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HF 423

1st Engrossment - 89th Legislature (2015 - 2016) Posted on 06/02/2016 11:21am

KEY: stricken = removed, old language.
underscored = added, new language.

Current Version - 1st Engrossment

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A bill for an act
relating to health; eliminating the requirement of a variance for a staff
requirement for ambulance services; allowing alternative ambulance staffing in
certain areas; allowing a licensed ambulance service in limited areas to accept
full mutual aid support on a part-time basis; amending Minnesota Statutes 2014,
section 144E.101, subdivisions 6, 12.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2014, section 144E.101, subdivision 6, is amended to
read:


Subd. 6.

Basic life support.

(a) Except as provided in deleted text begin paragraphsdeleted text end new text begin paragraphnew text end (e) deleted text begin and
(f)
deleted text end , a basic life-support ambulance shall be staffed by at least two EMTs, one of whom
must accompany the patient and provide a level of care so as to ensure that:

(1) life-threatening situations and potentially serious injuries are recognized;

(2) patients are protected from additional hazards;

(3) basic treatment to reduce the seriousness of emergency situations is administered;
and

(4) patients are transported to an appropriate medical facility for treatment.

(b) A basic life-support service shall provide basic airway management.

(c) A basic life-support service shall provide automatic defibrillation.

(d) A basic life-support service licensee's medical director may authorize ambulance
service personnel to perform intravenous infusion and use equipment that is within the
licensure level of the ambulance service, including administration of an opiate antagonist.
Ambulance service personnel must be properly trained. Documentation of authorization
for use, guidelines for use, continuing education, and skill verification must be maintained
in the licensee's files.

(e) deleted text begin Upon application from an ambulance service that includes evidence
demonstrating hardship, the board may grant a variance from the staff requirements in
paragraph (a) and may authorize a basic life-support ambulance to be staffed by one EMT
and one registered emergency medical responder driver for all emergency ambulance calls
and interfacility transfers. The variance shall apply to basic life-support ambulances
operated by the ambulance service until the ambulance service renews its license. When a
variance expires, an ambulance service may apply for a new variance under this paragraph.
deleted text end
new text begin For emergency ambulance calls and interfacility transfers, an ambulance service may
staff its basic life-support ambulances with one EMT, who must accompany the patient,
and one registered emergency medical responder driver.
new text end For purposes of this paragraph,
"ambulance service" means either an ambulance service whose primary service area is
mainly located outside the metropolitan counties listed in section 473.121, subdivision 4,
and outside the cities of Duluth, Mankato, Moorhead, Rochester, and St. Cloud; or an
ambulance service based in a community with a population of less than deleted text begin 1,000deleted text end new text begin 2,500new text end .

deleted text begin (f) After an initial emergency ambulance call, each subsequent emergency ambulance
response, until the initial ambulance is again available, and interfacility transfers, may
be staffed by one registered emergency medical responder driver and an EMT. The
EMT must accompany the patient and provide the level of care required in paragraph
(a). This paragraph applies only to an ambulance service whose primary service area is
mainly located outside the metropolitan counties listed in section 473.121, subdivision
4
, and outside the cities of Duluth, Mankato, Moorhead, Rochester, and St. Cloud, or an
ambulance based in a community with a population of less than 1,000 persons.
deleted text end

Sec. 2.

Minnesota Statutes 2014, section 144E.101, subdivision 12, is amended to read:


Subd. 12.

Mutual aid agreement.

new text begin (a) new text end A licensee shall have a written agreement
with at least one neighboring licensed ambulance service for the preplanned and organized
response of emergency medical services, and other emergency personnel and equipment,
to a request for assistance in an emergency when local ambulance transport resources have
been expended. The response is predicated upon formal agreements among participating
ambulance services. A copy of each mutual aid agreement shall be maintained in the
files of the licensee.

new text begin (b) A licensee may have a written agreement with a neighboring licensed ambulance
service, including a licensed ambulance service from a neighboring state if that service is
currently and remains in compliance with its home state licensing requirements, to provide
part-time support to the primary service area of the licensee upon the licensee's request.
The agreement may allow the licensee to suspend ambulance services in its primary
service area during the times the neighboring licensed ambulance service has agreed to
provide all emergency services to the licensee's primary service area. The agreement may
not permit the neighboring licensed ambulance service to serve the licensee's primary
service area for more than 12 hours per day. This paragraph applies only to an ambulance
service whose primary service area is mainly located outside the metropolitan counties
listed in section 473.121, subdivision 4, and outside the cities of Duluth, Mankato,
Moorhead, Rochester, and St. Cloud, or an ambulance based in a community with a
population of less than 2,500 persons.
new text end

Sec. 3. new text begin EFFECTIVE DATE.
new text end

new text begin Sections 1 and 2 are effective the day following final enactment.
new text end