Public Act 099-0661
 
SB2704 EnrolledLRB099 16933 MJP 41280 b

    AN ACT concerning regulation.
 
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
 
    Section 5. The Emergency Medical Services (EMS) Systems Act
is amended by changing Sections 3.5 and 3.10 as follows:
 
    (210 ILCS 50/3.5)
    Sec. 3.5. Definitions. As used in this Act:
    "Clinical observation" means the on-going observation of a
patient's condition by a licensed health care professional
utilizing a medical skill set while continuing assessment and
care.
    "Department" means the Illinois Department of Public
Health.
    "Director" means the Director of the Illinois Department of
Public Health.
    "Emergency" means a medical condition of recent onset and
severity that would lead a prudent layperson, possessing an
average knowledge of medicine and health, to believe that
urgent or unscheduled medical care is required.
    "Emergency Medical Services personnel" or "EMS personnel"
means persons licensed as an Emergency Medical Responder (EMR)
(First Responder), Emergency Medical Dispatcher (EMD),
Emergency Medical Technician (EMT), Emergency Medical
Technician-Intermediate (EMT-I), Advanced Emergency Medical
Technician (A-EMT), Paramedic (EMT-P), Emergency
Communications Registered Nurse (ECRN), or Pre-Hospital
Registered Nurse (PHRN).
    "Health care facility" means a hospital, nursing home,
physician's office or other fixed location at which medical and
health care services are performed. It does not include
"pre-hospital emergency care settings" which utilize EMS
personnel to render pre-hospital emergency care prior to the
arrival of a transport vehicle, as defined in this Act.
    "Hospital" has the meaning ascribed to that term in the
Hospital Licensing Act.
    "Medical monitoring" means the performance of medical
tests and physical exams to evaluate an individual's on-going
exposure to a factor that could negatively impact that person's
health. "Medical monitoring" includes close surveillance or
supervision of patients liable to suffer deterioration in
physical or mental health and checks of various parameters such
as pulse rate, temperature, respiration rate, the condition of
the pupils, the level of consciousness and awareness, the
degree of appreciation of pain, and blood gas concentrations
such as oxygen and carbon dioxide.
    "Trauma" means any significant injury which involves
single or multiple organ systems.
(Source: P.A. 98-973, eff. 8-15-14.)
 
    (210 ILCS 50/3.10)
    Sec. 3.10. Scope of Services.
    (a) "Advanced Life Support (ALS) Services" means an
advanced level of pre-hospital and inter-hospital emergency
care and non-emergency medical services that includes basic
life support care, cardiac monitoring, cardiac defibrillation,
electrocardiography, intravenous therapy, administration of
medications, drugs and solutions, use of adjunctive medical
devices, trauma care, and other authorized techniques and
procedures, as outlined in the provisions of the National EMS
Education Standards relating to Advanced Life Support and any
modifications to that curriculum specified in rules adopted by
the Department pursuant to this Act.
    That care shall be initiated as authorized by the EMS
Medical Director in a Department approved advanced life support
EMS System, under the written or verbal direction of a
physician licensed to practice medicine in all of its branches
or under the verbal direction of an Emergency Communications
Registered Nurse.
    (b) "Intermediate Life Support (ILS) Services" means an
intermediate level of pre-hospital and inter-hospital
emergency care and non-emergency medical services that
includes basic life support care plus intravenous cannulation
and fluid therapy, invasive airway management, trauma care, and
other authorized techniques and procedures, as outlined in the
Intermediate Life Support national curriculum of the United
States Department of Transportation and any modifications to
that curriculum specified in rules adopted by the Department
pursuant to this Act.
    That care shall be initiated as authorized by the EMS
Medical Director in a Department approved intermediate or
advanced life support EMS System, under the written or verbal
direction of a physician licensed to practice medicine in all
of its branches or under the verbal direction of an Emergency
Communications Registered Nurse.
    (c) "Basic Life Support (BLS) Services" means a basic level
of pre-hospital and inter-hospital emergency care and
non-emergency medical services that includes medical
monitoring, clinical observation, airway management,
cardiopulmonary resuscitation (CPR), control of shock and
bleeding and splinting of fractures, as outlined in the
provisions of the National EMS Education Standards relating to
Basic Life Support and any modifications to that curriculum
specified in rules adopted by the Department pursuant to this
Act.
    That care shall be initiated, where authorized by the EMS
Medical Director in a Department approved EMS System, under the
written or verbal direction of a physician licensed to practice
medicine in all of its branches or under the verbal direction
of an Emergency Communications Registered Nurse.
    (d) "Emergency Medical Responder Services" means a
preliminary level of pre-hospital emergency care that includes
cardiopulmonary resuscitation (CPR), monitoring vital signs
and control of bleeding, as outlined in the Emergency Medical
Responder (EMR) curriculum of the National EMS Education
Standards and any modifications to that curriculum specified in
rules adopted by the Department pursuant to this Act.
    (e) "Pre-hospital care" means those medical services
rendered to patients for analytic, resuscitative, stabilizing,
or preventive purposes, precedent to and during transportation
of such patients to health care facilities.
    (f) "Inter-hospital care" means those medical services
rendered to patients for analytic, resuscitative, stabilizing,
or preventive purposes, during transportation of such patients
from one hospital to another hospital.
    (f-5) "Critical care transport" means the pre-hospital or
inter-hospital transportation of a critically injured or ill
patient by a vehicle service provider, including the provision
of medically necessary supplies and services, at a level of
service beyond the scope of the Paramedic. When medically
indicated for a patient, as determined by a physician licensed
to practice medicine in all of its branches, an advanced
practice nurse, or a physician's assistant, in compliance with
subsections (b) and (c) of Section 3.155 of this Act, critical
care transport may be provided by:
        (1) Department-approved critical care transport
    providers, not owned or operated by a hospital, utilizing
    Paramedics with additional training, nurses, or other
    qualified health professionals; or
        (2) Hospitals, when utilizing any vehicle service
    provider or any hospital-owned or operated vehicle service
    provider. Nothing in Public Act 96-1469 requires a hospital
    to use, or to be, a Department-approved critical care
    transport provider when transporting patients, including
    those critically injured or ill. Nothing in this Act shall
    restrict or prohibit a hospital from providing, or
    arranging for, the medically appropriate transport of any
    patient, as determined by a physician licensed to practice
    in all of its branches, an advanced practice nurse, or a
    physician's assistant.
    (g) "Non-emergency medical services" means medical care,
clinical observation, or medical monitoring rendered to
patients whose conditions do not meet this Act's definition of
emergency, before or during transportation of such patients to
or from health care facilities visited for the purpose of
obtaining medical or health care services which are not
emergency in nature, using a vehicle regulated by this Act.
    (g-5) The Department shall have the authority to promulgate
minimum standards for critical care transport providers
through rules adopted pursuant to this Act. All critical care
transport providers must function within a Department-approved
EMS System. Nothing in Department rules shall restrict a
hospital's ability to furnish personnel, equipment, and
medical supplies to any vehicle service provider, including a
critical care transport provider. Minimum critical care
transport provider standards shall include, but are not limited
to:
        (1) Personnel staffing and licensure.
        (2) Education, certification, and experience.
        (3) Medical equipment and supplies.
        (4) Vehicular standards.
        (5) Treatment and transport protocols.
        (6) Quality assurance and data collection.
    (h) The provisions of this Act shall not apply to the use
of an ambulance or SEMSV, unless and until emergency or
non-emergency medical services are needed during the use of the
ambulance or SEMSV.
(Source: P.A. 98-973, eff. 8-15-14.)