State of Illinois
92nd General Assembly
Legislation

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92_HB0279sam001

 










                                             LRB9203773ACsbam

 1                     AMENDMENT TO HOUSE BILL 279

 2        AMENDMENT NO.     .  Amend House Bill  279  by  replacing
 3    everything after the enacting clause with the following:

 4        "Section   90.   The  Emergency  Medical  Services  (EMS)
 5    Systems Act is amended by changing Section 3.70 as follows:

 6        (210 ILCS 50/3.70)
 7        Sec. 3.70.  Emergency Medical Dispatcher.
 8        (a)  "Emergency  Medical  Dispatcher"  means a person who
 9    has successfully completed a  training  course  in  emergency
10    medical  dispatching course meeting or exceeding the national
11    curriculum of the United States Department of  Transportation
12    in  accordance  with rules adopted by the Department pursuant
13    to this Act, who accepts calls from the public for  emergency
14    medical  services and dispatches designated emergency medical
15    services  personnel  and  vehicles.   The  Emergency  Medical
16    Dispatcher must use the Department-approved emergency medical
17    dispatch priority reference system (EMDPRS) protocol selected
18    for use by  its  agency  and  approved  by  its  EMS  medical
19    director.  This protocol must be used by an emergency medical
20    dispatcher   in  an  emergency  medical  dispatch  agency  to
21    dispatch  aid   to   medical   emergencies   which   includes
22    systematized  caller  interrogation  questions;  systematized
 
                            -2-              LRB9203773ACsbam
 1    prearrival  support  instructions;  and  systematized  coding
 2    protocols  that  match  the  dispatcher's  evaluation  of the
 3    injury or illness severity with the vehicle response mode and
 4    vehicle response configuration and  includes  an  appropriate
 5    training  curriculum  and testing process consistent with the
 6    specific  EMDPRS  protocol  used  by  the  emergency  medical
 7    dispatch agency.  Prearrival support  instructions  shall  be
 8    provided  in a non-discretionary manner and shall be provided
 9    in accordance with the EMDPRS established by the EMS  medical
10    director  of the EMS system in which the EMD operates. may or
11    may  not  provide  prearrival  medical  instructions  to  the
12    caller, at the  discretion  of  the  entity  or  agency  that
13    employs   him.   Such   instructions  shall  be  provided  in
14    accordance with protocols  established  by  the  EMS  Medical
15    Director  of the EMS System in which the dispatcher operates.
16    If  the  dispatcher  operates  under  the  authority  of   an
17    Emergency   Telephone  System  Board  established  under  the
18    Emergency  Telephone  System  Act,  the  protocols  shall  be
19    established by  such  Board  in  consultation  with  the  EMS
20    Medical  Director.   Persons  who  have  already  completed a
21    course of instruction in emergency medical dispatch based on,
22    equivalent to or exceeding the  national  curriculum  of  the
23    United  States  Department of Transportation, or as otherwise
24    approved by the Department,  shall  be  considered  Emergency
25    Medical  Dispatchers on the effective date of this amendatory
26    Act.
27        (b)  The  Department  shall  have   the   authority   and
28    responsibility to:
29             (1)  Require  certification and recertification of a
30        person who meets the training and other  requirements  as
31        an emergency medical dispatcher pursuant to this Act.
32             (2)  Require  certification and recertification of a
33        person, organization, or government agency that  operates
34        an  emergency  medical  dispatch  agency  that  meets the
 
                            -3-              LRB9203773ACsbam
 1        minimum standards prescribed by  the  Department  for  an
 2        emergency medical dispatch agency pursuant to this Act.
 3             (3)  (1)  Prescribe minimum education and continuing
 4        education  requirements   for   the   Emergency   Medical
 5        Dispatcher,  which meet or exceed the national curriculum
 6        of  the  United  States  Department  of   Transportation,
 7        through rules adopted pursuant to this Act.;
 8             (4)  Require  each  EMD  and EMD agency to report to
 9        the Department whenever an action has  taken  place  that
10        may require the revocation or suspension of a certificate
11        issued by the Department.
12             (5)  Require   each   EMD   to   provide  prearrival
13        instructions in compliance with  protocols  selected  and
14        approved   by  the  system's  EMS  medical  director  and
15        approved by the Department.
16             (2)  Require the  Emergency  Medical  Dispatcher  to
17        notify  the  Department  of the EMS System(s) in which he
18        operates;
19             (3)  Require the Emergency  Medical  Dispatcher  who
20        provides  prearrival  instructions  to  callers to comply
21        with the protocols for such instructions  established  by
22        the  EMS  Medical  Director(s)  and  Emergency  Telephone
23        System Board or Boards, or in the absence of an Emergency
24        Telephone  System Board or Boards the governmental agency
25        performing the duties of an  Emergency  Telephone  System
26        Board or Boards, of the EMS System or Systems in which he
27        operates;
28             (6) (4)  Require the Emergency Medical Dispatcher to
29        keep  the  Department currently informed as to the entity
30        or agency that employs or supervises his activities as an
31        Emergency Medical Dispatcher.;
32             (5)  (Blank). Establish a mechanism for  phasing  in
33        the  Emergency  Medical  Dispatcher  requirements  over a
34        five-year period;
 
                            -4-              LRB9203773ACsbam
 1             (7)  Establish an annual recertification requirement
 2        that   requires   at   least   12   hours   of    medical
 3        dispatch-specific continuing education each year.
 4             (8)  Approve  all EMDPRS protocols used by emergency
 5        medical  dispatch  agencies  to  assure  compliance  with
 6        national standards.
 7             (9)  Require  that   Department-approved   emergency
 8        medical  dispatch  training  programs  are  conducted  in
 9        accordance with national standards.
10             (10)  Require  that  the  emergency medical dispatch
11        agency be operated in accordance with national standards,
12        including, but not limited  to,  (i)  the  use  on  every
13        request  for  medical  assistance of an emergency medical
14        dispatch priority reference system (EMDPRS) in accordance
15        with Department-approved policies and procedures and (ii)
16        under the approval and supervision  of  the  EMS  medical
17        director,  the  establishment  of  a  continuous  quality
18        improvement program.
19             (11)  Require   that  a  person  may  not  represent
20        himself  or  herself,  nor  may  an  agency  or  business
21        represent  an  agent  or  employee  of  that  agency   or
22        business,  as  an  emergency  medical  dispatcher  unless
23        certified  by  the  Department  as  an  emergency medical
24        dispatcher.
25             (12)  Require  that  a  person,   organization,   or
26        government  agency  not  represent itself as an emergency
27        medical dispatch agency unless the person,  organization,
28        or government agency is certified by the Department as an
29        emergency medical dispatch agency.
30             (13)  Require   that   a  person,  organization,  or
31        government agency may not offer  or  conduct  a  training
32        course  that  is represented as a course for an emergency
33        medical dispatcher unless the  person,  organization,  or
34        agency  is approved by the Department to offer or conduct
 
                            -5-              LRB9203773ACsbam
 1        that course.
 2             (14)  Require  that  Department-approved   emergency
 3        medical  dispatcher  training  programs  are conducted by
 4        instructors licensed by the Department who:
 5                  (i)  are, at a minimum, certified as  emergency
 6             medical dispatchers;
 7                  (ii)  have   completed   a  Department-approved
 8             course on methods of instruction;
 9                  (iii)  have previous experience  in  a  medical
10             dispatch agency; and
11                  (iv)  have  demonstrated  experience  as an EMS
12             instructor.
13             (15) (6)  Establish  criteria   for   modifying   or
14        waiving  Emergency  Medical Dispatcher requirements based
15        on (i) the scope and frequency of dispatch activities and
16        the dispatcher's access to training or (ii)  whether  the
17        previously-attended  dispatcher  training  program merits
18        automatic recertification for the dispatcher.
19    (Source: P.A. 89-177, eff. 7-19-95.)

20        Section 99.  Effective date.  This Act  takes  effect  on
21    January 1, 2002.".

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