SB0761 EngrossedLRB103 03215 CPF 48221 b SB0761 Engrossed LRB103 03215 CPF 48221 b SB0761 Engrossed LRB103 03215 CPF 48221 b 1 AN ACT concerning regulation. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Emergency Medical Services (EMS) Systems 5 Act is amended by changing Sections 3.20, 3.65, and 3.85 and by 6 adding Section 3.22 as follows: 7 (210 ILCS 50/3.20) 8 Sec. 3.20. Emergency Medical Services (EMS) Systems. 9 (a) "Emergency Medical Services (EMS) System" means an 10 organization of hospitals, vehicle service providers and 11 personnel approved by the Department in a specific geographic 12 area, which coordinates and provides pre-hospital and 13 inter-hospital emergency care and non-emergency medical 14 transports at a BLS, ILS and/or ALS level pursuant to a System 15 program plan submitted to and approved by the Department, and 16 pursuant to the EMS Region Plan adopted for the EMS Region in 17 which the System is located. 18 (b) One hospital in each System program plan must be 19 designated as the Resource Hospital. All other hospitals which 20 are located within the geographic boundaries of a System and 21 which have standby, basic or comprehensive level emergency 22 departments must function in that EMS System as either an 23 Associate Hospital or Participating Hospital and follow all SB0761 Engrossed LRB103 03215 CPF 48221 b SB0761 Engrossed- 2 -LRB103 03215 CPF 48221 b SB0761 Engrossed - 2 - LRB103 03215 CPF 48221 b SB0761 Engrossed - 2 - LRB103 03215 CPF 48221 b 1 System policies specified in the System Program Plan, 2 including but not limited to the replacement of drugs and 3 equipment used by providers who have delivered patients to 4 their emergency departments. All hospitals and vehicle service 5 providers participating in an EMS System must specify their 6 level of participation in the System Program Plan. 7 (c) The Department shall have the authority and 8 responsibility to: 9 (1) Approve BLS, ILS and ALS level EMS Systems which 10 meet minimum standards and criteria established in rules 11 adopted by the Department pursuant to this Act, including 12 the submission of a Program Plan for Department approval. 13 Beginning September 1, 1997, the Department shall approve 14 the development of a new EMS System only when a local or 15 regional need for establishing such System has been 16 verified by the Department. This shall not be construed as 17 a needs assessment for health planning or other purposes 18 outside of this Act. Following Department approval, EMS 19 Systems must be fully operational within one year from the 20 date of approval. 21 (2) Monitor EMS Systems, based on minimum standards 22 for continuing operation as prescribed in rules adopted by 23 the Department pursuant to this Act, which shall include 24 requirements for submitting Program Plan amendments to the 25 Department for approval. 26 (3) Renew EMS System approvals every 4 years, after an SB0761 Engrossed - 2 - LRB103 03215 CPF 48221 b SB0761 Engrossed- 3 -LRB103 03215 CPF 48221 b SB0761 Engrossed - 3 - LRB103 03215 CPF 48221 b SB0761 Engrossed - 3 - LRB103 03215 CPF 48221 b 1 inspection, based on compliance with the standards for 2 continuing operation prescribed in rules adopted by the 3 Department pursuant to this Act. 4 (4) Suspend, revoke, or refuse to renew approval of 5 any EMS System, after providing an opportunity for a 6 hearing, when findings show that it does not meet the 7 minimum standards for continuing operation as prescribed 8 by the Department, or is found to be in violation of its 9 previously approved Program Plan. 10 (5) Require each EMS System to adopt written protocols 11 for the bypassing of or diversion to any hospital, trauma 12 center or regional trauma center, which provide that a 13 person shall not be transported to a facility other than 14 the nearest hospital, regional trauma center or trauma 15 center unless the medical benefits to the patient 16 reasonably expected from the provision of appropriate 17 medical treatment at a more distant facility outweigh the 18 increased risks to the patient from transport to the more 19 distant facility, or the transport is in accordance with 20 the System's protocols for patient choice or refusal. 21 (6) Require that the EMS Medical Director of an ILS or 22 ALS level EMS System be a physician licensed to practice 23 medicine in all of its branches in Illinois, and certified 24 by the American Board of Emergency Medicine or the 25 American Osteopathic Board of Emergency Medicine, and that 26 the EMS Medical Director of a BLS level EMS System be a SB0761 Engrossed - 3 - LRB103 03215 CPF 48221 b SB0761 Engrossed- 4 -LRB103 03215 CPF 48221 b SB0761 Engrossed - 4 - LRB103 03215 CPF 48221 b SB0761 Engrossed - 4 - LRB103 03215 CPF 48221 b 1 physician licensed to practice medicine in all of its 2 branches in Illinois, with regular and frequent 3 involvement in pre-hospital emergency medical services. In 4 addition, all EMS Medical Directors shall: 5 (A) Have experience on an EMS vehicle at the 6 highest level available within the System, or make 7 provision to gain such experience within 12 months 8 prior to the date responsibility for the System is 9 assumed or within 90 days after assuming the position; 10 (B) Be thoroughly knowledgeable of all skills 11 included in the scope of practices of all levels of EMS 12 personnel within the System; 13 (C) Have or make provision to gain experience 14 instructing students at a level similar to that of the 15 levels of EMS personnel within the System; and 16 (D) For ILS and ALS EMS Medical Directors, 17 successfully complete a Department-approved EMS 18 Medical Director's Course. 19 (7) Prescribe statewide EMS data elements to be 20 collected and documented by providers in all EMS Systems 21 for all emergency and non-emergency medical services, with 22 a one-year phase-in for commencing collection of such data 23 elements. 24 (8) Define, through rules adopted pursuant to this 25 Act, the terms "Resource Hospital", "Associate Hospital", 26 "Participating Hospital", "Basic Emergency Department", SB0761 Engrossed - 4 - LRB103 03215 CPF 48221 b SB0761 Engrossed- 5 -LRB103 03215 CPF 48221 b SB0761 Engrossed - 5 - LRB103 03215 CPF 48221 b SB0761 Engrossed - 5 - LRB103 03215 CPF 48221 b 1 "Standby Emergency Department", "Comprehensive Emergency 2 Department", "EMS Medical Director", "EMS Administrative 3 Director", and "EMS System Coordinator". 4 (A) (Blank). 5 (B) (Blank). 6 (9) Investigate the circumstances that caused a 7 hospital in an EMS system to go on bypass status to 8 determine whether that hospital's decision to go on bypass 9 status was reasonable. The Department may impose 10 sanctions, as set forth in Section 3.140 of the Act, upon a 11 Department determination that the hospital unreasonably 12 went on bypass status in violation of the Act. 13 (10) Evaluate the capacity and performance of any 14 freestanding emergency center established under Section 15 32.5 of this Act in meeting emergency medical service 16 needs of the public, including compliance with applicable 17 emergency medical standards and assurance of the 18 availability of and immediate access to the highest 19 quality of medical care possible. 20 (11) Permit limited EMS System participation by 21 facilities operated by the United States Department of 22 Veterans Affairs, Veterans Health Administration. Subject 23 to patient preference, Illinois EMS providers may 24 transport patients to Veterans Health Administration 25 facilities that voluntarily participate in an EMS System. 26 Any Veterans Health Administration facility seeking SB0761 Engrossed - 5 - LRB103 03215 CPF 48221 b SB0761 Engrossed- 6 -LRB103 03215 CPF 48221 b SB0761 Engrossed - 6 - LRB103 03215 CPF 48221 b SB0761 Engrossed - 6 - LRB103 03215 CPF 48221 b 1 limited participation in an EMS System shall agree to 2 comply with all Department administrative rules 3 implementing this Section. The Department may promulgate 4 rules, including, but not limited to, the types of 5 Veterans Health Administration facilities that may 6 participate in an EMS System and the limitations of 7 participation. 8 (12) Ensure that EMS systems are transporting pregnant 9 women to the appropriate facilities based on the 10 classification of the levels of maternal care described 11 under subsection (a) of Section 2310-223 of the Department 12 of Public Health Powers and Duties Law of the Civil 13 Administrative Code of Illinois. 14 (13) Provide administrative support to the EMT 15 Training, Recruitment, and Retention Task Force. 16 (Source: P.A. 101-447, eff. 8-23-19.) 17 (210 ILCS 50/3.22 new) 18 Sec. 3.22. EMT Training, Recruitment, and Retention Task 19 Force. 20 (a) The EMT Training, Recruitment, and Retention Task 21 Force is created to address the following: 22 (1) the impact that the EMT and Paramedic shortage is 23 having on this State's EMS System and health care system; 24 (2) barriers to the training, recruitment, and 25 retention of Emergency Medical Technicians throughout this SB0761 Engrossed - 6 - LRB103 03215 CPF 48221 b SB0761 Engrossed- 7 -LRB103 03215 CPF 48221 b SB0761 Engrossed - 7 - LRB103 03215 CPF 48221 b SB0761 Engrossed - 7 - LRB103 03215 CPF 48221 b 1 State; 2 (3) steps that the State of Illinois can take, 3 including coordination and identification of State and 4 federal funding sources, to assist Illinois high schools, 5 community colleges, and ground ambulance providers to 6 train, recruit, and retain emergency medical technicians; 7 (4) how emergency medical responder and emergency 8 medical technician licensure and testing and certification 9 requirements affect the recruitment and retention of 10 emergency medical technicians, including, without 11 limitation, how the implementation of the National 12 Registry of Emergency Medical Technician training criteria 13 have impacted the certification and licensure of new EMRs, 14 EMTs, and Paramedics; 15 (5) how apprenticeship programs, local, regional, and 16 statewide, can be utilized to recruit and retain EMRs, 17 EMTs, and Paramedics; 18 (6) how ground ambulance reimbursement affects the 19 recruitment and retention of EMTs and Paramedics; and 20 (7) all other areas that the Task Force deems 21 necessary to examine to assist in the recruitment and 22 retention of EMTs and Paramedics. 23 (b) The Task Force shall be comprised of the following 24 members: 25 (1) one member of the Illinois General Assembly, 26 appointed by the Senate President, who shall serve as SB0761 Engrossed - 7 - LRB103 03215 CPF 48221 b SB0761 Engrossed- 8 -LRB103 03215 CPF 48221 b SB0761 Engrossed - 8 - LRB103 03215 CPF 48221 b SB0761 Engrossed - 8 - LRB103 03215 CPF 48221 b 1 co-chair; 2 (2) one member of the Illinois General Assembly, 3 appointed by the Speaker of the House; 4 (3) one member of the Illinois General Assembly, 5 appointed by the Senate Minority Leader; 6 (4) one member of the Illinois General Assembly, 7 appointed by the House Minority Leader, who shall serve as 8 co-chair; 9 (5) 9 members representing private ground ambulance 10 providers throughout this State representing for-profit 11 and non-profit rural and ground ambulance providers, 12 appointed by the Governor; 13 (6) 3 members representing hospitals, appointed by the 14 Speaker of the House, with one member representing safety 15 net hospitals and one member representing rural hospitals; 16 (7) 3 members representing a statewide association of 17 nursing homes, appointed by the President of the Senate; 18 (8) one member representing the State Board of 19 Education, appointed by the Minority Leader of the House; 20 and 21 (9) one member representing the Illinois Community 22 College Systems, appointed by the Minority Leader of the 23 Senate. 24 (c) Members of the Task Force shall serve without 25 compensation. 26 (d) The Task Force shall convene at the call of the SB0761 Engrossed - 8 - LRB103 03215 CPF 48221 b SB0761 Engrossed- 9 -LRB103 03215 CPF 48221 b SB0761 Engrossed - 9 - LRB103 03215 CPF 48221 b SB0761 Engrossed - 9 - LRB103 03215 CPF 48221 b 1 co-chairs and shall hold at least 6 meetings. 2 (e) The Task Force shall submit its final report to the 3 General Assembly and the Governor no later than January 1, 4 2024, and upon the submission of its final report, the Task 5 Force shall be dissolved. 6 (210 ILCS 50/3.65) 7 Sec. 3.65. EMS Lead Instructor. 8 (a) "EMS Lead Instructor" means a person who has 9 successfully completed a course of education as approved by 10 the Department or has obtained sufficient experience as 11 determined by the EMS Medical Director, and who is currently 12 approved by the Department to coordinate or teach education, 13 training and continuing education courses, in accordance with 14 standards prescribed by this Act and rules adopted by the 15 Department pursuant to this Act. 16 (b) The Department shall have the authority and 17 responsibility to: 18 (1) Prescribe education requirements for EMS Lead 19 Instructor candidates through rules adopted pursuant to 20 this Act. 21 (2) Prescribe testing requirements for EMS Lead 22 Instructor candidates through rules adopted pursuant to 23 this Act. 24 (3) Charge each candidate for EMS Lead Instructor a 25 fee to be submitted with an application for an SB0761 Engrossed - 9 - LRB103 03215 CPF 48221 b SB0761 Engrossed- 10 -LRB103 03215 CPF 48221 b SB0761 Engrossed - 10 - LRB103 03215 CPF 48221 b SB0761 Engrossed - 10 - LRB103 03215 CPF 48221 b 1 examination, an application for licensure, and an 2 application for relicensure. 3 (4) Approve individuals as EMS Lead Instructors who 4 have met the Department's education and testing 5 requirements. 6 (5) Require that all education, training and 7 continuing education courses for EMT, EMT-I, A-EMT, 8 Paramedic, PHRN, PHPA, PHAPRN, ECRN, EMR, and Emergency 9 Medical Dispatcher be coordinated by at least one approved 10 EMS Lead Instructor. A program which includes education, 11 training or continuing education for more than one type of 12 personnel may use one EMS Lead Instructor to coordinate 13 the program, and a single EMS Lead Instructor may 14 simultaneously coordinate more than one program or course. 15 (6) Provide standards and procedures for awarding EMS 16 Lead Instructor approval to persons previously approved by 17 the Department to coordinate such courses, based on 18 qualifications prescribed by the Department through rules 19 adopted pursuant to this Act. 20 (7) Suspend, revoke, or refuse to issue or renew the 21 approval of an EMS Lead Instructor, after an opportunity 22 for a hearing, when findings show one or more of the 23 following: 24 (A) The EMS Lead Instructor has failed to conduct 25 a course in accordance with the curriculum prescribed 26 by this Act and rules adopted by the Department SB0761 Engrossed - 10 - LRB103 03215 CPF 48221 b SB0761 Engrossed- 11 -LRB103 03215 CPF 48221 b SB0761 Engrossed - 11 - LRB103 03215 CPF 48221 b SB0761 Engrossed - 11 - LRB103 03215 CPF 48221 b 1 pursuant to this Act; or 2 (B) The EMS Lead Instructor has failed to comply 3 with protocols prescribed by the Department through 4 rules adopted pursuant to this Act. 5 (Source: P.A. 100-1082, eff. 8-24-19.) 6 (210 ILCS 50/3.85) 7 Sec. 3.85. Vehicle Service Providers. 8 (a) "Vehicle Service Provider" means an entity licensed by 9 the Department to provide emergency or non-emergency medical 10 services in compliance with this Act, the rules promulgated by 11 the Department pursuant to this Act, and an operational plan 12 approved by its EMS System(s), utilizing at least ambulances 13 or specialized emergency medical service vehicles (SEMSV). 14 (1) "Ambulance" means any publicly or privately owned 15 on-road vehicle that is specifically designed, constructed 16 or modified and equipped, and is intended to be used for, 17 and is maintained or operated for the emergency 18 transportation of persons who are sick, injured, wounded 19 or otherwise incapacitated or helpless, or the 20 non-emergency medical transportation of persons who 21 require the presence of medical personnel to monitor the 22 individual's condition or medical apparatus being used on 23 such individuals. 24 (2) "Specialized Emergency Medical Services Vehicle" 25 or "SEMSV" means a vehicle or conveyance, other than those SB0761 Engrossed - 11 - LRB103 03215 CPF 48221 b SB0761 Engrossed- 12 -LRB103 03215 CPF 48221 b SB0761 Engrossed - 12 - LRB103 03215 CPF 48221 b SB0761 Engrossed - 12 - LRB103 03215 CPF 48221 b 1 owned or operated by the federal government, that is 2 primarily intended for use in transporting the sick or 3 injured by means of air, water, or ground transportation, 4 that is not an ambulance as defined in this Act. The term 5 includes watercraft, aircraft and special purpose ground 6 transport vehicles or conveyances not intended for use on 7 public roads. 8 (3) An ambulance or SEMSV may also be designated as a 9 Limited Operation Vehicle or Special-Use Vehicle: 10 (A) "Limited Operation Vehicle" means a vehicle 11 which is licensed by the Department to provide basic, 12 intermediate or advanced life support emergency or 13 non-emergency medical services that are exclusively 14 limited to specific events or locales. 15 (B) "Special-Use Vehicle" means any publicly or 16 privately owned vehicle that is specifically designed, 17 constructed or modified and equipped, and is intended 18 to be used for, and is maintained or operated solely 19 for the emergency or non-emergency transportation of a 20 specific medical class or category of persons who are 21 sick, injured, wounded or otherwise incapacitated or 22 helpless (e.g. high-risk obstetrical patients, 23 neonatal patients). 24 (C) "Reserve Ambulance" means a vehicle that meets 25 all criteria set forth in this Section and all 26 Department rules, except for the required inventory of SB0761 Engrossed - 12 - LRB103 03215 CPF 48221 b SB0761 Engrossed- 13 -LRB103 03215 CPF 48221 b SB0761 Engrossed - 13 - LRB103 03215 CPF 48221 b SB0761 Engrossed - 13 - LRB103 03215 CPF 48221 b 1 medical supplies and durable medical equipment, which 2 may be rapidly transferred from a fully functional 3 ambulance to a reserve ambulance without the use of 4 tools or special mechanical expertise. 5 (b) The Department shall have the authority and 6 responsibility to: 7 (1) Require all Vehicle Service Providers, both 8 publicly and privately owned, to function within an EMS 9 System. 10 (2) Require a Vehicle Service Provider utilizing 11 ambulances to have a primary affiliation with an EMS 12 System within the EMS Region in which its Primary Service 13 Area is located, which is the geographic areas in which 14 the provider renders the majority of its emergency 15 responses. This requirement shall not apply to Vehicle 16 Service Providers which exclusively utilize Limited 17 Operation Vehicles. 18 (3) Establish licensing standards and requirements for 19 Vehicle Service Providers, through rules adopted pursuant 20 to this Act, including but not limited to: 21 (A) Vehicle design, specification, operation and 22 maintenance standards, including standards for the use 23 of reserve ambulances; 24 (B) Equipment requirements; 25 (C) Staffing requirements; and 26 (D) License renewal at intervals determined by the SB0761 Engrossed - 13 - LRB103 03215 CPF 48221 b SB0761 Engrossed- 14 -LRB103 03215 CPF 48221 b SB0761 Engrossed - 14 - LRB103 03215 CPF 48221 b SB0761 Engrossed - 14 - LRB103 03215 CPF 48221 b 1 Department, which shall be not less than every 4 2 years. 3 The Department's standards and requirements with 4 respect to vehicle staffing for private, nonpublic local 5 government employers must allow for alternative staffing 6 models that include an EMR who drives an ambulance with a 7 licensed EMT, EMT-I, A-EMT, Paramedic, or PHRN, as 8 appropriate, in the patient compartment providing care to 9 the patient pursuant to the approval of the EMS System 10 Program Plan developed and approved by the EMS Medical 11 Director for an EMS System. The Department shall monitor 12 the implementation and performance of alternative staffing 13 models and may issue a notice of termination of an 14 alternative staffing model only upon evidence that an EMS 15 System Program Plan is not being adhered to. Adoption of 16 an alternative staffing model shall not result in a 17 Vehicle Service Provider being prohibited or limited in 18 the utilization of its staff or equipment from providing 19 any of the services authorized by this Act or as otherwise 20 outlined in the approved EMS System Program Plan, 21 including, without limitation, the deployment of resources 22 to provide out-of-state disaster response. 23 An EMS System Program Plan for a Basic Life Support, 24 advanced life support, and critical care transport 25 services transport utilizing an EMR and an EMT, Paramedic, 26 or appropriate critical care transport staff shall include SB0761 Engrossed - 14 - LRB103 03215 CPF 48221 b SB0761 Engrossed- 15 -LRB103 03215 CPF 48221 b SB0761 Engrossed - 15 - LRB103 03215 CPF 48221 b SB0761 Engrossed - 15 - LRB103 03215 CPF 48221 b 1 the following: 2 (A) Alternative staffing models for a Basic Life 3 Support transport utilizing an EMR and an EMT shall 4 only be utilized for interfacility Basic Life Support 5 transports specified by the EMS System Program Plan as 6 determined by the EMS System Medical Director and 7 medical appointments, excluding any transport to or 8 from a dialysis center. 9 (B) Protocols that shall include dispatch 10 procedures to properly screen and assess patients for 11 EMR-staffed transports and EMT-staffed Basic Life 12 Support transport. 13 (C) A requirement that a provider shall implement 14 a quality assurance plan with mechanisms outlined to 15 audit dispatch screening and the outcome of transports 16 performed. 17 (D) The EMT, Paramedic, and critical care 18 transport staff shall have the minimum at least one 19 year of experience in performance of pre-hospital, 20 inter-hospital emergency care and other health care 21 experience as a clinician, as determined by the EMS 22 Medical Director in accordance with the EMS System 23 Program Plan. 24 (E) The licensed EMR must complete a defensive 25 driving course prior to participation in the 26 Department's alternative staffing model. SB0761 Engrossed - 15 - LRB103 03215 CPF 48221 b SB0761 Engrossed- 16 -LRB103 03215 CPF 48221 b SB0761 Engrossed - 16 - LRB103 03215 CPF 48221 b SB0761 Engrossed - 16 - LRB103 03215 CPF 48221 b 1 (F) The length of the EMS System Program Plan for a 2 Basic Life Support transport utilizing an EMR and an 3 EMT shall be for one year, and must be renewed annually 4 if proof of the criteria being met is submitted, 5 validated, and approved by the EMS Medical Director 6 for the EMS System and the Department. 7 The Department must allow for an alternative rural 8 staffing model for those vehicle service providers that 9 serve a rural or semi-rural population of 10,000 or fewer 10 inhabitants and exclusively uses volunteers, paid-on-call, 11 or a combination thereof. 12 (4) License all Vehicle Service Providers that have 13 met the Department's requirements for licensure, unless 14 such Provider is owned or licensed by the federal 15 government. All Provider licenses issued by the Department 16 shall specify the level and type of each vehicle covered 17 by the license (BLS, ILS, ALS, ambulance, SEMSV, limited 18 operation vehicle, special use vehicle, ambulance assist 19 vehicle, reserve ambulance) and shall allow for ambulances 20 to be immediately upgraded to a higher level of service 21 when the Vehicle Service Provider sends an ambulance 22 assist vehicle with appropriate equipment and licensed 23 staff to intercept with the licensed ambulance in the 24 field. 25 (5) Annually inspect all licensed vehicles operated by 26 Vehicle Service Providers. SB0761 Engrossed - 16 - LRB103 03215 CPF 48221 b SB0761 Engrossed- 17 -LRB103 03215 CPF 48221 b SB0761 Engrossed - 17 - LRB103 03215 CPF 48221 b SB0761 Engrossed - 17 - LRB103 03215 CPF 48221 b 1 (6) Suspend, revoke, refuse to issue or refuse to 2 renew the license of any Vehicle Service Provider, or that 3 portion of a license pertaining to a specific vehicle 4 operated by the Provider, after an opportunity for a 5 hearing, when findings show that the Provider or one or 6 more of its vehicles has failed to comply with the 7 standards and requirements of this Act or rules adopted by 8 the Department pursuant to this Act. 9 (7) Issue an Emergency Suspension Order for any 10 Provider or vehicle licensed under this Act, when the 11 Director or his designee has determined that an immediate 12 and serious danger to the public health, safety and 13 welfare exists. Suspension or revocation proceedings which 14 offer an opportunity for hearing shall be promptly 15 initiated after the Emergency Suspension Order has been 16 issued. 17 (8) Exempt any licensed vehicle from subsequent 18 vehicle design standards or specifications required by the 19 Department, as long as said vehicle is continuously in 20 compliance with the vehicle design standards and 21 specifications originally applicable to that vehicle, or 22 until said vehicle's title of ownership is transferred. 23 (9) Exempt any vehicle (except an SEMSV) which was 24 being used as an ambulance on or before December 15, 1980, 25 from vehicle design standards and specifications required 26 by the Department, until said vehicle's title of ownership SB0761 Engrossed - 17 - LRB103 03215 CPF 48221 b SB0761 Engrossed- 18 -LRB103 03215 CPF 48221 b SB0761 Engrossed - 18 - LRB103 03215 CPF 48221 b SB0761 Engrossed - 18 - LRB103 03215 CPF 48221 b 1 is transferred. Such vehicles shall not be exempt from all 2 other licensing standards and requirements prescribed by 3 the Department. 4 (10) Prohibit any Vehicle Service Provider from 5 advertising, identifying its vehicles, or disseminating 6 information in a false or misleading manner concerning the 7 Provider's type and level of vehicles, location, primary 8 service area, response times, level of personnel, 9 licensure status or System participation. 10 (10.5) Prohibit any Vehicle Service Provider, whether 11 municipal, private, or hospital-owned, from advertising 12 itself as a critical care transport provider unless it 13 participates in a Department-approved EMS System critical 14 care transport plan. 15 (11) Charge each Vehicle Service Provider a fee per 16 transport vehicle, due annually at time of inspection. The 17 fee per transport vehicle shall be set by administrative 18 rule by the Department and shall not exceed 100 vehicles 19 per provider. 20 (Source: P.A. 102-623, eff. 8-27-21.) 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