Minnesota Legislature
HF 4600
as introduced - 93rd Legislature (2023 - 2024) Posted on 04/02/2024 01:11pm
Bill Text Versions
| Engrossments | ||
|---|---|---|
| Introduction | Posted on 03/05/2024 |
Current Version - as introduced
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A bill for an act
relating to health; modifying ambulance staffing requirements and emergency
medical responder registration; extending authority to reinstate ambulance service
personnel certifications; modifying requirements for approval and reapproval of
education programs; modifying an appropriation; amending Minnesota Statutes
2022, sections 144E.001, subdivision 3a; 144E.101, by adding a subdivision;
144E.27, subdivisions 3, 5, 6; 144E.28, subdivisions 3, 8; 144E.285, subdivisions
1, 2, 4, by adding subdivisions; Minnesota Statutes 2023 Supplement, section
144E.101, subdivisions 6, 7; repealing Minnesota Statutes 2022, section 144E.27,
subdivisions 1, 1a.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1.
Minnesota Statutes 2022, section 144E.001, subdivision 3a, is amended to read:
Subd. 3a.
Ambulance service personnel.
"Ambulance service personnel" means
individuals who are authorized by a licensed ambulance service to provide emergency care
for the ambulance service and are:
(1) EMTs, AEMTs, or paramedics;
(2) Minnesota registered nurses who are: (i) EMTs, are currently practicing nursing, and
have deleted text begin passed a paramedic practical skills test, as approved by the board and administered by
an educational program approved by the boarddeleted text end new text begin been approved by the ambulance service
medical directornew text end ; (ii) on the roster of an ambulance service on or before January 1, 2000;
or (iii) after petitioning the board, deemed by the board to have training and skills equivalent
to an EMT, as determined on a case-by-case basis; or
(3) Minnesota licensed physician assistants who are: (i) EMTs, are currently practicing
as physician assistants, and have deleted text begin passed a paramedic practical skills test, as approved by
the board and administered by an educational program approved by the boarddeleted text end new text begin been approved
by the ambulance service medical directornew text end ; (ii) on the roster of an ambulance service on or
before January 1, 2000; or (iii) after petitioning the board, deemed by the board to have
training and skills equivalent to an EMT, as determined on a case-by-case basis.
Sec. 2.
Minnesota Statutes 2023 Supplement, section 144E.101, subdivision 6, is amended
to read:
Subd. 6.
Basic life support.
(a) Except as provided in paragraph (f)new text begin or subdivision 6anew text end ,
a basic life-support ambulance shall be staffed by at least two deleted text begin EMTs, one of whomdeleted text end new text begin individuals
who meet one of the following requirements: (1) are certified as an EMT; (2) are a Minnesota
registered nurse who meets the qualification requirements in section 144E.001, subdivision
3a, clause (2); or (3) are a Minnesota licensed physician assistant who meets the qualification
requirements in section 144E.001, subdivision 3a, clause (3). One of the individuals staffing
a basic life-support ambulancenew text end must accompany the patient and provide a level of care so
as to ensure that:
deleted text begin (1)deleted text end new text begin (i)new text end life-threatening situations and potentially serious injuries are recognized;
deleted text begin (2)deleted text end new text begin (ii)new text end patients are protected from additional hazards;
deleted text begin (3)deleted text end new text begin (iii)new text end basic treatment to reduce the seriousness of emergency situations is administered;
and
deleted text begin (4)deleted text end new text begin (iv)new text end 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 shall administer opiate antagonists consistent with
protocols established by the service's medical director.
(e) 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. 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.
(f) For emergency ambulance calls and interfacility transfers, an ambulance service may
staff its basic life-support ambulances with one deleted text begin EMTdeleted text end new text begin individual who meets the qualification
requirements in paragraph (a)new text end , who must accompany the patient, and one registered
emergency medical responder driver. 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 2,500.
Sec. 3.
Minnesota Statutes 2022, section 144E.101, is amended by adding a subdivision
to read:
new text begin Subd. 6a. new text end
new text begin Variance; staffing of basic life-support ambulance. new text end
new text begin
(a) Upon application
from an ambulance service that includes evidence demonstrating hardship, the board may
grant a variance from the staff requirements in subdivision 6, paragraph (a), and may
authorize a basic life-support ambulance to be staffed, for all emergency calls and interfacility
transfers, with one individual who meets the qualification requirements in paragraph (b) to
drive the ambulance and one individual who meets the qualification requirements in
subdivision 6, paragraph (a), and who must accompany the patient. The variance shall apply
to basic life-support ambulances until the ambulance service renews its license. When the
variance expires, the ambulance service may apply for a new variance under this subdivision.
This subdivision 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 service
based in a community with a population of less than 1,000 persons.
new text end
new text begin
(b) In order to drive an ambulance under a variance granted under this subdivision, an
individual must:
new text end
new text begin
(1) hold a valid driver's license from any state;
new text end
new text begin
(2) have attended an emergency vehicle driving course approved by the ambulance
service;
new text end
new text begin
(3) have completed a course on cardiopulmonary resuscitation approved by the ambulance
service; and
new text end
new text begin
(4) register with the board according to a process established by the board.
new text end
new text begin
(c) If an individual serving as a driver under this subdivision commits or has a record
of committing an act listed in section 144E.27, subdivision 5, paragraph (a), the board may
temporarily suspend or prohibit the individual from driving an ambulance or place conditions
on the individual's ability to drive an ambulance using the procedures and authority in
section 144E.27, subdivisions 5 and 6.
new text end
Sec. 4.
Minnesota Statutes 2023 Supplement, section 144E.101, subdivision 7, is amended
to read:
Subd. 7.
Advanced life support.
(a) Except as provided in paragraphs (f) and (g), an
advanced life-support ambulance shall be staffed by at least:
(1) one EMT or one AEMT and one paramedic;
(2) one EMT or one AEMT and one registered nurse who is an EMT or an AEMT, is
currently practicing nursing, and deleted text begin has passed a paramedic practical skills test approved by
the board and administered by an education programdeleted text end new text begin has been approved by the ambulance
service medical directornew text end ; or
(3) one EMT or one AEMT and one physician assistant who is an EMT or an AEMT,
is currently practicing as a physician assistant, and deleted text begin has passed a paramedic practical skills
test approved by the board and administered by an education programdeleted text end new text begin has been approved
by the ambulance service medical directornew text end .
(b) An advanced life-support service shall provide basic life support, as specified under
subdivision 6, paragraph (a), advanced airway management, manual defibrillation,
administration of intravenous fluids and pharmaceuticals, and administration of opiate
antagonists.
(c) In addition to providing advanced life support, an advanced life-support service may
staff additional ambulances to provide basic life support according to subdivision 6 and
section 144E.103, subdivision 1.
(d) An ambulance service providing advanced life support shall have a written agreement
with its medical director to ensure medical control for patient care 24 hours a day, seven
days a week. The terms of the agreement shall include a written policy on the administration
of medical control for the service. The policy shall address the following issues:
(1) two-way communication for physician direction of ambulance service personnel;
(2) patient triage, treatment, and transport;
(3) use of standing orders; and
(4) the means by which medical control will be provided 24 hours a day.
The agreement shall be signed by the licensee's medical director and the licensee or the
licensee's designee and maintained in the files of the licensee.
(e) When an ambulance service provides advanced life support, the authority of a
paramedic, Minnesota registered nurse-EMT, or Minnesota registered physician
assistant-EMT to determine the delivery of patient care prevails over the authority of an
EMT.
(f) Upon application from an ambulance service that includes evidence demonstrating
hardship, the board may grant a variance from the staff requirements in paragraph (a), clause
(1), and may authorize an advanced life-support ambulance to be staffed by a registered
emergency medical responder driver with a paramedic for all emergency calls and interfacility
transfers. The variance shall apply to advanced life-support ambulance services until the
ambulance service renews its license. When the variance expires, an ambulance service
may apply for a new variance under this paragraph. 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 new text begin service new text end based in a community with
a population of less than 1,000 persons.
(g) 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 or paramedic.
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 new text begin service
new text end based in a community with a population of less than 1,000 persons.
Sec. 5.
Minnesota Statutes 2022, section 144E.27, subdivision 3, is amended to read:
Subd. 3.
Renewal.
(a) The board may renew the registration of an emergency medical
responder who:
(1) successfully completes a board-approved refresher course; deleted text begin and
deleted text end
new text begin
(2) successfully completes a course in cardiopulmonary resuscitation approved by the
board or by the licensee's medical director. This course may be a component of a
board-approved refresher course; and
new text end
deleted text begin (2)deleted text end new text begin (3)new text end submits a completed renewal application to the board before the registration
expiration date.
(b) The board may renew the lapsed registration of an emergency medical responder
who:
(1) successfully completes a board-approved refresher course; deleted text begin and
deleted text end
new text begin
(2) successfully completes a course in cardiopulmonary resuscitation approved by the
board or by the licensee's medical director. This course may be a component of a
board-approved refresher course; and
new text end
deleted text begin (2)deleted text end new text begin (3)new text end submits a completed renewal application to the board within deleted text begin 12deleted text end new text begin 48new text end months after
the registration expiration date.
Sec. 6.
Minnesota Statutes 2022, section 144E.27, subdivision 5, is amended to read:
Subd. 5.
Denial, suspension, revocationnew text begin ; emergency medical responders and
driversnew text end .
(a) new text begin This subdivision applies to individuals seeking registration or registered as an
emergency medical responder and to individuals seeking registration or registered as a driver
of a basic life-support ambulance under section 144E.101, subdivision 6a. new text end The board may
deny, suspend, revoke, place conditions on, or refuse to renew the registration of an individual
who the board determines:
(1) violates sections 144E.001 to 144E.33 or the rules adopted under those sections, an
agreement for corrective action, or an order that the board issued or is otherwise empowered
to enforce;
(2) misrepresents or falsifies information on an application form for registration;
(3) is convicted or pleads guilty or nolo contendere to any felony; any gross misdemeanor
relating to assault, sexual misconduct, theft, or the illegal use of drugs or alcohol; or any
misdemeanor relating to assault, sexual misconduct, theft, or the illegal use of drugs or
alcohol;
(4) is actually or potentially unable to provide emergency medical services new text begin or drive an
ambulance new text end with reasonable skill and safety to patients by reason of illness, use of alcohol,
drugs, chemicals, or any other material, or as a result of any mental or physical condition;
(5) engages in unethical conduct, including, but not limited to, conduct likely to deceive,
defraud, or harm the public, or demonstrating a willful or careless disregard for the health,
welfare, or safety of the public;
(6) maltreats or abandons a patient;
(7) violates any state or federal controlled substance law;
(8) engages in unprofessional conduct or any other conduct which has the potential for
causing harm to the public, including any departure from or failure to conform to the
minimum standards of acceptable and prevailing practice without actual injury having to
be established;
(9) new text begin for emergency medical responders, new text end provides emergency medical services under
lapsed or nonrenewed credentials;
(10) is subject to a denial, corrective, disciplinary, or other similar action in another
jurisdiction or by another regulatory authority;
(11) engages in conduct with a patient that is sexual or may reasonably be interpreted
by the patient as sexual, or in any verbal behavior that is seductive or sexually demeaning
to a patient; or
(12) makes a false statement or knowingly provides false information to the board, or
fails to cooperate with an investigation of the board as required by section 144E.30.
(b) Before taking action under paragraph (a), the board shall give notice to an individual
of the right to a contested case hearing under chapter 14. If an individual requests a contested
case hearing within 30 days after receiving notice, the board shall initiate a contested case
hearing according to chapter 14.
(c) The administrative law judge shall issue a report and recommendation within 30
days after closing the contested case hearing record. The board shall issue a final order
within 30 days after receipt of the administrative law judge's report.
(d) After six months from the board's decision to deny, revoke, place conditions on, or
refuse renewal of an individual's registration for disciplinary action, the individual shall
have the opportunity to apply to the board for reinstatement.
Sec. 7.
Minnesota Statutes 2022, section 144E.27, subdivision 6, is amended to read:
Subd. 6.
Temporary suspensionnew text begin ; emergency medical responders and driversnew text end .
(a)
new text begin This subdivision applies to emergency medical responders registered under this section and
to individuals registered as drivers of basic life-support ambulances under section 144E.101,
subdivision 6a. new text end In addition to any other remedy provided by law, the board may temporarily
suspend the registration of an individual after conducting a preliminary inquiry to determine
whether the board believes that the individual has violated a statute or rule that the board
is empowered to enforce and determining that the continued provision of service by the
individual would create an imminent risk to public health or harm to others.
(b) A temporary suspension order prohibiting an individual from providing emergency
medical care new text begin or from driving a basic life-support ambulance new text end shall give notice of the right
to a preliminary hearing according to paragraph (d) and shall state the reasons for the entry
of the temporary suspension order.
(c) Service of a temporary suspension order is effective when the order is served on the
individual personally or by certified mail, which is complete upon receipt, refusal, or return
for nondelivery to the most recent address provided to the board for the individual.
(d) At the time the board issues a temporary suspension order, the board shall schedule
a hearing, to be held before a group of its members designated by the board, that shall begin
within 60 days after issuance of the temporary suspension order or within 15 working days
of the date of the board's receipt of a request for a hearing from the individual, whichever
is sooner. The hearing shall be on the sole issue of whether there is a reasonable basis to
continue, modify, or lift the temporary suspension. A hearing under this paragraph is not
subject to chapter 14.
(e) Evidence presented by the board or the individual may be in the form of an affidavit.
The individual or the individual's designee may appear for oral argument.
(f) Within five working days of the hearing, the board shall issue its order and, if the
suspension is continued, notify the individual of the right to a contested case hearing under
chapter 14.
(g) If an individual requests a contested case hearing within 30 days after receiving
notice under paragraph (f), the board shall initiate a contested case hearing according to
chapter 14. The administrative law judge shall issue a report and recommendation within
30 days after the closing of the contested case hearing record. The board shall issue a final
order within 30 days after receipt of the administrative law judge's report.
Sec. 8.
Minnesota Statutes 2022, section 144E.28, subdivision 3, is amended to read:
Subd. 3.
Reciprocity.
The board may certify an individual who possesses a current
National Registry of Emergency Medical Technicians deleted text begin registrationdeleted text end new text begin certificationnew text end from another
jurisdiction if the individual submits a board-approved application form. The board
certification classification shall be the same as the National Registry's classification.
Certification shall be for the duration of the applicant's deleted text begin registrationdeleted text end new text begin certificationnew text end period in
another jurisdiction, not to exceed two years.
Sec. 9.
Minnesota Statutes 2022, section 144E.28, subdivision 8, is amended to read:
Subd. 8.
Reinstatement.
(a) Within four years of a certification expiration date, a person
whose certification has expired under subdivision 7, paragraph (d), may have the certification
reinstated upon submission of:
(1) evidence to the board of training equivalent to the continuing education requirements
of subdivision 7new text begin or, for community paramedics, evidence to the board of training equivalent
to the continuing education requirements of subdivision 9, paragraph (c)new text end ; and
(2) a board-approved application form.
(b) If more than four years have passed since a certificate expiration date, an applicant
must complete the initial certification process required under subdivision 1.
new text begin
(c) Beginning July 1, 2024, through December 31, 2025, and notwithstanding paragraph
(b), a person whose certification as an EMT, AEMT, paramedic, or community paramedic
expired more than four years ago but less than ten years ago may have the certification
reinstated upon submission of:
new text end
new text begin
(1) evidence to the board of the training required under paragraph (a), clause (1). This
training must have been completed within the 24 months prior to the date of the application
for reinstatement;
new text end
new text begin
(2) a board-approved application form; and
new text end
new text begin
(3) a recommendation from an ambulance service medical director.
new text end
new text begin
This paragraph expires December 31, 2025.
new text end
Sec. 10.
Minnesota Statutes 2022, section 144E.285, subdivision 1, is amended to read:
Subdivision 1.
Approval required.
(a) All education programs for an new text begin EMR, new text end EMT,
AEMT, or paramedic must be approved by the board.
(b) To be approved by the board, an education program must:
(1) submit an application prescribed by the board that includes:
(i) type deleted text begin and lengthdeleted text end of course to be offered;
(ii) names, addresses, and qualifications of the program medical director, program
education coordinator, and instructors;
deleted text begin
(iii) names and addresses of clinical sites, including a contact person and telephone
number;
deleted text end
deleted text begin (iv)deleted text end new text begin (iii)new text end admission criteria for students; and
deleted text begin (v)deleted text end new text begin (iv)new text end materials and equipment to be used;
(2) for each course, implement the most current version of the United States Department
of Transportation EMS Education Standards, or its equivalent as determined by the board
applicable to new text begin EMR, new text end EMT, AEMT, or paramedic education;
(3) have a program medical director and a program coordinator;
(4) utilize instructors who meet the requirements of section 144E.283 for teaching at
least 50 percent of the course content. The remaining 50 percent of the course may be taught
by guest lecturers approved by the education program coordinator or medical director;
deleted text begin
(5) have at least one instructor for every ten students at the practical skill stations;
deleted text end
deleted text begin
(6) maintain a written agreement with a licensed hospital or licensed ambulance service
designating a clinical training site;
deleted text end
deleted text begin (7)deleted text end new text begin (5)new text end retain documentation of program approval by the board, course outline, and
student information;
deleted text begin (8)deleted text end new text begin (6)new text end notify the board of the starting date of a course prior to the beginning of a course;new text begin
and
new text end
deleted text begin (9)deleted text end new text begin (7)new text end submit the appropriate fee as required under section 144E.29deleted text begin ; anddeleted text end new text begin .
new text end
deleted text begin
(10) maintain a minimum average yearly pass rate as set by the board on an annual basis.
The pass rate will be determined by the percent of candidates who pass the exam on the
first attempt. An education program not meeting this yearly standard shall be placed on
probation and shall be on a performance improvement plan approved by the board until
meeting the pass rate standard. While on probation, the education program may continue
providing classes if meeting the terms of the performance improvement plan as determined
by the board. If an education program having probation status fails to meet the pass rate
standard after two years in which an EMT initial course has been taught, the board may
take disciplinary action under subdivision 5.
deleted text end
Sec. 11.
Minnesota Statutes 2022, section 144E.285, is amended by adding a subdivision
to read:
new text begin Subd. 1a. new text end
new text begin EMR education program requirements. new text end
new text begin
The National EMS Education
Standards established by the National Highway Traffic Safety Administration of the United
States Department of Transportation specify the minimum requirements for knowledge and
skills for emergency medical responders. An education program applying for approval to
teach EMRs must comply with the requirements under subdivision 1, paragraph (b). A
medical director of an emergency medical responder group may establish additional
knowledge and skill requirements for EMRs.
new text end
Sec. 12.
Minnesota Statutes 2022, section 144E.285, is amended by adding a subdivision
to read:
new text begin Subd. 1b. new text end
new text begin EMT education program requirements. new text end
new text begin
In addition to the requirements
under subdivision 1, paragraph (b), an education program applying for approval to teach
EMTs must:
new text end
new text begin
(1) include in the application prescribed by the board, names and addresses of clinical
sites, including a contact person and telephone number;
new text end
new text begin
(2) maintain a written agreement with at least one clinical training site that is of a type
recognized by the National EMS Education Standards established by the National Highway
Traffic Safety Administration; and
new text end
new text begin
(3) maintain a minimum average yearly pass rate as set by the board. An education
program not meeting this standard shall be placed on probation and shall comply with a
performance improvement plan approved by the board until the program meets the pass
rate standard. While on probation, the education program may continue to provide classes
if the program meets the terms of the performance improvement plan, as determined by the
board. If an education program that is on probation status fails to meet the pass rate standard
after two years in which an EMT initial course has been taught, the board may take
disciplinary action under subdivision 5.
new text end
Sec. 13.
Minnesota Statutes 2022, section 144E.285, subdivision 2, is amended to read:
Subd. 2.
AEMT and paramedic new text begin education program new text end requirements.
(a) In addition to
the requirements under subdivision 1, paragraph (b), an education program applying for
approval to teach AEMTs and paramedics mustnew text begin :
new text end
new text begin (1)new text end be administered by an educational institution accredited by the Commission of
Accreditation of Allied Health Education Programs (CAAHEP)deleted text begin .deleted text end new text begin ;
new text end
new text begin
(2) include in the application prescribed by the board, names and addresses of clinical
sites, including a contact person and telephone number; and
new text end
new text begin
(3) maintain a written agreement with a licensed hospital or licensed ambulance service
designating a clinical training site.
new text end
(b) An AEMT and paramedic education program that is administered by an educational
institution not accredited by CAAHEP, but that is in the process of completing the
accreditation process, may be granted provisional approval by the board upon verification
of submission of its self-study report and the appropriate review fee to CAAHEP.
(c) An educational institution that discontinues its participation in the accreditation
process must notify the board immediately and provisional approval shall be withdrawn.
deleted text begin
(d) This subdivision does not apply to a paramedic education program when the program
is operated by an advanced life-support ambulance service licensed by the Emergency
Medical Services Regulatory Board under this chapter, and the ambulance service meets
the following criteria:
deleted text end
deleted text begin
(1) covers a rural primary service area that does not contain a hospital within the primary
service area or contains a hospital within the primary service area that has been designated
as a critical access hospital under section 144.1483, clause (9);
deleted text end
deleted text begin
(2) has tax-exempt status in accordance with the Internal Revenue Code, section
501(c)(3);
deleted text end
deleted text begin
(3) received approval before 1991 from the commissioner of health to operate a paramedic
education program;
deleted text end
deleted text begin
(4) operates an AEMT and paramedic education program exclusively to train paramedics
for the local ambulance service; and
deleted text end
deleted text begin
(5) limits enrollment in the AEMT and paramedic program to five candidates per
biennium.
deleted text end
Sec. 14.
Minnesota Statutes 2022, section 144E.285, subdivision 4, is amended to read:
Subd. 4.
Reapproval.
An education program shall apply to the board for reapproval at
least deleted text begin three monthsdeleted text end new text begin 30 daysnew text end prior to the expiration date of its approval and must:
(1) submit an application prescribed by the board specifying any changes from the
information provided for prior approval and any other information requested by the board
to clarify incomplete or ambiguous information presented in the application; deleted text begin and
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(2) comply with the requirements under subdivision 1, paragraph (b), clauses (2) to deleted text begin (10).deleted text end new text begin
(7);
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(3) be subject to a site visit by the board;
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(4) for education programs that teach EMRs, comply with the requirements in subdivision
1a;
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(5) for education programs that teach EMTs, comply with the requirements in subdivision
1b; and
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(6) for education programs that teach AEMTs and paramedics, comply with the
requirements in subdivision 2 and maintain accreditation with CAAHEP.
new text end
Sec. 15. new text begin REPEALER.
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new text begin
Minnesota Statutes 2022, section 144E.27, subdivisions 1 and 1a,
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are repealed.
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APPENDIX
Repealed Minnesota Statutes: 24-07376
144E.27 EDUCATION PROGRAMS; BOARD APPROVAL.
Subdivision 1.
Education program instructor.
An education program instructor must be an emergency medical responder, EMT, AEMT, paramedic, physician, physician assistant, or registered nurse.
Subd. 1a.
Approval required.
(a) All education programs for an emergency medical responder must be approved by the board.
(b) To be approved by the board, an education program must:
(1) submit an application prescribed by the board that includes:
(i) type and length of course to be offered;
(ii) names, addresses, and qualifications of the program medical director, program education coordinator, and instructors;
(iii) admission criteria for students; and
(iv) materials and equipment to be used;
(2) for each course, implement the most current version of the United States Department of Transportation EMS Education Standards, or its equivalent as determined by the board applicable to Emergency Medical Responder registration education;
(3) have a program medical director and a program coordinator;
(4) have at least one instructor for every ten students at the practical skill stations;
(5) retain documentation of program approval by the board, course outline, and student information; and
(6) submit the appropriate fee as required under section 144E.29.
(c) The National EMS Education Standards by the NHTSA, United States Department of Transportation contains the minimal entry level of knowledge and skills for emergency medical responders. Medical directors of emergency medical responder groups may expand the knowledge and skill set.