| 1 | 1 | | FIRSTREGULARSESSION |
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| 2 | 2 | | HOUSEBILLNO.922 |
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| 3 | 3 | | 103RDGENERALASSEMBLY |
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| 4 | 4 | | INTRODUCEDBYREPRESENTATIVEHRUZA. |
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| 5 | 5 | | 2130H.01I JOSEPHENGLER,ChiefClerk |
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| 6 | 6 | | ANACT |
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| 7 | 7 | | Torepealsections190.108and190.109,RSMo,andtoenactinlieuthereoftwonewsections |
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| 8 | 8 | | relatingtoequipmentrequirementsforambulances. |
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| 9 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 10 | 10 | | SectionA.Sections190.108and190.109,RSMo,arerepealedandtwonewsections |
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| 11 | 11 | | 2enactedinlieuthereof,tobeknownassections190.108and190.109,toreadasfollows: |
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| 12 | 12 | | 190.108.1.Thedepartmentshall,withinareasonabletimeafterreceiptofan |
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| 13 | 13 | | 2application,causesuchinvestigationasthedepartmentdeemsnecessarytobemadeofthe |
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| 14 | 14 | | 3applicantforanairambulancelicense. |
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| 15 | 15 | | 4 2.Thedepartmentshallhavetheauthorityandresponsibilitytolicenseanair |
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| 16 | 16 | | 5ambulanceserviceinaccordancewithsections190.001to190.245,andinaccordancewith |
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| 17 | 17 | | 6rulesadoptedbythedepartmentpursuanttosections190.001to190.245.Thedepartment |
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| 18 | 18 | | 7maypromulgaterulesrelatingtotherequirementsforanairambulancelicenseincluding,but |
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| 19 | 19 | | 8notlimitedto: |
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| 20 | 20 | | 9 (1)Medicalcontrolplans; |
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| 21 | 21 | | 10 (2)Medicaldirectorqualifications; |
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| 22 | 22 | | 11 (3)Airmedicalstaffqualifications; |
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| 23 | 23 | | 12 (4)Responseandoperationsstandardstoassurethatthehealthandsafetyneedsofthe |
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| 24 | 24 | | 13publicaremet; |
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| 25 | 25 | | 14 (5)Standardsforairmedicalcommunications; |
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| 26 | 26 | | 15 (6)Criteriaforcompliancewithlicensurerequirements; |
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| 27 | 27 | | 16 (7)Recordsandforms; |
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| 28 | 28 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 29 | 29 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 17 (8)Equipmentrequirements. Thedepartmentshallrequiretheairambulanceto |
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| 30 | 30 | | 18beequippedwithnaloxoneandbleedingcontrolkits; |
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| 31 | 31 | | 19 (9)Five-yearlicenserenewal; |
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| 32 | 32 | | 20 (10)Qualityimprovementcommittees;and |
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| 33 | 33 | | 21 (11)Responsetime,patientcareandtransportationstandards. |
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| 34 | 34 | | 22 3.Applicationforanairambulanceservicelicenseshallbemadeuponsuchformsas |
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| 35 | 35 | | 23prescribedbythedepartmentinrulesadoptedpursuanttosections190.001to190.245.The |
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| 36 | 36 | | 24applicationformshallcontainsuchinformationasthedepartmentdeemsnecessarytomakea |
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| 37 | 37 | | 25determinationastowhethertheairambulanceservicemeetsalltherequirementsofsections |
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| 38 | 38 | | 26190.001to190.245andrulespromulgatedpursuanttosections190.001to190.245. |
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| 39 | 39 | | 27 4.Uponthesaleortransferofanyairambulanceserviceownership,theownerof |
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| 40 | 40 | | 28suchserviceshallnotifythedepartmentofthechangeinownershipwithinthirtydaysofsuch |
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| 41 | 41 | | 29saleortransfer.Afterreceiptofsuchnotice,thedepartmentshallconductaninspectionofthe |
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| 42 | 42 | | 30ambulanceservicetoverifycompliancewiththelicensurestandardsofsections190.001to |
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| 43 | 43 | | 31190.245. |
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| 44 | 44 | | 190.109.1.Thedepartmentshall,withinareasonabletimeafterreceiptofan |
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| 45 | 45 | | 2application,causesuchinvestigationasthedepartmentdeemsnecessarytobemadeofthe |
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| 46 | 46 | | 3applicantforagroundambulancelicense. |
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| 47 | 47 | | 4 2.AnypersonthatownedandoperatedalicensedambulanceonDecember31,1997, |
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| 48 | 48 | | 5shallreceiveanambulanceservicelicensefromthedepartment,unlesssuspended,revokedor |
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| 49 | 49 | | 6terminated,forthatambulanceserviceareawhichwas,onDecember31,1997,describedand |
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| 50 | 50 | | 7filedwiththedepartmentastheprimaryserviceareaforitslicensedambulancesonAugust |
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| 51 | 51 | | 828,1998,providedthatthepersonmakesapplicationandadherestotherulesandregulations |
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| 52 | 52 | | 9promulgatedbythedepartmentpursuanttosections190.001to190.245. |
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| 53 | 53 | | 10 3.Thedepartmentshallissueanewgroundambulanceservicelicensetoan |
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| 54 | 54 | | 11ambulanceservicethatisnotcurrentlylicensedbythedepartment,oriscurrentlylicensedby |
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| 55 | 55 | | 12thedepartmentandisseekingtoexpanditsambulanceservicearea,exceptasprovidedin |
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| 56 | 56 | | 13subsection4ofthissection,tobevalidforaperiodoffiveyears,unlesssuspended,revoked |
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| 57 | 57 | | 14orterminated,whenthedirectorfindsthattheapplicantmeetstherequirementsofambulance |
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| 58 | 58 | | 15servicelicensureestablishedpursuanttosections190.100to190.245andtherulesadoptedby |
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| 59 | 59 | | 16thedepartmentpursuanttosections190.001to190.245.Inordertobeconsideredforanew |
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| 60 | 60 | | 17ambulanceservicelicense,anambulanceserviceshallsubmittothedepartmentaletterof |
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| 61 | 61 | | 18endorsementfromeachambulancedistrictorfireprotectiondistrictthatisauthorizedto |
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| 62 | 62 | | 19provideambulanceservice,orfromeachmunicipalitynotwithinanambulancedistrictorfire |
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| 63 | 63 | | 20protectiondistrictthatisauthorizedtoprovideambulanceservice,inwhichtheambulance |
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| 64 | 64 | | 21serviceproposestooperate.Ifanambulanceserviceproposestooperateinunincorporated |
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| 65 | 65 | | 22portionsofacountynotwithinanambulancedistrictorfireprotectiondistrictthatis |
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| 66 | 66 | | HB922 2 23authorizedtoprovideambulanceservice,inordertobeconsideredforanewambulance |
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| 67 | 67 | | 24servicelicense,theambulanceserviceshallsubmittothedepartmentaletterofendorsement |
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| 68 | 68 | | 25fromthecounty.Anyletterofendorsementrequiredpursuanttothissectionshallverifythat |
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| 69 | 69 | | 26thepoliticalsubdivisionhasconductedapublichearingregardingtheendorsementandthat |
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| 70 | 70 | | 27thegoverningbodyofthepoliticalsubdivisionhasadoptedaresolutionapprovingthe |
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| 71 | 71 | | 28endorsement.Theletterofendorsementshallaffirmativelystatethattheproposedambulance |
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| 72 | 72 | | 29service: |
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| 73 | 73 | | 30 (1)Willprovideabenefittopublichealththatoutweighstheassociatedcosts; |
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| 74 | 74 | | 31 (2)Willmaintainorenhancethepublic'saccesstoambulanceservices; |
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| 75 | 75 | | 32 (3)Willmaintainorimprovethepublichealthandpromotethecontinued |
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| 76 | 76 | | 33developmentoftheregionalemergencymedicalservicesystem; |
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| 77 | 77 | | 34 (4)Hasdemonstratedtheappropriateexpertiseintheoperationofambulance |
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| 78 | 78 | | 35services;and |
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| 79 | 79 | | 36 (5)Hasdemonstratedthefinancialresourcesnecessaryfortheoperationofthe |
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| 80 | 80 | | 37proposedambulanceservice. |
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| 81 | 81 | | 38 4.Acontractbetweenapoliticalsubdivisionandalicensedambulanceserviceforthe |
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| 82 | 82 | | 39provisionofambulanceservicesforthatpoliticalsubdivisionshallexpand,withoutfurther |
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| 83 | 83 | | 40actionbythedepartment,theambulanceserviceareaofthelicensedambulanceserviceto |
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| 84 | 84 | | 41includethejurisdictionalboundariesofthepoliticalsubdivision.Theterminationofthe |
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| 85 | 85 | | 42aforementionedcontractshallresultinareductionofthelicensedambulanceservice's |
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| 86 | 86 | | 43ambulanceserviceareabyremovingthegeographicareaofthepoliticalsubdivisionfromits |
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| 87 | 87 | | 44ambulanceservicearea,exceptthatlicensedambulanceserviceprovidersmayprovide |
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| 88 | 88 | | 45ambulanceservicesasareneededatandaroundthestatefairgroundsforprotectionof |
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| 89 | 89 | | 46attendeesatthestatefair. |
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| 90 | 90 | | 47 5.Thedepartmentshallrenewagroundambulanceservicelicenseiftheapplicant |
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| 91 | 91 | | 48meetstherequirementsestablishedpursuanttosections190.001to190.245,andtherules |
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| 92 | 92 | | 49adoptedbythedepartmentpursuanttosections190.001to190.245. |
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| 93 | 93 | | 50 6.Thedepartmentshallpromulgaterulesrelatingtotherequirementsforaground |
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| 94 | 94 | | 51ambulanceservicelicenseincluding,butnotlimitedto: |
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| 95 | 95 | | 52 (1)Vehicledesign,specification,operationandmaintenancestandards; |
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| 96 | 96 | | 53 (2)Equipmentrequirements. Thedepartmentshallrequiretheambulancetobe |
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| 97 | 97 | | 54equippedwithnaloxoneandbleedingcontrolkits; |
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| 98 | 98 | | 55 (3)Staffingrequirements; |
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| 99 | 99 | | 56 (4)Five-yearlicenserenewal; |
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| 100 | 100 | | 57 (5)Recordsandforms; |
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| 101 | 101 | | 58 (6)Medicalcontrolplans; |
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| 102 | 102 | | 59 (7)Medicaldirectorqualifications; |
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| 103 | 103 | | HB922 3 60 (8)Standardsformedicalcommunications; |
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| 104 | 104 | | 61 (9)Memorandumsofunderstandingwithemergencymedicalresponseagenciesthat |
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| 105 | 105 | | 62provideadvancedlifesupport; |
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| 106 | 106 | | 63 (10)Qualityimprovementcommittees;and |
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| 107 | 107 | | 64 (11)Responsetime,patientcareandtransportationstandards. |
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| 108 | 108 | | 65 7.Applicationforagroundambulanceservicelicenseshallbemadeuponsuchforms |
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| 109 | 109 | | 66asprescribedbythedepartmentinrulesadoptedpursuanttosections190.001to190.245. |
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| 110 | 110 | | 67Theapplicationformshallcontainsuchinformationasthedepartmentdeemsnecessaryto |
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| 111 | 111 | | 68makeadeterminationastowhetherthegroundambulanceservicemeetsalltherequirements |
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| 112 | 112 | | 69ofsections190.001to190.245andrulespromulgatedpursuanttosections190.001to |
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| 113 | 113 | | 70190.245. |
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| 114 | 114 | | âś” |
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| 115 | 115 | | HB922 4 |
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