64A 99th Legislative Session 64
AMENDMENT 64A
FOR
THE INTRODUCED BILL
Introduced by: The Chair of the Committee on Health and Human Services at the request of the Department of Health
An Act to revise provisions related to the regulation of emergency medical services and associated personnel.
Be it enacted by the Legislature of the State of South Dakota:
Section 1. That § 36-4B-1 be AMENDED:
36-4B-1. Terms used in this chapter mean:
(1) "Advanced life support,"
a level of emergency care consisting of basic life support procedures
and definitive therapy
including the use of invasive procedures and may include the use of
drugs and manual defibrillation;
(2) "Advanced life support
personnel,"
any person other than a physician who has completed a department and
board approved program and is licensed or holds a privilege as an
emergency medical technician-intermediate/85; emergency medical
technician-intermediate/99; emergency medical technician-advanced; or
emergency medical technician-paramedic as set forth in this chapter,
or its equivalent
a person licensed by the board as:
(a) An emergency medical technician-intermediate/85;
(b) An emergency medical technician-intermediate/99;
(c) An advanced emergency medical technician; or
(d) A paramedic;
(3) "Basic life support personnel," a person:
(a) Certified by the board as an ambulance driver;
(b) Licensed by the board as an emergency medical responder; or
(c) Licensed by the board as an emergency medical technician;
(4) "Board,"
the
South Dakota
State Board of
Medical and Osteopathic Examiners;
(4) "Department,"
the South Dakota State Department of Health;
(5) "Direct
medical
control," real-time
communications
during an ambulance run
between
field
emergency medical services
personnel and a physician,
physician assistant, or nurse practitioner, licensed in this state
during an emergency run;
(6) "Emergency medical
services," health care provided to
the
a patient by
advanced life support
emergency medical services
personnel
licensed pursuant to this chapter;
(7) "Emergency
medical technician-advanced," any person who has successfully
completed a program of study approved by the department and the board
in all areas of training and skills set forth in the advanced
emergency medical technician instructional guidelines and standards,
including placement of esophageal and supraglottic airways,
intravenous cannulation, shock management, administration of specific
medications, and other advanced skills approved by the board, and who
is licensed by the board to perform such advanced skills;
(8) "Emergency
medical technician/EMT," any person trained in emergency medical
care in accordance with standards prescribed by rules and regulations
promulgated pursuant to § 34-11-6,
who provides emergency medical services, including automated external
defibrillation under indirect medical control, in accordance with the
person's level of training;
(9) "Emergency
medical technician-intermediate/85," any person who has
successfully completed a department- and board-approved program of
instruction in basic life support and advanced life support skills in
shock and fluid therapy, placement of esophageal airways, and other
advanced life support skills approved by board action, and who is
licensed by the board to perform such skills, including automated
external defibrillation;
(10) "Emergency
medical technician-paramedic," any person who has successfully
completed a program of study approved by the department and the board
and is licensed as an emergency medical technician-paramedic, which
includes all training and skills set forth herein for emergency
medical technician-intermediate/85 and emergency medical
technician-intermediate/99, and other advanced skills programs
approved by board action, and who is licensed by the board to perform
such intermediate, special, and advanced skills;
(11) "Emergency
medical technician-intermediate/99," any person who has
successfully completed a department- and board-approved program of
instruction in all areas of emergency medical
technician-intermediate/85 curriculum plus other specific areas of
emergency medical care in the following areas: manual and automated
external defibrillation, telemetered electrocardiography,
administration of cardiac drugs, administration of specific
medications and solutions, use of adjunctive breathing devices,
advanced trauma care, tracheotomy suction, esophageal airways and
endotracheal intubation, intraosseous infusion, or other special
skills programs approved by board action, and who is licensed by the
board to perform intermediate skills plus such special skills;
(12) "Epinephrine
auto-injector," a spring-loaded needle and syringe with a single
dose of epinephrine that will automatically release and inject the
medicine, any similar automatic pre-filled cartridge injector, or any
similar automatic injectable equipment;
(13) "Good
faith," honesty, in fact, in the conduct, or transaction
concerned;
(14) "Gross
negligence," the intentional failure to perform a manifest duty
in reckless disregard of the consequences as affecting the life or
health of another;
(15) "Hour
of advanced life support studies," fifty minutes of training;
(16)(7) "Emergency
medical services personnel," a person licensed by the board as:
(a) An emergency medical responder;
(b) An emergency medical technician;
(c) An emergency medical technician-intermediate/85;
(d) An emergency medical technician-intermediate/99;
(e) An advanced emergency medical technician; or
(f) A paramedic; and
(8) "Indirect
medical
control," the establishment and implementation of
system
guidelines,
policies
and procedures, such as medical treatment protocols, quality
assurance programs and case reviews,
and protocols approved
by a physician,
physician assistant, or nurse practitioner,
licensed in
South Dakota;
(17) "Local
government," any county, municipality, township, or village in
this state;
(18) "Medical
community," the physicians and medical resources located and
available within a geographic area;
(19) "Medical
emergency," an event affecting an individual in such a manner
that a need for immediate medical care is created;
(20) "Patient,"
an individual who, as a result of illness or injury, needs medical
attention; and
(21) "Prehospital
care," those emergency medical services rendered to patients in
an out-of-hospital setting, administered for analytic, stabilizing,
or preventive purposes
this state.
Section 2. That § 36-4B-2 be AMENDED:
36-4B-2.
A
state advanced life support The
board shall administer a program
is created. It shall be implemented by the department of health under
the direction of the Board of Medical and Osteopathic Examiners
for emergency medical services personnel, in accordance with this
chapter.
Section 3. That § 36-4B-3 be AMENDED:
36-4B-3.
It is a Class 2
misdemeanor for any person not licensed
under
in accordance with
this chapter to
hold herself or himself out
purport to be,
or practice as,
an emergency medical
technician‑intermediate/85, emergency medical
technician‑intermediate/99, or an emergency medical
technician‑paramedic
services personnel.
Each violation is a separate offense.
Section 4. That § 36-4B-7 be AMENDED:
36-4B-7.
An
The
board shall approve educational
program
programs for
the instruction
of
advanced life support
emergency medical services
personnel
shall meet the following general requirements:
(1) The
educational program shall develop an evaluation mechanism
satisfactory to the Board of Medical and Osteopathic Examiners to
determine the effectiveness of its theoretical and clinical programs,
the results of which shall be made available to the board annually;
(2) Instructors
in the theoretical and clinical training programs shall be competent
and properly qualified in their respective fields of instruction and
clinical training;
(3) The
educational program shall establish a method of definitive candidate
selection satisfactory to the board; and
(4) The
number of students enrolled in the theoretical program may not exceed
the number that can be clinically supervised and trained
provided the programs meet or exceed the standards established for
certification by the National Registry of Emergency Medical
Technicians, as of January 1, 2024.
A person may not offer a program for the instruction of emergency medical services personnel without first receiving approval by the board, in accordance with this section.
Section 5. That § 36-4B-12 be AMENDED:
36-4B-12.
Failure
of an educational program to comply with the general and specific
curriculum requirements of this chapter shall result in withdrawal of
the board's The
board may withdraw or deny approval
of any educational program if the program fails to comply with the
provisions of § 36-4B-7.
Section 6. That § 36-4B-13 be AMENDED:
36-4B-13.
The
board may issue an appropriate advanced life support license to any
person who files a verified application upon a form prescribed by the
board, pays the required fee, and furnishes evidence satisfactory to
the board that the person has met the following qualifications:
(1) Completes
successfully an appropriate course of study approved by the board for
the license sought; and
(2) Completes
successfully a written and practical examination testing the
applicant's knowledge in theoretical and applied prehospital primary
care as it applies to the practice of the advanced life support
license sought
board shall, by rule promulgated pursuant to chapter 1-26:
(1) Establish the educational and practical criteria and requirements for licensure as:
(a) An emergency medical responder;
(b) An emergency medical technician;
(c) An emergency medical technician-intermediate/85;
(d) An emergency medical technician-intermediate/99;
(e) An advanced emergency medical technician; and
(f) A paramedic; and
(2) Provide an application form for use in requesting licensure.
Section 7. That § 36-4B-13.1 be AMENDED:
36-4B-13.1.
In addition to the
requirements
of
referenced in
§ 36-4B-13,
each
an applicant
for licensure as an
emergency medical technician or
advanced life support personnel
must
shall submit to
a state and federal criminal background check. The applicant
must submit
shall provide a
full set of
the applicant's
fingerprints to the board in
a
the form and
manner prescribed by the board. The board shall submit the
applicant's
fingerprints to the Division of Criminal Investigation
to conduct
for a criminal
background check by the division and the Federal Bureau of
Investigation. The applicant
must
shall sign a
release of information to the board, and pay any fee charged for the
cost of
fingerprinting or
conducting
the background check.
Upon completion of the background
check, the division
shall
must deliver
to the board all
the applicant's
criminal history
record
information
regarding the applicant, and
to the board.
The board shall
consider this information in
its determination
determining whether
to issue a license to the applicant. The board may not issue a
license to an applicant before receiving this information. The board
may
only
not disseminate
an applicant's
any information
obtained under this section
to a person
on or
not employed by
the board.
The
board may require any licensee who is the subject of a disciplinary
investigation to submit to a state and federal background check. The
board may deny the issuance of, suspend, or revoke a license for
failure to submit to or cooperate with a background check.
Section 8. That a NEW SECTION be added:
The board may require a licensee who is the subject of a disciplinary investigation to submit to a fingerprint-based state and federal criminal background check.
The board may suspend or revoke a license for the licensee's failure to submit to or cooperate with the background check.
Section 9. That § 36-4B-14 be AMENDED:
36-4B-14.
The board may
issue
a license
advanced life support personnel in this state, without examination,
if the person has
to an individual who:
(1) Has
passed the
national registry written and practical
National Registry of Emergency Medical Technicians
examination
and meets;
(2) Meets
all other requirements of this chapter.
Applicants shall hold
for the license sought; and
(3) Holds
current licensure in another state or current certification by the
national registry
National Registry of Emergency Medical Technicians
for the license sought.
Section 10. That § 36-4B-15 be AMENDED:
36-4B-15.
Advanced
life support Emergency
Except
as otherwise provided in this section, emergency medical services
personnel
shall
must, through the use of direct and indirect
medical
control, be
supervised by a
physician who directs:
(1) Physician
physician licensed in accordance with chapter 36-4;
(2) .
If emergency medical services personnel are affiliated with an ambulance service that has been granted a hardship exemption in accordance with chapter 36-11, the personnel must, through the use of direct and indirect control, be supervised by a:
(1) Physician licensed in accordance with chapter 36-4;
(2) Physician assistant licensed in accordance with chapter 36-4A; or
(3) Nurse practitioner licensed in accordance with chapter 36-9A.
The A
physician, or a physician assistant,
or nurse practitioner if the ambulance service has been granted a
hardship exemption, must oversee the practice
and
reviews
review the
work records and practice permitted by §§ 36-4B-16
and 36-4B-17,
to ensure that the patient is given proper treatment
patient care reports of the emergency medical services personnel.
Section 11. That § 36-4B-16 be AMENDED:
36-4B-16.
An emergency
medical technician‑intermediate/99 may
perform basic life support techniques and while under proper medical
supervision intermediate skills, special skills techniques, and:
(1) Respond to, assess, and triage non-urgent, urgent, and emergent requests for medical care;
(2) Apply basic and focused advanced knowledge and skills necessary to provide patient care transportation;
(3) Perform interventions with the basic and advanced equipment typically found in an ambulance;
(4) Perform intravenous cannulation for shock management;
(5) Administer medications approved by the board; and
(6) Perform
other advanced
life support
skills
for which they are licensed
approved by the
board.
Section 12. That § 36-4B-16.1 be AMENDED:
36-4B-16.1.
An emergency
medical technician‑intermediate/85 may
perform basic life support techniques as set forth in chapter 34-11
and while under proper medical supervision advanced life support
techniques listed in § 36-4B-1 and:
(1) Respond to, assess, and triage non-urgent, urgent, and emergent requests for medical care;
(2) Apply basic and focused advanced knowledge and skills necessary to provide patient care transportation;
(3) Perform interventions with the basic equipment typically found in an ambulance;
(4) Perform intravenous cannulation for shock management; and
(5) Perform
other advanced
life support
skills
for which they are licensed
approved by the
board.
Section 13. That § 36-4B-16.2 be AMENDED:
36-4B-16.2.
An
advanced
emergency medical
technician-advanced
technician may
perform placement of esophageal and supraglottic airways, intravenous
cannulations, shock management, administration of specific:
(1) Respond to, assess, and triage nonurgent, urgent, and emergent requests for medical care;
(2) Apply basic and focused advanced knowledge and skills necessary to provide patient care transportation;
(3) Perform interventions with the basic and advanced equipment typically found in an ambulance;
(4) Administer
medications,
approved by the board;
(5) Perform focused advanced skills to mitigate specific life-threatening, medical, and psychological conditions with a targeted set of skills beyond the level of an emergency medical technician; and
(5) Perform other advanced skills approved by the board.
Section 14. That § 36-4B-17 be AMENDED:
36-4B-17.
An
emergency medical technician‑paramedic A
paramedic may
perform basic life support techniques as set forth in chapter 34-11
and while under proper medical supervision all intermediate and
special skills. A paramedic may also perform other:
(1) Respond to, assess, and triage nonurgent, urgent, and emergent requests for medical care;
(2) Apply basic and focused advanced knowledge and skills necessary to determine patient physiologic, psychological, and psychosocial needs;
(3) Perform interventions with the basic and advanced equipment typically found in an ambulance, including diagnostic equipment approved by an ambulance service medical director;
(4) Administer medications approved by the board;
(5) Provide specialized interfacility care during patient transport; and
(6) Perform
other advanced
life support
skills
for which he is licensed
approved by the
board.
Section 15. That a NEW SECTION be added to chapter 36-4B:
An emergency medical responder may:
(1) Provide initial emergency care, consisting of first aid and basic life support to a patient at the scene of an emergency; and
(2) Assist an emergency medical technician or advanced life support personnel both at the scene of an emergency and during the transport of a patient to a medical facility.
An emergency medical responder may not make decisions independently regarding the appropriate disposition of a patient.
Section 16. That a NEW SECTION be added to chapter 36-4B:
An emergency medical technician may, in addition to any services provided by an emergency medical responder, provide pre-hospital emergency care that includes interventions using basic equipment, typically found in an ambulance, and necessary to stabilize and safety transport patients.
Section 17. That § 36-4B-18.1 be AMENDED:
36-4B-18.1.
A critical care
endorsement is hereby created. The board shall issue the endorsement
to any person who is licensed as
an emergency medical technician-paramedic
a paramedic
and:
(1) Completes the educational requirements and training, in critical care transport, approved by the board and promulgated in accordance with section 36-4B-35; or
(2) Is certified as a critical care paramedic or a flight paramedic by the International Board of Specialty Certification.
Section 18. That § 36-4B-18.2 be AMENDED:
36-4B-18.2. A community paramedic endorsement is hereby created. The board may issue a community paramedic endorsement to a person who:
(1) Is licensed as
an emergency medical technician-paramedic
a paramedic;
(2) Completes the education requirements and training approved by the board and promulgated in accordance with § 36-4B-35; and
(3) Applies on a form prescribed by the board.
Section 19. That § 36-4B-20 be AMENDED:
36-4B-20.
If
advanced life support
emergency medical services
personnel
should
render services in a hospital
and related institutions as
or other healthcare facility
licensed pursuant to chapter 34-12,
said advanced life support personnel shall be
they are
subject to the
rules and regulations
policies and protocols
of that hospital
and related institutions
or facility.
Section 20. That § 36-4B-22 be AMENDED:
36-4B-22.
No agency,
organization, institution, corporation, or entity of state or local
government
which
that sponsors,
authorizes, supports, finances or supervises the functions of
emergency medical service personnel
licensed and authorized pursuant to this chapter, including advanced
life support personnel, may be
is liable for
any civil damages for any act or omission in connection with
sponsorship, authorization, support, finance, or supervision of such
emergency medical services
the personnel,
where the act or omission occurs in connection with
their
the personnel's
training or with services rendered outside a hospital and where
the life of a
patient is in immediate danger, unless the act or omission is
inconsistent with the training of the
emergency medical services
personnel or the act or omission was the result of gross negligence
or willful misconduct.
Section 21. That § 36-4B-23 be AMENDED:
36-4B-23.
No principal,
agent, contractor, employee or representative of an agency,
organization, institution, corporation, or entity of state or local
government
which
that sponsors,
authorizes, supports, finances or supervises the functions of
emergency medical services personnel
licensed and authorized pursuant to this chapter, including advanced
life support personnel, may be
is liable for
any civil damages for any act or omission in connection with
such
the
sponsorship, authorization, support, finance or supervision of
such emergency medical services
the personnel,
where the act or omission occurs in connection with
their
the personnel's
training, or occurs outside a hospital where the life of a patient is
in immediate danger, unless the act or omission is inconsistent with
the training of the
emergency medical services
personnel or the act or omission was the result of gross negligence
or willful misconduct.
Section 22. That § 36-4B-24 be AMENDED:
36-4B-24.
No
physician A
physician, nurse practitioner, or physician assistant who
supervises
the functions of
emergency medical services personnel
licensed and authorized pursuant to this chapter, including advanced
life support personnel, may be
is not liable
for any civil damages for any
act or omission of the
emergency medical services personnel, where the life of a patient is
in immediate danger, unless the act or omission was the result of
gross negligence or willful misconduct.
Section 23. That § 36-4B-26 be AMENDED:
36-4B-26.
A
person holding an advanced life support An
initial license issued to emergency medical services personnel
license under the provisions of
in accordance with
this chapter
shall renew the license annually on or before the fifteenth day of
July. A person licensed as an emergency medical
technician‑intermediate/85, an emergency medical
technician‑intermediate/99, or an emergency medical
technician‑paramedic shall renew the license upon a form
furnished to the person by the board
expires on April thirtieth in the second calendar year after issuance
and every two years thereafter.
In order to renew a license, emergency medical services personnel must submit to the board, prior to the expiration date:
(1) An application for renewal, as prescribed by the board;
(2) The renewal fee in the amount set forth in § 36-4B-29; and
(3) Verification of having met the continuing education requirements, as set forth in rules authorized under § 36-4B-35.
Section 24. That § 36-4B-28 be AMENDED:
36-4B-28.
Any
The
board shall suspend any license
not renewed
pursuant to § 36-4B-27
shall be suspended. A license so suspended may be reinstated
within the time required, as set forth in § 36-4B-26.
The
board may reinstate a license,
during the
following
twelve
months by
period following the date of expiration, upon receiving
proof
of
that the person who held the license:
(1) Complied
with the
requirements
met
set forth in
§ 36-4B-27,
§ 36-4B-26;
and
by payment of the renewal fee and a reinstatement fee as fixed by the
board. Thereafter, a suspended license may be reinstated upon payment
of a
(2) Paid
the reinstatement
fee
fixed
established by
the board pursuant to § 36-4B-29
following specific approval by the board.
Section 25. That § 36-4B-29 be AMENDED:
36-4B-29.
The board shall
promulgate rules pursuant to chapter 1-26
to
set fees in each of the following categories in an amount which will
produce sufficient revenue for the ensuing fiscal year not to exceed
one hundred twenty percent of the anticipated expenses of the board
for the operation of the advanced life support program by the board
for that year.
The
license
establish
fees for
all advanced life support
emergency medical services
personnel
shall be
as follows:
(1) Licensure
by examinationInitial
licensure, not
less than fifteen dollars nor
more than fifty dollars;
(2) Reexamination
within one year, not less than fifteen dollars nor more than fifty
dollars;
(3) Licensure
by reciprocity, not
less than twenty-five dollars nor
more than seventy-five dollars;
(4)(3) Renewal
of a licenseLicensure
renewal, not
less than ten dollars, nor
more than
twenty-five
fifty dollars;
and
(5)(4) Reissuance
of a lost or destroyed license,
following approval of the board,
not more than ten dollars.
Section 26. That § 36-4B-31 be AMENDED:
36-4B-31.
The board may deny
the issuance or renewal of a license
or suspend or revoke the license of any advanced life support
personnel issued under this chapter upon satisfactory proof of the
person's incompetence, or unprofessional or dishonorable conduct as
defined in § 36-4-30
or proof of a violation of this chapter
or certification, and may suspend or revoke a license or
certification issued under this chapter, if the individual:
(1) Procures or attempts to procure a license or certification through fraud, deceit, misrepresentation, or in violation of the provisions of this chapter and rules promulgated thereunder;
(2) Is unable to perform the skills for which the individual is licensed;
(3) Has engaged in unprofessional or dishonorable conduct, as defined in § 36-4-30;
(4) Has been convicted of a felony that:
(a) Has a direct bearing upon the individual's ability to serve the public in a capacity certified or licensed by this chapter; or
(b) Has been convicted of a crime that requires the individual to register as a sex offender in any state;
(5) Has had the individual's National Registry of Emergency Technicians or other health care certification or license encumbered for any reason;
(6) Provides emergency medical services without authorization from a physician, physician assistant, or nurse practitioner; or
(7) Fails to respond to an emergency while on call through willful disregard and not by a good-faith error or circumstances beyond the individual's control.
Section 27. That § 36-4B-35 be AMENDED:
36-4B-35. The board shall promulgate rules, pursuant to chapter 1-26, to:
(1) Provide for an application form and process for the licensure of emergency medical services personnel and the certification of ambulance drivers;
(2) Set forth criteria for educational and training program approval, including instructor qualifications, student acceptance, and clinical requirements;
(3) Establish
the educational and training
curriculum
requirements,
and the
examination
National Registry of Emergency Medical Technicians
requirements,
for applicants
to become licensed as advanced life support personnel
seeking licensure as emergency medical services personnel;
(4) Provide for the renewal of ambulance driver certification and continuing education requirements;
(2)(5) Establish
the procedure
procedures for
the administration of the
advanced life support
emergency medical services personnel
program
and designate the responsibilities of the department and the board;
(3)(6) Regulate
the professional conduct of
licensees
emergency medical services personnel and ambulance drivers;
(4)(7) Establish
the educational and training requirements,
and conditions for issuance of a critical care endorsement, as
provided for in § 36-4B-18.1;
and
(5)(8) Establish
the:
(a) Educational and training requirements and conditions for issuance of a community paramedic endorsement; and
(b) Practice protocols and supervisory requirements for a person with a community paramedic endorsement; and
(9) Establish
the allowable skills and techniques performed by emergency medical
services personnel under direct and indirect
medical
control.
Section 28. That § 36-4B-37 be AMENDED:
36-4B-37.
The board shall
appoint an
advanced life support
emergency medical services
personnel
advisory committee
council
composed of
four
five members
as follows:
(1) One emergency medical
technician-intermediate/85
technician;
(2) One emergency medical technician-intermediate/85, emergency medical technician-intermediate/99, or advanced emergency medical technician;
(3) One
emergency medical technician-paramedicTwo
paramedics; and
(4) One
emergency room
physician
licensed in accordance with chapter 36-4
and trained in emergency medicine.
Each
committee The
term of office for each member
shall serve a term of
is three years.
No
committee
member may
be appointed to
serve more than
three consecutive,
full terms. If a vacancy occurs, the board
shall
must appoint a
person
new member to
fill the unexpired term. The appointment of a
person
member to an
unexpired term is not considered a full term.
The
committee
council shall
meet at least
annually or
twice each year, at a time and place set by the council, and may hold
additional meetings
as necessary to conduct business. The
council shall meet the requirements of chapter 1-25
regarding open meetings.
The
committee
council shall
assist the board in
evaluating standards of care for advanced life support personnel and
the regulation of advanced life support
all matters related to the licensure, practice, education, continuing
education, investigation, and discipline of emergency medical
services
personnel pursuant to this chapter. The
committee
council shall
also make
recommendations to the board regarding rules promulgated pursuant to
this chapter.
The committee shall meet the requirements of chapter 1-25
regarding open meetings
The council shall submit meeting minutes and recommendations to the
board following each meeting.
The board shall communicate activity on all matters relating to emergency medical services personnel with the council.
Section 29. That chapter 36-4B be amended with a NEW SECTION:
Any individual licensed or certified in accordance with this chapter must report any of the following occurrences to the board, within thirty days of the date of the occurrence:
(1) Conviction or discipline for unprofessional conduct or dishonorable conduct, as defined in § 36-4-30;
(2) Any encumbrance of the individual's National Registry of Emergency Medical Technicians or other health care certification or licensure;
(3) Hospital disciplinary action implicating the individual;
(4) Action affecting the individual's privilege to practice;
(5) Judgment or settlement related to the individual's alleged malpractice; and
(6) Change in the individual's:
(a) Home address;
(b) Business address;
(c) Home phone number;
(d) Work phone number;
(e) Email address; or
(f) Other information that is used for communicating with the board.
Failure to report may constitute a basis for disciplinary action against the individual.
Section 30. That chapter 36-4B be amended with a NEW SECTION:
The board may issue a certification as an ambulance driver to a person who:
(1) Completes an emergency care course approved by the board; and
(2) Applies on a form prescribed by the board.
Section 31. That § 36-4B-10 be REPEALED:
Educational programs for
instruction of advanced life support personnel shall be implemented
by the Department of Health and approved by the board. Schools or
institutions offering such programs shall submit applications for
approval on forms provided by the board.
Section 32. That § 36-4B-11 be REPEALED:
The medical director of
an educational program approved by the board shall notify the board
if a change occurs in the directorship of the educational program or
if major modifications in the curriculum are anticipated.
Section 33. That § 36-4B-18 be REPEALED.
In addition to tasks
listed in §§ 36-4B-16
and 36-4B-17,
an emergency medical technician‑intermediate/85, emergency
medical technician‑intermediate/99, or an emergency medical
technician‑paramedic may be permitted to perform, under direct
or indirect medical control, such other tasks approved by the board,
and for which adequate training and proficiency can be demonstrated.
Section 34. That § 36-4B-27 be REPEALED:
A request for emergency
medical technician‑paramedic or emergency medical
technician‑intermediate/99 license renewal shall be accompanied
annually by the prescribed fee and accompanied in odd numbered years
by satisfactory evidence of sixty hours of advanced life support
studies during the preceding two years. A request for emergency
medical technician‑intermediate/85 license renewal shall be
accompanied annually by the prescribed fee and accompanied in odd
numbered years by satisfactory evidence of forty hours of advanced
life support studies during the preceding two years. The request
shall also be accompanied by a letter from the supervising physician
and the employer of the advanced life support personnel. If the
advanced life support personnel is terminated the reasons shall be
submitted to the board, in writing, by both the ambulance service and
supervising physician, within seventy‑two hours of termination
of any such working contract.
Section 35. That § 36-4B-33 be REPEALED:
If a person holding a
license to practice advanced life support shall by final order or
adjudication of a court of competent jurisdiction be adjudged to be
mentally incompetent or insane, that person's license shall be
suspended by the board after proceedings in compliance with chapter
1-26.
Such suspension shall continue until the licensee is found or
adjudged by such court to be restored to reason. The board may
establish probationary conditions which it deems necessary for the
best interest of the licensee.
Section 36. That § 36-4B-34 be REPEALED:
Upon application, the
board may reissue a license to practice advanced life support to a
person whose license has been canceled, suspended, or revoked. A
reissuance of a license which has been canceled or revoked may not be
made prior to one year after the cancellation or revocation and the
reissuance of any license may be made in such manner, form, and
conditions as the board may require.
Section 37. That § 36-4B-36 be REPEALED:
The board may not pass
any rules which:
(1) Are not authorized by
§ 36-4B-35
or are not designated to meet the intent of this chapter;
(2) Discriminate between
licensees of the same class;
(3) Attempt to regulate
persons, schools, or other institutions not licensed under this
chapter;
(4) Have as their primary
purpose the promotion or protection of the economic interests of
licensees;
(5) Restrict the number
of licensees for reasons other than their qualifications;
(6) Discriminate between
programs approved under this chapter which train prospective
licensees, whether in or out of the state.
Underscores indicate new language.
Overstrikes
indicate deleted language.