FIRSTREGULARSESSION
[PERFECTED]
HOUSEBILLNO.313
103RDGENERALASSEMBLY
INTRODUCEDBYREPRESENTATIVECOOK.
0977H.01P JOSEPHENGLER,ChiefClerk
ANACT
Torepealsection190.101,RSMo,andtoenactinlieuthereofonenewsectionrelatingtothe
stateadvisorycouncilonemergencymedicalservices.
BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows:
SectionA.Section190.101,RSMo,isrepealedandonenewsectionenactedinlieu
2thereof,tobeknownassection190.101,toreadasfollows:
190.101.1.Thereisherebyestablisheda"StateAdvisoryCouncilonEmergency
2MedicalServices"whichshallconsistof[sixteen] nofewerthanthirteenmembers[, oneof
3whichshallbearesidentofacitynotwithinacounty]. Themembersofthecouncilshallbe
4appointed[bythegovernorwiththeadviceandconsentofthesenateand]asfollows:
5 (1)Onememberwithabackgroundinmobileintegratedhealthcareand
6communityparamedicineshallbeappointedbythedirectorofthedepartmentofhealth
7andseniorservicesfromtherecommendationsdescribedinsubdivision(4)ofthis
8subsection;
9 (2)OnemembershallbeappointedbyeachregionalEMSadvisorycommittee;
10 (3)Onemember,whoshallbeamemberofthetime-criticaldiagnosisadvisory
11committee,shallbeappointedbythetime-criticaldiagnosisadvisorycommittee;and
12 (4)Allothermembersshallbeappointedbythedirectorofthedepartmentof
13healthandseniorservicesfromrecommendationsprovidedby:
14 (a)Astatewideprofessionalassociationrepresentingambulanceservice
15managers;
EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 16 (b)Astatewideprofessionalassociationrepresentingemergencymedical
17techniciansandparamedics;
18 (c)Astatewideprofessionalassociationrepresentingambulancedistricts;
19 (d)Astatewideprofessionalassociationrepresentingfirechiefs;
20 (e)Astatewideprofessionalassociationrepresentingfireprotectiondistricts;
21 (f)Astatewideprofessionalassociationrepresentingfirefighters;
22 (g)Astatewideprofessionalassociationrepresentingemergencynurses;
23 (h)Astatewideprofessionalassociationrepresentingtheairambulance
24industry;
25 (i)Astatewideprofessionalassociationrepresentingemergencymedicalservices
26physicians;
27 (j)Astatewideassociationrepresentinghospitals;and
28 (k)Astatewideassociationrepresentingpediatricemergencyprofessionals.
29 2.Themembersofthecouncilshallservetermsoffouryears.The[governor]
30councilshall[designate] annuallyelectoneof[the]itsmembersaschairpersonandmay
31electotherofficersasdeemednecessary. Thechairpersonmayappointsubcommitteesthat
32includenoncouncilmembers.
33 [2.]3.ThestateEMSmedicaldirectorsadvisorycommitteeandtheregionalEMS
34advisorycommitteeswillberecognizedassubcommitteesofthestateadvisorycouncilon
35emergencymedicalservices.
36 [3.]4.Thecouncilshallhavegeographicalrepresentationandrepresentationfrom
37appropriateareasofexpertiseinemergencymedicalservicesincludingvolunteers,
38professionalorganizationsinvolvedinemergencymedicalservices,EMT's,paramedics,
39nurses,firefighters,physicians,ambulanceserviceadministrators,hospitaladministratorsand
40otherhealthcareprovidersconcernedwithemergencymedicalservices.[TheregionalEMS
41advisorycommitteesshallserveasaresourcefortheidentificationofpotentialmembersof
42thestateadvisorycouncilonemergencymedicalservices.
43 4.]5.ThestateEMSmedicaldirector,asdescribedundersection190.103,shallserve
44asanexofficiomemberofthecouncil.
45 [5.]6.Themembersofthecouncilandsubcommitteesshallservewithout
46compensationexceptthatmembersofthecouncilshall,subjecttoappropriations,be
47reimbursedforreasonabletravelexpensesandmeetingexpensesrelatedtothefunctionsof
48thecouncil.
49 [6.]7.Thepurposeofthecouncilistomakerecommendationstothegovernor,the
50generalassembly,andthedepartmentonpolicies,plans,proceduresandproposedregulations
51onhowtoimprovethestatewideemergencymedicalservicessystem.Thecouncilshall
HB313 2 52advisethegovernor,thegeneralassembly,andthedepartmentonallaspectsoftheemergency
53medicalservicessystem.
54 [7.]8.(1)Thereisherebyestablishedastandingsubcommitteeofthecouncilto
55monitortheimplementationoftherecognitionoftheEMSpersonnellicensureinterstate
56compactundersections190.900to190.939,theinterstatecommissionforEMSpersonnel
57practice,andtheinvolvementofthestateofMissouri.Thesubcommitteeshallmeetatleast
58biannuallyandreceivereportsfromtheMissouridelegatetotheinterstatecommissionfor
59EMSpersonnelpractice.Thesubcommitteeshallconsistofatleastsevenmembersappointed
60bythechairofthecouncil,toincludeatleasttwomembersasrecommendedbytheMissouri
61statecounciloffirefightersandonememberasrecommendedbytheMissouriAssociationof
62FireChiefs.Thesubcommitteemaysubmitreportsandrecommendationstothecouncil,the
63departmentofhealthandseniorservices,thegeneralassembly,andthegovernorregarding
64theparticipationofMissouriwiththerecognitionoftheEMSpersonnellicensureinterstate
65compact.
66 (2)Thesubcommitteeshallformallyrequestapublichearingforanyruleproposed
67bytheinterstatecommissionforEMSpersonnelpracticeinaccordancewithsubsection7of
68section190.930.Thehearingrequestshallincludetherequestthatthehearingbepresented
69livethroughtheinternet.TheMissouridelegatetotheinterstatecommissionforEMS
70personnelpracticeshallberesponsibleforensuringthatallhearings,noticesof,andrelated
71rulemakingcommunicationsasrequiredbythecompactbecommunicatedtothecounciland
72emergencymedicalservicespersonnelundertheprovisionsofsubsections4,5,6,and8of
73section190.930.
74 (3)Thedepartmentofhealthandseniorservicesshallnotestablishorincreasefees
75forMissouriemergencymedicalservicespersonnellicensureinaccordancewiththischapter
76forthepurposeofcreatingthefundsnecessaryforpaymentofanannualassessmentunder
77subdivision(3)ofsubsection5ofsection190.924.
78 [8.]9.Thecouncilshallconsultwiththetime-criticaldiagnosisadvisorycommittee,
79asdescribedundersection190.257,regardingtime-criticaldiagnosis.
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