Rep. Donald L. Moffitt
Filed: 3/19/2014
 
 

 

 

 
09800HB5828ham001LRB098 17201 RPS 56752 a



1
AMENDMENT TO HOUSE BILL 5828 




2    AMENDMENT NO. ______. Amend House Bill 5828 by replacing 
3everything after the enacting clause with the following:

 
4    "Section 5. The Emergency Medical Services (EMS) Systems 
5Act is amended  by changing Section 3.87 as follows:
 
6    (210 ILCS 50/3.87)
7    Sec. 3.87. Ambulance service provider and vehicle service 
8provider upgrades; rural population.
9    (a) In this Section, "rural ambulance service provider" 
10means an ambulance service provider licensed under this Act 
11that serves a rural population of 7,500 or fewer inhabitants. 
12    In this Section, "rural vehicle service provider" means an 
13entity that serves a rural population of 7,500 or fewer 
14inhabitants and is licensed by the Department to provide 
15emergency or non-emergency medical services in compliance with 
16this Act, the rules adopted by the Department pursuant to this 
 
 
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1Act, and an operational plan approved by the entity's EMS 
2System, utilizing at least an ambulance, alternate response 
3vehicle as defined by the Department in rules, or specialized 
4emergency medical services vehicle. 
5    (b) A rural ambulance service provider or rural vehicle 
6service provider may submit a proposal to the EMS System 
7Medical Director requesting approval of either or both of the 
8following:
9        (1) Rural ambulance service provider or rural vehicle 
10    service provider in-field service level upgrade.
11            (A) An ambulance operated by a rural ambulance 
12        service provider or an ambulance, specialized 
13        emergency medical services vehicle, or alternate 
14        response vehicle operated by a rural vehicle service 
15        provider may be upgraded, as defined by the EMS System 
16        Medical Director in a policy or procedure, as long as 
17        the EMS System Medical Director and the Department have 
18        approved the proposal, to the highest level of EMT 
19        license (advanced life support/paramedic, intermediate 
20        life support, or basic life support) held by any person 
21        staffing that ambulance, specialized emergency medical 
22        services vehicle, or alternate response vehicle. The 
23        ambulance service provider's or rural vehicle service 
24        provider's proposal for an upgrade must include all of 
25        the following:
26                (i) The manner in which the provider will 
 
 
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1            secure advanced life support equipment, supplies, 
2            and medications.
3                (ii) The type of quality assurance the 
4            provider will perform.
5                (iii) An assurance that the provider will 
6            advertise only the level of care that can be 
7            provided 24 hours a day.
8            (B) If a rural ambulance service provider or rural 
9        vehicle service provider is approved to provide an 
10        in-field service level upgrade based on the licensed 
11        personnel on the vehicle, all the advanced life support 
12        medical supplies, durable medical equipment, and 
13        medications must be secured and locked with access by 
14        only the personnel who have been authorized by the EMS 
15        System Medical Director to utilize those supplies.
16            (C) The EMS System shall routinely perform quality 
17        assurance, in compliance with the EMS System's quality 
18        assurance plan approved by the Department, on in-field 
19        service level upgrades authorized under this Section 
20        to ensure compliance with the EMS System plan.
21        (2) Rural ambulance service provider or rural vehicle 
22    service provider in-field service level upgrade. The EMS 
23    System Medical Director may define what constitutes an 
24    in-field service level upgrade through an EMS System policy 
25    or procedure.
An in-field service level upgrade may 
26    include, but need not be limited to, an upgrade to a 
 
 
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1    licensed ambulance, alternate response vehicle as defined 
2    by the Department in rules, or specialized emergency 
3    medical services vehicle.
4    (c) If the EMS System Medical Director approves a proposal 
5for a rural in-field service level upgrade under this Section, 
6he or she shall submit the proposal to the Department along 
7with a statement of approval signed by him or her.  Once the 
8Department has approved the proposal, the rural ambulance 
9service provider or rural vehicle service provider will be 
10authorized to function at the highest level of EMT license 
11(advanced life support/paramedic, intermediate life support, 
12or basic life support) held by any person staffing the vehicle.

13(Source: P.A. 98-608, eff. 12-27-13.)
 

14    Section 99. Effective date. This Act takes effect upon 
15becoming law.".