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Public Act 92-0376
SB1329 Enrolled LRB9201653LBgc
AN ACT regarding emergency medical services.
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 3.50, 3.55, and 3.155 as
follows:
(210 ILCS 50/3.50)
Sec. 3.50. Emergency Medical Technician (EMT) Licensure.
(a) "Emergency Medical Technician-Basic" or "EMT-B"
means a person who has successfully completed a course of
instruction in basic life support as prescribed by the
Department, is currently licensed by the Department in
accordance with standards prescribed by this Act and rules
adopted by the Department pursuant to this Act, and practices
within an EMS System.
(b) "Emergency Medical Technician-Intermediate" or
"EMT-I" means a person who has successfully completed a
course of instruction in intermediate life support as
prescribed by the Department, is currently licensed by the
Department in accordance with standards prescribed by this
Act and rules adopted by the Department pursuant to this Act,
and practices within an Intermediate or Advanced Life Support
EMS System.
(c) "Emergency Medical Technician-Paramedic" or "EMT-P"
means a person who has successfully completed a course of
instruction in advanced life support care as prescribed by
the Department, is licensed by the Department in accordance
with standards prescribed by this Act and rules adopted by
the Department pursuant to this Act, and practices within an
Advanced Life Support EMS System.
(d) The Department shall have the authority and
responsibility to:
(1) Prescribe education and training requirements,
which includes training in the use of epinephrine, for
all levels of EMT, based on the respective national
curricula of the United States Department of
Transportation and any modifications to such curricula
specified by the Department through rules adopted
pursuant to this Act;
(2) Prescribe licensure testing requirements for
all levels of EMT, which shall include a requirement that
all phases of instruction, training, and field experience
be completed before taking the EMT licensure examination.
Candidates may elect to take the National Registry of
Emergency Medical Technicians examination in lieu of the
Department's examination, but are responsible for making
their own arrangements for taking the National Registry
examination;
(3) License individuals as an EMT-B, EMT-I, or
EMT-P who have met the Department's education, training
and testing requirements;
(4) Prescribe annual continuing education and
relicensure requirements for all levels of EMT;
(5) Relicense individuals as an EMT-B, EMT-I, or
EMT-P every 4 years, based on their compliance with
continuing education and relicensure requirements;
(6) Grant inactive status to any EMT who qualifies,
based on standards and procedures established by the
Department in rules adopted pursuant to this Act;
(7) Charge each candidate for EMT a fee to be
submitted with an application for a licensure
examination;
(8) Suspend, revoke, or refuse to renew the license
of an EMT, after an opportunity for a hearing, when
findings show one or more of the following:
(A) The EMT has not met continuing education
or relicensure requirements as prescribed by the
Department;
(B) The EMT has failed to maintain proficiency
in the level of skills for which he or she is
licensed;
(C) The EMT, during the provision of medical
services, engaged in dishonorable, unethical or
unprofessional conduct of a character likely to
deceive, defraud or harm the public;
(D) The EMT has failed to maintain or has
violated standards of performance and conduct as
prescribed by the Department in rules adopted
pursuant to this Act or his or her EMS System's
Program Plan;
(E) The EMT is physically impaired to the
extent that he or she cannot physically perform the
skills and functions for which he or she is
licensed, as verified by a physician, unless the
person is on inactive status pursuant to Department
regulations;
(F) The EMT is mentally impaired to the extent
that he or she cannot exercise the appropriate
judgment, skill and safety for performing the
functions for which he or she is licensed, as
verified by a physician, unless the person is on
inactive status pursuant to Department regulations;
or
(G) The EMT has violated this Act or any rule
adopted by the Department pursuant to this Act.
(e) In the event that any rule of the Department or an
EMS Medical Director that requires testing for drug use as a
condition for EMT licensure conflicts with or duplicates a
provision of a collective bargaining agreement that requires
testing for drug use, that rule shall not apply to any person
covered by the collective bargaining agreement.
(Source: P.A. 89-177, eff. 7-19-95.)
(210 ILCS 50/3.55)
Sec. 3.55. Scope of practice.
(a) Any person currently licensed as an EMT-B, EMT-I, or
EMT-P may perform emergency and non-emergency medical
services as defined in this Act, in accordance with his or
her level of education, training and licensure, the standards
of performance and conduct prescribed by the Department in
rules adopted pursuant to this Act, and the requirements of
the EMS System in which he or she practices, as contained in
the approved Program Plan for that System.
(a-5) A person currently approved as a First Responder
or licensed as an EMT-B, EMT-I, or EMT-P who has successfully
completed a Department approved course in automated
defibrillator operation and who is functioning within a
Department approved EMS System may utilize such automated
defibrillator according to the standards of performance and
conduct prescribed by the Department in rules adopted
pursuant to this Act and the requirements of the EMS System
in which he or she practices, as contained in the approved
Program Plan for that System.
(a-7) A person currently licensed as an EMT-B, EMT-I, or
EMT-P who has successfully completed a Department approved
course in the administration of epinephrine, shall be
required to carry epinephrine with him or her as part of the
EMT medical supplies whenever he or she is performing the
duties of an emergency medical technician.
(b) A person currently licensed as an EMT-B, EMT-I, or
EMT-P may only practice as an EMT or utilize his or her EMT
license in pre-hospital or inter-hospital emergency care
settings or non-emergency medical transport situations, under
the written or verbal direction of the EMS Medical Director.
For purposes of this Section, a "pre-hospital emergency care
setting" may include a location, that is not a health care
facility, which utilizes EMTs to render pre-hospital
emergency care prior to the arrival of a transport vehicle.
The location shall include communication equipment and all of
the portable equipment and drugs appropriate for the EMT's
level of care, as required by this Act, rules adopted by the
Department pursuant to this Act, and the protocols of the EMS
Systems, and shall operate only with the approval and under
the direction of the EMS Medical Director.
This Section shall not prohibit an EMT-B, EMT-I, or EMT-P
from practicing within an emergency department or other
health care setting for the purpose of receiving continuing
education or training approved by the EMS Medical Director.
This Section shall also not prohibit an EMT-B, EMT-I, or
EMT-P from seeking credentials other than his or her EMT
license and utilizing such credentials to work in emergency
departments or other health care settings under the
jurisdiction of that employer.
(c) A person currently licensed as an EMT-B, EMT-I, or
EMT-P may honor Do Not Resuscitate (DNR) orders and powers of
attorney for health care only in accordance with rules
adopted by the Department pursuant to this Act and protocols
of the EMS System in which he or she practices.
(d) A student enrolled in a Department approved
emergency medical technician program, while fulfilling the
clinical training and in-field supervised experience
requirements mandated for licensure or approval by the System
and the Department, may perform prescribed procedures under
the direct supervision of a physician licensed to practice
medicine in all of its branches, a qualified registered
professional nurse or a qualified EMT, only when authorized
by the EMS Medical Director.
(Source: P.A. 89-177, eff. 7-19-95; 90-440, eff. 1-1-98.)
(210 ILCS 50/3.155)
Sec. 3.155. General Provisions.
(a) Authority and responsibility for the EMS System
shall be vested in the EMS Resource Hospital, through the EMS
Medical Director or his designee.
(b) For an inter-hospital emergency or non-emergency
medical transport, in which the physician from the sending
hospital provides the EMS personnel with written medical
orders, such written medical orders cannot exceed the scope
of care which the EMS personnel are authorized to render
pursuant to this Act.
(c) For an inter-hospital emergency or non-emergency
medical transport of a patient who requires medical care
beyond the scope of care which the EMS personnel are
authorized to render pursuant to this Act, a qualified
physician, nurse, perfusionist, or respiratory therapist
familiar with the scope of care needed must accompany the
patient and the transferring hospital and physician shall
assume medical responsibility for that portion of the medical
care.
(d) No emergency medical services vehicles or personnel
from another State or nation may be utilized on a regular
basis to pick up and transport patients within this State
without first complying with this Act and all rules adopted
by the Department pursuant to this Act.
(e) This Act shall not prevent emergency medical
services vehicles or personnel from another State or nation
from rendering requested assistance in this State in a
disaster situation, or operating from a location outside the
State and occasionally transporting patients into this State
for needed medical care. Except as provided in Section 31 of
this Act, this Act shall not provide immunity from liability
for such activities.
(f) Except as provided in subsection (e) of this
Section, no person or entity shall transport emergency or
non-emergency patients by ambulance, SEMSV, or medical
carrier without first complying with the provisions of this
Act and all rules adopted pursuant to this Act.
(g) Nothing in this Act or the rules adopted by the
Department under this Act shall be construed to authorize any
medical treatment to or transportation of any person who
objects on religious grounds.
(h) Patients, individuals who accompany a patient, and
emergency medical services personnel may not smoke while
inside an ambulance or SEMSV. The Department of Public
Health may impose a civil penalty on an individual who
violates this subsection in the amount of $100.
(Source: P.A. 89-177, eff. 7-19-95.)
Section 99. Effective date. This Act takes effect upon
becoming law.
Passed in the General Assembly May 24, 2001.
Approved August 15, 2001.
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