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Missouri House Bill HB2381

Missouri 2022 Regular Session

Missouri House Bill HB2381 Compare Versions

OldNewDifferences
11 SECONDREGULARSESSION
2-[PERFECTED]
32 HOUSECOMMITTEESUBSTITUTEFOR
43 HOUSEBILLNO.2381
54 101STGENERALASSEMBLY
6-5094H.02P DANARADEMANMILLER,ChiefClerk
5+5094H.02C DANARADEMANMILLER,ChiefClerk
76 ANACT
87 Torepealsections67.145,70.631,170.310,190.091,190.100,190.134,650.320,650.330,
98 and650.340,RSMo,andtoenactinlieuthereofeightnewsectionsrelatingto
109 emergencymedicaldispatchers.
1110 BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows:
1211 SectionA.Sections67.145,70.631,170.310,190.091,190.100,190.134,650.320,
1312 2650.330,and650.340,RSMo,arerepealedandeightnewsectionsenactedinlieuthereof,to
1413 3beknownassections67.145,70.631,170.310,190.091,190.100,650.320,650.330,and
1514 4650.340,toreadasfollows:
1615 67.145.1.Nopoliticalsubdivisionofthisstateshallprohibitanyfirstresponderfrom
1716 2engaginginanypoliticalactivitywhileoffdutyandnotinuniform,beingacandidatefor
1817 3electedorappointedpublicoffice,orholdingsuchofficeunlesssuchpoliticalactivityor
1918 4candidacyisotherwiseprohibitedbystateorfederallaw.
2019 5 2.Asusedinthissection,"firstresponder"meansanypersontrainedandauthorized
2120 6bylaworruletorenderemergencymedicalassistanceortreatment.Suchpersonsmay
2221 7include,butshallnotbelimitedto,emergencyfirstresponders,telecommunicatorfirst
2322 8responders,policeofficers,sheriffs,deputysheriffs,firefighters,ambulanceattendantsand
2423 9attendantdrivers,emergencymedicaltechnicians,mobileemergencymedicaltechnicians,
2524 10emergencymedicaltechnician-paramedics,registerednurses,orphysicians.
2625 70.631.1.Eachpoliticalsubdivisionmay,bymajorityvoteofitsgoverningbody,
2726 2electtocoveremergency[telecommunicators] telecommunicatorfirstresponders, jailors,
2827 3andemergencymedicalservicepersonnelaspublicsafetypersonnelmembersofthesystem.
2928 4Theclerkorsecretaryofthepoliticalsubdivisionshallcertifyanelectionconcerningthe
29+5coverageofemergency[telecommunicators] telecommunicatorfirstresponders, jailors,
3030 EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
31-intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 5coverageofemergency[telecommunicators] telecommunicatorfirstresponders, jailors,
32-6andemergencymedicalservicepersonnelaspublicsafetypersonnelmembersofthesystem
31+intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 6andemergencymedicalservicepersonnelaspublicsafetypersonnelmembersofthesystem
3332 7totheboardwithintendaysaftersuchvote.Thedateinwhichthepoliticalsubdivision's
3433 8electionbecomeseffectiveshallbethefirstdayofthecalendarmonthspecifiedbysuch
3534 9governingbody,thefirstdayofthecalendarmonthnextfollowingreceiptbytheboardofthe
3635 10certificationoftheelection,ortheeffectivedateofthepoliticalsubdivision'sbecomingan
3736 11employer,whicheveristhelatestdate.Suchelectionshallnotbechangedaftertheeffective
3837 12date.Iftheelectionismade,thecoverageprovisionsshallbeapplicabletoallpastandfuture
3938 13employmentwiththeemployerbypresentandfutureemployees.Ifapoliticalsubdivision
4039 14makesnoelectionunderthissection,noemergencytelecommunicatorfirstresponder, jailor,
4140 15oremergencymedicalservicepersonnelofthepoliticalsubdivisionshallbeconsideredpublic
4241 16safetypersonnelforpurposesdeterminingaminimumserviceretirementageasdefinedin
4342 17section70.600.
4443 18 2.Ifanemployerelectstocoveremergency[telecommunicators] telecommunicator
4544 19firstresponders, jailors,andemergencymedicalservicepersonnelaspublicsafetypersonnel
4645 20membersofthesystem,theemployer'scontributionsshallbecorrespondinglychanged
4746 21effectivethesamedateastheeffectivedateofthepoliticalsubdivision'selection.
4847 22 3.Thelimitationonincreasesinanemployer'scontributionsprovidedbysubsection
4948 236ofsection70.730shallnotapplytoanycontributionincreaseresultingfromanemployer
5049 24makinganelectionundertheprovisionsofthissection.
5150 25 4.Theprovisionsofthissectionshallonlyapplytocountiesofthethirdclassification
5251 26andanycountyofthefirstclassificationwithmorethanseventythousandbutfewerthan
5352 27eighty-threethousandinhabitantsandwithacityofthefourthclassificationwithmorethan
5453 28thirteenthousandfivehundredbutfewerthansixteenthousandinhabitantsasthecountyseat,
5554 29andanypoliticalsubdivisionslocated,inwholeorinpart,withinsuchcounties.
5655 170.310.1.Forschoolyear2017-18andeachschoolyearthereafter,upon
5756 2graduationfromhighschool,pupilsinpublicschoolsandcharterschoolsshallhavereceived
5857 3thirtyminutesofcardiopulmonaryresuscitationinstructionandtrainingintheproper
5958 4performanceoftheHeimlichmaneuverorotherfirstaidforchokinggivenanytimeduringa
6059 5pupil'sfouryearsofhighschool.
6160 6 2.Beginninginschoolyear2017-18,anypublicschoolorcharterschoolserving
6261 7gradesninethroughtwelveshallprovideenrolledstudentsinstructionincardiopulmonary
6362 8resuscitation.Studentswithdisabilitiesmayparticipatetotheextentappropriateas
6463 9determinedbytheprovisionsoftheIndividualswithDisabilitiesEducationActorSection
6564 10504oftheRehabilitationAct.Instructionshallbeincludedinthedistrict'sexistinghealthor
6665 11physicaleducationcurriculum.Instructionshallbebasedonaprogramestablishedbythe
6766 12AmericanHeartAssociationortheAmericanRedCross,orthroughanationallyrecognized
68-HCSHB2381 2 13programbasedonthemostcurrentnationalevidence-basedemergencycardiovascularcare
69-14guidelines,andpsychomotorskillsdevelopmentshallbeincorporatedintotheinstruction.
67+13programbasedonthemostcurrentnationalevidence-basedemergencycardiovascularcare
68+HCSHB2381 2 14guidelines,andpsychomotorskillsdevelopmentshallbeincorporatedintotheinstruction.
7069 15Forpurposesofthissection,"psychomotorskills"meanstheuseofhands-onpracticingand
7170 16skillstestingtosupportcognitivelearning.
7271 17 3.Theteacherofthecardiopulmonaryresuscitationcourseorunitshallnotbe
7372 18requiredtobeacertifiedtrainerofcardiopulmonaryresuscitationiftheinstructionisnot
7473 19designedtoresultincertificationofstudents.Instructionthatisdesignedtoresultin
7574 20certificationbeingearnedshallberequiredtobetaughtbyanauthorizedcardiopulmonary
7675 21instructor.Schoolsmaydevelopagreementswithanylocalchapterofavoluntary
7776 22organizationoffirstresponderstoprovidetherequiredhands-onpracticeandskillstesting.
7877 23Forpurposesofthissubsection,firstrespondersshallincludetelecommunicatorfirst
7978 24respondersasdefinedinsection650.320.
8079 25 4.Thedepartmentofelementaryandsecondaryeducationmaypromulgaterulesto
8180 26implementthissection.Anyruleorportionofarule,asthattermisdefinedinsection
8281 27536.010,thatiscreatedundertheauthoritydelegatedinthissectionshallbecomeeffective
8382 28onlyifitcomplieswithandissubjecttoalloftheprovisionsofchapter536and,ifapplicable,
8483 29section536.028.Thissectionandchapter536arenonseverableandifanyofthepowers
8584 30vestedwiththegeneralassemblypursuanttochapter536toreview,todelaytheeffective
8685 31date,ortodisapproveandannularulearesubsequentlyheldunconstitutional,thenthegrant
8786 32ofrulemakingauthorityandanyruleproposedoradoptedafterAugust28,2012,shallbe
8887 33invalidandvoid.
8988 190.091.1.Asusedinthissection,thefollowingtermsmean:
9089 2 (1)"Bioterrorism",theintentionaluseofanymicroorganism,virus,infectious
9190 3substance,orbiologicalproductthatmaybeengineeredasaresultofbiotechnologyorany
9291 4naturallyoccurringorbioengineeredcomponentofanymicroorganism,virus,infectious
9392 5substance,orbiologicalproducttocausedeath,disease,orotherbiologicalmalfunctionina
9493 6human,ananimal,aplant,oranyotherlivingorganismtoinfluencetheconductof
9594 7governmentortointimidateorcoerceacivilianpopulation;
9695 8 (2)"Department",theMissouridepartmentofhealthandseniorservices;
9796 9 (3)"Director",thedirectorofthedepartmentofhealthandseniorservices;
9897 10 (4)"Disasterlocations",anygeographicallocationwhereabioterrorismattack,
9998 11terroristattack,catastrophicornaturaldisaster,oremergencyoccurs;
10099 12 (5)"Firstresponders",stateandlocallawenforcementpersonnel,telecommunicator
101100 13firstresponders,firedepartmentpersonnel,andemergencymedicalpersonnelwhowillbe
102-14deployedtobioterrorismattacks,terroristattacks,catastrophicornaturaldisasters,and
103-15emergencies.
104-HCSHB2381 3 16 2.Thedepartmentshallofferavaccinationprogramforfirstresponderswhomaybe
105-17exposedtoinfectiousdiseaseswhendeployedtodisasterlocationsasaresultofa
106-18bioterrorismeventorasuspectedbioterrorismevent.Thevaccinationsshallinclude,butare
107-19notlimitedto,smallpox,anthrax,andothervaccinationswhenrecommendedbythefederal
108-20CentersforDiseaseControlandPrevention'sAdvisoryCommitteeonImmunization
109-21Practices.
101+14deployedtorespondtopandemics,bioterrorismattacks,terroristattacks,catastrophicor
102+15naturaldisasters,andemergencies.
103+16 2.Thedepartmentshallofferavaccinationprogramforfirstresponderswhomaybe
104+17exposedtoinfectiousdiseaseswhendeployedtorespondtoapandemicortodisaster
105+HCSHB2381 3 18locationsasaresultofabioterrorismeventorasuspectedbioterrorismevent.The
106+19vaccinationsshallinclude,butarenotlimitedto,smallpox,anthrax,andothervaccinations
107+20whenrecommendedbythefederalCentersforDiseaseControlandPrevention'sAdvisory
108+21CommitteeonImmunizationPractices.
110109 22 3.Participationinthevaccinationprogramshallbevoluntarybythefirstresponders,
111110 23exceptforfirstresponderswho,asdeterminedbytheiremployer,cannotsafelyperform
112-24emergencyresponsibilitieswhenrespondingtoabioterrorismeventorsuspected
113-25bioterrorismeventwithoutbeingvaccinated.TherecommendationsoftheCentersfor
114-26DiseaseControlandPrevention'sAdvisoryCommitteeonImmunizationPracticesshallbe
111+24[emergency] theirresponsibilitieswhenrespondingtoapandemic,bioterrorismevent, or
112+25suspectedbioterrorismeventwithoutbeingvaccinated.TherecommendationsoftheCenters
113+26forDiseaseControlandPrevention'sAdvisoryCommitteeonImmunizationPracticesshallbe
115114 27followedwhenprovidingappropriatescreeningforcontraindicationstovaccinationforfirst
116-28responders.Afirstrespondershallbeexemptfromvaccinationswhenawrittenstatement
115+28responders.Afirstrespondershallbeexemptfromvaccinations[whenawrittenstatement
117116 29fromalicensedphysicianispresentedtotheiremployerindicatingthatavaccineismedically
118-30contraindicatedforsuchperson.
119-31 4.Ifashortageofthevaccinesreferredtoinsubsection2ofthissectionexists
120-32followingabioterrorismeventorsuspectedbioterrorismevent,thedirector,inconsultation
121-33withthegovernorandthefederalCentersforDiseaseControlandPrevention,shallgive
122-34priorityforsuchvaccinationstopersonsexposedtothediseaseandtofirstresponderswho
123-35aredeployedtothedisasterlocation.
124-36 5.Thedepartmentshallnotifyfirstrespondersconcerningtheavailabilityofthe
125-37vaccinationprogramdescribedinsubsection2ofthissectionandshallprovideeducationto
126-38suchfirstrespondersandtheiremployersconcerningthevaccinationsofferedandthe
127-39associateddiseases.
128-40 6.Thedepartmentmaycontractfortheadministrationofthevaccinationprogram
129-41describedinsubsection2ofthissectionwithhealthcareproviders,includingbutnotlimited
130-42tolocalpublichealthagencies,hospitals,federallyqualifiedhealthcenters,andphysicians.
131-43 7.Theprovisionsofthissectionshallbecomeeffectiveuponreceiptoffederal
132-44fundingorfederalgrantswhichdesignatethatthefundingisrequiredtoimplement
133-45vaccinationsforfirstrespondersinaccordancewiththerecommendationsofthefederal
134-46CentersforDiseaseControlandPrevention'sAdvisoryCommitteeonImmunization
135-47Practices.Uponreceiptofsuchfunding,thedepartmentshallmakeavailablethevaccinesto
136-48firstrespondersasprovidedinthissection.
117+30contraindicatedforsuchperson] uponobjectingtohisorheremployeronthebasisof
118+31religiousbeliefsormedicalcontraindications.Theemployershallnotrequirethefirst
119+32respondertofurnishanyexplanationorsubmitanydocumentationsupportingthe
120+33objection.
121+34 4.Ifashortageofthevaccinesreferredtoinsubsection2ofthissectionexistsduring
122+35apandemicorfollowingabioterrorismeventorsuspectedbioterrorismevent,thedirector,in
123+36consultationwiththegovernorandthefederalCentersforDiseaseControlandPrevention,
124+37shallgivepriorityforsuchvaccinationstopersonsexposedtothediseaseandtofirst
125+38responderswhoaredeployedtorespondtothepandemicortothedisasterlocation.
126+39 5.Thedepartmentshallnotifyfirstrespondersconcerningtheavailabilityofthe
127+40vaccinationprogramdescribedinsubsection2ofthissectionandshallprovideeducationto
128+41suchfirstrespondersandtheiremployersconcerningthevaccinationsofferedandthe
129+42associateddiseases.
130+43 6.Thedepartmentmaycontractfortheadministrationofthevaccinationprogram
131+44describedinsubsection2ofthissectionwithhealthcareproviders,includingbutnotlimited
132+45tolocalpublichealthagencies,hospitals,federallyqualifiedhealthcenters,andphysicians.
133+46 7.Theprovisionsofthissectionshallbecomeeffectiveuponreceiptoffederal
134+47fundingorfederalgrantswhichdesignatethatthefundingisrequiredtoimplement
135+48vaccinationsforfirstrespondersinaccordancewiththerecommendationsofthefederal
136+49CentersforDiseaseControlandPrevention'sAdvisoryCommitteeonImmunization
137+50Practices.Uponreceiptofsuchfunding,thedepartmentshallmakeavailablethevaccinesto
138+51firstrespondersasprovidedinthissection.
137139 190.100.Asusedinsections190.001to190.245,thefollowingwordsandterms
138140 2mean:
139-3 (1)"Advancedemergencymedicaltechnician"or"AEMT",apersonwhohas
141+HCSHB2381 4 3 (1)"Advancedemergencymedicaltechnician"or"AEMT",apersonwhohas
140142 4successfullycompletedacourseofinstructionincertainaspectsofadvancedlifesupportcare
141-HCSHB2381 4 5asprescribedbythedepartmentandislicensedbythedepartmentinaccordancewithsections
143+5asprescribedbythedepartmentandislicensedbythedepartmentinaccordancewithsections
142144 6190.001to190.245andrulesandregulationsadoptedbythedepartmentpursuanttosections
143145 7190.001to190.245;
144146 8 (2)"Advancedlifesupport(ALS)",anadvancedlevelofcareasprovidedtotheadult
145147 9andpediatricpatientsuchasdefinedbynationalcurricula,andanymodificationstothat
146148 10curriculaspecifiedinrulesadoptedbythedepartmentpursuanttosections190.001to
147149 11190.245;
148150 12 (3)"Ambulance",anyprivatelyorpubliclyownedvehicleorcraftthatisspecially
149151 13designed,constructedormodified,staffedorequippedfor,andisintendedorused,
150152 14maintainedoroperatedforthetransportationofpersonswhoaresick,injured,woundedor
151153 15otherwiseincapacitatedorhelpless,orwhorequirethepresenceofmedicalequipmentbeing
152154 16usedonsuchindividuals,butthetermdoesnotincludeanymotorvehiclespeciallydesigned,
153155 17constructedorconvertedfortheregulartransportationofpersonswhoaredisabled,
154156 18handicapped,normallyusingawheelchair,orotherwisenotacutelyill,oremergencyvehicles
155157 19usedwithinairports;
156158 20 (4)"Ambulanceservice",apersonorentitythatprovidesemergencyor
157159 21nonemergencyambulancetransportationandservices,orboth,incompliancewithsections
158160 22190.001to190.245,andtherulespromulgatedbythedepartmentpursuanttosections
159161 23190.001to190.245;
160162 24 (5)"Ambulanceservicearea",aspecificgeographicareainwhichanambulance
161163 25servicehasbeenauthorizedtooperate;
162164 26 (6)"Basiclifesupport(BLS)",abasiclevelofcare,asprovidedtotheadultand
163165 27pediatricpatientasdefinedbynationalcurricula,andanymodificationstothatcurricula
164166 28specifiedinrulesadoptedbythedepartmentpursuanttosections190.001to190.245;
165167 29 (7)"Council",thestateadvisorycouncilonemergencymedicalservices;
166168 30 (8)"Department",thedepartmentofhealthandseniorservices,stateofMissouri;
167169 31 (9)"Director",thedirectorofthedepartmentofhealthandseniorservicesorthe
168170 32director'sdulyauthorizedrepresentative;
169171 33 (10)["Dispatchagency",anypersonororganizationthatreceivesrequestsfor
170172 34emergencymedicalservicesfromthepublic,bytelephoneorothermeans,andisresponsible
171173 35fordispatchingemergencymedicalservices;
172174 36 (11)]"Emergency",thesuddenand,atthetime,unexpectedonsetofahealth
173175 37conditionthatmanifestsitselfbysymptomsofsufficientseveritythatwouldleadaprudent
174176 38layperson,possessinganaverageknowledgeofhealthandmedicine,tobelievethatthe
175177 39absenceofimmediatemedicalcarecouldresultin:
176-40 (a)Placingtheperson'shealth,orwithrespecttoapregnantwoman,thehealthofthe
178+HCSHB2381 5 40 (a)Placingtheperson'shealth,orwithrespecttoapregnantwoman,thehealthofthe
177179 41womanorherunbornchild,insignificantjeopardy;
178-HCSHB2381 5 42 (b)Seriousimpairmenttoabodilyfunction;
180+42 (b)Seriousimpairmenttoabodilyfunction;
179181 43 (c)Seriousdysfunctionofanybodilyorganorpart;
180182 44 (d)Inadequatelycontrolledpain;
181183 45 [(12)] (11)"Emergencymedicaldispatcher",apersonwhoreceivesemergencycalls
182184 46fromthepublicandhassuccessfullycompletedanemergencymedicaldispatchercourse[,
183185 47meetingorexceedingthenationalcurriculumoftheUnitedStatesDepartmentof
184186 48Transportationandanymodificationstosuchcurriculaspecifiedbythedepartment
185187 49throughrulesadoptedpursuanttosections190.001to190.245] andanyongoingtraining
186188 50requirementsundersection650.340;
187189 51 [(13)] (12)"Emergencymedicalresponder",apersonwhohassuccessfullycompleted
188190 52anemergencyfirstresponsecoursemeetingorexceedingthenationalcurriculumoftheU.S.
189191 53DepartmentofTransportationandanymodificationstosuchcurriculaspecifiedbythe
190192 54departmentthroughrulesadoptedundersections190.001to190.245andwhoprovides
191193 55emergencymedicalcarethroughemploymentbyorinassociationwithanemergencymedical
192194 56responseagency;
193195 57 [(14)] (13)"Emergencymedicalresponseagency",anypersonthatregularlyprovides
194196 58alevelofcarethatincludesfirstresponse,basiclifesupportoradvancedlifesupport,
195197 59exclusiveofpatienttransportation;
196198 60 [(15)] (14)"Emergencymedicalservicesforchildren(EMS-C)system",the
197199 61arrangementofpersonnel,facilitiesandequipmentforeffectiveandcoordinateddeliveryof
198200 62pediatricemergencymedicalservicesrequiredinpreventionandmanagementofincidents
199201 63whichoccurasaresultofamedicalemergencyorofaninjuryevent,naturaldisasteror
200202 64similarsituation;
201203 65 [(16)] (15)"Emergencymedicalservices(EMS)system",thearrangementof
202204 66personnel,facilitiesandequipmentfortheeffectiveandcoordinateddeliveryofemergency
203205 67medicalservicesrequiredinpreventionandmanagementofincidentsoccurringasaresultof
204206 68anillness,injury,naturaldisasterorsimilarsituation;
205207 69 [(17)] (16)"Emergencymedicaltechnician",apersonlicensedinemergencymedical
206208 70careinaccordancewithstandardsprescribedbysections190.001to190.245,andbyrules
207209 71adoptedbythedepartmentpursuanttosections190.001to190.245;
208-72 [(18)"Emergencymedicaltechnician-basic"or"EMT-B",apersonwhohas
210+72 [(18)] (17)"Emergencymedicaltechnician-basic"or"EMT-B",apersonwhohas
209211 73successfullycompletedacourseofinstructioninbasiclifesupportasprescribedbythe
210212 74departmentandislicensedbythedepartmentinaccordancewithstandardsprescribedby
211213 75sections190.001to190.245andrulesadoptedbythedepartmentpursuanttosections190.001
212214 76to190.245;
213-77 (19)] (17)"Emergencymedicaltechnician-communityparamedic","community
215+HCSHB2381 6 77 [(19)] (18)"Emergencymedicaltechnician-communityparamedic","community
214216 78paramedic",or"EMT-CP",apersonwhoiscertifiedasanemergencymedicaltechnician-
215-HCSHB2381 6 79paramedicandiscertifiedbythedepartmentinaccordancewithstandardsprescribedin
217+79paramedicandiscertifiedbythedepartmentinaccordancewithstandardsprescribedin
216218 80section190.098;
217-81 [(20)"Emergencymedicaltechnician-paramedic"or"EMT-P",apersonwhohas
218-82successfullycompletedacourseofinstructioninadvancedlifesupportcareasprescribedby
219-83thedepartmentandislicensedbythedepartmentinaccordancewithsections190.001to
219+81 [(20)] (19)"Emergencymedicaltechnician-paramedic"or"EMT-P",apersonwho
220+82hassuccessfullycompletedacourseofinstructioninadvancedlifesupportcareasprescribed
221+83bythedepartmentandislicensedbythedepartmentinaccordancewithsections190.001to
220222 84190.245andrulesadoptedbythedepartmentpursuanttosections190.001to190.245;
221-85 (21)](18)"Emergencyservices",healthcareitemsandservicesfurnishedorrequired
222-86toscreenandstabilizeanemergencywhichmayinclude,butshallnotbelimitedto,health
223-87careservicesthatareprovidedinalicensedhospital'semergencyfacilitybyanappropriate
224-88providerorbyanambulanceserviceoremergencymedicalresponseagency;
225-89 [(22)] (19)"Healthcarefacility",ahospital,nursinghome,physician'sofficeorother
223+85 [(21)] (20)"Emergencyservices",healthcareitemsandservicesfurnishedor
224+86requiredtoscreenandstabilizeanemergencywhichmayinclude,butshallnotbelimitedto,
225+87healthcareservicesthatareprovidedinalicensedhospital'semergencyfacilitybyan
226+88appropriateproviderorbyanambulanceserviceoremergencymedicalresponseagency;
227+89 [(22)] (21)"Healthcarefacility",ahospital,nursinghome,physician'sofficeorother
226228 90fixedlocationatwhichmedicalandhealthcareservicesareperformed;
227-91 [(23)] (20)"Hospital",anestablishmentasdefinedinthehospitallicensinglaw,
229+91 [(23)] (22)"Hospital",anestablishmentasdefinedinthehospitallicensinglaw,
228230 92subsection2ofsection197.020,orahospitaloperatedbythestate;
229-93 [(24)] (21)"Medicalcontrol",supervisionprovidedbyorunderthedirectionof
231+93 [(24)] (23)"Medicalcontrol",supervisionprovidedbyorunderthedirectionof
230232 94physicians,ortheirdesignatedregisterednurse,includingbothonlinemedicalcontrol,
231233 95instructionsbyradio,telephone,orothermeansofdirectcommunications,andoffline
232234 96medicalcontrolthroughsupervisionbytreatmentprotocols,casereview,training,and
233235 97standingordersfortreatment;
234-98 [(25)] (22)"Medicaldirection",medicalguidanceandsupervisionprovidedbya
236+98 [(25)] (24)"Medicaldirection",medicalguidanceandsupervisionprovidedbya
235237 99physiciantoanemergencyservicesprovideroremergencymedicalservicessystem;
236-100 [(26)] (23)"Medicaldirector",aphysicianlicensedpursuanttochapter334
238+100 [(26)] (25)"Medicaldirector",aphysicianlicensedpursuanttochapter334
237239 101designatedbytheambulanceservice, dispatchagency,oremergencymedicalresponse
238240 102agencyandwhomeetscriteriaspecifiedbythedepartmentbyrulespursuanttosections
239241 103190.001to190.245;
240-104 [(27)] (24)"Memorandumofunderstanding",anagreementbetweenanemergency
242+104 [(27)] (26)"Memorandumofunderstanding",anagreementbetweenanemergency
241243 105medicalresponseagencyordispatchagencyandanambulanceserviceorserviceswithin
242244 106whoseterritorytheagencyoperates,inordertocoordinateemergencymedicalservices;
243-107 (25)"Paramedic",apersonwhohassuccessfullycompletedacourseof
244-108instructioninadvancedlifesupportcareasprescribedbythedepartmentandis
245-109licensedbythedepartmentinaccordancewithsections190.001to190.245andrules
246-110adoptedbythedepartmentpursuanttosections190.001to190.245;
247-111 [(28)] (26)"Patient",anindividualwhoissick,injured,wounded,diseased,or
248-112otherwiseincapacitatedorhelpless,ordead,excludingdeceasedindividualsbeingtransported
249-113fromorbetweenprivateorpublicinstitutions,homesorcemeteries,andindividualsdeclared
250-114deadpriortothetimeanambulanceiscalledforassistance;
251-HCSHB2381 7 115 [(29)] (27)"Person",asusedinthesedefinitionsandelsewhereinsections190.001to
252-116190.245,anyindividual,firm,partnership,copartnership,jointventure,association,
253-117cooperativeorganization,corporation,municipalorprivate,andwhetherorganizedfor
254-118profitornot,state,county,politicalsubdivision,statedepartment,commission,board,bureau
255-119orfraternalorganization,estate,publictrust,businessorcommonlawtrust,receiver,assignee
256-120forthebenefitofcreditors,trusteeortrusteeinbankruptcy,oranyotherserviceuseror
257-121provider;
258-122 [(30)] (28)"Physician",apersonlicensedasaphysicianpursuanttochapter334;
259-123 [(31)] (29)"Politicalsubdivision",anymunicipality,city,county,citynotwithina
260-124county,ambulancedistrictorfireprotectiondistrictlocatedinthisstatewhichprovidesorhas
261-125authoritytoprovideambulanceservice;
262-126 [(32)] (30)"Professionalorganization",anyorganizedgrouporassociationwithan
263-127ongoinginterestregardingemergencymedicalservices.Suchgroupsandassociationscould
264-128includethoserepresentingvolunteers,labor,management,firefighters,[EMT-B's,] nurses,
265-129[EMT-P's] paramedics, physicians,communicationsspecialistsandinstructors.
266-130Organizationscouldalsorepresenttheinterestsofgroundambulanceservices,air
267-131ambulanceservices,fireserviceorganizations,lawenforcement,hospitals,traumacenters,
268-132communicationcenters,pediatricservices,laborunionsandpoisoncontrolservices;
269-133 [(33)] (31)"Proofoffinancialresponsibility",proofofabilitytorespondtodamages
270-134forliability,onaccountofaccidentsoccurringsubsequenttotheeffectivedateofsuchproof,
271-135arisingoutoftheownership,maintenanceoruseofamotorvehicleinthefinancialamount
272-136setinrulespromulgatedbythedepartment,butinnoeventlessthanthestatutoryminimum
273-137requiredformotorvehicles.Proofoffinancialresponsibilityshallbeusedasproofofself-
274-138insurance;
275-139 [(34)] (32)"Protocol",apredetermined,writtenmedicalcareguideline,whichmay
276-140includestandingorders;
277-141 [(35)] (33)"RegionalEMSadvisorycommittee",acommitteeformedwithinan
278-142emergencymedicalservices(EMS)regiontoadviseambulanceservices,thestateadvisory
279-143councilonEMSandthedepartment;
280-144 [(36)] (34)"Specialtycaretransportation",thetransportationofapatientrequiringthe
281-145servicesofanemergencymedicaltechnician-paramedicwhohasreceivedadditionaltraining
282-146beyondthetrainingprescribedbythedepartment.Specialtycaretransportationservicesshall
283-147bedefinedinwritingintheappropriatelocalprotocolsforgroundandairambulanceservices
284-148andapprovedbythelocalphysicianmedicaldirector.Theprotocolsshallbemaintainedby
285-149thelocalambulanceserviceandshalldefinetheadditionaltrainingrequiredoftheemergency
286-150medicaltechnician-paramedic;
287-HCSHB2381 8 151 [(37)] (35)"Stabilize",withrespecttoanemergency,theprovisionofsuchmedical
288-152treatmentasmaybenecessarytoattempttoassurewithinreasonablemedicalprobabilitythat
289-153nomaterialdeteriorationofanindividual'smedicalconditionislikelytoresultfromoroccur
290-154duringambulancetransportationunlessthelikelybenefitsofsuchtransportationoutweighthe
291-155risks;
292-156 [(38)] (36)"Stateadvisorycouncilonemergencymedicalservices",acommittee
293-157formedtoadvisethedepartmentonpolicyaffectingemergencymedicalservicethroughout
294-158thestate;
295-159 [(39)] (37)"StateEMSmedicaldirectorsadvisorycommittee",asubcommitteeofthe
296-160stateadvisorycouncilonemergencymedicalservicesformedtoadvisethestateadvisory
297-161councilonemergencymedicalservicesandthedepartmentonmedicalissues;
298-162 [(40)] (38)"STEMI"or"ST-elevationmyocardialinfarction",atypeofheartattackin
299-163whichimpairedbloodflowtothepatient'sheartmuscleisevidencedbyST-segmentelevation
300-164inelectrocardiogramanalysis,andasfurtherdefinedinrulespromulgatedbythedepartment
301-165undersections190.001to190.250;
302-166 [(41)] (39)"STEMIcare",includeseducationandprevention,emergencytransport,
303-167triage,andacutecareandrehabilitativeservicesforSTEMIthatrequiresimmediatemedical
304-168orsurgicalinterventionortreatment;
305-169 [(42)] (40)"STEMIcenter",ahospitalthatiscurrentlydesignatedassuchbythe
306-170departmenttocareforpatientswithST-segmentelevationmyocardialinfarctions;
307-171 [(43)] (41)"Stroke",aconditionofimpairedbloodflowtoapatient'sbrainasdefined
308-172bythedepartment;
309-173 [(44)] (42)"Strokecare",includesemergencytransport,triage,andacuteintervention
310-174andotheracutecareservicesforstrokethatpotentiallyrequireimmediatemedicalorsurgical
311-175interventionortreatment,andmayincludeeducation,primaryprevention,acuteintervention,
312-176acuteandsubacutemanagement,preventionofcomplications,secondarystrokeprevention,
313-177andrehabilitativeservices;
314-178 [(45)] (43)"Strokecenter",ahospitalthatiscurrentlydesignatedassuchbythe
315-179department;
316-180 [(46)] (44)"Trauma",aninjurytohumantissuesandorgansresultingfromthe
317-181transferofenergyfromtheenvironment;
318-182 [(47)] (45)"Traumacare"includesinjuryprevention,triage,acutecareand
319-183rehabilitativeservicesformajorsinglesystemormultisysteminjuriesthatpotentiallyrequire
320-184immediatemedicalorsurgicalinterventionortreatment;
321-185 [(48)] (46)"Traumacenter",ahospitalthatiscurrentlydesignatedassuchbythe
322-186department.
245+107 [(28)] (27)"Patient",anindividualwhoissick,injured,wounded,diseased,or
246+108otherwiseincapacitatedorhelpless,ordead,excludingdeceasedindividualsbeingtransported
247+109fromorbetweenprivateorpublicinstitutions,homesorcemeteries,andindividualsdeclared
248+110deadpriortothetimeanambulanceiscalledforassistance;
249+111 [(29)] (28)"Person",asusedinthesedefinitionsandelsewhereinsections190.001to
250+112190.245,anyindividual,firm,partnership,copartnership,jointventure,association,
251+113cooperativeorganization,corporation,municipalorprivate,andwhetherorganizedfor
252+HCSHB2381 7 114profitornot,state,county,politicalsubdivision,statedepartment,commission,board,bureau
253+115orfraternalorganization,estate,publictrust,businessorcommonlawtrust,receiver,assignee
254+116forthebenefitofcreditors,trusteeortrusteeinbankruptcy,oranyotherserviceuseror
255+117provider;
256+118 [(30)] (29)"Physician",apersonlicensedasaphysicianpursuanttochapter334;
257+119 [(31)] (30)"Politicalsubdivision",anymunicipality,city,county,citynotwithina
258+120county,ambulancedistrictorfireprotectiondistrictlocatedinthisstatewhichprovidesorhas
259+121authoritytoprovideambulanceservice;
260+122 [(32)] (31)"Professionalorganization",anyorganizedgrouporassociationwithan
261+123ongoinginterestregardingemergencymedicalservices.Suchgroupsandassociationscould
262+124includethoserepresentingvolunteers,labor,management,firefighters,EMT-B's,nurses,
263+125EMT-P's,physicians,communicationsspecialistsandinstructors.Organizationscouldalso
264+126representtheinterestsofgroundambulanceservices,airambulanceservices,fireservice
265+127organizations,lawenforcement,hospitals,traumacenters,communicationcenters,pediatric
266+128services,laborunionsandpoisoncontrolservices;
267+129 [(33)] (32)"Proofoffinancialresponsibility",proofofabilitytorespondtodamages
268+130forliability,onaccountofaccidentsoccurringsubsequenttotheeffectivedateofsuchproof,
269+131arisingoutoftheownership,maintenanceoruseofamotorvehicleinthefinancialamount
270+132setinrulespromulgatedbythedepartment,butinnoeventlessthanthestatutoryminimum
271+133requiredformotorvehicles.Proofoffinancialresponsibilityshallbeusedasproofofself-
272+134insurance;
273+135 [(34)] (33)"Protocol",apredetermined,writtenmedicalcareguideline,whichmay
274+136includestandingorders;
275+137 [(35)] (34)"RegionalEMSadvisorycommittee",acommitteeformedwithinan
276+138emergencymedicalservices(EMS)regiontoadviseambulanceservices,thestateadvisory
277+139councilonEMSandthedepartment;
278+140 [(36)] (35)"Specialtycaretransportation",thetransportationofapatientrequiringthe
279+141servicesofanemergencymedicaltechnician-paramedicwhohasreceivedadditionaltraining
280+142beyondthetrainingprescribedbythedepartment.Specialtycaretransportationservicesshall
281+143bedefinedinwritingintheappropriatelocalprotocolsforgroundandairambulanceservices
282+144andapprovedbythelocalphysicianmedicaldirector.Theprotocolsshallbemaintainedby
283+145thelocalambulanceserviceandshalldefinetheadditionaltrainingrequiredoftheemergency
284+146medicaltechnician-paramedic;
285+147 [(37)] (36)"Stabilize",withrespecttoanemergency,theprovisionofsuchmedical
286+148treatmentasmaybenecessarytoattempttoassurewithinreasonablemedicalprobabilitythat
287+149nomaterialdeteriorationofanindividual'smedicalconditionislikelytoresultfromoroccur
288+HCSHB2381 8 150duringambulancetransportationunlessthelikelybenefitsofsuchtransportationoutweighthe
289+151risks;
290+152 [(38)] (37)"Stateadvisorycouncilonemergencymedicalservices",acommittee
291+153formedtoadvisethedepartmentonpolicyaffectingemergencymedicalservicethroughout
292+154thestate;
293+155 [(39)] (38)"StateEMSmedicaldirectorsadvisorycommittee",asubcommitteeofthe
294+156stateadvisorycouncilonemergencymedicalservicesformedtoadvisethestateadvisory
295+157councilonemergencymedicalservicesandthedepartmentonmedicalissues;
296+158 [(40)] (39)"STEMI"or"ST-elevationmyocardialinfarction",atypeofheartattackin
297+159whichimpairedbloodflowtothepatient'sheartmuscleisevidencedbyST-segmentelevation
298+160inelectrocardiogramanalysis,andasfurtherdefinedinrulespromulgatedbythedepartment
299+161undersections190.001to190.250;
300+162 [(41)] (40)"STEMIcare",includeseducationandprevention,emergencytransport,
301+163triage,andacutecareandrehabilitativeservicesforSTEMIthatrequiresimmediatemedical
302+164orsurgicalinterventionortreatment;
303+165 [(42)] (41)"STEMIcenter",ahospitalthatiscurrentlydesignatedassuchbythe
304+166departmenttocareforpatientswithST-segmentelevationmyocardialinfarctions;
305+167 [(43)] (42)"Stroke",aconditionofimpairedbloodflowtoapatient'sbrainasdefined
306+168bythedepartment;
307+169 [(44)] (43)"Strokecare",includesemergencytransport,triage,andacuteintervention
308+170andotheracutecareservicesforstrokethatpotentiallyrequireimmediatemedicalorsurgical
309+171interventionortreatment,andmayincludeeducation,primaryprevention,acuteintervention,
310+172acuteandsubacutemanagement,preventionofcomplications,secondarystrokeprevention,
311+173andrehabilitativeservices;
312+174 [(45)] (44)"Strokecenter",ahospitalthatiscurrentlydesignatedassuchbythe
313+175department;
314+176 [(46)] (45)"Trauma",aninjurytohumantissuesandorgansresultingfromthe
315+177transferofenergyfromtheenvironment;
316+178 [(47)] (46)"Traumacare"includesinjuryprevention,triage,acutecareand
317+179rehabilitativeservicesformajorsinglesystemormultisysteminjuriesthatpotentiallyrequire
318+180immediatemedicalorsurgicalinterventionortreatment;
319+181 [(48)] (47)"Traumacenter",ahospitalthatiscurrentlydesignatedassuchbythe
320+182department.
323321 650.320.Forthepurposesofsections650.320to650.340,thefollowingtermsmean:
324-HCSHB2381 9 2 (1)"Ambulanceservice",thesamemeaninggiventotheterminsection190.100;
322+2 (1)"Ambulanceservice",thesamemeaninggiventotheterminsection190.100;
325323 3 (2)"Board",theMissouri911serviceboardestablishedinsection650.325;
326-4 [(2)](3)"Dispatchagency",anypersonororganizationthatreceivesrequests
324+HCSHB2381 9 4 [(2)](3)"Dispatchagency",anypersonororganizationthatreceivesrequests
327325 5foremergencymedicalservicesfromthepublic,bytelephoneorothermeans,andis
328326 6responsiblefordispatchingemergencymedicalservices;
329327 7 (4)"Medicaldirector",thesamemeaninggiventotheterminsection190.100;
330328 8 (5)"Memorandumofunderstanding",thesamemeaninggiventothetermin
331329 9section190.100;
332330 10 (6)"Publicsafetyansweringpoint",thelocationatwhich911callsareanswered;
333331 11 [(3)](7)"Telecommunicatorfirstresponder", anypersonemployedasanemergency
334332 12[telephoneworker,]calltakerorpublicsafetydispatcherwhosedutiesincludereceiving,
335333 13processingortransmittingpublicsafetyinformationreceivedthrougha911publicsafety
336334 14answeringpoint.
337335 650.330.1.Theboardshallconsistoffifteenmembers,oneofwhichshallbechosen
338336 2fromthedepartmentofpublicsafety,andtheothermembersshallbeselectedasfollows:
339337 3 (1)Onememberchosentorepresentanassociationdomiciledinthisstatewhose
340338 4primaryinterestrelatestomunicipalities;
341339 5 (2)OnememberchosentorepresenttheMissouri911DirectorsAssociation;
342340 6 (3)Onememberchosentorepresentemergencymedicalservicesandphysicians;
343341 7 (4)Onememberchosentorepresentanassociationwithachapterdomiciledinthis
344342 8statewhoseprimaryinterestrelatestoanationalemergencynumber;
345343 9 (5)Onememberchosentorepresentanassociationwhoseprimaryinterestrelatesto
346344 10issuespertainingtofirechiefs;
347345 11 (6)Onememberchosentorepresentanassociationwithachapterdomiciledinthis
348346 12statewhoseprimaryinterestrelatestoissuespertainingtopublicsafetycommunications
349347 13officers;
350348 14 (7)Onememberchosentorepresentanassociationwhoseprimaryinterestrelatesto
351349 15issuespertainingtopolicechiefs;
352350 16 (8)Onememberchosentorepresentanassociationdomiciledinthisstatewhose
353351 17primaryinterestrelatestoissuespertainingtosheriffs;
354352 18 (9)Onememberchosentorepresentcountiesofthesecond,third,andfourth
355353 19classification;
356354 20 (10)Onememberchosentorepresentcountiesofthefirstclassification,countieswith
357355 21acharterformofgovernment,andcitiesnotwithinacounty;
358356 22 (11)Onememberchosentorepresenttelecommunicationsserviceproviders;
359357 23 (12)Onememberchosentorepresentwirelesstelecommunicationsserviceproviders;
360-HCSHB2381 10 24 (13)Onememberchosentorepresentvoiceoverinternetprotocolserviceproviders;
358+24 (13)Onememberchosentorepresentvoiceoverinternetprotocolserviceproviders;
361359 25and
362-26 (14)Onememberchosentorepresentthegovernor'scouncilondisabilityestablished
360+HCSHB2381 10 26 (14)Onememberchosentorepresentthegovernor'scouncilondisabilityestablished
363361 27undersection37.735.
364362 28 2.Eachofthemembersoftheboardshallbeappointedbythegovernorwiththe
365363 29adviceandconsentofthesenateforatermoffouryears.Membersofthecommitteemay
366364 30servemultipleterms.Nocorporationoritsaffiliateshallhavemorethanoneofficer,
367365 31employee,assign,agent,orotherrepresentativeservingasamemberoftheboard.
368366 32Notwithstandingsubsection1ofthissectiontothecontrary,allmembersappointedasof
369367 33August28,2017,shallcontinuetoservetheremainderoftheirterms.
370368 34 3.Theboardshallmeetatleastquarterlyataplaceandtimespecifiedbythe
371369 35chairpersonoftheboardanditshallkeepandmaintainrecordsofsuchmeetings,aswellas
372370 36theotheractivitiesoftheboard.Membersshallnotbecompensatedbutshallreceiveactual
373371 37andnecessaryexpensesforattendingmeetingsoftheboard.
374372 38 4.Theboardshall:
375373 39 (1)Organizeandadoptstandardsgoverningtheboard'sformalandinformal
376374 40procedures;
377375 41 (2)Providerecommendationsforprimaryansweringpointsandsecondaryanswering
378376 42pointsontechnicalandoperationalstandardsfor911services;
379377 43 (3)Providerecommendationstopublicagenciesconcerningmodelsystemstobe
380378 44consideredinpreparinga911serviceplan;
381379 45 (4)Providerequestedmediationservicestopoliticalsubdivisionsinvolvedin
382380 46jurisdictionaldisputesregardingtheprovisionof911services,exceptthattheboardshallnot
383381 47supersededecision-makingauthorityoflocalpoliticalsubdivisionsinregardto911services;
384382 48 (5)Provideassistancetothegovernorandthegeneralassemblyregarding911
385383 49services;
386384 50 (6)Reviewexistingandproposedlegislationandmakerecommendationsasto
387385 51changesthatwouldimprovesuchlegislation;
388386 52 (7)Aidandassistinthetimelycollectionanddisseminationofinformationrelatingto
389387 53theuseofauniversalemergencytelephonenumber;
390388 54 (8)Performotherdutiesasnecessarytopromotesuccessfuldevelopment,
391389 55implementationandoperationof911systemsacrossthestate,includingmonitoringfederal
392390 56andindustrystandardsbeingdevelopedfornext-generation911systems;
393391 57 (9)Designateastate911coordinatorwhoshallberesponsibleforoverseeing
394392 58statewide911operationsandensuringcompliancewithfederalgrantsfor911funding;
395393 59 (10)Electthechairfromitsmembership;
396394 60 (11)Applyforandreceivegrantsfromfederal,private,andothersources;
397395 HCSHB2381 11 61 (12)Reporttothegovernorandthegeneralassemblyatleasteverythreeyearsonthe
398396 62statusof911servicesstatewide,aswellasspecificeffortstoimproveefficiency,cost-
399397 63effectiveness,andlevelsofservice;
400398 64 (13)Conductandreviewanannualsurveyofpublicsafetyansweringpointsin
401399 65Missouritoevaluatepotentialforimprovedservices,coordination,andfeasibilityof
402400 66consolidation;
403401 67 (14)Makeandexecutecontractsoranyotherinstrumentsandagreementsnecessary
404402 68orconvenientfortheexerciseofitspowersandfunctions,includingforthedevelopmentand
405403 69implementationofanemergencyservicesinternetprotocolnetworkthatcanbesharedbyall
406404 70publicsafetyagencies;
407405 71 (15)Developaplanandtimelineoftargetdatesforthetesting,implementation,and
408406 72operationofanext-generation911systemthroughoutMissouri.Thenext-generation911
409407 73systemshallallowfortheprocessingofelectronicmessagesincluding,butnotlimitedto,
410408 74electronicmessagescontainingtext,images,video,ordata;
411409 75 (16)Administerandauthorizegrantsandloansundersection650.335tothose
412410 76countiesandanyhomerulecitywithmorethanfifteenthousandbutfewerthanseventeen
413411 77thousandinhabitantsandpartiallylocatedinanycountyofthethirdclassificationwithouta
414412 78townshipformofgovernmentandwithmorethanthirty-seventhousandbutfewerthanforty-
415413 79onethousandinhabitantsthatcandemonstrateafinancialcommitmenttoimproving911
416414 80servicesbyprovidingatleastafiftypercentmatchanddemonstratetheabilitytooperateand
417415 81maintainongoing911services.Thepurposeofgrantsandloansfromthe911servicetrust
418416 82fundshallinclude:
419417 83 (a)Implementationof911servicesincountiesofthestatewhereservicesdonotexist
420418 84ortoimproveexisting911systems;
421419 85 (b)Promotionofconsolidationwhereappropriate;
422420 86 (c)Mappingandaddressingallcountylocations;
423421 87 (d)Ensuringprimaryaccessandtextingabilitiesto911servicesfordisabled
424422 88residents;
425423 89 (e)Implementationofinitialemergencymedicaldispatchservices,including
426424 90prearrivalmedicalinstructionsincountieswherethoseservicesarenotofferedasofJuly1,
427425 912019;and
428426 92 (f)Developmentandimplementationofanemergencyservicesinternetprotocol
429427 93networkthatcanbesharedbyallpublicsafetyagencies;
430428 94 (17)Developanapplicationprocessincludingreportingandaccountability
431429 95requirements,withholdingaportionofthegrantuntilcompletionofaproject,andother
432430 96measurestoensurefundsareusedinaccordancewiththelawandpurposeofthegrant,and
433431 97conductauditsasdeemednecessary;
434432 HCSHB2381 12 98 (18)Setthepercentagerateoftheprepaidwirelessemergencytelephoneservice
435433 99chargestoberemittedtoacountyorcityasprovidedundersubdivision(5)ofsubsection3of
436434 100section190.460;
437435 101 (19)Retaininitsrecordsproposedcountyplansdevelopedundersubsection11of
438436 102section190.455andnotifythedepartmentofrevenuethatthecountyhasfiledaplanthatis
439437 103readyforimplementation;
440438 104 (20)Notifyanycommunicationsserviceprovider,asdefinedinsection190.400,that
441439 105hasvoluntarilysubmitteditscontactinformationwhenanyupdateismadetothecentralized
442440 106databaseestablishedundersection190.475asaresultofacountyorcityestablishingor
443441 107modifyingataxormonthlyfeenolessthanninetydayspriortotheeffectivedateofthe
444442 108establishmentormodificationofthetaxormonthlyfee;
445443 109 (21)Establishcriteriaforconsolidationprioritizationofpublicsafetyanswering
446444 110points;
447445 111 (22)Incoordinationwithexistingpublicsafetyansweringpoints,byDecember31,
448446 1122018,designatenomorethanelevenregional911coordinationcenterswhichshallcoordinate
449447 113statewideinteroperabilityamongpublicsafetyansweringpointswithintheirregionthrough
450448 114theuseofastatewide911emergencyservicesnetwork;[and]
451449 115 (23)Establishanannualbudget,retainrecordsofallrevenueandexpendituresmade,
452450 116retainminutesofallmeetingsandsubcommittees,postrecords,minutes,andreportsonthe
453451 117board'swebpageonthedepartmentofpublicsafetywebsite; and
454452 118 (24)Promoteandeducatethepublicaboutthecriticalroleoftelecommunicator
455453 119firstrespondersinprotectingthepublicandensuringpublicsafety.
456454 120 5.Thedepartmentofpublicsafetyshallprovidestaffassistancetotheboardas
457455 121necessaryinorderfortheboardtoperformitsdutiespursuanttosections650.320to650.340.
458456 122Theboardshallhavetheauthoritytohireconsultantstoadministertheprovisionsofsections
459457 123650.320to650.340.
460458 124 6.Theboardshallpromulgaterulesandregulationsthatarereasonableandnecessary
461459 125toimplementandadministertheprovisionsofsections190.455,190.460,190.465,190.470,
462460 126190.475,andsections650.320to650.340.Anyruleorportionofarule,asthattermis
463461 127definedinsection536.010,shallbecomeeffectiveonlyifithasbeenpromulgatedpursuantto
464462 128theprovisionsofchapter536.Thissectionandchapter536arenonseverableandifanyofthe
465463 129powersvestedwiththegeneralassemblypursuanttochapter536toreview,todelaythe
466464 130effectivedateortodisapproveandannularulearesubsequentlyheldunconstitutional,then
467465 131thegrantofrulemakingauthorityandanyruleproposedoradoptedafterAugust28,2017,
468466 132shallbeinvalidandvoid.
469467 650.340.1.Theprovisionsofthissectionmaybecitedandshallbeknownasthe
470468 2"911TrainingandStandardsAct".
471469 HCSHB2381 13 3 2.Initialtrainingrequirementsfor[telecommunicators] telecommunicatorfirst
472470 4responderswhoanswer911callsthatcometopublicsafetyansweringpointsshallbeas
473471 5follows:
474472 6 (1)Policetelecommunicatorfirstresponder, 16hours;
475473 7 (2)Firetelecommunicatorfirstresponder, 16hours;
476474 8 (3)Emergencymedicalservicestelecommunicatorfirstresponder, 16hours;
477475 9 (4)Jointcommunicationcentertelecommunicatorfirstresponder, 40hours.
478476 10 3.Allpersonsemployedasatelecommunicatorfirstresponderinthisstateshallbe
479477 11requiredtocompleteongoingtrainingsolongassuchpersonengagesintheoccupationasa
480478 12telecommunicatorfirstresponder. Suchpersonsshallcompleteatleasttwenty-fourhoursof
481479 13ongoingtrainingeverythreeyearsbysuchpersonsororganizationsasprovidedinsubsection
482480 146ofthissection.
483481 15 4.AnypersonemployedasatelecommunicatoronAugust28,1999,shallnotbe
484482 16requiredtocompletethetrainingrequirementasprovidedinsubsection2ofthissection.Any
485483 17personhiredasatelecommunicatororatelecommunicatorfirstresponderafterAugust28,
486484 181999,shallcompletethetrainingrequirementsasprovidedinsubsection2ofthissection
487485 19withintwelvemonthsofthedatesuchpersonisemployedasatelecommunicatoror
488486 20telecommunicatorfirstresponder.
489487 21 5.Thetrainingrequirementsasprovidedinsubsection2ofthissectionshallbe
490488 22waivedforanypersonwhofurnishesprooftothecommitteethatsuchpersonhascompleted
491489 23traininginanotherstatewhichisatleastasstringentasthetrainingrequirementsof
492490 24subsection2ofthissection.
493491 25 6.Theboardshalldeterminebyadministrativerulethepersonsororganizations
494492 26authorizedtoconductthetrainingasrequiredbysubsection2ofthissection.
495493 27 7.[Thissectionshallnotapplytoanemergencymedicaldispatcheroragencyas
496494 28definedinsection190.100,orapersontrainedbyanentityaccreditedorcertifiedunder
497495 29section190.131,orapersonwhoprovidesprearrivalmedicalinstructionswhoworksforan
498496 30agencywhichmeetstherequirementssetforthinsection190.134] Theboardshallbe
499497 31responsiblefortheapprovaloftrainingcoursesforemergencymedicaldispatchers.
500498 32Theboardshalldevelopnecessaryrulesandregulationsincollaborationwiththestate
501499 33EMSmedicaldirectorsadvisorycommittee,asdescribedinsection190.103,whichmay
502500 34providerecommendationsrelatingtothemedicalaspectsofprearrivalmedical
503501 35instructions.
504502 36 8.Adispatchagencyisrequiredtohaveamemorandumofunderstandingwith
505503 37allambulanceservicesthatitdispatches.Ifadispatchagencyprovidesprearrival
506504 38medicalinstructions,itisrequiredtohaveamedicaldirectorwhosedutiesincludethe
507505 39maintenanceofstandardsandapprovalofprotocolsorguidelines.
508506 HCSHB2381 14 [190.134.Adispatchagencyisrequiredtohaveamemorandumof
509507 2 understandingwithallambulanceservicesthatitdispatches.Ifadispatch
510508 3 agencyprovidesprearrivalmedicalinstructions,itisrequiredtohavea
511509 4 medicaldirector,whosedutiesincludethemaintenanceofstandardsand
512510 5 protocolapproval.]
513511 âś”
514512 HCSHB2381 15