| Old | New | Differences | |
|---|---|---|---|
| 1 | - | Public Act 103-0521 | |
| 2 | 1 | HB1595 EnrolledLRB103 06018 CPF 51045 b HB1595 Enrolled LRB103 06018 CPF 51045 b | |
| 3 | 2 | HB1595 Enrolled LRB103 06018 CPF 51045 b | |
| 4 | - | AN ACT concerning regulation. | |
| 5 | - | Be it enacted by the People of the State of Illinois, | |
| 6 | - | represented in the General Assembly: | |
| 7 | - | Section 5. The Emergency Medical Services (EMS) Systems | |
| 8 | - | Act is amended by changing Sections 3.5, 3.25, 3.40, 3.45, and | |
| 9 | - | 3.55 as follows: | |
| 10 | - | (210 ILCS 50/3.5) | |
| 11 | - | Sec. 3.5. Definitions. As used in this Act: | |
| 12 | - | "Clinical observation" means the ongoing observation of a | |
| 13 | - | patient's condition by a licensed health care professional | |
| 14 | - | utilizing a medical skill set while continuing assessment and | |
| 15 | - | care. | |
| 16 | - | "Department" means the Illinois Department of Public | |
| 17 | - | Health. | |
| 18 | - | "Director" means the Director of the Illinois Department | |
| 19 | - | of Public Health. | |
| 20 | - | "Emergency" means a medical condition of recent onset and | |
| 21 | - | severity that would lead a prudent layperson, possessing an | |
| 22 | - | average knowledge of medicine and health, to believe that | |
| 23 | - | urgent or unscheduled medical care is required. | |
| 24 | - | "Emergency Medical Services personnel" or "EMS personnel" | |
| 25 | - | means persons licensed as an Emergency Medical Responder (EMR) | |
| 26 | - | (First Responder), Emergency Medical Dispatcher (EMD), | |
| 3 | + | 1 AN ACT concerning regulation. | |
| 4 | + | 2 Be it enacted by the People of the State of Illinois, | |
| 5 | + | 3 represented in the General Assembly: | |
| 6 | + | 4 Section 5. The Emergency Medical Services (EMS) Systems | |
| 7 | + | 5 Act is amended by changing Sections 3.5, 3.25, 3.40, 3.45, and | |
| 8 | + | 6 3.55 as follows: | |
| 9 | + | 7 (210 ILCS 50/3.5) | |
| 10 | + | 8 Sec. 3.5. Definitions. As used in this Act: | |
| 11 | + | 9 "Clinical observation" means the ongoing observation of a | |
| 12 | + | 10 patient's condition by a licensed health care professional | |
| 13 | + | 11 utilizing a medical skill set while continuing assessment and | |
| 14 | + | 12 care. | |
| 15 | + | 13 "Department" means the Illinois Department of Public | |
| 16 | + | 14 Health. | |
| 17 | + | 15 "Director" means the Director of the Illinois Department | |
| 18 | + | 16 of Public Health. | |
| 19 | + | 17 "Emergency" means a medical condition of recent onset and | |
| 20 | + | 18 severity that would lead a prudent layperson, possessing an | |
| 21 | + | 19 average knowledge of medicine and health, to believe that | |
| 22 | + | 20 urgent or unscheduled medical care is required. | |
| 23 | + | 21 "Emergency Medical Services personnel" or "EMS personnel" | |
| 24 | + | 22 means persons licensed as an Emergency Medical Responder (EMR) | |
| 25 | + | 23 (First Responder), Emergency Medical Dispatcher (EMD), | |
| 27 | 26 | ||
| 28 | 27 | ||
| 29 | 28 | ||
| 30 | 29 | HB1595 Enrolled LRB103 06018 CPF 51045 b | |
| 31 | 30 | ||
| 32 | 31 | ||
| 33 | - | Emergency Medical Technician (EMT), Emergency Medical | |
| 34 | - | Technician-Intermediate (EMT-I), Advanced Emergency Medical | |
| 35 | - | Technician (A-EMT), Paramedic (EMT-P), Emergency | |
| 36 | - | Communications Registered Nurse (ECRN), Pre-Hospital | |
| 37 | - | Registered Nurse (PHRN), Pre-Hospital Advanced Practice | |
| 38 | - | Registered Nurse (PHAPRN), or Pre-Hospital Physician Assistant | |
| 39 | - | (PHPA). | |
| 40 | - | "Exclusive representative" has the same meaning as defined | |
| 41 | - | in Section 3 of the Illinois Public Labor Relations Act. | |
| 42 | - | "Health care facility" means a hospital, nursing home, | |
| 43 | - | physician's office or other fixed location at which medical | |
| 44 | - | and health care services are performed. It does not include | |
| 45 | - | "pre-hospital emergency care settings" which utilize EMS | |
| 46 | - | personnel to render pre-hospital emergency care prior to the | |
| 47 | - | arrival of a transport vehicle, as defined in this Act. | |
| 48 | - | "Hospital" has the meaning ascribed to that term in the | |
| 49 | - | Hospital Licensing Act. | |
| 50 | - | "Labor organization" has the same meaning as defined in | |
| 51 | - | Section 3 of the Illinois Public Labor Relations Act. | |
| 52 | - | "Medical monitoring" means the performance of medical | |
| 53 | - | tests and physical exams to evaluate an individual's ongoing | |
| 54 | - | exposure to a factor that could negatively impact that | |
| 55 | - | person's health. "Medical monitoring" includes close | |
| 56 | - | surveillance or supervision of patients liable to suffer | |
| 57 | - | deterioration in physical or mental health and checks of | |
| 58 | - | various parameters such as pulse rate, temperature, | |
| 32 | + | HB1595 Enrolled- 2 -LRB103 06018 CPF 51045 b HB1595 Enrolled - 2 - LRB103 06018 CPF 51045 b | |
| 33 | + | HB1595 Enrolled - 2 - LRB103 06018 CPF 51045 b | |
| 34 | + | 1 Emergency Medical Technician (EMT), Emergency Medical | |
| 35 | + | 2 Technician-Intermediate (EMT-I), Advanced Emergency Medical | |
| 36 | + | 3 Technician (A-EMT), Paramedic (EMT-P), Emergency | |
| 37 | + | 4 Communications Registered Nurse (ECRN), Pre-Hospital | |
| 38 | + | 5 Registered Nurse (PHRN), Pre-Hospital Advanced Practice | |
| 39 | + | 6 Registered Nurse (PHAPRN), or Pre-Hospital Physician Assistant | |
| 40 | + | 7 (PHPA). | |
| 41 | + | 8 "Exclusive representative" has the same meaning as defined | |
| 42 | + | 9 in Section 3 of the Illinois Public Labor Relations Act. | |
| 43 | + | 10 "Health care facility" means a hospital, nursing home, | |
| 44 | + | 11 physician's office or other fixed location at which medical | |
| 45 | + | 12 and health care services are performed. It does not include | |
| 46 | + | 13 "pre-hospital emergency care settings" which utilize EMS | |
| 47 | + | 14 personnel to render pre-hospital emergency care prior to the | |
| 48 | + | 15 arrival of a transport vehicle, as defined in this Act. | |
| 49 | + | 16 "Hospital" has the meaning ascribed to that term in the | |
| 50 | + | 17 Hospital Licensing Act. | |
| 51 | + | 18 "Labor organization" has the same meaning as defined in | |
| 52 | + | 19 Section 3 of the Illinois Public Labor Relations Act. | |
| 53 | + | 20 "Medical monitoring" means the performance of medical | |
| 54 | + | 21 tests and physical exams to evaluate an individual's ongoing | |
| 55 | + | 22 exposure to a factor that could negatively impact that | |
| 56 | + | 23 person's health. "Medical monitoring" includes close | |
| 57 | + | 24 surveillance or supervision of patients liable to suffer | |
| 58 | + | 25 deterioration in physical or mental health and checks of | |
| 59 | + | 26 various parameters such as pulse rate, temperature, | |
| 59 | 60 | ||
| 60 | 61 | ||
| 61 | - | respiration rate, the condition of the pupils, the level of | |
| 62 | - | consciousness and awareness, the degree of appreciation of | |
| 63 | - | pain, and blood gas concentrations such as oxygen and carbon | |
| 64 | - | dioxide. | |
| 65 | - | "Silver spanner program" means a program in which a member | |
| 66 | - | under a fire department's or fire protection district's | |
| 67 | - | collective bargaining agreement works on or at the EMS System | |
| 68 | - | under another fire department's or fire protection district's | |
| 69 | - | collective bargaining agreement and (i) the other fire | |
| 70 | - | department or fire protection district is not the member's | |
| 71 | - | full-time employer and (ii) any EMS services not included | |
| 72 | - | under the original fire department's or fire protection | |
| 73 | - | district's collective bargaining agreement are included in the | |
| 74 | - | other fire department's or fire protection district's | |
| 75 | - | collective bargaining agreement. | |
| 76 | - | "Trauma" means any significant injury which involves | |
| 77 | - | single or multiple organ systems. | |
| 78 | - | (Source: P.A. 100-1082, eff. 8-24-19; 101-81, eff. 7-12-19.) | |
| 79 | - | (210 ILCS 50/3.25) | |
| 80 | - | Sec. 3.25. EMS Region Plan; Development. | |
| 81 | - | (a) Within 6 months after designation of an EMS Region, an | |
| 82 | - | EMS Region Plan addressing at least the information prescribed | |
| 83 | - | in Section 3.30 shall be submitted to the Department for | |
| 84 | - | approval. The Plan shall be developed by the Region's EMS | |
| 85 | - | Medical Directors Committee with advice from the Regional EMS | |
| 86 | 62 | ||
| 87 | 63 | ||
| 88 | - | Advisory Committee; portions of the plan concerning trauma | |
| 89 | - | shall be developed jointly with the Region's Trauma Center | |
| 90 | - | Medical Directors or Trauma Center Medical Directors | |
| 91 | - | Committee, whichever is applicable, with advice from the | |
| 92 | - | Regional Trauma Advisory Committee, if such Advisory Committee | |
| 93 | - | has been established in the Region. Portions of the Plan | |
| 94 | - | concerning stroke shall be developed jointly with the Regional | |
| 95 | - | Stroke Advisory Subcommittee. | |
| 96 | - | (1) A Region's EMS Medical Directors Committee shall | |
| 97 | - | be comprised of the Region's EMS Medical Directors, along | |
| 98 | - | with the medical advisor to a fire department vehicle | |
| 99 | - | service provider. For regions which include a municipal | |
| 100 | - | fire department serving a population of over 2,000,000 | |
| 101 | - | people, that fire department's medical advisor shall serve | |
| 102 | - | on the Committee. For other regions, the fire department | |
| 103 | - | vehicle service providers shall select which medical | |
| 104 | - | advisor to serve on the Committee on an annual basis. | |
| 105 | - | (2) A Region's Trauma Center Medical Directors | |
| 106 | - | Committee shall be comprised of the Region's Trauma Center | |
| 107 | - | Medical Directors. | |
| 108 | - | (b) A Region's Trauma Center Medical Directors may choose | |
| 109 | - | to participate in the development of the EMS Region Plan | |
| 110 | - | through membership on the Regional EMS Advisory Committee, | |
| 111 | - | rather than through a separate Trauma Center Medical Directors | |
| 112 | - | Committee. If that option is selected, the Region's Trauma | |
| 113 | - | Center Medical Director shall also determine whether a | |
| 64 | + | ||
| 65 | + | HB1595 Enrolled - 2 - LRB103 06018 CPF 51045 b | |
| 114 | 66 | ||
| 115 | 67 | ||
| 116 | - | separate Regional Trauma Advisory Committee is necessary for | |
| 117 | - | the Region. | |
| 118 | - | (c) In the event of disputes over content of the Plan | |
| 119 | - | between the Region's EMS Medical Directors Committee and the | |
| 120 | - | Region's Trauma Center Medical Directors or Trauma Center | |
| 121 | - | Medical Directors Committee, whichever is applicable, the | |
| 122 | - | Director of the Illinois Department of Public Health shall | |
| 123 | - | intervene through a mechanism established by the Department | |
| 124 | - | through rules adopted pursuant to this Act. An individual | |
| 125 | - | interviewed or investigated by an EMS Medical Director or the | |
| 126 | - | Department shall have the right to a union representative and | |
| 127 | - | legal counsel of the individual's choosing present at any | |
| 128 | - | interview. The union representative must comply with any | |
| 129 | - | confidentiality requirements and requirements for the | |
| 130 | - | protection of any patient information presented during the | |
| 131 | - | proceeding. | |
| 132 | - | (d) "Regional EMS Advisory Committee" means a committee | |
| 133 | - | formed within an Emergency Medical Services (EMS) Region to | |
| 134 | - | advise the Region's EMS Medical Directors Committee and to | |
| 135 | - | select the Region's representative to the State Emergency | |
| 136 | - | Medical Services Advisory Council, consisting of at least the | |
| 137 | - | members of the Region's EMS Medical Directors Committee, the | |
| 138 | - | Chair of the Regional Trauma Committee, the EMS System | |
| 139 | - | Coordinators from each Resource Hospital within the Region, | |
| 140 | - | one administrative representative from an Associate Hospital | |
| 141 | - | within the Region, one administrative representative from a | |
| 68 | + | HB1595 Enrolled- 3 -LRB103 06018 CPF 51045 b HB1595 Enrolled - 3 - LRB103 06018 CPF 51045 b | |
| 69 | + | HB1595 Enrolled - 3 - LRB103 06018 CPF 51045 b | |
| 70 | + | 1 respiration rate, the condition of the pupils, the level of | |
| 71 | + | 2 consciousness and awareness, the degree of appreciation of | |
| 72 | + | 3 pain, and blood gas concentrations such as oxygen and carbon | |
| 73 | + | 4 dioxide. | |
| 74 | + | 5 "Silver spanner program" means a program in which a member | |
| 75 | + | 6 under a fire department's or fire protection district's | |
| 76 | + | 7 collective bargaining agreement works on or at the EMS System | |
| 77 | + | 8 under another fire department's or fire protection district's | |
| 78 | + | 9 collective bargaining agreement and (i) the other fire | |
| 79 | + | 10 department or fire protection district is not the member's | |
| 80 | + | 11 full-time employer and (ii) any EMS services not included | |
| 81 | + | 12 under the original fire department's or fire protection | |
| 82 | + | 13 district's collective bargaining agreement are included in the | |
| 83 | + | 14 other fire department's or fire protection district's | |
| 84 | + | 15 collective bargaining agreement. | |
| 85 | + | 16 "Trauma" means any significant injury which involves | |
| 86 | + | 17 single or multiple organ systems. | |
| 87 | + | 18 (Source: P.A. 100-1082, eff. 8-24-19; 101-81, eff. 7-12-19.) | |
| 88 | + | 19 (210 ILCS 50/3.25) | |
| 89 | + | 20 Sec. 3.25. EMS Region Plan; Development. | |
| 90 | + | 21 (a) Within 6 months after designation of an EMS Region, an | |
| 91 | + | 22 EMS Region Plan addressing at least the information prescribed | |
| 92 | + | 23 in Section 3.30 shall be submitted to the Department for | |
| 93 | + | 24 approval. The Plan shall be developed by the Region's EMS | |
| 94 | + | 25 Medical Directors Committee with advice from the Regional EMS | |
| 142 | 95 | ||
| 143 | 96 | ||
| 144 | - | Participating Hospital within the Region, one administrative | |
| 145 | - | representative from the vehicle service provider which | |
| 146 | - | responds to the highest number of calls for emergency service | |
| 147 | - | within the Region, one representative from the vehicle service | |
| 148 | - | provider that responds to the highest number of calls for | |
| 149 | - | non-emergency services within the Region, one representative | |
| 150 | - | from the labor organization recognized as the exclusive | |
| 151 | - | representative of employees of the vehicle service provider | |
| 152 | - | that responds to the highest number of calls for non-emergency | |
| 153 | - | services within the Region, if applicable, one administrative | |
| 154 | - | representative of a vehicle service provider from each System | |
| 155 | - | within the Region, one representative from a labor | |
| 156 | - | organization recognized as the exclusive representative of a | |
| 157 | - | vehicle service provider's employees in each System and | |
| 158 | - | selected by a statewide organization of such labor | |
| 159 | - | organizations, one individual from each level of license | |
| 160 | - | provided in Section 3.50 of this Act, one Pre-Hospital | |
| 161 | - | Registered Nurse practicing within the Region, and one | |
| 162 | - | registered professional nurse currently practicing in an | |
| 163 | - | emergency department within the Region. Of the 2 | |
| 164 | - | administrative representatives of vehicle service providers, | |
| 165 | - | at least one shall be an administrative representative of a | |
| 166 | - | private vehicle service provider. The Department's Regional | |
| 167 | - | EMS Coordinator for each Region shall serve as a non-voting | |
| 168 | - | member of that Region's EMS Advisory Committee. | |
| 169 | - | Every 2 years, the members of the Region's EMS Medical | |
| 170 | 97 | ||
| 171 | 98 | ||
| 172 | - | Directors Committee shall rotate serving as Committee Chair, | |
| 173 | - | and select the Associate Hospital, Participating Hospital and | |
| 174 | - | vehicle service providers which shall send representatives to | |
| 175 | - | the Advisory Committee, and the EMS personnel and nurse who | |
| 176 | - | shall serve on the Advisory Committee. | |
| 177 | - | (e) "Regional Trauma Advisory Committee" means a committee | |
| 178 | - | formed within an Emergency Medical Services (EMS) Region, to | |
| 179 | - | advise the Region's Trauma Center Medical Directors Committee, | |
| 180 | - | consisting of at least the Trauma Center Medical Directors and | |
| 181 | - | Trauma Coordinators from each Trauma Center within the Region, | |
| 182 | - | one EMS Medical Director from a resource hospital within the | |
| 183 | - | Region, one EMS System Coordinator from another resource | |
| 184 | - | hospital within the Region, one representative each from a | |
| 185 | - | public and private vehicle service provider which transports | |
| 186 | - | trauma patients within the Region, an administrative | |
| 187 | - | representative from each trauma center within the Region, one | |
| 188 | - | EMR, EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, or PHRN | |
| 189 | - | representing the highest level of EMS personnel practicing | |
| 190 | - | within the Region, one emergency physician, and one Trauma | |
| 191 | - | Nurse Specialist (TNS) currently practicing in a trauma | |
| 192 | - | center. The Department's Regional EMS Coordinator for each | |
| 193 | - | Region shall serve as a non-voting member of that Region's | |
| 194 | - | Trauma Advisory Committee. | |
| 195 | - | Every 2 years, the members of the Trauma Center Medical | |
| 196 | - | Directors Committee shall rotate serving as Committee Chair, | |
| 197 | - | and select the vehicle service providers, EMS personnel, | |
| 99 | + | ||
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| 198 | 101 | ||
| 199 | 102 | ||
| 200 | - | emergency physician, EMS System Coordinator and TNS who shall | |
| 201 | - | serve on the Advisory Committee. | |
| 202 | - | (Source: P.A. 98-973, eff. 8-15-14.) | |
| 203 | - | (210 ILCS 50/3.40) | |
| 204 | - | Sec. 3.40. EMS System Participation Suspensions and Due | |
| 205 | - | Process. | |
| 206 | - | (a) An EMS Medical Director may suspend from participation | |
| 207 | - | within the System any EMS personnel, EMS Lead Instructor (LI), | |
| 208 | - | individual, individual provider or other participant | |
| 209 | - | considered not to be meeting the requirements of the Program | |
| 210 | - | Plan of that approved EMS System. An EMS Medical Director must | |
| 211 | - | submit a suspension order to the Department describing which | |
| 212 | - | requirements of the Program Plan were not met and the | |
| 213 | - | suspension's duration. The Department shall review and confirm | |
| 214 | - | receipt of the suspension order, request additional | |
| 215 | - | information, or initiate an investigation. The Department | |
| 216 | - | shall incorporate the duration of that suspension into any | |
| 217 | - | further action taken by the Department to suspend, revoke, or | |
| 218 | - | refuse to issue or renew the license of the individual or | |
| 219 | - | entity for any violation of this Act or the Program Plan | |
| 220 | - | arising from the same conduct for which the suspension order | |
| 221 | - | was issued if the suspended party has neither requested a | |
| 222 | - | Department hearing on the suspension nor worked as a provider | |
| 223 | - | in any other System during the term of the suspension. | |
| 224 | - | (b) Prior to suspending any individual or entity, an EMS | |
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| 104 | + | HB1595 Enrolled - 4 - LRB103 06018 CPF 51045 b | |
| 105 | + | 1 Advisory Committee; portions of the plan concerning trauma | |
| 106 | + | 2 shall be developed jointly with the Region's Trauma Center | |
| 107 | + | 3 Medical Directors or Trauma Center Medical Directors | |
| 108 | + | 4 Committee, whichever is applicable, with advice from the | |
| 109 | + | 5 Regional Trauma Advisory Committee, if such Advisory Committee | |
| 110 | + | 6 has been established in the Region. Portions of the Plan | |
| 111 | + | 7 concerning stroke shall be developed jointly with the Regional | |
| 112 | + | 8 Stroke Advisory Subcommittee. | |
| 113 | + | 9 (1) A Region's EMS Medical Directors Committee shall | |
| 114 | + | 10 be comprised of the Region's EMS Medical Directors, along | |
| 115 | + | 11 with the medical advisor to a fire department vehicle | |
| 116 | + | 12 service provider. For regions which include a municipal | |
| 117 | + | 13 fire department serving a population of over 2,000,000 | |
| 118 | + | 14 people, that fire department's medical advisor shall serve | |
| 119 | + | 15 on the Committee. For other regions, the fire department | |
| 120 | + | 16 vehicle service providers shall select which medical | |
| 121 | + | 17 advisor to serve on the Committee on an annual basis. | |
| 122 | + | 18 (2) A Region's Trauma Center Medical Directors | |
| 123 | + | 19 Committee shall be comprised of the Region's Trauma Center | |
| 124 | + | 20 Medical Directors. | |
| 125 | + | 21 (b) A Region's Trauma Center Medical Directors may choose | |
| 126 | + | 22 to participate in the development of the EMS Region Plan | |
| 127 | + | 23 through membership on the Regional EMS Advisory Committee, | |
| 128 | + | 24 rather than through a separate Trauma Center Medical Directors | |
| 129 | + | 25 Committee. If that option is selected, the Region's Trauma | |
| 130 | + | 26 Center Medical Director shall also determine whether a | |
| 225 | 131 | ||
| 226 | 132 | ||
| 227 | - | Medical Director shall provide an opportunity for a hearing | |
| 228 | - | before the local System review board in accordance with | |
| 229 | - | subsection (f) and the rules promulgated by the Department. | |
| 230 | - | (1) If the local System review board affirms or | |
| 231 | - | modifies the EMS Medical Director's suspension order, the | |
| 232 | - | individual or entity shall have the opportunity for a | |
| 233 | - | review of the local board's decision by the State EMS | |
| 234 | - | Disciplinary Review Board, pursuant to Section 3.45 of | |
| 235 | - | this Act. | |
| 236 | - | (2) If the local System review board reverses or | |
| 237 | - | modifies the EMS Medical Director's order, the EMS Medical | |
| 238 | - | Director shall have the opportunity for a review of the | |
| 239 | - | local board's decision by the State EMS Disciplinary | |
| 240 | - | Review Board, pursuant to Section 3.45 of this Act. | |
| 241 | - | (3) The suspension shall commence only upon the | |
| 242 | - | occurrence of one of the following: | |
| 243 | - | (A) the individual or entity has waived the | |
| 244 | - | opportunity for a hearing before the local System | |
| 245 | - | review board; or | |
| 246 | - | (B) the order has been affirmed or modified by the | |
| 247 | - | local system review board and the individual or entity | |
| 248 | - | has waived the opportunity for review by the State | |
| 249 | - | Board; or | |
| 250 | - | (C) the order has been affirmed or modified by the | |
| 251 | - | local system review board, and the local board's | |
| 252 | - | decision has been affirmed or modified by the State | |
| 253 | 133 | ||
| 254 | 134 | ||
| 255 | - | Board. | |
| 256 | - | (c) An individual interviewed or investigated by the local | |
| 257 | - | system review board or the Department shall have the right to a | |
| 258 | - | union representative and legal counsel of the individual's | |
| 259 | - | choosing present at any interview. The union representative | |
| 260 | - | must comply with any confidentiality requirements and | |
| 261 | - | requirements for the protection of any patient information | |
| 262 | - | presented during the proceeding. | |
| 263 | - | (d) (c) An EMS Medical Director may immediately suspend an | |
| 264 | - | EMR, EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, PHRN, LI, PHPA, | |
| 265 | - | PHAPRN, or other individual or entity if he or she finds that | |
| 266 | - | the continuation in practice by the individual or entity would | |
| 267 | - | constitute an imminent danger to the public. The suspended | |
| 268 | - | individual or entity shall be issued an immediate verbal | |
| 269 | - | notification followed by a written suspension order by the EMS | |
| 270 | - | Medical Director which states the length, terms and basis for | |
| 271 | - | the suspension. | |
| 272 | - | (1) Within 24 hours following the commencement of the | |
| 273 | - | suspension, the EMS Medical Director shall deliver to the | |
| 274 | - | Department, by messenger, telefax, or other | |
| 275 | - | Department-approved electronic communication, a copy of | |
| 276 | - | the suspension order and copies of any written materials | |
| 277 | - | which relate to the EMS Medical Director's decision to | |
| 278 | - | suspend the individual or entity. All medical and | |
| 279 | - | patient-specific information, including Department | |
| 280 | - | findings with respect to the quality of care rendered, | |
| 135 | + | ||
| 136 | + | HB1595 Enrolled - 4 - LRB103 06018 CPF 51045 b | |
| 281 | 137 | ||
| 282 | 138 | ||
| 283 | - | shall be strictly confidential pursuant to the Medical | |
| 284 | - | Studies Act (Part 21 of Article VIII of the Code of Civil | |
| 285 | - | Procedure). | |
| 286 | - | (2) Within 24 hours following the commencement of the | |
| 287 | - | suspension, the suspended individual or entity may deliver | |
| 288 | - | to the Department, by messenger, telefax, or other | |
| 289 | - | Department-approved electronic communication, a written | |
| 290 | - | response to the suspension order and copies of any written | |
| 291 | - | materials which the individual or entity feels are | |
| 292 | - | appropriate. All medical and patient-specific information, | |
| 293 | - | including Department findings with respect to the quality | |
| 294 | - | of care rendered, shall be strictly confidential pursuant | |
| 295 | - | to the Medical Studies Act. | |
| 296 | - | (3) Within 24 hours following receipt of the EMS | |
| 297 | - | Medical Director's suspension order or the individual or | |
| 298 | - | entity's written response, whichever is later, the | |
| 299 | - | Director or the Director's designee shall determine | |
| 300 | - | whether the suspension should be stayed pending an | |
| 301 | - | opportunity for a hearing or review in accordance with | |
| 302 | - | this Act, or whether the suspension should continue during | |
| 303 | - | the course of that hearing or review. The Director or the | |
| 304 | - | Director's designee shall issue this determination to the | |
| 305 | - | EMS Medical Director, who shall immediately notify the | |
| 306 | - | suspended individual or entity. The suspension shall | |
| 307 | - | remain in effect during this period of review by the | |
| 308 | - | Director or the Director's designee. | |
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| 140 | + | HB1595 Enrolled - 5 - LRB103 06018 CPF 51045 b | |
| 141 | + | 1 separate Regional Trauma Advisory Committee is necessary for | |
| 142 | + | 2 the Region. | |
| 143 | + | 3 (c) In the event of disputes over content of the Plan | |
| 144 | + | 4 between the Region's EMS Medical Directors Committee and the | |
| 145 | + | 5 Region's Trauma Center Medical Directors or Trauma Center | |
| 146 | + | 6 Medical Directors Committee, whichever is applicable, the | |
| 147 | + | 7 Director of the Illinois Department of Public Health shall | |
| 148 | + | 8 intervene through a mechanism established by the Department | |
| 149 | + | 9 through rules adopted pursuant to this Act. An individual | |
| 150 | + | 10 interviewed or investigated by an EMS Medical Director or the | |
| 151 | + | 11 Department shall have the right to a union representative and | |
| 152 | + | 12 legal counsel of the individual's choosing present at any | |
| 153 | + | 13 interview. The union representative must comply with any | |
| 154 | + | 14 confidentiality requirements and requirements for the | |
| 155 | + | 15 protection of any patient information presented during the | |
| 156 | + | 16 proceeding. | |
| 157 | + | 17 (d) "Regional EMS Advisory Committee" means a committee | |
| 158 | + | 18 formed within an Emergency Medical Services (EMS) Region to | |
| 159 | + | 19 advise the Region's EMS Medical Directors Committee and to | |
| 160 | + | 20 select the Region's representative to the State Emergency | |
| 161 | + | 21 Medical Services Advisory Council, consisting of at least the | |
| 162 | + | 22 members of the Region's EMS Medical Directors Committee, the | |
| 163 | + | 23 Chair of the Regional Trauma Committee, the EMS System | |
| 164 | + | 24 Coordinators from each Resource Hospital within the Region, | |
| 165 | + | 25 one administrative representative from an Associate Hospital | |
| 166 | + | 26 within the Region, one administrative representative from a | |
| 309 | 167 | ||
| 310 | 168 | ||
| 311 | - | (e) (d) Upon issuance of a suspension order for reasons | |
| 312 | - | directly related to medical care, the EMS Medical Director | |
| 313 | - | shall also provide the individual or entity with the | |
| 314 | - | opportunity for a hearing before the local System review | |
| 315 | - | board, in accordance with subsection (f) and the rules | |
| 316 | - | promulgated by the Department. | |
| 317 | - | (1) If the local System review board affirms or | |
| 318 | - | modifies the EMS Medical Director's suspension order, the | |
| 319 | - | individual or entity shall have the opportunity for a | |
| 320 | - | review of the local board's decision by the State EMS | |
| 321 | - | Disciplinary Review Board, pursuant to Section 3.45 of | |
| 322 | - | this Act. | |
| 323 | - | (2) If the local System review board reverses or | |
| 324 | - | modifies the EMS Medical Director's suspension order, the | |
| 325 | - | EMS Medical Director shall have the opportunity for a | |
| 326 | - | review of the local board's decision by the State EMS | |
| 327 | - | Disciplinary Review Board, pursuant to Section 3.45 of | |
| 328 | - | this Act. | |
| 329 | - | (3) The suspended individual or entity may elect to | |
| 330 | - | bypass the local System review board and seek direct | |
| 331 | - | review of the EMS Medical Director's suspension order by | |
| 332 | - | the State EMS Disciplinary Review Board. | |
| 333 | - | (f) (e) The Resource Hospital shall designate a local | |
| 334 | - | System review board in accordance with the rules of the | |
| 335 | - | Department, for the purpose of providing a hearing to any | |
| 336 | - | individual or entity participating within the System who is | |
| 337 | 169 | ||
| 338 | 170 | ||
| 339 | - | suspended from participation by the EMS Medical Director. The | |
| 340 | - | EMS Medical Director shall arrange for a certified shorthand | |
| 341 | - | reporter to make a stenographic record of that hearing and | |
| 342 | - | thereafter prepare a transcript of the proceedings. The EMS | |
| 343 | - | Medical Director shall inform the individual of the | |
| 344 | - | individual's right to have a union representative and legal | |
| 345 | - | counsel of the individual's choosing present at any interview. | |
| 346 | - | The union representative must comply with any confidentiality | |
| 347 | - | requirements and requirements for the protection of any | |
| 348 | - | patient information presented during the proceeding. The | |
| 349 | - | transcript, all documents or materials received as evidence | |
| 350 | - | during the hearing and the local System review board's written | |
| 351 | - | decision shall be retained in the custody of the EMS system. | |
| 352 | - | The System shall implement a decision of the local System | |
| 353 | - | review board unless that decision has been appealed to the | |
| 354 | - | State Emergency Medical Services Disciplinary Review Board in | |
| 355 | - | accordance with this Act and the rules of the Department. | |
| 356 | - | (g) (f) The Resource Hospital shall implement a decision | |
| 357 | - | of the State Emergency Medical Services Disciplinary Review | |
| 358 | - | Board which has been rendered in accordance with this Act and | |
| 359 | - | the rules of the Department. | |
| 360 | - | (Source: P.A. 100-201, eff. 8-18-17; 100-1082, eff. 8-24-19.) | |
| 361 | - | (210 ILCS 50/3.45) | |
| 362 | - | Sec. 3.45. State Emergency Medical Services Disciplinary | |
| 363 | - | Review Board. | |
| 171 | + | ||
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| 364 | 173 | ||
| 365 | 174 | ||
| 366 | - | (a) The Governor shall appoint a State Emergency Medical | |
| 367 | - | Services Disciplinary Review Board, composed of an EMS Medical | |
| 368 | - | Director, an EMS System Coordinator, a Paramedic, an Emergency | |
| 369 | - | Medical Technician (EMT), and the following members, who shall | |
| 370 | - | only review cases in which a party is from the same | |
| 371 | - | professional category: a Pre-Hospital Registered Nurse, a | |
| 372 | - | Pre-Hospital Advanced Practice Registered Nurse, a | |
| 373 | - | Pre-Hospital Physician Assistant, an ECRN, a Trauma Nurse | |
| 374 | - | Specialist, an Emergency Medical Technician-Intermediate | |
| 375 | - | (EMT-I), an Advanced Emergency Medical Technician (A-EMT), a | |
| 376 | - | representative from a private vehicle service provider, a | |
| 377 | - | representative from a public vehicle service provider, and an | |
| 378 | - | emergency physician who monitors telecommunications from and | |
| 379 | - | gives voice orders to EMS personnel. The Governor shall also | |
| 380 | - | appoint one alternate for each member of the Board, from the | |
| 381 | - | same professional category as the member of the Board. | |
| 382 | - | (b) The members shall be appointed for a term of 3 years. | |
| 383 | - | All appointees shall serve until their successors are | |
| 384 | - | appointed. The alternate members shall be appointed and serve | |
| 385 | - | in the same fashion as the members of the Board. If a member | |
| 386 | - | resigns his or her appointment, the corresponding alternate | |
| 387 | - | shall serve the remainder of that member's term until a | |
| 388 | - | subsequent member is appointed by the Governor. | |
| 389 | - | (c) The function of the Board is to review and affirm, | |
| 390 | - | reverse or modify disciplinary orders. | |
| 391 | - | (d) Any individual or entity, who received an immediate | |
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| 176 | + | HB1595 Enrolled - 6 - LRB103 06018 CPF 51045 b | |
| 177 | + | 1 Participating Hospital within the Region, one administrative | |
| 178 | + | 2 representative from the vehicle service provider which | |
| 179 | + | 3 responds to the highest number of calls for emergency service | |
| 180 | + | 4 within the Region, one representative from the vehicle service | |
| 181 | + | 5 provider that responds to the highest number of calls for | |
| 182 | + | 6 non-emergency services within the Region, one representative | |
| 183 | + | 7 from the labor organization recognized as the exclusive | |
| 184 | + | 8 representative of employees of the vehicle service provider | |
| 185 | + | 9 that responds to the highest number of calls for non-emergency | |
| 186 | + | 10 services within the Region, if applicable, one administrative | |
| 187 | + | 11 representative of a vehicle service provider from each System | |
| 188 | + | 12 within the Region, one representative from a labor | |
| 189 | + | 13 organization recognized as the exclusive representative of a | |
| 190 | + | 14 vehicle service provider's employees in each System and | |
| 191 | + | 15 selected by a statewide organization of such labor | |
| 192 | + | 16 organizations, one individual from each level of license | |
| 193 | + | 17 provided in Section 3.50 of this Act, one Pre-Hospital | |
| 194 | + | 18 Registered Nurse practicing within the Region, and one | |
| 195 | + | 19 registered professional nurse currently practicing in an | |
| 196 | + | 20 emergency department within the Region. Of the 2 | |
| 197 | + | 21 administrative representatives of vehicle service providers, | |
| 198 | + | 22 at least one shall be an administrative representative of a | |
| 199 | + | 23 private vehicle service provider. The Department's Regional | |
| 200 | + | 24 EMS Coordinator for each Region shall serve as a non-voting | |
| 201 | + | 25 member of that Region's EMS Advisory Committee. | |
| 202 | + | 26 Every 2 years, the members of the Region's EMS Medical | |
| 392 | 203 | ||
| 393 | 204 | ||
| 394 | - | suspension from an EMS Medical Director may request the Board | |
| 395 | - | to reverse or modify the suspension order. If the suspension | |
| 396 | - | had been affirmed or modified by a local System review board, | |
| 397 | - | the suspended individual or entity may request the Board to | |
| 398 | - | reverse or modify the local board's decision. | |
| 399 | - | (e) Any individual or entity who received a non-immediate | |
| 400 | - | suspension order from an EMS Medical Director which was | |
| 401 | - | affirmed or modified by a local System review board may | |
| 402 | - | request the Board to reverse or modify the local board's | |
| 403 | - | decision. The individual shall be informed of the individual's | |
| 404 | - | right to have one representative from the labor organization | |
| 405 | - | recognized as the exclusive representative of that | |
| 406 | - | individual's bargaining unit present and a legal | |
| 407 | - | representative present during the State Emergency Medical | |
| 408 | - | Services Disciplinary Review Board proceedings during open | |
| 409 | - | session. The labor organization's representative must also | |
| 410 | - | comply with all confidentiality requirements and requirements | |
| 411 | - | for the protection of any patient information presented during | |
| 412 | - | the proceeding. | |
| 413 | - | (f) An EMS Medical Director whose suspension order was | |
| 414 | - | reversed or modified by a local System review board may | |
| 415 | - | request the Board to reverse or modify the local board's | |
| 416 | - | decision. | |
| 417 | - | (g) The Board shall meet on the first Tuesday of every | |
| 418 | - | month, unless no requests for review have been submitted. | |
| 419 | - | Additional meetings of the Board shall be scheduled to ensure | |
| 420 | 205 | ||
| 421 | 206 | ||
| 422 | - | that a request for direct review of an immediate suspension | |
| 423 | - | order is scheduled within 14 days after the Department | |
| 424 | - | receives the request for review or as soon thereafter as a | |
| 425 | - | quorum is available. The Board shall meet in Springfield or | |
| 426 | - | Chicago, whichever location is closer to the majority of the | |
| 427 | - | members or alternates attending the meeting. The Department | |
| 428 | - | shall reimburse the members and alternates of the Board for | |
| 429 | - | reasonable travel expenses incurred in attending meetings of | |
| 430 | - | the Board. | |
| 431 | - | (h) A request for review shall be submitted in writing to | |
| 432 | - | the Chief of the Department's Division of Emergency Medical | |
| 433 | - | Services and Highway Safety, within 10 days after receiving | |
| 434 | - | the local board's decision or the EMS Medical Director's | |
| 435 | - | suspension order, whichever is applicable, a copy of which | |
| 436 | - | shall be enclosed. | |
| 437 | - | (i) At its regularly scheduled meetings, the Board shall | |
| 438 | - | review requests which have been received by the Department at | |
| 439 | - | least 10 working days prior to the Board's meeting date. | |
| 440 | - | Requests for review which are received less than 10 working | |
| 441 | - | days prior to a scheduled meeting shall be considered at the | |
| 442 | - | Board's next scheduled meeting, except that requests for | |
| 443 | - | direct review of an immediate suspension order may be | |
| 444 | - | scheduled up to 3 working days prior to the Board's meeting | |
| 445 | - | date. | |
| 446 | - | (j) A quorum shall be required for the Board to meet, which | |
| 447 | - | shall consist of 3 members or alternates, including the EMS | |
| 207 | + | ||
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| 448 | 209 | ||
| 449 | 210 | ||
| 450 | - | Medical Director or alternate and the member or alternate from | |
| 451 | - | the same professional category as the subject of the | |
| 452 | - | suspension order. At each meeting of the Board, the members or | |
| 453 | - | alternates present shall select a Chairperson to conduct the | |
| 454 | - | meeting. | |
| 455 | - | (k) Deliberations for decisions of the State EMS | |
| 456 | - | Disciplinary Review Board shall be conducted in closed | |
| 457 | - | session. Department staff may attend for the purpose of | |
| 458 | - | providing clerical assistance, but no other persons may be in | |
| 459 | - | attendance except for the parties to the dispute being | |
| 460 | - | reviewed by the Board and their attorneys, unless by request | |
| 461 | - | of the Board. | |
| 462 | - | (l) The Board shall review the transcript, evidence, and | |
| 463 | - | written decision of the local review board, or the written | |
| 464 | - | decision and supporting documentation of the EMS Medical | |
| 465 | - | Director, whichever is applicable, along with any additional | |
| 466 | - | written or verbal testimony or argument offered by the parties | |
| 467 | - | to the dispute. | |
| 468 | - | (m) At the conclusion of its review, the Board shall issue | |
| 469 | - | its decision and the basis for its decision on a form provided | |
| 470 | - | by the Department, and shall submit to the Department its | |
| 471 | - | written decision together with the record of the local System | |
| 472 | - | review board. The Department shall promptly issue a copy of | |
| 473 | - | the Board's decision to all affected parties. The Board's | |
| 474 | - | decision shall be binding on all parties. | |
| 475 | - | (Source: P.A. 100-1082, eff. 8-24-19.) | |
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| 213 | + | 1 Directors Committee shall rotate serving as Committee Chair, | |
| 214 | + | 2 and select the Associate Hospital, Participating Hospital and | |
| 215 | + | 3 vehicle service providers which shall send representatives to | |
| 216 | + | 4 the Advisory Committee, and the EMS personnel and nurse who | |
| 217 | + | 5 shall serve on the Advisory Committee. | |
| 218 | + | 6 (e) "Regional Trauma Advisory Committee" means a committee | |
| 219 | + | 7 formed within an Emergency Medical Services (EMS) Region, to | |
| 220 | + | 8 advise the Region's Trauma Center Medical Directors Committee, | |
| 221 | + | 9 consisting of at least the Trauma Center Medical Directors and | |
| 222 | + | 10 Trauma Coordinators from each Trauma Center within the Region, | |
| 223 | + | 11 one EMS Medical Director from a resource hospital within the | |
| 224 | + | 12 Region, one EMS System Coordinator from another resource | |
| 225 | + | 13 hospital within the Region, one representative each from a | |
| 226 | + | 14 public and private vehicle service provider which transports | |
| 227 | + | 15 trauma patients within the Region, an administrative | |
| 228 | + | 16 representative from each trauma center within the Region, one | |
| 229 | + | 17 EMR, EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, or PHRN | |
| 230 | + | 18 representing the highest level of EMS personnel practicing | |
| 231 | + | 19 within the Region, one emergency physician, and one Trauma | |
| 232 | + | 20 Nurse Specialist (TNS) currently practicing in a trauma | |
| 233 | + | 21 center. The Department's Regional EMS Coordinator for each | |
| 234 | + | 22 Region shall serve as a non-voting member of that Region's | |
| 235 | + | 23 Trauma Advisory Committee. | |
| 236 | + | 24 Every 2 years, the members of the Trauma Center Medical | |
| 237 | + | 25 Directors Committee shall rotate serving as Committee Chair, | |
| 238 | + | 26 and select the vehicle service providers, EMS personnel, | |
| 476 | 239 | ||
| 477 | 240 | ||
| 478 | - | (210 ILCS 50/3.55) | |
| 479 | - | Sec. 3.55. Scope of practice. | |
| 480 | - | (a) Any person currently licensed as an EMR, EMT, EMT-I, | |
| 481 | - | A-EMT, PHRN, PHAPRN, PHPA, or Paramedic may perform emergency | |
| 482 | - | and non-emergency medical services as defined in this Act, in | |
| 483 | - | accordance with his or her level of education, training and | |
| 484 | - | licensure, the standards of performance and conduct prescribed | |
| 485 | - | by the Department in rules adopted pursuant to this Act, and | |
| 486 | - | the requirements of the EMS System in which he or she | |
| 487 | - | practices, as contained in the approved Program Plan for that | |
| 488 | - | System. The Director may, by written order, temporarily modify | |
| 489 | - | individual scopes of practice in response to public health | |
| 490 | - | emergencies for periods not exceeding 180 days. | |
| 491 | - | (a-5) EMS personnel who have successfully completed a | |
| 492 | - | Department approved course in automated defibrillator | |
| 493 | - | operation and who are functioning within a Department approved | |
| 494 | - | EMS System may utilize such automated defibrillator according | |
| 495 | - | to the standards of performance and conduct prescribed by the | |
| 496 | - | Department in rules adopted pursuant to this Act and the | |
| 497 | - | requirements of the EMS System in which they practice, as | |
| 498 | - | contained in the approved Program Plan for that System. | |
| 499 | - | (a-7) An EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or | |
| 500 | - | Paramedic who has successfully completed a Department approved | |
| 501 | - | course in the administration of epinephrine shall be required | |
| 502 | - | to carry epinephrine with him or her as part of the EMS | |
| 503 | 241 | ||
| 504 | 242 | ||
| 505 | - | personnel medical supplies whenever he or she is performing | |
| 506 | - | official duties as determined by the EMS System. The | |
| 507 | - | epinephrine may be administered from a glass vial, | |
| 508 | - | auto-injector, ampule, or pre-filled syringe. | |
| 509 | - | (b) An EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or | |
| 510 | - | Paramedic may practice as an EMR, EMT, EMT-I, A-EMT, or | |
| 511 | - | Paramedic or utilize his or her EMR, EMT, EMT-I, A-EMT, PHRN, | |
| 512 | - | PHAPRN, PHPA, or Paramedic license in pre-hospital or | |
| 513 | - | inter-hospital emergency care settings or non-emergency | |
| 514 | - | medical transport situations, under the written or verbal | |
| 515 | - | direction of the EMS Medical Director. For purposes of this | |
| 516 | - | Section, a "pre-hospital emergency care setting" may include a | |
| 517 | - | location, that is not a health care facility, which utilizes | |
| 518 | - | EMS personnel to render pre-hospital emergency care prior to | |
| 519 | - | the arrival of a transport vehicle. The location shall include | |
| 520 | - | communication equipment and all of the portable equipment and | |
| 521 | - | drugs appropriate for the EMR, EMT, EMT-I, A-EMT, or | |
| 522 | - | Paramedic's level of care, as required by this Act, rules | |
| 523 | - | adopted by the Department pursuant to this Act, and the | |
| 524 | - | protocols of the EMS Systems, and shall operate only with the | |
| 525 | - | approval and under the direction of the EMS Medical Director. | |
| 526 | - | This Section shall not prohibit an EMR, EMT, EMT-I, A-EMT, | |
| 527 | - | PHRN, PHAPRN, PHPA, or Paramedic from practicing within an | |
| 528 | - | emergency department or other health care setting for the | |
| 529 | - | purpose of receiving continuing education or training approved | |
| 530 | - | by the EMS Medical Director. This Section shall also not | |
| 243 | + | ||
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| 531 | 245 | ||
| 532 | 246 | ||
| 533 | - | prohibit an EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or | |
| 534 | - | Paramedic from seeking credentials other than his or her EMT, | |
| 535 | - | EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic license and | |
| 536 | - | utilizing such credentials to work in emergency departments or | |
| 537 | - | other health care settings under the jurisdiction of that | |
| 538 | - | employer. | |
| 539 | - | (c) An EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic | |
| 540 | - | may honor Do Not Resuscitate (DNR) orders and powers of | |
| 541 | - | attorney for health care only in accordance with rules adopted | |
| 542 | - | by the Department pursuant to this Act and protocols of the EMS | |
| 543 | - | System in which he or she practices. | |
| 544 | - | (d) A student enrolled in a Department approved EMS | |
| 545 | - | personnel program, while fulfilling the clinical training and | |
| 546 | - | in-field supervised experience requirements mandated for | |
| 547 | - | licensure or approval by the System and the Department, may | |
| 548 | - | perform prescribed procedures under the direct supervision of | |
| 549 | - | a physician licensed to practice medicine in all of its | |
| 550 | - | branches, a qualified registered professional nurse, or | |
| 551 | - | qualified EMS personnel, only when authorized by the EMS | |
| 552 | - | Medical Director. | |
| 553 | - | (e) An EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or | |
| 554 | - | Paramedic may transport a police dog injured in the line of | |
| 555 | - | duty to a veterinary clinic or similar facility if there are no | |
| 556 | - | persons requiring medical attention or transport at that time. | |
| 557 | - | For the purposes of this subsection, "police dog" means a dog | |
| 558 | - | owned or used by a law enforcement department or agency in the | |
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| 249 | + | 1 emergency physician, EMS System Coordinator and TNS who shall | |
| 250 | + | 2 serve on the Advisory Committee. | |
| 251 | + | 3 (Source: P.A. 98-973, eff. 8-15-14.) | |
| 252 | + | 4 (210 ILCS 50/3.40) | |
| 253 | + | 5 Sec. 3.40. EMS System Participation Suspensions and Due | |
| 254 | + | 6 Process. | |
| 255 | + | 7 (a) An EMS Medical Director may suspend from participation | |
| 256 | + | 8 within the System any EMS personnel, EMS Lead Instructor (LI), | |
| 257 | + | 9 individual, individual provider or other participant | |
| 258 | + | 10 considered not to be meeting the requirements of the Program | |
| 259 | + | 11 Plan of that approved EMS System. An EMS Medical Director must | |
| 260 | + | 12 submit a suspension order to the Department describing which | |
| 261 | + | 13 requirements of the Program Plan were not met and the | |
| 262 | + | 14 suspension's duration. The Department shall review and confirm | |
| 263 | + | 15 receipt of the suspension order, request additional | |
| 264 | + | 16 information, or initiate an investigation. The Department | |
| 265 | + | 17 shall incorporate the duration of that suspension into any | |
| 266 | + | 18 further action taken by the Department to suspend, revoke, or | |
| 267 | + | 19 refuse to issue or renew the license of the individual or | |
| 268 | + | 20 entity for any violation of this Act or the Program Plan | |
| 269 | + | 21 arising from the same conduct for which the suspension order | |
| 270 | + | 22 was issued if the suspended party has neither requested a | |
| 271 | + | 23 Department hearing on the suspension nor worked as a provider | |
| 272 | + | 24 in any other System during the term of the suspension. | |
| 273 | + | 25 (b) Prior to suspending any individual or entity, an EMS | |
| 559 | 274 | ||
| 560 | 275 | ||
| 561 | - | course of the department or agency's work, including a search | |
| 562 | - | and rescue dog, service dog, accelerant detection canine, or | |
| 563 | - | other dog that is in use by a county, municipal, or State law | |
| 564 | - | enforcement agency. | |
| 565 | - | (f) Nothing in this Act shall be construed to prohibit an | |
| 566 | - | EMT, EMT-I, A-EMT, Paramedic, or PHRN from completing an | |
| 567 | - | initial Occupational Safety and Health Administration | |
| 568 | - | Respirator Medical Evaluation Questionnaire on behalf of fire | |
| 569 | - | service personnel, as permitted by his or her EMS System | |
| 570 | - | Medical Director. | |
| 571 | - | (g) A member of a fire department's or fire protection | |
| 572 | - | district's collective bargaining unit shall be eligible to | |
| 573 | - | work under a silver spanner program for another EMS System's | |
| 574 | - | fire department or fire protection district that is not the | |
| 575 | - | full-time employer of that member, for a period not to exceed 2 | |
| 576 | - | weeks, if the member: (1) is under the direct supervision of | |
| 577 | - | another licensed individual operating at the same or higher | |
| 578 | - | licensure level as the member; (2) made a written request to | |
| 579 | - | the EMS System's Medical Director for approval to work under | |
| 580 | - | the silver spanner program, which shall be approved or denied | |
| 581 | - | within 24 hours after the EMS System's Medical Director | |
| 582 | - | received the request; and (3) tests into the EMS System based | |
| 583 | - | upon appropriate standards as outlined in the EMS System | |
| 584 | - | Program Plan. The EMS System within which the member is | |
| 585 | - | seeking to join must make all required testing available to | |
| 586 | - | the member within 2 weeks of the written request. Failure to do | |
| 587 | 276 | ||
| 588 | 277 | ||
| 589 | - | so by the EMS System shall allow the member to continue working | |
| 590 | - | under a silver spanner program until all required testing | |
| 591 | - | becomes available. | |
| 592 | - | (Source: P.A. 102-79, eff. 1-1-22.) | |
| 278 | + | ||
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| 284 | + | 1 Medical Director shall provide an opportunity for a hearing | |
| 285 | + | 2 before the local System review board in accordance with | |
| 286 | + | 3 subsection (f) and the rules promulgated by the Department. | |
| 287 | + | 4 (1) If the local System review board affirms or | |
| 288 | + | 5 modifies the EMS Medical Director's suspension order, the | |
| 289 | + | 6 individual or entity shall have the opportunity for a | |
| 290 | + | 7 review of the local board's decision by the State EMS | |
| 291 | + | 8 Disciplinary Review Board, pursuant to Section 3.45 of | |
| 292 | + | 9 this Act. | |
| 293 | + | 10 (2) If the local System review board reverses or | |
| 294 | + | 11 modifies the EMS Medical Director's order, the EMS Medical | |
| 295 | + | 12 Director shall have the opportunity for a review of the | |
| 296 | + | 13 local board's decision by the State EMS Disciplinary | |
| 297 | + | 14 Review Board, pursuant to Section 3.45 of this Act. | |
| 298 | + | 15 (3) The suspension shall commence only upon the | |
| 299 | + | 16 occurrence of one of the following: | |
| 300 | + | 17 (A) the individual or entity has waived the | |
| 301 | + | 18 opportunity for a hearing before the local System | |
| 302 | + | 19 review board; or | |
| 303 | + | 20 (B) the order has been affirmed or modified by the | |
| 304 | + | 21 local system review board and the individual or entity | |
| 305 | + | 22 has waived the opportunity for review by the State | |
| 306 | + | 23 Board; or | |
| 307 | + | 24 (C) the order has been affirmed or modified by the | |
| 308 | + | 25 local system review board, and the local board's | |
| 309 | + | 26 decision has been affirmed or modified by the State | |
| 310 | + | ||
| 311 | + | ||
| 312 | + | ||
| 313 | + | ||
| 314 | + | ||
| 315 | + | HB1595 Enrolled - 9 - LRB103 06018 CPF 51045 b | |
| 316 | + | ||
| 317 | + | ||
| 318 | + | HB1595 Enrolled- 10 -LRB103 06018 CPF 51045 b HB1595 Enrolled - 10 - LRB103 06018 CPF 51045 b | |
| 319 | + | HB1595 Enrolled - 10 - LRB103 06018 CPF 51045 b | |
| 320 | + | 1 Board. | |
| 321 | + | 2 (c) An individual interviewed or investigated by the local | |
| 322 | + | 3 system review board or the Department shall have the right to a | |
| 323 | + | 4 union representative and legal counsel of the individual's | |
| 324 | + | 5 choosing present at any interview. The union representative | |
| 325 | + | 6 must comply with any confidentiality requirements and | |
| 326 | + | 7 requirements for the protection of any patient information | |
| 327 | + | 8 presented during the proceeding. | |
| 328 | + | 9 (d) (c) An EMS Medical Director may immediately suspend an | |
| 329 | + | 10 EMR, EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, PHRN, LI, PHPA, | |
| 330 | + | 11 PHAPRN, or other individual or entity if he or she finds that | |
| 331 | + | 12 the continuation in practice by the individual or entity would | |
| 332 | + | 13 constitute an imminent danger to the public. The suspended | |
| 333 | + | 14 individual or entity shall be issued an immediate verbal | |
| 334 | + | 15 notification followed by a written suspension order by the EMS | |
| 335 | + | 16 Medical Director which states the length, terms and basis for | |
| 336 | + | 17 the suspension. | |
| 337 | + | 18 (1) Within 24 hours following the commencement of the | |
| 338 | + | 19 suspension, the EMS Medical Director shall deliver to the | |
| 339 | + | 20 Department, by messenger, telefax, or other | |
| 340 | + | 21 Department-approved electronic communication, a copy of | |
| 341 | + | 22 the suspension order and copies of any written materials | |
| 342 | + | 23 which relate to the EMS Medical Director's decision to | |
| 343 | + | 24 suspend the individual or entity. All medical and | |
| 344 | + | 25 patient-specific information, including Department | |
| 345 | + | 26 findings with respect to the quality of care rendered, | |
| 346 | + | ||
| 347 | + | ||
| 348 | + | ||
| 349 | + | ||
| 350 | + | ||
| 351 | + | HB1595 Enrolled - 10 - LRB103 06018 CPF 51045 b | |
| 352 | + | ||
| 353 | + | ||
| 354 | + | HB1595 Enrolled- 11 -LRB103 06018 CPF 51045 b HB1595 Enrolled - 11 - LRB103 06018 CPF 51045 b | |
| 355 | + | HB1595 Enrolled - 11 - LRB103 06018 CPF 51045 b | |
| 356 | + | 1 shall be strictly confidential pursuant to the Medical | |
| 357 | + | 2 Studies Act (Part 21 of Article VIII of the Code of Civil | |
| 358 | + | 3 Procedure). | |
| 359 | + | 4 (2) Within 24 hours following the commencement of the | |
| 360 | + | 5 suspension, the suspended individual or entity may deliver | |
| 361 | + | 6 to the Department, by messenger, telefax, or other | |
| 362 | + | 7 Department-approved electronic communication, a written | |
| 363 | + | 8 response to the suspension order and copies of any written | |
| 364 | + | 9 materials which the individual or entity feels are | |
| 365 | + | 10 appropriate. All medical and patient-specific information, | |
| 366 | + | 11 including Department findings with respect to the quality | |
| 367 | + | 12 of care rendered, shall be strictly confidential pursuant | |
| 368 | + | 13 to the Medical Studies Act. | |
| 369 | + | 14 (3) Within 24 hours following receipt of the EMS | |
| 370 | + | 15 Medical Director's suspension order or the individual or | |
| 371 | + | 16 entity's written response, whichever is later, the | |
| 372 | + | 17 Director or the Director's designee shall determine | |
| 373 | + | 18 whether the suspension should be stayed pending an | |
| 374 | + | 19 opportunity for a hearing or review in accordance with | |
| 375 | + | 20 this Act, or whether the suspension should continue during | |
| 376 | + | 21 the course of that hearing or review. The Director or the | |
| 377 | + | 22 Director's designee shall issue this determination to the | |
| 378 | + | 23 EMS Medical Director, who shall immediately notify the | |
| 379 | + | 24 suspended individual or entity. The suspension shall | |
| 380 | + | 25 remain in effect during this period of review by the | |
| 381 | + | 26 Director or the Director's designee. | |
| 382 | + | ||
| 383 | + | ||
| 384 | + | ||
| 385 | + | ||
| 386 | + | ||
| 387 | + | HB1595 Enrolled - 11 - LRB103 06018 CPF 51045 b | |
| 388 | + | ||
| 389 | + | ||
| 390 | + | HB1595 Enrolled- 12 -LRB103 06018 CPF 51045 b HB1595 Enrolled - 12 - LRB103 06018 CPF 51045 b | |
| 391 | + | HB1595 Enrolled - 12 - LRB103 06018 CPF 51045 b | |
| 392 | + | 1 (e) (d) Upon issuance of a suspension order for reasons | |
| 393 | + | 2 directly related to medical care, the EMS Medical Director | |
| 394 | + | 3 shall also provide the individual or entity with the | |
| 395 | + | 4 opportunity for a hearing before the local System review | |
| 396 | + | 5 board, in accordance with subsection (f) and the rules | |
| 397 | + | 6 promulgated by the Department. | |
| 398 | + | 7 (1) If the local System review board affirms or | |
| 399 | + | 8 modifies the EMS Medical Director's suspension order, the | |
| 400 | + | 9 individual or entity shall have the opportunity for a | |
| 401 | + | 10 review of the local board's decision by the State EMS | |
| 402 | + | 11 Disciplinary Review Board, pursuant to Section 3.45 of | |
| 403 | + | 12 this Act. | |
| 404 | + | 13 (2) If the local System review board reverses or | |
| 405 | + | 14 modifies the EMS Medical Director's suspension order, the | |
| 406 | + | 15 EMS Medical Director shall have the opportunity for a | |
| 407 | + | 16 review of the local board's decision by the State EMS | |
| 408 | + | 17 Disciplinary Review Board, pursuant to Section 3.45 of | |
| 409 | + | 18 this Act. | |
| 410 | + | 19 (3) The suspended individual or entity may elect to | |
| 411 | + | 20 bypass the local System review board and seek direct | |
| 412 | + | 21 review of the EMS Medical Director's suspension order by | |
| 413 | + | 22 the State EMS Disciplinary Review Board. | |
| 414 | + | 23 (f) (e) The Resource Hospital shall designate a local | |
| 415 | + | 24 System review board in accordance with the rules of the | |
| 416 | + | 25 Department, for the purpose of providing a hearing to any | |
| 417 | + | 26 individual or entity participating within the System who is | |
| 418 | + | ||
| 419 | + | ||
| 420 | + | ||
| 421 | + | ||
| 422 | + | ||
| 423 | + | HB1595 Enrolled - 12 - LRB103 06018 CPF 51045 b | |
| 424 | + | ||
| 425 | + | ||
| 426 | + | HB1595 Enrolled- 13 -LRB103 06018 CPF 51045 b HB1595 Enrolled - 13 - LRB103 06018 CPF 51045 b | |
| 427 | + | HB1595 Enrolled - 13 - LRB103 06018 CPF 51045 b | |
| 428 | + | 1 suspended from participation by the EMS Medical Director. The | |
| 429 | + | 2 EMS Medical Director shall arrange for a certified shorthand | |
| 430 | + | 3 reporter to make a stenographic record of that hearing and | |
| 431 | + | 4 thereafter prepare a transcript of the proceedings. The EMS | |
| 432 | + | 5 Medical Director shall inform the individual of the | |
| 433 | + | 6 individual's right to have a union representative and legal | |
| 434 | + | 7 counsel of the individual's choosing present at any interview. | |
| 435 | + | 8 The union representative must comply with any confidentiality | |
| 436 | + | 9 requirements and requirements for the protection of any | |
| 437 | + | 10 patient information presented during the proceeding. The | |
| 438 | + | 11 transcript, all documents or materials received as evidence | |
| 439 | + | 12 during the hearing and the local System review board's written | |
| 440 | + | 13 decision shall be retained in the custody of the EMS system. | |
| 441 | + | 14 The System shall implement a decision of the local System | |
| 442 | + | 15 review board unless that decision has been appealed to the | |
| 443 | + | 16 State Emergency Medical Services Disciplinary Review Board in | |
| 444 | + | 17 accordance with this Act and the rules of the Department. | |
| 445 | + | 18 (g) (f) The Resource Hospital shall implement a decision | |
| 446 | + | 19 of the State Emergency Medical Services Disciplinary Review | |
| 447 | + | 20 Board which has been rendered in accordance with this Act and | |
| 448 | + | 21 the rules of the Department. | |
| 449 | + | 22 (Source: P.A. 100-201, eff. 8-18-17; 100-1082, eff. 8-24-19.) | |
| 450 | + | 23 (210 ILCS 50/3.45) | |
| 451 | + | 24 Sec. 3.45. State Emergency Medical Services Disciplinary | |
| 452 | + | 25 Review Board. | |
| 453 | + | ||
| 454 | + | ||
| 455 | + | ||
| 456 | + | ||
| 457 | + | ||
| 458 | + | HB1595 Enrolled - 13 - LRB103 06018 CPF 51045 b | |
| 459 | + | ||
| 460 | + | ||
| 461 | + | HB1595 Enrolled- 14 -LRB103 06018 CPF 51045 b HB1595 Enrolled - 14 - LRB103 06018 CPF 51045 b | |
| 462 | + | HB1595 Enrolled - 14 - LRB103 06018 CPF 51045 b | |
| 463 | + | 1 (a) The Governor shall appoint a State Emergency Medical | |
| 464 | + | 2 Services Disciplinary Review Board, composed of an EMS Medical | |
| 465 | + | 3 Director, an EMS System Coordinator, a Paramedic, an Emergency | |
| 466 | + | 4 Medical Technician (EMT), and the following members, who shall | |
| 467 | + | 5 only review cases in which a party is from the same | |
| 468 | + | 6 professional category: a Pre-Hospital Registered Nurse, a | |
| 469 | + | 7 Pre-Hospital Advanced Practice Registered Nurse, a | |
| 470 | + | 8 Pre-Hospital Physician Assistant, an ECRN, a Trauma Nurse | |
| 471 | + | 9 Specialist, an Emergency Medical Technician-Intermediate | |
| 472 | + | 10 (EMT-I), an Advanced Emergency Medical Technician (A-EMT), a | |
| 473 | + | 11 representative from a private vehicle service provider, a | |
| 474 | + | 12 representative from a public vehicle service provider, and an | |
| 475 | + | 13 emergency physician who monitors telecommunications from and | |
| 476 | + | 14 gives voice orders to EMS personnel. The Governor shall also | |
| 477 | + | 15 appoint one alternate for each member of the Board, from the | |
| 478 | + | 16 same professional category as the member of the Board. | |
| 479 | + | 17 (b) The members shall be appointed for a term of 3 years. | |
| 480 | + | 18 All appointees shall serve until their successors are | |
| 481 | + | 19 appointed. The alternate members shall be appointed and serve | |
| 482 | + | 20 in the same fashion as the members of the Board. If a member | |
| 483 | + | 21 resigns his or her appointment, the corresponding alternate | |
| 484 | + | 22 shall serve the remainder of that member's term until a | |
| 485 | + | 23 subsequent member is appointed by the Governor. | |
| 486 | + | 24 (c) The function of the Board is to review and affirm, | |
| 487 | + | 25 reverse or modify disciplinary orders. | |
| 488 | + | 26 (d) Any individual or entity, who received an immediate | |
| 489 | + | ||
| 490 | + | ||
| 491 | + | ||
| 492 | + | ||
| 493 | + | ||
| 494 | + | HB1595 Enrolled - 14 - LRB103 06018 CPF 51045 b | |
| 495 | + | ||
| 496 | + | ||
| 497 | + | HB1595 Enrolled- 15 -LRB103 06018 CPF 51045 b HB1595 Enrolled - 15 - LRB103 06018 CPF 51045 b | |
| 498 | + | HB1595 Enrolled - 15 - LRB103 06018 CPF 51045 b | |
| 499 | + | 1 suspension from an EMS Medical Director may request the Board | |
| 500 | + | 2 to reverse or modify the suspension order. If the suspension | |
| 501 | + | 3 had been affirmed or modified by a local System review board, | |
| 502 | + | 4 the suspended individual or entity may request the Board to | |
| 503 | + | 5 reverse or modify the local board's decision. | |
| 504 | + | 6 (e) Any individual or entity who received a non-immediate | |
| 505 | + | 7 suspension order from an EMS Medical Director which was | |
| 506 | + | 8 affirmed or modified by a local System review board may | |
| 507 | + | 9 request the Board to reverse or modify the local board's | |
| 508 | + | 10 decision. The individual shall be informed of the individual's | |
| 509 | + | 11 right to have one representative from the labor organization | |
| 510 | + | 12 recognized as the exclusive representative of that | |
| 511 | + | 13 individual's bargaining unit present and a legal | |
| 512 | + | 14 representative present during the State Emergency Medical | |
| 513 | + | 15 Services Disciplinary Review Board proceedings during open | |
| 514 | + | 16 session. The labor organization's representative must also | |
| 515 | + | 17 comply with all confidentiality requirements and requirements | |
| 516 | + | 18 for the protection of any patient information presented during | |
| 517 | + | 19 the proceeding. | |
| 518 | + | 20 (f) An EMS Medical Director whose suspension order was | |
| 519 | + | 21 reversed or modified by a local System review board may | |
| 520 | + | 22 request the Board to reverse or modify the local board's | |
| 521 | + | 23 decision. | |
| 522 | + | 24 (g) The Board shall meet on the first Tuesday of every | |
| 523 | + | 25 month, unless no requests for review have been submitted. | |
| 524 | + | 26 Additional meetings of the Board shall be scheduled to ensure | |
| 525 | + | ||
| 526 | + | ||
| 527 | + | ||
| 528 | + | ||
| 529 | + | ||
| 530 | + | HB1595 Enrolled - 15 - LRB103 06018 CPF 51045 b | |
| 531 | + | ||
| 532 | + | ||
| 533 | + | HB1595 Enrolled- 16 -LRB103 06018 CPF 51045 b HB1595 Enrolled - 16 - LRB103 06018 CPF 51045 b | |
| 534 | + | HB1595 Enrolled - 16 - LRB103 06018 CPF 51045 b | |
| 535 | + | 1 that a request for direct review of an immediate suspension | |
| 536 | + | 2 order is scheduled within 14 days after the Department | |
| 537 | + | 3 receives the request for review or as soon thereafter as a | |
| 538 | + | 4 quorum is available. The Board shall meet in Springfield or | |
| 539 | + | 5 Chicago, whichever location is closer to the majority of the | |
| 540 | + | 6 members or alternates attending the meeting. The Department | |
| 541 | + | 7 shall reimburse the members and alternates of the Board for | |
| 542 | + | 8 reasonable travel expenses incurred in attending meetings of | |
| 543 | + | 9 the Board. | |
| 544 | + | 10 (h) A request for review shall be submitted in writing to | |
| 545 | + | 11 the Chief of the Department's Division of Emergency Medical | |
| 546 | + | 12 Services and Highway Safety, within 10 days after receiving | |
| 547 | + | 13 the local board's decision or the EMS Medical Director's | |
| 548 | + | 14 suspension order, whichever is applicable, a copy of which | |
| 549 | + | 15 shall be enclosed. | |
| 550 | + | 16 (i) At its regularly scheduled meetings, the Board shall | |
| 551 | + | 17 review requests which have been received by the Department at | |
| 552 | + | 18 least 10 working days prior to the Board's meeting date. | |
| 553 | + | 19 Requests for review which are received less than 10 working | |
| 554 | + | 20 days prior to a scheduled meeting shall be considered at the | |
| 555 | + | 21 Board's next scheduled meeting, except that requests for | |
| 556 | + | 22 direct review of an immediate suspension order may be | |
| 557 | + | 23 scheduled up to 3 working days prior to the Board's meeting | |
| 558 | + | 24 date. | |
| 559 | + | 25 (j) A quorum shall be required for the Board to meet, which | |
| 560 | + | 26 shall consist of 3 members or alternates, including the EMS | |
| 561 | + | ||
| 562 | + | ||
| 563 | + | ||
| 564 | + | ||
| 565 | + | ||
| 566 | + | HB1595 Enrolled - 16 - LRB103 06018 CPF 51045 b | |
| 567 | + | ||
| 568 | + | ||
| 569 | + | HB1595 Enrolled- 17 -LRB103 06018 CPF 51045 b HB1595 Enrolled - 17 - LRB103 06018 CPF 51045 b | |
| 570 | + | HB1595 Enrolled - 17 - LRB103 06018 CPF 51045 b | |
| 571 | + | 1 Medical Director or alternate and the member or alternate from | |
| 572 | + | 2 the same professional category as the subject of the | |
| 573 | + | 3 suspension order. At each meeting of the Board, the members or | |
| 574 | + | 4 alternates present shall select a Chairperson to conduct the | |
| 575 | + | 5 meeting. | |
| 576 | + | 6 (k) Deliberations for decisions of the State EMS | |
| 577 | + | 7 Disciplinary Review Board shall be conducted in closed | |
| 578 | + | 8 session. Department staff may attend for the purpose of | |
| 579 | + | 9 providing clerical assistance, but no other persons may be in | |
| 580 | + | 10 attendance except for the parties to the dispute being | |
| 581 | + | 11 reviewed by the Board and their attorneys, unless by request | |
| 582 | + | 12 of the Board. | |
| 583 | + | 13 (l) The Board shall review the transcript, evidence, and | |
| 584 | + | 14 written decision of the local review board, or the written | |
| 585 | + | 15 decision and supporting documentation of the EMS Medical | |
| 586 | + | 16 Director, whichever is applicable, along with any additional | |
| 587 | + | 17 written or verbal testimony or argument offered by the parties | |
| 588 | + | 18 to the dispute. | |
| 589 | + | 19 (m) At the conclusion of its review, the Board shall issue | |
| 590 | + | 20 its decision and the basis for its decision on a form provided | |
| 591 | + | 21 by the Department, and shall submit to the Department its | |
| 592 | + | 22 written decision together with the record of the local System | |
| 593 | + | 23 review board. The Department shall promptly issue a copy of | |
| 594 | + | 24 the Board's decision to all affected parties. The Board's | |
| 595 | + | 25 decision shall be binding on all parties. | |
| 596 | + | 26 (Source: P.A. 100-1082, eff. 8-24-19.) | |
| 597 | + | ||
| 598 | + | ||
| 599 | + | ||
| 600 | + | ||
| 601 | + | ||
| 602 | + | HB1595 Enrolled - 17 - LRB103 06018 CPF 51045 b | |
| 603 | + | ||
| 604 | + | ||
| 605 | + | HB1595 Enrolled- 18 -LRB103 06018 CPF 51045 b HB1595 Enrolled - 18 - LRB103 06018 CPF 51045 b | |
| 606 | + | HB1595 Enrolled - 18 - LRB103 06018 CPF 51045 b | |
| 607 | + | 1 (210 ILCS 50/3.55) | |
| 608 | + | 2 Sec. 3.55. Scope of practice. | |
| 609 | + | 3 (a) Any person currently licensed as an EMR, EMT, EMT-I, | |
| 610 | + | 4 A-EMT, PHRN, PHAPRN, PHPA, or Paramedic may perform emergency | |
| 611 | + | 5 and non-emergency medical services as defined in this Act, in | |
| 612 | + | 6 accordance with his or her level of education, training and | |
| 613 | + | 7 licensure, the standards of performance and conduct prescribed | |
| 614 | + | 8 by the Department in rules adopted pursuant to this Act, and | |
| 615 | + | 9 the requirements of the EMS System in which he or she | |
| 616 | + | 10 practices, as contained in the approved Program Plan for that | |
| 617 | + | 11 System. The Director may, by written order, temporarily modify | |
| 618 | + | 12 individual scopes of practice in response to public health | |
| 619 | + | 13 emergencies for periods not exceeding 180 days. | |
| 620 | + | 14 (a-5) EMS personnel who have successfully completed a | |
| 621 | + | 15 Department approved course in automated defibrillator | |
| 622 | + | 16 operation and who are functioning within a Department approved | |
| 623 | + | 17 EMS System may utilize such automated defibrillator according | |
| 624 | + | 18 to the standards of performance and conduct prescribed by the | |
| 625 | + | 19 Department in rules adopted pursuant to this Act and the | |
| 626 | + | 20 requirements of the EMS System in which they practice, as | |
| 627 | + | 21 contained in the approved Program Plan for that System. | |
| 628 | + | 22 (a-7) An EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or | |
| 629 | + | 23 Paramedic who has successfully completed a Department approved | |
| 630 | + | 24 course in the administration of epinephrine shall be required | |
| 631 | + | 25 to carry epinephrine with him or her as part of the EMS | |
| 632 | + | ||
| 633 | + | ||
| 634 | + | ||
| 635 | + | ||
| 636 | + | ||
| 637 | + | HB1595 Enrolled - 18 - LRB103 06018 CPF 51045 b | |
| 638 | + | ||
| 639 | + | ||
| 640 | + | HB1595 Enrolled- 19 -LRB103 06018 CPF 51045 b HB1595 Enrolled - 19 - LRB103 06018 CPF 51045 b | |
| 641 | + | HB1595 Enrolled - 19 - LRB103 06018 CPF 51045 b | |
| 642 | + | 1 personnel medical supplies whenever he or she is performing | |
| 643 | + | 2 official duties as determined by the EMS System. The | |
| 644 | + | 3 epinephrine may be administered from a glass vial, | |
| 645 | + | 4 auto-injector, ampule, or pre-filled syringe. | |
| 646 | + | 5 (b) An EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or | |
| 647 | + | 6 Paramedic may practice as an EMR, EMT, EMT-I, A-EMT, or | |
| 648 | + | 7 Paramedic or utilize his or her EMR, EMT, EMT-I, A-EMT, PHRN, | |
| 649 | + | 8 PHAPRN, PHPA, or Paramedic license in pre-hospital or | |
| 650 | + | 9 inter-hospital emergency care settings or non-emergency | |
| 651 | + | 10 medical transport situations, under the written or verbal | |
| 652 | + | 11 direction of the EMS Medical Director. For purposes of this | |
| 653 | + | 12 Section, a "pre-hospital emergency care setting" may include a | |
| 654 | + | 13 location, that is not a health care facility, which utilizes | |
| 655 | + | 14 EMS personnel to render pre-hospital emergency care prior to | |
| 656 | + | 15 the arrival of a transport vehicle. The location shall include | |
| 657 | + | 16 communication equipment and all of the portable equipment and | |
| 658 | + | 17 drugs appropriate for the EMR, EMT, EMT-I, A-EMT, or | |
| 659 | + | 18 Paramedic's level of care, as required by this Act, rules | |
| 660 | + | 19 adopted by the Department pursuant to this Act, and the | |
| 661 | + | 20 protocols of the EMS Systems, and shall operate only with the | |
| 662 | + | 21 approval and under the direction of the EMS Medical Director. | |
| 663 | + | 22 This Section shall not prohibit an EMR, EMT, EMT-I, A-EMT, | |
| 664 | + | 23 PHRN, PHAPRN, PHPA, or Paramedic from practicing within an | |
| 665 | + | 24 emergency department or other health care setting for the | |
| 666 | + | 25 purpose of receiving continuing education or training approved | |
| 667 | + | 26 by the EMS Medical Director. This Section shall also not | |
| 668 | + | ||
| 669 | + | ||
| 670 | + | ||
| 671 | + | ||
| 672 | + | ||
| 673 | + | HB1595 Enrolled - 19 - LRB103 06018 CPF 51045 b | |
| 674 | + | ||
| 675 | + | ||
| 676 | + | HB1595 Enrolled- 20 -LRB103 06018 CPF 51045 b HB1595 Enrolled - 20 - LRB103 06018 CPF 51045 b | |
| 677 | + | HB1595 Enrolled - 20 - LRB103 06018 CPF 51045 b | |
| 678 | + | 1 prohibit an EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or | |
| 679 | + | 2 Paramedic from seeking credentials other than his or her EMT, | |
| 680 | + | 3 EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic license and | |
| 681 | + | 4 utilizing such credentials to work in emergency departments or | |
| 682 | + | 5 other health care settings under the jurisdiction of that | |
| 683 | + | 6 employer. | |
| 684 | + | 7 (c) An EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic | |
| 685 | + | 8 may honor Do Not Resuscitate (DNR) orders and powers of | |
| 686 | + | 9 attorney for health care only in accordance with rules adopted | |
| 687 | + | 10 by the Department pursuant to this Act and protocols of the EMS | |
| 688 | + | 11 System in which he or she practices. | |
| 689 | + | 12 (d) A student enrolled in a Department approved EMS | |
| 690 | + | 13 personnel program, while fulfilling the clinical training and | |
| 691 | + | 14 in-field supervised experience requirements mandated for | |
| 692 | + | 15 licensure or approval by the System and the Department, may | |
| 693 | + | 16 perform prescribed procedures under the direct supervision of | |
| 694 | + | 17 a physician licensed to practice medicine in all of its | |
| 695 | + | 18 branches, a qualified registered professional nurse, or | |
| 696 | + | 19 qualified EMS personnel, only when authorized by the EMS | |
| 697 | + | 20 Medical Director. | |
| 698 | + | 21 (e) An EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or | |
| 699 | + | 22 Paramedic may transport a police dog injured in the line of | |
| 700 | + | 23 duty to a veterinary clinic or similar facility if there are no | |
| 701 | + | 24 persons requiring medical attention or transport at that time. | |
| 702 | + | 25 For the purposes of this subsection, "police dog" means a dog | |
| 703 | + | 26 owned or used by a law enforcement department or agency in the | |
| 704 | + | ||
| 705 | + | ||
| 706 | + | ||
| 707 | + | ||
| 708 | + | ||
| 709 | + | HB1595 Enrolled - 20 - LRB103 06018 CPF 51045 b | |
| 710 | + | ||
| 711 | + | ||
| 712 | + | HB1595 Enrolled- 21 -LRB103 06018 CPF 51045 b HB1595 Enrolled - 21 - LRB103 06018 CPF 51045 b | |
| 713 | + | HB1595 Enrolled - 21 - LRB103 06018 CPF 51045 b | |
| 714 | + | 1 course of the department or agency's work, including a search | |
| 715 | + | 2 and rescue dog, service dog, accelerant detection canine, or | |
| 716 | + | 3 other dog that is in use by a county, municipal, or State law | |
| 717 | + | 4 enforcement agency. | |
| 718 | + | 5 (f) Nothing in this Act shall be construed to prohibit an | |
| 719 | + | 6 EMT, EMT-I, A-EMT, Paramedic, or PHRN from completing an | |
| 720 | + | 7 initial Occupational Safety and Health Administration | |
| 721 | + | 8 Respirator Medical Evaluation Questionnaire on behalf of fire | |
| 722 | + | 9 service personnel, as permitted by his or her EMS System | |
| 723 | + | 10 Medical Director. | |
| 724 | + | 11 (g) A member of a fire department's or fire protection | |
| 725 | + | 12 district's collective bargaining unit shall be eligible to | |
| 726 | + | 13 work under a silver spanner program for another EMS System's | |
| 727 | + | 14 fire department or fire protection district that is not the | |
| 728 | + | 15 full-time employer of that member, for a period not to exceed 2 | |
| 729 | + | 16 weeks, if the member: (1) is under the direct supervision of | |
| 730 | + | 17 another licensed individual operating at the same or higher | |
| 731 | + | 18 licensure level as the member; (2) made a written request to | |
| 732 | + | 19 the EMS System's Medical Director for approval to work under | |
| 733 | + | 20 the silver spanner program, which shall be approved or denied | |
| 734 | + | 21 within 24 hours after the EMS System's Medical Director | |
| 735 | + | 22 received the request; and (3) tests into the EMS System based | |
| 736 | + | 23 upon appropriate standards as outlined in the EMS System | |
| 737 | + | 24 Program Plan. The EMS System within which the member is | |
| 738 | + | 25 seeking to join must make all required testing available to | |
| 739 | + | 26 the member within 2 weeks of the written request. Failure to do | |
| 740 | + | ||
| 741 | + | ||
| 742 | + | ||
| 743 | + | ||
| 744 | + | ||
| 745 | + | HB1595 Enrolled - 21 - LRB103 06018 CPF 51045 b | |
| 746 | + | ||
| 747 | + | ||
| 748 | + | HB1595 Enrolled- 22 -LRB103 06018 CPF 51045 b HB1595 Enrolled - 22 - LRB103 06018 CPF 51045 b | |
| 749 | + | HB1595 Enrolled - 22 - LRB103 06018 CPF 51045 b | |
| 750 | + | 1 so by the EMS System shall allow the member to continue working | |
| 751 | + | 2 under a silver spanner program until all required testing | |
| 752 | + | 3 becomes available. | |
| 753 | + | 4 (Source: P.A. 102-79, eff. 1-1-22.) | |
| 754 | + | ||
| 755 | + | ||
| 756 | + | ||
| 757 | + | ||
| 758 | + | ||
| 759 | + | HB1595 Enrolled - 22 - LRB103 06018 CPF 51045 b |