An Act ENROLLED HOUSE BILL NO. 3132 By: Kendrix of the House and Weaver of the Senate An Act relating to public health; amending 63 O.S. 2021, Section 1-2504, which relates to emergency medical personnel; providing excep tion; allowing municipalities, public ambulance service districts, and emergency medical service districts to enter agreements with first responder agencies for certain purposes; requiring agreements to include certain provisions; providing for codificatio n; and providing an effective date. SUBJECT: Public health BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 63 O.S. 2021, Section 1 -2504, is amended to read as follows: Section 1-2504. A. Any hospital or health care facility operating within the state may utilize emergency medical technician, intermediate emergency medical technician, advanced emergency medical technician or paramedic, community paramedic or critical care paramedic personne l for the delivery of emergency medical patient care within the hospital or health care facility. All Except as authorized in Section 2 of this act, all licensed ambulance services shall use emergency medical technician, intermediate emergency medical tec hnician, advanced emer gency medical technician or paramed ic personnel for on-scene patient care and stabilization and the delivery of prehospital and en route emergency medical care. ENR. H. B. NO. 3132 Page 2 B. Any hospital or health care facili ty operating within the state may utilize community param edic personnel for the delivery of community paramedic services for patients who come to the hospital or health care facility who reside in this state. C. While participating in an emergency medical technician, intermediate emergency medical technician, a dvanced emergency medical technician, community paramedic or paramedic training course approved by the State Department of Health, the student shall be allowed to perform in the hospital, clinic or p rehospital setting, while under the direct supervision of a physician, registered nurse, or licensed emergency medical personnel who are licensed at a level equal to or above the level of training of the student, or other allied health preceptor, any of th e skills determined to be appropriate for the training le vel of the student by the Departmen t. D. The student shall be allowed to perform any of the skills determined to be appropriate by the Department for the training level of the student while performi ng community paramedic services under the direct supervis ion of a physician, registered nurs e or emergency medical personnel who are licensed at a level equal to or above the level of training of the student, or other allied health preceptor. E. A registered nurse or licensed practical nur se may be used in the back of an ambulance during an inte rhospital transfer to supplement the skills of licensed emergency medical personnel. A registered nurse or licensed practical nurse functioning in this fashion must be following written orders of a physician or be in direct radio or telephone contact with a physician. SECTION 2. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1-2516.1 of Title 63, unless there is created a duplication in numberi ng, reads as follows: A. The governing body of any municipality, public ambulance service district organized pursuant to Sections 1201 through 1221 of Title 19 of the Oklahoma Statutes , or emergency medical service district organized pursuant to S ection 9C of Article X of the Oklahoma Constitution may elect to enter into agreements with local first responder agencies, whether governmental or nonprofit , for the purpose of acquiring assistance with emergency medical respons e. ENR. H. B. NO. 3132 Page 3 B. All agreements entered into pursuant to subsection A of this section shall, at a minimum: 1. Determine the required training necessary in order for first responders to participate under the agreement; 2. Establish a system for identifying which fi rst responders are eligible to part icipate under the agre ement; 3. Establish a process for verifying the training credentials of participating first responders; 4. Establish the level of emergency medical care to be provided by the participating first re sponders; 5. Determine which party to the agreement shal l provide compensation, if any, and insurance coverage for participating first responders; 6. Establish a process for ensuring that participating first responders are familiar and compliant with app licable operating procedures and standards of care; and 7. Establish the procedures by whic h participating first responders shall be notified that their assistance is requ ired. SECTION 3. This act shall become effective November 1, 2022. ENR. H. B. NO. 3132 Page 4 Passed the House of Representatives the 15th day of March, 2022. Presiding Officer of the House of Representatives Passed the Senate the 20th day of April, 2022. Presiding Officer of the Senate OFFICE OF THE GOVERNOR Received by the Office of the Governor this ____________________ day of ___________________, 20_______, at _______ o'clock _______ M. By: _________________________________ Approved by the Governor of the State of Oklahoma this _____ ____ day of ___________________, 20_______, at _______ o'clock _______ M. _________________________________ Governor of the State of Oklahoma OFFICE OF THE SECRETARY OF STATE Received by the Office of the Secretary of State this __________ day of ___________________, 20_______, at _______ o'clock _______ M. By: _________________________________