation of
10pain, and blood gas concentrations such as oxygen and carbon
11dioxide.
12    "Silver spanner program" means a program in which a member
13under a fire department's or fire protection district's
14collective bargaining agreement works on or at the EMS System
15under another fire department's or fire protection district's
16collective bargaining agreement and (i) the other fire
17department or fire protection district is not the member's
18full-time employer and (ii) any EMS services not included
19under the original fire department's or fire protection
20district's collective bargaining agreement are included in the
21other fire department's or fire protection district's
22collective bargaining agreement.
23    "Trauma" means any significant injury which involves
24single or multiple organ systems.
25(Source: P.A. 103-521, eff. 1-1-24.)
 

 

 

10300HB5085ham001- 4 -LRB103 38312 RPS 72493 a

1    (210 ILCS 50/3.35)
2    Sec. 3.35. Emergency Medical Services (EMS) Resource
3Hospital; Functions. The Resource Hospital of an EMS System
4shall:
5        (a) Prepare a Program Plan in accordance with the
6    provisions of this Act and minimum standards and criteria
7    established in rules adopted by the Department pursuant to
8    this Act, and submit such Program Plan to the Department
9    for approval.
10        (b) Appoint an EMS Medical Director, who will
11    continually monitor and supervise the System and who will
12    have the responsibility and authority for total management
13    of the System as delegated by the EMS Resource Hospital.
14        The Program Plan shall require the EMS Medical
15    Director to appoint an alternate EMS Medical Director and
16    establish a written protocol addressing the functions to
17    be carried out in his or her absence.
18        (c) Appoint an EMS System Coordinator and EMS
19    Administrative Director in consultation with the EMS
20    Medical Director and in accordance with rules adopted by
21    the Department pursuant to this Act.
22        (d) Identify potential EMS System participants and
23    obtain commitments from them for the provision of
24    services.
25        (e) Educate or coordinate the education of EMS
26    personnel and all other license holders in accordance with

 

 

10300HB5085ham001- 5 -LRB103 38312 RPS 72493 a

1    the requirements of this Act, rules adopted by the
2    Department pursuant to this Act, and the EMS System
3    Program Plan. An EMS System may coordinate education
4    outside of the region of which it is located with valid
5    justification and Department approval. The didactic
6    portion of education may be conducted through an online
7    platform with EMS System and Department approval. An
8    education plan within a Resource Hospital may include
9    classes performed outside of the region in which the
10    Resource Hospital is located. When considering whether to
11    approve or deny an education plan for classes performed
12    outside of the region in which a Resource Hospital is
13    located, the Department shall give deference to the EMS
14    Medical Director's education plan request and shall not
15    unreasonably withhold approval.
16        (f) Notify the Department of EMS personnel who have
17    successfully completed the requirements as provided by law
18    for initial licensure, license renewal, and license
19    reinstatement by the Department.
20        (g) Educate or coordinate the education of Emergency
21    Medical Dispatcher candidates, in accordance with the
22    requirements of this Act, rules adopted by the Department
23    pursuant to this Act, and the EMS System Program Plan.
24        (h) Establish or approve protocols for prearrival
25    medical instructions to callers by System Emergency
26    Medical Dispatchers who provide such instructions.

 

 

10300HB5085ham001- 6 -LRB103 38312 RPS 72493 a

1        (i) Educate or coordinate the education of
2    Pre-Hospital Registered Nurse, Pre-Hospital Advanced
3    Practice Registered Nurse, Pre-Hospital Physician
4    Assistant, and ECRN candidates, in accordance with the
5    requirements of this Act, rules adopted by the Department
6    pursuant to this Act, and the EMS System Program Plan.
7        (j) Approve Pre-Hospital Registered Nurse,
8    Pre-Hospital Advanced Practice Registered Nurse,
9    Pre-Hospital Physician Assistant, and ECRN candidates to
10    practice within the System, and reapprove Pre-Hospital
11    Registered Nurses, Pre-Hospital Advanced Practice
12    Registered Nurses, Pre-Hospital Physician Assistants, and
13    ECRNs every 4 years in accordance with the requirements of
14    the Department and the System Program Plan.
15        (k) Establish protocols for the use of Pre-Hospital
16    Registered Nurses, Pre-Hospital Advanced Practice
17    Registered Nurses, and Pre-Hospital Physician Assistants
18    within the System.
19        (l) Establish protocols for utilizing ECRNs and
20    physicians licensed to practice medicine in all of its
21    branches to monitor telecommunications from, and give
22    voice orders to, EMS personnel, under the authority of the
23    EMS Medical Director.
24        (m) Monitor emergency and non-emergency medical
25    transports within the System, in accordance with rules
26    adopted by the Department pursuant to this Act.

 

 

10300HB5085ham001- 7 -LRB103 38312 RPS 72493 a

1        (n) Utilize levels of personnel required by the
2    Department to provide emergency care to the sick and
3    injured at the scene of an emergency, during transport to
4    a hospital or during inter-hospital transport and within
5    the hospital emergency department until the responsibility
6    for the care of the patient is assumed by the medical
7    personnel of a hospital emergency department or other
8    facility within the hospital to which the patient is first
9    delivered by System personnel.
10        (o) Utilize levels of personnel required by the
11    Department to provide non-emergency medical services
12    during transport to a health care facility and within the
13    health care facility until the responsibility for the care
14    of the patient is assumed by the medical personnel of the
15    health care facility to which the patient is delivered by
16    System personnel.
17        (p) Establish and implement a program for System
18    participant information and education, in accordance with
19    rules adopted by the Department pursuant to this Act.
20        (q) Establish and implement a program for public
21    information and education, in accordance with rules
22    adopted by the Department pursuant to this Act.
23        (r) Operate in compliance with the EMS Region Plan.
24(Source: P.A. 100-1082, eff. 8-24-19.)
 
25    (210 ILCS 50/3.65)

 

 

10300HB5085ham001- 8 -LRB103 38312 RPS 72493 a

1    Sec. 3.65. EMS Lead Instructor.
2    (a) "EMS Lead Instructor" means a person who has
3successfully completed a course of education as approved by
4the Department, and who is currently approved by the
5Department to coordinate or teach education, training and
6continuing education courses, in accordance with standards
7prescribed by this Act and rules adopted by the Department
8pursuant to this Act.
9    (b) The Department shall have the authority and
10responsibility to:
11        (1) Prescribe education requirements for EMS Lead
12    Instructor candidates through rules adopted pursuant to
13    this Act.
14        (2) Prescribe testing requirements for EMS Lead
15    Instructor candidates through rules adopted pursuant to
16    this Act.
17        (3) Charge each candidate for EMS Lead Instructor a
18    fee to be submitted with an application for an
19    examination, an application for licensure, and an
20    application for relicensure.
21        (4) Approve individuals as EMS Lead Instructors who
22    have met the Department's education and testing
23    requirements.
24        (5) Require that all education, training and
25    continuing education courses for EMT, EMT-I, A-EMT,
26    Paramedic, PHRN, PHPA, PHAPRN, ECRN, EMR, and Emergency

 

 

10300HB5085ham001- 9 -LRB103 38312 RPS 72493 a

1    Medical Dispatcher be coordinated by at least one approved
2    EMS Lead Instructor. A program which includes education,
3    training or continuing education for more than one type of
4    personnel may use one EMS Lead Instructor to coordinate
5    the program, and a single EMS Lead Instructor may
6    simultaneously coordinate more than one program or course.
7    An EMS Lead Instructor may oversee a paramedic with at
8    least 3 years of experience to teach EMT classes, with a
9    licensed teacher, in high schools. High school students
10    electing to not take the National Registry of Emergency
11    Medical Technicians (NREMT) Certification exam shall not
12    be accounted for in calculating the course pass rate by
13    the EMS System or Department.
14        (6) Provide standards and procedures for awarding EMS
15    Lead Instructor approval to persons previously approved by
16    the Department to coordinate such courses, based on
17    qualifications prescribed by the Department through rules
18    adopted pursuant to this Act.
19        (7) Suspend, revoke, or refuse to issue or renew the
20    approval of an EMS Lead Instructor, after an opportunity
21    for a hearing, when findings show one or more of the
22    following:
23            (A) The EMS Lead Instructor has failed to conduct
24        a course in accordance with the curriculum prescribed
25        by this Act and rules adopted by the Department
26        pursuant to this Act; or

 

 

10300HB5085ham001- 10 -LRB103 38312 RPS 72493 a

1            (B) The EMS Lead Instructor has failed to comply
2        with protocols prescribed by the Department through
3        rules adopted pursuant to this Act.
4(Source: P.A. 100-1082, eff. 8-24-19.)".