(210 ILCS 50/3.88)
    Sec. 3.88. Ambulance assistance vehicle provider upgrades.
    (a) As used in this Section:
    "Ambulance assistance vehicle" has the meaning provided under 77 Ill. Adm. Code 515.825 and includes, but is not limited to, fire apparatus and fire department vehicles.
    "Ambulance assistance vehicle provider" or "provider" means a provider of ambulance assistance vehicles that is licensed under this Act and serves a population within the State.
    (b) An ambulance assistance vehicle provider may submit a proposal to the EMS Medical Director requesting approval of an ambulance assistance vehicle provider in-field service level upgrade.
        (1) An ambulance assistance vehicle provider may be
    
upgraded, as defined by the EMS Medical Director in a policy or procedure, as long as the EMS Medical Director and the Department have approved the proposal, to the highest level of EMT license (advanced life support/paramedic, intermediate life support, or basic life support) or Pre-Hospital RN certification held by any person staffing that provider's ambulance assistance vehicle. The ambulance assistance vehicle provider's proposal for an upgrade must include all of the following:
            (A) The manner in which the provider will secure
        
and store advanced life support equipment, supplies, and medications.
            (B) The type of quality assurance the provider
        
will perform.
            (C) An assurance that the provider will advertise
        
only the level of care that can be provided 24 hours a day.
            (D) A statement that the provider will have that
        
vehicle inspected by the Department annually.
        (2) If an ambulance assistance vehicle provider is
    
approved to provide an in-field service level upgrade based on the licensed personnel on the vehicle, all the advanced life support medical supplies, durable medical equipment, and medications must be environmentally controlled, secured, and locked with access by only the personnel who have been authorized by the EMS Medical Director to utilize those supplies.
        (3) The EMS System shall routinely perform quality
    
assurance, in compliance with the EMS System's quality assurance plan approved by the Department, on in-field service level upgrades authorized under this Section to ensure compliance with the EMS System plan.
    The EMS Medical Director may define what constitutes an in-field service level upgrade through an EMS System policy or procedure. An in-field service level upgrade may include, but need not be limited to, an upgrade to a licensed ambulance, alternate response vehicle, or specialized emergency medical services vehicle.
    (c) If the EMS Medical Director approves a proposal for an ambulance assistance vehicle provider's in-field service level upgrade under this Section, he or she shall submit the proposal to the Department along with a statement of approval signed by him or her. Once the Department has approved the proposal, the ambulance assistance vehicle provider shall be authorized to function at the highest level of EMT license (advanced life support/paramedic, intermediate life support, or basic life support) or Pre-Hospital RN certification held by any person staffing the provider's ambulance assistance vehicle.
    (d) Nothing in this Section shall allow for the approval of a request to downgrade the service level licensure for an ambulance assistance vehicle provider.
(Source: P.A. 100-255, eff. 8-22-17.)