SF 2480

1st Engrossment - 89th Legislature (2015 - 2016) Posted on 04/08/2016 08:52am

A bill for an act
relating to health; designating certain hospitals as ST segment elevation
myocardial infarction receiving centers; requiring ST segment elevation
myocardial infarction transport protocols; making technical changes to the
Emergency Medical Services Regulatory Board audit and education provisions;
amending Minnesota Statutes 2014, sections 144E.16, by adding a subdivision;
144E.50, subdivision 6; Minnesota Statutes 2015 Supplement, section 144E.275,
subdivision 7; proposing coding for new law in Minnesota Statutes, chapter 144.

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

Section 1.

new text begin [144.4941] ST SEGMENT ELEVATION MYOCARDIAL
INFARCTION (STEMI) RECEIVING CENTERS.
new text end

new text begin Subdivision 1. new text end

new text begin Criteria for STEMI receiving center designation. new text end

new text begin A hospital
meets the criteria for a STEMI receiving center designation if the hospital has been
accredited as a STEMI receiving center by the Society of Cardiovascular Patient Care,
the Joint Commission, the American Heart Association, or another nationally recognized
accreditation entity that provides STEMI receiving center accreditation for the care of
ST segment elevation myocardial infarction. A hospital may apply to the Department of
Health for designation as a STEMI receiving center by providing relevant and current
documentation of STEMI receiving center accreditation by a nationally recognized
accreditation entity.
new text end

new text begin Subd. 2. new text end

new text begin Designation of STEMI receiving centers. new text end

new text begin If a hospital voluntarily
meeting the criteria for designation as a STEMI receiving center applies to the
commissioner for STEMI receiving center designation and, upon the commissioner's
review and approval of its application, the commissioner shall designate the hospital as a
STEMI receiving center for a three-year period. If a hospital loses its accreditation as a
STEMI receiving center from a nationally recognized accreditation entity, the commission
shall immediately withdraw the hospital's STEMI designation.
new text end

new text begin Subd. 3. new text end

new text begin Coordination among hospitals. new text end

new text begin STEMI receiving centers are encouraged
to coordinate, through agreement, with STEMI referring hospitals throughout the state to
provide appropriate access to care for ST segment elevation myocardial infarction patients.
new text end

Sec. 2.

Minnesota Statutes 2014, section 144E.16, is amended by adding a subdivision
to read:

new text begin Subd. 8. new text end

new text begin STEMI transport protocols. new text end

new text begin Regional and local emergency medical
services programs must develop STEMI transport protocols. The protocols must include
standards of care for triage and transport of ST segment elevation myocardial infarction
patients within a specific time frame from first medical contact until transport to the
most appropriate hospital, based on the patient's condition, the time of transport, and
the hospital's capabilities.
new text end

Sec. 3.

Minnesota Statutes 2015 Supplement, section 144E.275, subdivision 7, is
amended to read:

Subd. 7.

Community medical response emergency medical technician.

(a) To be
eligible for certification by the board as a CEMT, an individual shall:

(1) be currently certified as an EMT or AEMT;

(2) have two years of service as an EMT or AEMT;

(3) be a member of a registered medical response unit as defined under this section;

(4) successfully complete a CEMT deleted text begin training deleted text end new text begin education new text end program from a college or
university that has been approved by the board or accredited by a board-approved national
accrediting organization. The deleted text begin training deleted text end new text begin education new text end must include clinical experience under
the supervision of the medical response unit medical director, an advanced practice
registered nurse, a physician assistant, or a public health nurse operating under the direct
authority of a local unit of government;

(5) successfully complete deleted text begin a training deleted text end new text begin an education new text end program that includes deleted text begin training
deleted text end new text begin education new text end in providing culturally appropriate care; and

(6) complete a board-approved application form.

(b) A CEMT must practice in accordance with protocols and supervisory standards
established by the medical response unit medical director in accordance with section
144E.265.

(c) A CEMT may provide services within the CEMT skill set as approved by the
medical response unit medical director.

(d) A CEMT may provide episodic individual patient education and prevention
education but only as directed by a patient care plan developed by the patient's primary
physician, an advanced practice registered nurse, or a physician assistant, in conjunction
with the medical response unit medical director and relevant local health care providers.
The patient care plan must ensure that the services provided by the CEMT are consistent
with services offered by the patient's health care home, if one exists, that the patient
receives the necessary services, and that there is no duplication of services to the patient.

(e) A CEMT is subject to all certification, disciplinary, complaint, and other
regulatory requirements that apply to EMTs under this chapter.

(f) A CEMT may not provide services as defined in section 144A.471, subdivisions
6 and 7, except a CEMT may provide verbal or visual reminders to the patient to:

(1) take a regularly scheduled medication, but not to provide or bring the patient
medication; and

(2) follow regularly scheduled treatment or exercise plans.

Sec. 4.

Minnesota Statutes 2014, section 144E.50, subdivision 6, is amended to read:

Subd. 6.

Audits.

(a) Each regional emergency medical services board designated by
the board shall be audited either annually or biennially by an independent auditor who
is either a state or local government auditor or a certified public accountant who meets
the independence standards specified by the General Accounting Office for audits of
governmental organizations, programs, activities, and functions. The audit shall cover
all funds received by the regional board, including but not limited to, funds appropriated
under this section, section 144E.52, and section 169.686, subdivision 3. Expenses
associated with the audit are the responsibility of the regional board.

(b) A biennial audit specified in paragraph (a) shall be performed deleted text begin within 60 days
deleted text end following the close of the biennium. Copies of the audit and any accompanying materials
shall be filed by October 1 of each odd-numbered year, beginning in 1999, with the board,
the legislative auditor, and the state auditor.

(c) An annual audit specified in paragraph (a) shall be performed deleted text begin within 120 days
deleted text end following the close of the regional emergency medical services board's fiscal year. Copies
of the audit and any accompanying materials shall be filed within 150 days following the
close of the regional emergency medical services board's fiscal year, beginning in the year
2000, with the board, the legislative auditor, and the state auditor.

(d) If the audit is not conducted as required in paragraph (a) or copies filed as
required in paragraph (b) or (c), or if the audit determines that funds were not spent in
accordance with this chapter, the board shall immediately reduce funding to the regional
emergency medical services board as follows:

(1) if an audit was not conducted or if an audit was conducted but copies were not
provided as required, funding shall be reduced by up to 100 percent; and

(2) if an audit was conducted and copies provided, and the audit identifies
expenditures made that are not in compliance with this chapter, funding shall be reduced
by the amount in question plus ten percent.

A funding reduction under this paragraph is effective for the fiscal year in which the
reduction is taken and the following fiscal year.

(e) The board shall distribute any funds withheld from a regional board under
paragraph (d) to the remaining regional boards on a pro rata basis.