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Introduced Version Senate Bill 612 History

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Key: Green = existing Code. Red = new code to be enacted

Senate Bill No. 612

(By Senators Walker and Bowman)

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[Introduced February 22, 1999; referred to the Committee on Health and Human Resources; and then to the Committee on the Judiciary.]

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A BILL to amend and reenact sections three and eight, article four-c, chapter sixteen of the code of West Virginia, one thousand nine hundred thirty-one, as amended, all relating to emergency medical services personnel; clarifying the definition of "ambulance"; and specifying staffing and personnel requirements for specialized multipatient medical transports.

Be it enacted by the Legislature of West Virginia:
That sections three and eight, article four-c, chapter sixteen of the code of West Virginia, one thousand nine hundred thirty-one, as amended, be amended and reenacted, all to read as follows:
ARTICLE 4C. EMERGENCY MEDICAL SERVICES ACT.

§16-4C-3. Definitions.
As used in this article, unless the context clearly requires a different meaning:
(a) "Ambulance" means any privately or publicly-owned vehicle or aircraft which is designed, constructed or modified; equipped or maintained; and operated for the transportation of patients, including, but not limited to, emergency medical services vehicles; rotary and fixed wing air ambulances; gsa kkk-A-1822 federal standard type I, type II and type III vehicles; and specialized multipatient medical transport vehicles;
(b) "Commissioner" means the commissioner of the bureau of public health;
(c) "Council" means the emergency medical service advisory council created pursuant to section five of this article;
(d) "Emergency medical services" means all services which are set forth in Public Law 93-154 "The Emergency Medical Services Systems Act of 1973" and those included in and made a part of the emergency medical services plan of the department of health and human resources inclusive of, but not limited to, responding to the medical needs of an individual to prevent the loss of life or aggravation of illness or injury;
(e) "Emergency medical service agency" means any agency licensed under section six-a of this article to provide emergency medical services;
(f) "Emergency medical service attendant" means a person certified by the commissioner pursuant to the provisions of section eight of this article to render the services authorized pursuant to the provisions of section fourteen of this article;
(g) "Emergency medical service personnel" means any person certified by the commissioner to provide emergency medical services authorized in section eight of this article and includes, but is not limited to, emergency medical service attendant, emergency medical technician-basic and emergency medical technician-paramedic;
(h) "Emergency medical service provider" means any authority, person, corporation, partnership or other entity, public or private, which owns or operates a licensed emergency medical services agency providing emergency medical service in this state;
(i) "Emergency medical technician-basic" means a person certified by the commissioner pursuant to the provisions of section eight of this article to render the services authorized pursuant to the provisions of section fourteen of this article;
(j) "Emergency medical technician-paramedic" means a person certified by the commissioner pursuant to the provisions of section eight of this article to render services as authorized pursuant to the provisions of section fourteen of this article;
(k) "Governing body" has the meanings ascribed to it as applied to a municipality in subdivision (1), subsection (b), section two, article one, chapter eight of this code;
(l) "Line officer" means the emergency medical service personnel, present at the scene of an accident, injury or illness, who has taken the responsibility for patient care;
(m) "Medical command" means the issuing of orders by a physician from a medical facility to emergency medical service personnel for the purpose of providing appropriate patient care;
(n) "Municipality" has the meaning ascribed to it in subdivision (1), subsection (a), section two, article one, chapter eight of this code;
(o) "Patient" means any person who is a recipient of the services provided by emergency medical services;
(p) "Service reciprocity" means the provision of emergency medical services to citizens of this state by emergency medical service personnel certified to render those services by a neighboring state; and
(q) "Small emergency medical service provider" means any emergency medical service provider which is made up of less than twenty emergency medical service personnel.
§16-4C-8. Standards for emergency medical service personnel.
(a) Every ambulance operated by an emergency medical service agency shall carry at least two personnel. At least one person shall be certified in cardiopulmonary resuscitation or first aid and the person in the patient-compartment shall be minimally certified as an emergency medical technician-basic, except that in the case of a specialized multipatient medical transport only one staff person is required and this person shall be minimally certified at the level of an emergency medical technician-basic.
(b) As a minimum the training for each class of emergency medical service personnel shall include:
(1) Emergency medical service attendant: Shall have earned and possess valid certificates from the department or by authorities recognized and approved by the commissioner;
(2) Emergency medical technician-basic: Shall have successfully completed the course for certification as an emergency medical technician-basic as established by the commissioner or authorities recognized and approved by the commissioner; and
(3) Emergency medical technician-paramedic: Shall have successfully completed the course for certification as an emergency medical technician-paramedic established by the commissioner or authorities recognized and approved by the commissioner.
The foregoing may not be considered to limit the power of the commissioner to prescribe training, certification and recertification standards.
(c) Any person desiring emergency medical service personnel certification shall apply to the commissioner using forms and procedures prescribed by the commissioner. Upon receipt of the application, the commissioner shall determine whether the applicant meets the certification requirements and may examine the applicant, if necessary to make that determination. If it is determined that the applicant meets all of the requirements, the commissioner shall issue an appropriate emergency medical service personnel certificate which shall be valid for a period as determined by the commissioner.
State and county continuing education and recertification programs for all levels of emergency medical service providers shall be available to emergency medical service providers at a convenient site within one hundred miles of the provider's primary place of operation at sites determined by the regional emergency medical services offices. The continuing education program shall be provided at a cost specified in a fee schedule to be promulgated by legislative rule in accordance with the provisions of article three, chapter twenty-nine-a of this code by the department division of health to all nonprofit emergency medical service personnel.
(d) The commissioner may issue a temporary emergency medical service personnel certificate to an applicant, with or without examination of the applicant, when he or she finds that issuance to be in the public interest. Unless suspended or revoked, a temporary certificate shall be valid initially for a period not exceeding one hundred twenty days and may not be renewed unless the commissioner finds the renewal to be in the public interest. The expiration date of a temporary certificate shall be extended until the holder is afforded at least one opportunity to take an emergency medical service personnel training course within the general area where he or she serves as an emergency medical service personnel, but the expiration date may not be extended for any longer period of time or for any other reason.


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(NOTE: The purpose of this bill is to clarify the definition of "ambulance" and to specify staffing and personnel requirements for specialized multipatient medical transports.

Strike-throughs indicate language that would be stricken from the present law, and underscoring indicates new language that would be added.)

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HEALTH AND HUMAN RESOURCES COMMITTEE AMENDMENT


On page ___, section eight, line ___, after the word "be" by striking out the remainder of the paragraph and inserting in lieu thereof the following: minimally certified as an emergency medical technician-basic at a minimum, except that in the case of a specialized multi- patient medical transport, only one staff person is required and that person shall be certified, at a minimum, at the level of an emergency medical technician-basic.
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FINANCE COMMITTEE AMENDMENT


On page ___, section three, line ___, after the word "vehicles" by inserting the words "operated by an emergency medical services agency".


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