ENROLLED ACT No. 67 2020 Regular Session HOUSE BILL NO. 164 BY REPRESENTATIVE DAVIS 1 AN ACT 2 To amend and reenact R.S. 40:1133.14(B)(introductory paragraph) and (2), (C), and (E), 3 1135.3(C)(1)(c), and 1135.8(C)(4)(f), relative to emergency medical services; to 4 provide for duties of emergency medical personnel in certain situations in which the 5 life of a patient is threatened; to provide for protocols for rendering emergency 6 medical services in such situations; to provide for approval of such protocols by 7 emergency medical services medical directors; to provide relative to requirements 8 for licensure as an ambulance provider; to provide relative to requirements for 9 licensure as an air ambulance service; and to provide for related matters. 10 Be it enacted by the Legislature of Louisiana: 11 Section 1. R.S. 40:1133.14(B)(introductory paragraph) and (2), (C), and (E), 12 1135.3(C)(1)(c), and 1135.8(C)(4)(f) are hereby amended and reenacted to read as follows: 13 §1133.14. Duties of emergency medical personnel 14 * * * 15 B. An emergency medical services practitioner student may, while he is 16 enrolled in good standing in a state approved state-approved clinical or field 17 internship program under the direct supervision of a physician, registered nurse, 18 paramedic, or other preceptor recognized by the bureau: 19 * * * 20 (2) Administer automated cardiac defibrillation in accordance with rules and 21 regulations promulgated by the bureau in accordance with the Administrative 22 Procedure Act and a protocol that shall be approved by the local parish medical Page 1 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HB NO. 164 ENROLLED 1 society, or its a designee of the local parish medical society, and the local physician 2 or the EMS medical director. 3 C. In a case of a life-threatening situation as determined by a licensed 4 emergency medical services practitioner, when voice contact with a physician is 5 delayed, or not possible, or when the delay in treatment could endanger the life of 6 the patient, such a person may render services, in accordance with one of the 7 following protocols until voice communication can be established at the earliest 8 possible time: 9 (1) A protocol approved by the EMS medical director who is a 10 board-certified or board-eligible emergency medicine physician. 11 (2) A a protocol that shall be established by the emergency medical services 12 committee or the executive committee of the parish or component medical society, 13 or its designee, until voice communication can be established at the earliest possible 14 time. 15 * * * 16 E. In the event that there is no organized or functional local parish medical 17 society in a parish of the state, the provisions of functions provided for in Paragraph 18 (C)(2) of this Section which require the approval of an emergency medical service 19 protocol by the local parish medical society or its designee may be performed by a 20 the EMS medical director. parish or multi parish medical society which is adjacent 21 or contiguous to the parish without an organized or functional local parish medical 22 society. In the absence of such adjacent or contiguous parish or multi parish medical 23 society, the district medical society shall approve an emergency medical service 24 protocol for the parish without an organized or functional local parish medical 25 society. 26 * * * 27 §1135.3. Ambulance providers; licensure 28 * * * Page 2 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HB NO. 164 ENROLLED 1 C. An applicant seeking licensure as an ambulance provider shall: 2 (1) Submit a completed application to the department on such forms and 3 including such information and supporting documentation as required by the 4 department. Such information shall include: 5 * * * 6 (c) All medical protocols signed by the physician-medical EMS medical 7 director with their prescribed approvals or by the parish or component medical 8 society. 9 * * * 10 §1135.8. Air ambulance services; licensure 11 * * * 12 C. An applicant seeking licensure as an air ambulance service shall: 13 * * * 14 (4) Submit to and successfully complete an inspection by the department to 15 include the following: 16 * * * 17 (f) A review of medical protocols signed by the physician EMS medical 18 director of the air ambulance service, accompanied by the necessary approvals of or 19 the president or designee of the parish or component medical society in the service's 20 parish of domicile. 21 * * * SPEAKER OF THE HOUSE OF REPRESENTATIVES PRESIDENT OF THE SENATE GOVERNOR OF THE STATE OF LOUISIANA APPROVED: Page 3 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions.