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H0252.................................................by HEALTH AND WELFARE
EMERGENCY MEDICAL PERSONNEL - Amends existing law relating to certification
of emergency medical personnel to define qualifications for an Emergency
Medical Technician-Intermediate (EMT-I).
02/15 House intro - 1st rdg - to printing
02/16 Rpt prt - to Health/Wel
02/25 Rpt out - rec d/p - to 2nd rdg
02/26 2nd rdg - to 3rd rdg
03/01 3rd rdg - PASSED - 54-15-1
AYES -- Alltus, Barrett, Bell, Black, Boe, Bruneel, Callister,
Campbell, Chase, Clark, Cuddy, Deal, Denney, Ellsworth, Field(13),
Field(20), Gould, Hadley, Hammond, Hansen(23), Hansen(29), Henbest,
Hornbeck, Jaquet, Jones, Judd, Kellogg, Kempton, Kunz, Lake,
Limbaugh, Linford, Loertscher, Mader, McKague, Meyer, Mortensen,
Pischner, Pomeroy, Ridinger, Ringo, Robison, Schaefer, Sellman,
Smith, Smylie, Stevenson, Stone, Tippets, Trail, Watson, Williams,
Zimmermann, Mr Speaker
NAYS -- Barraclough, Bieter, Crow, Gagner, Geddes, Kendell,
Montgomery, Moyle, Reynolds, Sali, Stoicheff, Taylor, Tilman,
Wheeler, Wood
Absent and excused -- Marley
Floor Sponsor - Jaquet, Hornbeck, Henbest
Title apvd - to Senate
03/02 Senate intro - 1st rdg - to Health/Wel
03/08 Rpt out - rec d/p - to 2nd rdg
03/09 2nd rdg - to 3rd rdg
03/10 3rd rdg - PASSED - 31-0-4
AYES--Andreason, Boatright, Branch, Bunderson, Cameron, Crow,
Danielson, Darrington, Davis, Deide, Dunklin, Frasure, Geddes,
Hawkins, Ingram, Ipsen, Keough, King, Lee, McLaughlin, Richardson,
Riggs, Risch, Sandy, Schroeder, Sorensen, Stegner, Stennett, Thorne,
Wheeler, Whitworth
NAYS--None
Absent and excused--Burtenshaw, Noh, Parry, Twiggs
Floor Sponsor - Wheeler
Title apvd - to House
03/11 To enrol
03/12 Rpt enrol - Sp signed
03/15 Pres signed
03/16 To Governor
03/19 Governor signed
Session Law Chapter 131
Effective: 07/01/99
H0252|||| LEGISLATURE OF THE STATE OF IDAHO |||| Fifty-fifth Legislature First Regular Session - 1999IN THE HOUSE OF REPRESENTATIVES HOUSE BILL NO. 252 BY HEALTH AND WELFARE COMMITTEE 1 AN ACT 2 RELATING TO CERTIFICATION OF EMERGENCY MEDICAL PERSONNEL; AMENDING SECTION 3 39-140, IDAHO CODE, TO DEFINE QUALIFICATIONS FOR AN EMERGENCY MEDICAL 4 TECHNICIAN-INTERMEDIATE. 5 Be It Enacted by the Legislature of the State of Idaho: 6 SECTION 1. That Section 39-140, Idaho Code, be, and the same is hereby 7 amended to read as follows: 8 39-140. DEFINITIONS. As used in this act: 9 (1) "Ambulance" means any privately or publicly owned ground vehicle, 10 nautical vessel, fixed wing aircraft or rotary wing aircraft used for, or 11 intended to be used for the transportation of sick or injured persons who may 12 need medical attention during transport. This may include dual or multipurpose 13 vehicles which otherwise comply with the provisions of this act and specifica- 14 tions established by the board of health and welfare. 15 (2) "Board of health and welfare" means the Idaho board of health and 16 welfare. 17 (3) "Board of medicine" means the Idaho board of medicine as provided in 18 chapter 18, title 54, Idaho Code. 19 (4) "Certified Personnel" means individuals who have completed training 20 and successfully passed examinations for training and skills proficiency in 21 one (1) or several levels as certified by the department of health and wel- 22 fare. These several levels of certified personnel shall include: 23 (a) FR -- "First Responder" (hereafter FR) means an individual certified 24 by the EMS bureau of the Idaho department of health and welfare as a FR on 25 the basis of successful completion of a FR course approved by the board of 26 health and welfare and subsequent required continuing training. 27 (b) EMT-B -- "Emergency Medical Technician-Basic" (hereafter EMT-B) means 28 an individual certified by the EMS bureau of the Idaho department of 29 health and welfare on the basis of successful completion of an EMT-B 30 course approved by the board of health and welfare and subsequent required 31 continuing training. 32 (c) "Ambulance Rating" means a certification issued by the EMS bureau of 33 the Idaho department of health and welfare to an EMT-B on the basis of 34 successful completion of supervised infield ambulance experience as 35 defined by the board of health and welfare. 36 (d) "Advanced Emergency Medical Technician-Ambulance" (hereafter advanced 37 EMT-A) means a person who: 38 (i) Is certified by the EMS bureau of the Idaho department of 39 health and welfare on the basis of successful completion of EMT-A 40 training and in addition, has completed at least fifty (50) hours of 41 advanced training in such techniques as intravenous fluid therapy, 42 antishock trouser application, airway management, and subsequent 43 required continued training; and 2 1 (ii) Has received additional training by a licensed physician: 2 (A) To administer drugs under written or oral authorization of 3 a licensed physician; and 4 (B) To perform such other acts under written or oral authoriza- 5 tion of a licensed physician as shall be authorized by the board 6 of medicine; and 7 (iii) Has been examined and certified as an advanced EMT-A by an 8 authorized representative of the department. 9 (e) "Emergency Medical Technician-Intermediate" (hereafter EMT-I) 10 means a person who: 11 12 (i) Has completed all the requirements for certification as 13 an EMT-I; and 14 15 (ii) Has successfully completed a course in patient care 16 including the required training under the supervision of a licensed 17 physician covering the scope of practice defined by the board of med- 18 icine; and 19 20 (iii) Has been examined and certified as an EMT-I by an autho- 21 rized representative of the department. 22 23 (f) "Emergency Medical Technician-Paramedic" (hereafter EMT- 24 P) means a person who: 25 (i) Has completed all the requirements for certification as an EMT- 26 P; and 27 (ii) Has successfully completed a course in intensive patient care 28 including the required training under the supervision of a licensed 29 physician, including training in cardiac defibrillation, cardiac mon- 30 itoring, endotracheal intubation and drug administration; and 31 (iii) Has been examined and certified as an EMT-P by an authorized 32 representative of the department. 33 (5) "Department" means the Idaho department of health and welfare. 34 (6) "Emergency Medical Services" means the services utilized in respond- 35 ing to a perceived individual need for immediate care in order to prevent loss 36 of life or aggravation of physiological or psychological illness or injury. 37 (7) "Non-Transport Service" means a service licensed by the department of 38 health and welfare, EMS bureau, operated with the intent to provide personnel 39 or equipment for medical stabilization at an emergency scene, but not intended 40 to be the service that will actually transport sick or injured persons. 41 (8) "Non-Transport Vehicle" means any vehicle licensed by the department 42 of health and welfare, EMS bureau, operated with the intent to provide person- 43 nel or equipment for medical stabilization at an emergency scene, but not 44 intended as the vehicle that will actually transport sick or injured persons. 45 (9) "Supervision" means the medical direction by a licensed physician of 46 activities provided by certified personnel affiliated with a licensed ambu- 47 lance or non-transport service, including, but not limited to: establishing 48 standing orders and protocols, reviewing performance of certified personnel, 49 providing instructions for patient care via radio or telephone, and other 50 oversight. 51 (10) "Transfer" means the transportation of a patient from one (1) medical 52 care facility to another.
STATEMENT OF PURPOSE
RS08998
The purpose of this legislation is to add a fifth level of
emergency medical services (EMS)certification available to EMS
providers, local EMS agencies, and local government. Certification
is issued by the Department of Health and Welfare in accordance
with the Rules Governing EMS and the Board of Medicine's Rules
Governing EMS Personnel. The length of training required, types of
medical procedures that can be performed, and requirements for
maintaining and renewing certification at periodic intervals
distinguish certification levels. The additional level of
certification allows for the adoption of a new national standard
curriculum known as the "Emergency Medical Technician-Intermediate," which has more knowledge and skills than the
Advanced EMT-A, but requires less training than the EMT-Paramedic.
Idaho has adopted new national standard curricula upon their
publication consistently since the early 1970's. No obligation or
requirement for local government and local EMS agencies is conveyed
in this amendment.
FISCAL NOTE
If a local jurisdiction, county, or local EMS agency chooses to
advance the clinical capability of their services for the patients
they serve, costs may be incurred at the local level for additional
EMS training, additional EMS equipment, or both. Costs of training
to local government, the local EMS agency, or the individual,
depending on the training source and delivery method, may range
from zero to $6,000 per course. Costs of EMS equipment to local
government or the local EMS agency, depending on the amount for
equipment the entity already possesses and funding or arrangements
with alternate sources, may range from zero to $8,000 per EMS
vehicle.
CONTACT: Representative Wendy Jaquet
208/332-1000
Representative Twila Hornbeck
208/332-1000
STATEMENT OF PURPOSE/ FISCAL NOTE Bill No. H 252