| 7 | 6 | | ANACT |
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| 8 | 7 | | Torepealsection190.101,RSMo,andtoenactinlieuthereofonenewsectionrelatingtothe |
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| 9 | 8 | | stateadvisorycouncilonemergencymedicalservices. |
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| 10 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 11 | 10 | | SectionA.Section190.101,RSMo,isrepealedandonenewsectionenactedinlieu |
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| 12 | 11 | | 2thereof,tobeknownassection190.101,toreadasfollows: |
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| 13 | 12 | | 190.101.1.Thereisherebyestablisheda"StateAdvisoryCouncilonEmergency |
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| 14 | 13 | | 2MedicalServices"whichshallconsistof[sixteen] nofewerthanthirteenmembers[, oneof |
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| 15 | 14 | | 3whichshallbearesidentofacitynotwithinacounty]. Themembersofthecouncilshallbe |
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| 16 | 15 | | 4appointed[bythegovernorwiththeadviceandconsentofthesenateand]asfollows: |
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| 17 | 16 | | 5 (1)Onememberwithabackgroundinmobileintegratedhealthcareand |
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| 18 | 17 | | 6communityparamedicineshallbeappointedbythedirectorofthedepartmentofhealth |
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| 19 | 18 | | 7andseniorservicesfromtherecommendationsdescribedinsubdivision(4)ofthis |
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| 20 | 19 | | 8subsection; |
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| 21 | 20 | | 9 (2)OnemembershallbeappointedbyeachregionalEMSadvisorycommittee; |
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| 22 | 21 | | 10 (3)Onemember,whoshallbeamemberofthetime-criticaldiagnosisadvisory |
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| 23 | 22 | | 11committee,shallbeappointedbythetime-criticaldiagnosisadvisorycommittee;and |
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| 24 | 23 | | 12 (4)Allothermembersshallbeappointedbythedirectorofthedepartmentof |
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| 25 | 24 | | 13healthandseniorservicesfromrecommendationsprovidedby: |
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| 26 | 25 | | 14 (a)Astatewideprofessionalassociationrepresentingambulanceservice |
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| 27 | 26 | | 15managers; |
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| 32 | 31 | | 19 (d)Astatewideprofessionalassociationrepresentingfirechiefs; |
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| 33 | 32 | | 20 (e)Astatewideprofessionalassociationrepresentingfireprotectiondistricts; |
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| 34 | 33 | | 21 (f)Astatewideprofessionalassociationrepresentingfirefighters; |
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| 35 | 34 | | 22 (g)Astatewideprofessionalassociationrepresentingemergencynurses; |
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| 36 | 35 | | 23 (h)Astatewideprofessionalassociationrepresentingtheairambulance |
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| 37 | 36 | | 24industry; |
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| 38 | 37 | | 25 (i)Astatewideprofessionalassociationrepresentingemergencymedicalservices |
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| 39 | 38 | | 26physicians; |
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| 40 | 39 | | 27 (j)Astatewideassociationrepresentinghospitals;and |
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| 41 | 40 | | 28 (k)Astatewideassociationrepresentingpediatricemergencyprofessionals. |
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| 42 | 41 | | 29 2.Themembersofthecouncilshallservetermsoffouryears.The[governor] |
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| 43 | 42 | | 30councilshall[designate] annuallyelectoneof[the]itsmembersaschairpersonandmay |
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| 44 | 43 | | 31electotherofficersasdeemednecessary. Thechairpersonmayappointsubcommitteesthat |
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| 45 | 44 | | 32includenoncouncilmembers. |
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| 46 | 45 | | 33 [2.]3.ThestateEMSmedicaldirectorsadvisorycommitteeandtheregionalEMS |
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| 47 | 46 | | 34advisorycommitteeswillberecognizedassubcommitteesofthestateadvisorycouncilon |
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| 48 | 47 | | 35emergencymedicalservices. |
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| 49 | 48 | | 36 [3.]4.Thecouncilshallhavegeographicalrepresentationandrepresentationfrom |
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| 50 | 49 | | 37appropriateareasofexpertiseinemergencymedicalservicesincludingvolunteers, |
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| 51 | 50 | | 38professionalorganizationsinvolvedinemergencymedicalservices,EMT's,paramedics, |
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| 52 | 51 | | 39nurses,firefighters,physicians,ambulanceserviceadministrators,hospitaladministratorsand |
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| 53 | 52 | | 40otherhealthcareprovidersconcernedwithemergencymedicalservices.[TheregionalEMS |
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| 54 | 53 | | 41advisorycommitteesshallserveasaresourcefortheidentificationofpotentialmembersof |
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| 55 | 54 | | 42thestateadvisorycouncilonemergencymedicalservices. |
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| 56 | 55 | | 43 4.]5.ThestateEMSmedicaldirector,asdescribedundersection190.103,shallserve |
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| 57 | 56 | | 44asanexofficiomemberofthecouncil. |
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| 58 | 57 | | 45 [5.]6.Themembersofthecouncilandsubcommitteesshallservewithout |
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| 59 | 58 | | 46compensationexceptthatmembersofthecouncilshall,subjecttoappropriations,be |
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| 60 | 59 | | 47reimbursedforreasonabletravelexpensesandmeetingexpensesrelatedtothefunctionsof |
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| 61 | 60 | | 48thecouncil. |
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| 62 | 61 | | 49 [6.]7.Thepurposeofthecouncilistomakerecommendationstothegovernor,the |
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| 63 | 62 | | 50generalassembly,andthedepartmentonpolicies,plans,proceduresandproposedregulations |
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| 64 | 63 | | 51onhowtoimprovethestatewideemergencymedicalservicessystem.Thecouncilshall |
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| 68 | 67 | | 55monitortheimplementationoftherecognitionoftheEMSpersonnellicensureinterstate |
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| 69 | 68 | | 56compactundersections190.900to190.939,theinterstatecommissionforEMSpersonnel |
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| 70 | 69 | | 57practice,andtheinvolvementofthestateofMissouri.Thesubcommitteeshallmeetatleast |
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| 71 | 70 | | 58biannuallyandreceivereportsfromtheMissouridelegatetotheinterstatecommissionfor |
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| 72 | 71 | | 59EMSpersonnelpractice.Thesubcommitteeshallconsistofatleastsevenmembersappointed |
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| 73 | 72 | | 60bythechairofthecouncil,toincludeatleasttwomembersasrecommendedbytheMissouri |
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| 74 | 73 | | 61statecounciloffirefightersandonememberasrecommendedbytheMissouriAssociationof |
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| 75 | 74 | | 62FireChiefs.Thesubcommitteemaysubmitreportsandrecommendationstothecouncil,the |
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| 76 | 75 | | 63departmentofhealthandseniorservices,thegeneralassembly,andthegovernorregarding |
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| 77 | 76 | | 64theparticipationofMissouriwiththerecognitionoftheEMSpersonnellicensureinterstate |
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| 78 | 77 | | 65compact. |
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| 79 | 78 | | 66 (2)Thesubcommitteeshallformallyrequestapublichearingforanyruleproposed |
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| 80 | 79 | | 67bytheinterstatecommissionforEMSpersonnelpracticeinaccordancewithsubsection7of |
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| 81 | 80 | | 68section190.930.Thehearingrequestshallincludetherequestthatthehearingbepresented |
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| 82 | 81 | | 69livethroughtheinternet.TheMissouridelegatetotheinterstatecommissionforEMS |
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| 83 | 82 | | 70personnelpracticeshallberesponsibleforensuringthatallhearings,noticesof,andrelated |
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| 84 | 83 | | 71rulemakingcommunicationsasrequiredbythecompactbecommunicatedtothecounciland |
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| 85 | 84 | | 72emergencymedicalservicespersonnelundertheprovisionsofsubsections4,5,6,and8of |
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| 86 | 85 | | 73section190.930. |
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| 87 | 86 | | 74 (3)Thedepartmentofhealthandseniorservicesshallnotestablishorincreasefees |
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| 88 | 87 | | 75forMissouriemergencymedicalservicespersonnellicensureinaccordancewiththischapter |
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| 89 | 88 | | 76forthepurposeofcreatingthefundsnecessaryforpaymentofanannualassessmentunder |
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| 90 | 89 | | 77subdivision(3)ofsubsection5ofsection190.924. |
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| 91 | 90 | | 78 [8.]9.Thecouncilshallconsultwiththetime-criticaldiagnosisadvisorycommittee, |
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| 92 | 91 | | 79asdescribedundersection190.257,regardingtime-criticaldiagnosis. |
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| 93 | 92 | | âś” |
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| 94 | 93 | | HB313 3 |
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