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Key: (1) language to be deleted (2) new language

CHAPTER 193--H.F.No. 2128
An act
relating to health; licensing emergency medical personnel; making
changes to the Cooper/Sams volunteer ambulance program;amending Minnesota
Statutes 2010, sections 144E.001, subdivisions 1b, 3a, 4a, 4b, 5c, 5d, 5e, 6, 11,
14, by adding subdivisions; 144E.01, subdivision 1; 144E.101, subdivisions 2,
6, 7, 9, 10, 12; 144E.103; 144E.127, subdivision 2; 144E.265, subdivision 2;
144E.27, subdivisions 1, 2, 3, 5, by adding a subdivision; 144E.275, subdivision
3; 144E.28, subdivisions 1, 5, 7; 144E.283; 144E.285; 144E.286, subdivision 3;
144E.29; 144E.30, subdivision 3; 144E.305, subdivision 2; 144E.31; 144E.32,
subdivision 2; 144E.35, subdivision 1; 144E.41; 144E.52; Minnesota Statutes
2011 Supplement, sections 144E.001, subdivision 5f; 144E.28, subdivision 9;
repealing Minnesota Rules, parts 4690.0100, subparts 16, 17; 4690.1400.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

    Section 1. Minnesota Statutes 2010, section 144E.001, subdivision 1b, is amended to
read:
    Subd. 1b. Advanced life support. "Advanced life support" means rendering basic
life support and rendering intravenous therapy, drug therapy, intubation, and defibrillation
as outlined in the United States Department of Transportation emergency medical
technician-paramedic curriculum paramedic standards or its equivalent, as approved
by the board.

    Sec. 2. Minnesota Statutes 2010, 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) EMT's, EMT-I's, or EMT-P's AEMT's, or paramedics;
(2) Minnesota registered nurses who are: (i) EMT's, are currently practicing
nursing, and have passed a paramedic practical skills test, as approved by the board and
administered by a training an educational program approved by the board; (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) EMT's, are currently
practicing as physician assistants, and have passed a paramedic practical skills test, as
approved by the board and administered by a training an educational program approved by
the board; (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. 3. Minnesota Statutes 2010, section 144E.001, subdivision 4a, is amended to read:
    Subd. 4a. Basic airway management. "Basic airway management" means:
(1) resuscitation by mouth-to-mouth, mouth-to-mask, bag valve mask, or oxygen
powered ventilators; or
(2) insertion of an oropharyngeal, nasal pharyngeal, esophageal obturator airway,
or esophageal tracheal airway, or esophageal gastric tube airway.

    Sec. 4. Minnesota Statutes 2010, section 144E.001, subdivision 4b, is amended to read:
    Subd. 4b. Basic life support. "Basic life support" means rendering basic-level
emergency care, including, but not limited to, basic airway management, cardiopulmonary
resuscitation, controlling shock and bleeding, and splinting fractures, as outlined in
the United States Department of Transportation emergency medical technician-basic
curriculum technician education standards or its equivalent, as approved by the board.

    Sec. 5. Minnesota Statutes 2010, section 144E.001, subdivision 5c, is amended to read:
    Subd. 5c. Emergency medical technician or EMT. "Emergency medical
technician" or "EMT" means a person who has successfully completed the United States
Department of Transportation emergency medical technician-basic technician standards
course or its equivalent, as approved by the board, and has been issued valid certification
by the board.

    Sec. 6. Minnesota Statutes 2010, section 144E.001, subdivision 5d, is amended to read:
    Subd. 5d. Emergency medical technician-intermediate or EMT-I. Advanced
emergency medical technician or AEMT. "Emergency medical technician-intermediate"
or "EMT-I" "Advanced emergency medical technician" or "AEMT" means a person who
has successfully completed the United States Department of Transportation emergency
medical technician-intermediate advanced emergency medical technician standards
course or its equivalent, as approved by the board, and has been issued valid certification
by the board.

    Sec. 7. Minnesota Statutes 2010, section 144E.001, subdivision 5e, is amended to read:
    Subd. 5e. Emergency medical technician-paramedic or EMT-P Paramedic.
"Emergency medical technician-paramedic" or "EMT-P" "Paramedic" means a person who
has successfully completed the United States Department of Transportation emergency
medical technician course-paramedic paramedic course or its equivalent, as approved by
the board, and has been issued valid certification by the board.

    Sec. 8. Minnesota Statutes 2011 Supplement, section 144E.001, subdivision 5f,
is amended to read:
    Subd. 5f. Emergency medical technician-Community Paramedic or EMT-CP
Community paramedic. "Emergency medical technician-Community Paramedic,"
"EMT-CP," or "Community paramedic" means a person who is certified as an EMT-P a
paramedic and who meets the requirements for additional certification as an EMT-CP a
community paramedic as specified in section 144E.28, subdivision 9.

    Sec. 9. Minnesota Statutes 2010, section 144E.001, is amended by adding a subdivision
to read:
    Subd. 5g. Emergency medical responder group. "Emergency medical responder
group" means a group of certified or registered personnel who respond to medical
emergencies and have a medical director.

    Sec. 10. Minnesota Statutes 2010, section 144E.001, subdivision 6, is amended to read:
    Subd. 6. First responder Emergency medical responder or EMR. "First
responder" "Emergency medical responder" or "EMR" means an individual who is
registered by the board to perform, at a minimum, basic emergency skills before the arrival
of a licensed ambulance service, and is a member of an organized service recognized
by a local political subdivision whose primary responsibility is to respond to medical
emergencies to provide initial medical care before the arrival of a licensed ambulance
service or is on the roster of a Minnesota licensed ambulance service.

    Sec. 11. Minnesota Statutes 2010, section 144E.001, is amended by adding a
subdivision to read:
    Subd. 6a. In-service ambulance. "In-service ambulance" means the ambulance
is licensed by the Minnesota Emergency Medical Services Regulatory Board and is in
compliance with ambulance service requirements in chapter 144E and Minnesota Rules,
chapter 4690.

    Sec. 12. Minnesota Statutes 2010, section 144E.001, is amended by adding a
subdivision to read:
    Subd. 6b. Intravenous infusion. "Intravenous infusion" means the establishment
of an intravenous line or interosseous access and administration of an intravenous fluid,
other than blood, or intravenous fluids that have additives not for specific therapeutic
purposes into a vein.

    Sec. 13. Minnesota Statutes 2010, section 144E.001, is amended by adding a
subdivision to read:
    Subd. 6c. Intravenous therapy. "Intravenous therapy" means the administration of
intravenous fluids, medications, and other substances designed for specific therapeutic
response.

    Sec. 14. Minnesota Statutes 2010, section 144E.001, is amended by adding a
subdivision to read:
    Subd. 6d. Level I trauma hospital. "Level I trauma hospital" means an adult
or pediatric hospital located in the state of Minnesota that has been designated by the
commissioner of health as meeting the criteria for level I designation according to section
144.605, subdivision 3.

    Sec. 15. Minnesota Statutes 2010, section 144E.001, subdivision 11, is amended to
read:
    Subd. 11. Program medical director. "Program medical director" means a
physician who is responsible for ensuring an accurate and thorough presentation of the
medical content of an emergency care training education program; certifying that each
student has successfully completed the training education course; and in conjunction with
the program coordinator, planning the clinical training.

    Sec. 16. Minnesota Statutes 2010, section 144E.001, subdivision 14, is amended to
read:
    Subd. 14. Training Education program coordinator. "Training "Education
program coordinator" means an individual who serves as the administrator of an
emergency care training education program and who is responsible for planning,
conducting, and evaluating the program; selecting students and instructors; documenting
and maintaining records; developing a curriculum according to the National EMS
Education Standards by the National Highway Transportation Safety Administration
(NHTSA), United States Department of Transportation; and assisting in the coordination
of examination sessions and clinical training.

    Sec. 17. Minnesota Statutes 2010, section 144E.01, subdivision 1, is amended to read:
    Subdivision 1. Membership. (a) The Emergency Medical Services Regulatory
Board consists of the following members, all of whom must work in Minnesota, except for
the person listed in clause (14):
(1) an emergency physician certified by the American Board of Emergency
Physicians;
(2) a representative of Minnesota hospitals;
(3) a representative of fire chiefs;
(4) a full-time firefighter who serves as a first responder an emergency medical
responder on or within a nontransporting or nonregistered agency and who is a member of
a professional firefighter's union;
(5) a volunteer firefighter who serves as a first responder an emergency medical
responder on or within a nontransporting or nonregistered agency;
(6) an attendant currently practicing on a licensed ambulance service who is a
paramedic or an emergency medical technician;
(7) an ambulance director for a licensed ambulance service;
(8) a representative of sheriffs;
(9) a member of a local board of health to represent community health services;
(10) two representatives of regional emergency medical services programs, one of
whom must be from the metropolitan regional emergency medical services program;
(11) a registered nurse currently practicing in a hospital emergency department;
(12) a pediatrician, certified by the American Board of Pediatrics, with experience
in emergency medical services;
(13) a family practice physician who is currently involved in emergency medical
services;
(14) a public member who resides in Minnesota; and
(15) the commissioners of health and public safety or their designees.
(b) The governor shall appoint members under paragraph (a). Appointments
under paragraph (a), clauses (1) to (9) and (11) to (13), are subject to the advice and
consent of the senate. In making appointments under paragraph (a), clauses (1) to (9) and
(11) to (13), the governor shall consider recommendations of the American College of
Emergency Physicians, the Minnesota Hospital Association, the Minnesota and State Fire
Chief's Association, the Minnesota Ambulance Association, the Minnesota Emergency
Medical Services Association, the Minnesota State Sheriff's Association, the Association
of Minnesota Counties, the Minnesota Nurses Association, and the Minnesota chapter of
the Academy of Pediatrics.
(c) At least seven members appointed under paragraph (a) must reside outside of the
seven-county metropolitan area, as defined in section 473.121.

    Sec. 18. Minnesota Statutes 2010, section 144E.101, subdivision 2, is amended to read:
    Subd. 2. Patient care. When a patient is being transported, at least one of the
ambulance service personnel must be in the patient compartment. If advanced life-support
procedures are required, an EMT-P a paramedic, a registered nurse qualified under section
144E.001, subdivision 3a, clause (2), item (i), or a physician assistant qualified under
section 144E.001, subdivision 3a, clause (3), item (i), shall be in the patient compartment.

    Sec. 19. Minnesota Statutes 2010, section 144E.101, subdivision 6, is amended to read:
    Subd. 6. Basic life support. (a) Except as provided in paragraphs (e) and (f), 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, as provided in
section 144E.103, subdivision 1, paragraph (b).
    (d) A basic life-support service licensee's medical director may authorize the
ambulance service personnel to carry and to use medical antishock trousers and to perform
intravenous infusion if the ambulance service personnel have been properly trained 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.
    (e) 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 first 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. 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 1,000.
    (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 first 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.

    Sec. 20. Minnesota Statutes 2010, 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 and one EMT-P paramedic;
    (2) one EMT and one registered nurse who is an EMT, is currently practicing
nursing, and has passed a paramedic practical skills test approved by the board and
administered by a training an education program; or
    (3) one EMT and one physician assistant who is an EMT, is currently practicing as a
physician assistant, and has passed a paramedic practical skills test approved by the board
and administered by a training an education program.
    (b) An advanced life-support service shall provide basic life support, as specified
under subdivision 6, paragraph (a), advanced airway management, manual defibrillation,
and administration of intravenous fluids and pharmaceuticals.
    (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 an
EMT-P 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 first responder 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 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 first 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 based in a community with a population of less than 1,000 persons.

    Sec. 21. Minnesota Statutes 2010, section 144E.101, subdivision 9, is amended to read:
    Subd. 9. Specialized life support. A specialized ground life-support service
providing advanced life support shall be staffed by at least one EMT and one EMT-P
paramedic, registered nurse-EMT, or physician assistant-EMT. A specialized life-support
service shall provide basic or advanced life support as designated by the board, and shall
be restricted by the board to:
(1) operation less than 24 hours of every day;
(2) designated segments of the population;
(3) certain types of medical conditions; or
(4) air ambulance service that includes fixed-wing or rotor-wing.

    Sec. 22. Minnesota Statutes 2010, section 144E.101, subdivision 10, is amended to
read:
    Subd. 10. Driver. A driver of an ambulance must possess a current valid driver's
license issued by any state and must have attended an emergency vehicle driving course
approved by the licensee. The emergency vehicle driving course must include actual
driving experience.

    Sec. 23. Minnesota Statutes 2010, section 144E.101, subdivision 12, is amended to
read:
    Subd. 12. Mutual aid agreement. A licensee shall have a written agreement
with at least one neighboring licensed ambulance service for coverage during times
when the licensee's ambulances are not available for service in its primary service area.
The agreement must specify the duties and responsibilities of the agreeing parties. 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.

    Sec. 24. Minnesota Statutes 2010, section 144E.103, is amended to read:
144E.103 EQUIPMENT.
    Subdivision 1. General requirements. (a) Every ambulance in service for patient
care shall carry, at a minimum:
(1) oxygen;
(2) airway maintenance equipment in various sizes to accommodate all age groups;
(3) splinting equipment in various sizes to accommodate all age groups;
(4) dressings, bandages, commercially manufactured tourniquets, and bandaging
equipment;
(5) an emergency obstetric kit;
(6) equipment to determine vital signs in various sizes to accommodate all age
groups;
(7) a stretcher;
(8) a defibrillator; and
(9) a fire extinguisher.
(b) A basic life-support service has until January 1, 2001, to equip each ambulance
in service for patient care with a defibrillator.
    Subd. 2. Advanced life-support requirements. In addition to the requirements in
subdivision 1, an ambulance used in providing advanced life support must carry drugs and
drug administration equipment and supplies as approved by the licensee's medical director.
    Subd. 2a. Maintenance, sanitation, and testing of equipment, supplies, and
drugs. Equipment carried on every ambulance in service for patient care must be
maintained in full operating condition. Patient care equipment, supplies, and drugs must
be stored and maintained within manufacturer's recommendations and:
(1) all equipment and supplies must be maintained in full operating condition and
in good repair;
(2) all equipment, supplies, and containers used for storage of equipment or supplies
must be kept clean so as to be free from dirt, grease, and other offensive matter;
(3) sheets and pillowcases must be changed after each use;
(4) single-service equipment and supplies must be wrapped, stored, and handled so
as to prevent contamination and must be disposed of after use;
(5) reusable equipment and supplies must be cleaned after each use so as to be free
from dirt, grease, and other offensive matter;
(6) equipment and supplies, soiled or otherwise not free from dirt, grease, and
other offensive matter, must be kept in plastic bags or securely covered containers until
disposed of or prepared for reuse; and
(7) procedures for the periodic performance testing of mechanical equipment must
be developed, maintained, and followed; and records of performance testing must be kept
in the licensee's files. Testing must occur within the manufacturer's recommendations.
    Subd. 3. Storage. All equipment carried in an ambulance must be securely stored.
    Subd. 4. Safety restraints. An ambulance must be equipped with safety straps,
including shoulder harnesses, for the stretcher and seat belts in the patient compartment
for the patient and ambulance personnel.
    Subd. 5. Communication equipment. An ambulance must be equipped with
a two-way radio that is programmed and operating according to the most recent version
of the statewide radio board shared radio and communication plan or its equivalent as
determined by the Emergency Medical Services Regulatory Board.

    Sec. 25. Minnesota Statutes 2010, section 144E.127, subdivision 2, is amended to read:
    Subd. 2. Interfacility transfers. In an interfacility transport, a licensee whose
primary service area is 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, may substitute one EMT with a registered first emergency medical responder if an
EMT or EMT- paramedic paramedic, physician, registered nurse, or physician's assistant is
in the patient compartment. If using a physician, registered nurse, or physician's assistant
as the sole provider in the patient compartment, the individual must be trained to use the
equipment in the ambulance and be knowledgeable of the ambulance service protocols.

    Sec. 26. Minnesota Statutes 2010, section 144E.265, subdivision 2, is amended to read:
    Subd. 2. Responsibilities. Responsibilities of the medical director shall include, but
are not limited to:
(1) approving standards for training education and orientation of personnel that
impact patient care;
(2) approving standards for purchasing equipment and supplies that impact patient
care;
(3) establishing standing orders for prehospital care;
(4) approving written triage, treatment, and transportation guidelines for adult and
pediatric patients;
(5) participating in the development and operation of continuous quality
improvement programs including, but not limited to, case review and resolution of patient
complaints;
(6) establishing procedures for the administration of drugs; and
(7) maintaining the quality of care according to the standards and procedures
established under clauses (1) to (6).

    Sec. 27. Minnesota Statutes 2010, section 144E.27, subdivision 1, is amended to read:
    Subdivision 1. Training Education programs. (a) Curriculum for initial and
refresher training education programs must meet the current standards of the United States
Department of Transportation first responder curriculum emergency medical responder
education standards or its equivalent as determined by the board. A training An education
program instructor must be a first an emergency medical responder, EMT, EMT-I, EMT-P
AEMT, paramedic, physician, physician assistant, or registered nurse.
(b) 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.

    Sec. 28. Minnesota Statutes 2010, section 144E.27, subdivision 2, is amended to read:
    Subd. 2. Registration. To be eligible for registration with the board as a first an
emergency medical responder, an individual shall complete a board-approved application
form and:
(1) successfully complete a board-approved initial first emergency medical
responder training education program. Registration under this clause is valid for two years
and expires at the end of the month in which the registration was issued on October 31; or
(2) be credentialed as a first an emergency medical responder by the National
Registry of Emergency Medical Technicians. Registration under this clause expires the
same day as the National Registry credential.

    Sec. 29. Minnesota Statutes 2010, section 144E.27, is amended by adding a subdivision
to read:
    Subd. 2a. Registration dates. Registration expiration dates are as follows:
(1) for initial registration granted between January 1 and June 30 of an
even-numbered year, the expiration date is October 31 of the next even-numbered year;
(2) for initial registration granted between July 1 and December 31 of an
even-numbered year, the expiration date is October 31 of the second odd-numbered year;
(3) for initial registration granted between January 1 and June 30 of an odd-numbered
year, the expiration date is October 31 of the next odd-numbered year; and
(4) for initial registration granted between July 1 and December 31 of an
odd-numbered year, the expiration date is October 31 of the second even-numbered year.

    Sec. 30. Minnesota Statutes 2010, section 144E.27, subdivision 3, is amended to read:
    Subd. 3. Renewal. (a) The board may renew the registration of a first an emergency
medical responder who:
(1) successfully completes a board-approved refresher course; and
(2) submits a completed renewal application to the board before the registration
expiration date.
(b) The board may renew the lapsed registration of a first an emergency medical
responder who:
(1) successfully completes a board-approved refresher course; and
(2) submits a completed renewal application to the board within 12 months after
the registration expiration date.

    Sec. 31. Minnesota Statutes 2010, section 144E.27, subdivision 5, is amended to read:
    Subd. 5. Denial, suspension, revocation. (a) 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 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; or
(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) 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. 32. Minnesota Statutes 2010, section 144E.275, subdivision 3, is amended to read:
    Subd. 3. Medical response unit qualifications. To be registered with the board, a
medical response unit must:
(1) submit an application form prescribed by the board;
(2) have a medical director according to section 144E.265;
(3) be staffed by at least one first emergency medical responder or one emergency
medical technician, as appropriate to the level of care given;
(4) submit a letter from the appropriate municipality, township, or county governing
body recognizing the medical response unit as the unit in its geographical area designated
to respond to a medical emergency; and
(5) be dispatched to the scene of a medical emergency on a routine basis by a
public safety answering point, as defined under section 403.02, subdivision 19, or an
ambulance service.

    Sec. 33. Minnesota Statutes 2010, section 144E.28, subdivision 1, is amended to read:
    Subdivision 1. Requirements. To be eligible for certification by the board as an
EMT, EMT-I, or EMT-P AEMT, or paramedic, an individual shall:
(1) successfully complete the United States Department of Transportation course, or
its equivalent as approved by the board, specific to the EMT, EMT-I, or EMT-P AEMT, or
paramedic classification;
(2) pass the written and practical examinations approved by the board and
administered by the board or its designee, specific to the EMT, EMT-I, or EMT-P AEMT,
or paramedic classification; and
(3) complete a board-approved application form.

    Sec. 34. Minnesota Statutes 2010, section 144E.28, subdivision 5, is amended to read:
    Subd. 5. Denial, suspension, revocation. (a) The board may deny certification or
take any action authorized in subdivision 4 against an individual who the board determines:
(1) violates sections 144E.001 to 144E.33 or the rules adopted under those sections,
or an order that the board issued or is otherwise authorized or empowered to enforce, or
agreement for corrective action;
(2) misrepresents or falsifies information on an application form for certification;
(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 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; or
(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) 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 and no disciplinary action shall be
taken at that time.
(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 certification for disciplinary action, the individual shall
have the opportunity to apply to the board for reinstatement.

    Sec. 35. Minnesota Statutes 2010, section 144E.28, subdivision 7, is amended to read:
    Subd. 7. Renewal. (a) Before the expiration date of certification, an applicant for
renewal of certification as an EMT shall:
(1) successfully complete a course in cardiopulmonary resuscitation that is approved
by the board or the licensee's medical director;
(2) take the United States Department of Transportation EMT refresher course and
successfully pass the practical skills test portion of the course, or successfully complete 48
hours of continuing education in EMT programs that are consistent with the United States
Department of Transportation National Standard Curriculum EMS Education Standards or
its equivalent as approved by the board or as approved by the licensee's medical director
and pass a practical skills test approved by the board and administered by a training an
education program approved by the board. The cardiopulmonary resuscitation course and
practical skills test may be included as part of the refresher course or continuing education
renewal requirements. Twenty-four of the 48 hours must include at least four hours of
instruction in each of the following six categories:; and
(i) airway management and resuscitation procedures;
(ii) circulation, bleeding control, and shock;
(iii) human anatomy and physiology, patient assessment, and medical emergencies;
(iv) injuries involving musculoskeletal, nervous, digestive, and genito-urinary
systems;
(v) environmental emergencies and rescue techniques; and
(vi) emergency childbirth and other special situations; and
(3) complete a board-approved application form.
(b) Before the expiration date of certification, an applicant for renewal of certification
as an EMT-I or EMT-P AEMT or paramedic shall:
(1) for an EMT-I AEMT, successfully complete a course in cardiopulmonary
resuscitation that is approved by the board or the licensee's medical director and for an
EMT-P a paramedic, successfully complete a course in advanced cardiac life support that
is approved by the board or the licensee's medical director;
(2) successfully complete 48 hours of continuing education in emergency medical
training programs, appropriate to the level of the applicant's EMT-I or EMT-P AEMT
or paramedic certification, that are consistent with the United States Department of
Transportation National Standard Curriculum EMS Education Standards or its equivalent
as approved by the board or as approved by the licensee's medical director. An applicant
may take the United States Department of Transportation Emergency Medical Technician
refresher course or its equivalent without the written or practical test as approved by
the board, and as appropriate to the applicant's level of certification, as part of the 48
hours of continuing education. Each hour of the refresher course, the cardiopulmonary
resuscitation course, and the advanced cardiac life-support course counts toward the
48-hour continuing education requirement; and
(3) complete a board-approved application form.
(c) Certification shall be renewed every two years.
(d) If the applicant does not meet the renewal requirements under this subdivision,
the applicant's certification expires.

    Sec. 36. Minnesota Statutes 2011 Supplement, section 144E.28, subdivision 9, is
amended to read:
    Subd. 9. Community paramedics. (a) To be eligible for certification by the board
as an EMT-CP a community paramedic, an individual shall:
(1) be currently certified as an EMT-P a paramedic and have two years of full-time
service as an EMT-P a paramedic or its part-time equivalent;
(2) successfully complete a community paramedic training education program
from a college or university that has been approved by the board or accredited by a
board-approved national accreditation organization. The training education program must
include clinical experience that is provided under the supervision of an ambulance medical
director, advanced practice registered nurse, physician assistant, or public health nurse
operating under the direct authority of a local unit of government; and
(3) complete a board-approved application form.
(b) A community paramedic must practice in accordance with protocols and
supervisory standards established by an ambulance service medical director in accordance
with section 144E.265. A community paramedic may provide services as directed by a
patient care plan if the plan has been developed by the patient's primary physician or by
an advanced practice registered nurse or a physician assistant, in conjunction with the
ambulance service medical director and relevant local health care providers. The care
plan must ensure that the services provided by the community paramedic are consistent
with the 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.
(c) A community paramedic is subject to all certification, disciplinary, complaint,
and other regulatory requirements that apply to EMT-Ps paramedics under this chapter.

    Sec. 37. Minnesota Statutes 2010, section 144E.283, is amended to read:
144E.283 EMT INSTRUCTOR QUALIFICATIONS.
(a) An emergency medical technician instructor must:
(1) possess valid certification, registration, or licensure as an EMT, EMT-1, EMT-P
AEMT, paramedic, physician, physician's assistant, or registered nurse;
(2) have two years of active emergency medical practical experience;
(3) be recommended by a medical director of a licensed hospital, ambulance service,
or training education program approved by the board; and
(4) successfully complete the United States Department of Transportation
Emergency Medical Services Instructor Training Education Program or its equivalent
as approved by the board.; and
(5) complete eight hours of continuing education in educational topics every two
years, with documentation filed with the education program coordinator.
(b) An emergency medical responder instructor must possess valid registration,
certification, or licensure as an EMR, EMT, AEMT, paramedic, physician, physician
assistant, or registered nurse.

    Sec. 38. Minnesota Statutes 2010, section 144E.285, is amended to read:
144E.285 TRAINING EDUCATION PROGRAMS.
    Subdivision 1. Approval required. (a) All training education programs for an EMT,
EMT-I, or EMT-P AEMT, or paramedic must be approved by the board.
(b) To be approved by the board, a training 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
training education coordinator, and instructors;
(iii) names and addresses of clinical sites, including a contact person and telephone
number;
(iv) admission criteria for students; and
(v) materials and equipment to be used;
(2) for each course, implement the most current version of the United States
Department of Transportation curriculum EMS Education Standards, or its equivalent
as determined by the board applicable to EMT, EMT-I, or EMT-P training 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 training education program coordinator
or medical director;
(5) have at least one instructor for every ten students at the practical skill stations;
(6) maintain a written agreement with a licensed hospital or licensed ambulance
service designating a clinical training site;
(7) retain documentation of program approval by the board, course outline, and
student information;
(8) notify the board of the starting date of a course prior to the beginning of a course;
(9) submit the appropriate fee as required under section 144E.29; and
(10) maintain a minimum average yearly pass rate on the state EMT certification
exam that is equal to the national average pass rate on the certification exam 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. A training 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
training education program may continue providing classes if meeting the terms of the
performance improvement plan as determined by the board. If a training 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.
    Subd. 2. EMT-P Paramedic requirements. (a) In addition to the requirements
under subdivision 1, paragraph (b), a training an education program applying for approval
to teach EMT-P curriculum paramedics must be administered by an educational institution
accredited by the Commission of Accreditation of Allied Health Education Programs
(CAAHEP).
(b) An EMT-P training A 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.
(d) This subdivision does not apply to an EMT-P training 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:
(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 (11);
(2) has tax-exempt status in accordance with the Internal Revenue Code, section
501(c)(3);
(3) received approval before 1991 from the commissioner of health to operate an
EMT-P training a paramedic education program;
(4) operates the EMT-P training paramedic education program exclusively to train
paramedics for the local ambulance service; and
(5) limits enrollment in the EMT-P training paramedic program to five candidates
per biennium.
    Subd. 3. Expiration. Training Education program approval shall expire two years
from the date of approval.
    Subd. 4. Reapproval. A training An education program shall apply to the board for
reapproval at least three months 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; and
(2) comply with the requirements under subdivision 1, paragraph (b), clauses (2)
to (9).
    Subd. 5. Disciplinary action. (a) The board may deny, suspend, revoke, place
conditions on, or refuse to renew approval of a training an education program that the
board determines:
(1) violated subdivisions 1 to 4 or rules adopted under sections 144E.001 to
144E.33; or
(2) misrepresented or falsified information on an application form provided by
the board.
(b) Before taking action under paragraph (a), the board shall give notice to a training
an education program of the right to a contested case hearing under chapter 14. If
a training an education program 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 approval of a training an education program for disciplinary action, the training
education program shall have the opportunity to apply to the board for reapproval.
    Subd. 6. Temporary suspension. (a) In addition to any other remedy provided by
law, the board may temporarily suspend approval of the training education program after
conducting a preliminary inquiry to determine whether the board believes that the training
education program has violated a statute or rule that the board is empowered to enforce
and determining that the continued provision of service by the training education program
would create an imminent risk to public health or harm to others.
(b) A temporary suspension order prohibiting the training education program from
providing emergency medical care training 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 training education program 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 training education program.
(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 training
education program, 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 training education program or counsel of record 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 training education program of the right to a contested
case hearing under chapter 14.
(g) If a training an education program requests a contested case hearing within 30
days of 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.
    Subd. 7. Audit. The board may audit training education programs approved by
the board. The audit may include, but is not limited to, investigation of complaints,
course inspection, classroom observation, review of instructor qualifications, and student
interviews.

    Sec. 39. Minnesota Statutes 2010, section 144E.286, subdivision 3, is amended to read:
    Subd. 3. Examiner qualifications. An examiner testing EMT, EMT-I, or EMT-P
AEMT, or paramedic practical skills must be certified at or above the level the examiner
is testing or must be a registered nurse, physician, or physician assistant familiar with
current out-of-hospital care. A physician must be available to answer questions relating
to the evaluation of skill performance at the EMT-I and EMT-P AEMT and paramedic
practical examination.

    Sec. 40. Minnesota Statutes 2010, section 144E.29, is amended to read:
144E.29 FEES.
(a) The board shall charge the following fees:
(1) initial application for and renewal of an ambulance service license, $150;
(2) each ambulance operated by a licensee, $96. The licensee shall pay an additional
$96 fee for the full licensing period or $4 per month for any fraction of the period for each
ambulance added to the ambulance service during the licensing period;
(3) initial application for and renewal of approval for a training an education
program, $100; and
(4) duplicate of an original license, certification, or approval, $25.
(b) With the exception of paragraph (a), clause (4), all fees are for a two-year period.
All fees are nonrefundable.
(c) Fees collected by the board shall be deposited as nondedicated receipts in the
general fund.

    Sec. 41. Minnesota Statutes 2010, section 144E.30, subdivision 3, is amended to read:
    Subd. 3. Cooperation during investigation. A licensee, person credentialed by
the board, training education program approved by the board, or agent of one who is the
subject of an investigation or who is questioned in connection with an investigation by or
on behalf of the board shall cooperate fully with the investigation. Cooperation includes
responding fully and promptly to any question raised by or on behalf of the board relating
to the subject of the investigation, executing all releases requested by the board, providing
copies of ambulance service records, as reasonably requested by the board to assist it in its
investigation, and appearing at conferences or hearings scheduled by the board. The board
shall pay reasonable costs for copies requested.

    Sec. 42. Minnesota Statutes 2010, section 144E.305, subdivision 2, is amended to read:
    Subd. 2. Mandatory reporting. (a) A licensee shall report to the board conduct by
a first an emergency medical responder, EMT, EMT-I, or EMT-P AEMT, or paramedic
that they reasonably believe constitutes grounds for disciplinary action under section
144E.27, subdivision 5, or 144E.28, subdivision 5. The licensee shall report to the board
within 60 days of obtaining verifiable knowledge of the conduct constituting grounds for
disciplinary action.
(b) A licensee shall report to the board any dismissal from employment of a first
an emergency medical responder, EMT, EMT-I, or EMT-P AEMT, or paramedic. A
licensee shall report the resignation of a first responder an emergency medical responder,
EMT, EMT-I, or EMT-P AEMT, or paramedic before the conclusion of any disciplinary
proceeding or before commencement of formal charges but after the first emergency
medical responder, EMT, EMT-I, or EMT-P AEMT, or paramedic has knowledge that
formal charges are contemplated or in preparation. The licensee shall report to the board
within 60 days of the resignation or initial determination to dismiss. An individual's
exercise of rights under a collective bargaining agreement does not extend the licensee's
time period for reporting under this subdivision.

    Sec. 43. Minnesota Statutes 2010, section 144E.31, is amended to read:
144E.31 CORRECTION ORDER AND FINES.
    Subdivision 1. Correction order. (a) If the board finds that a licensee or training
education program has failed to comply with an applicable law or rule and the violation
does not imminently endanger the public's health or safety, the board may issue a
correction order to the licensee or training education program.
(b) The correction order shall state:
(1) the conditions that constitute a violation of the law or rule;
(2) the specific law or rule violated; and
(3) the time allowed to correct the violation.
    Subd. 2. Reconsideration. (a) If the licensee or training education program believes
that the contents of the board's correction order are in error, the licensee or training
education program may ask the board to reconsider the parts of the correction order that
are alleged to be in error.
(b) The request for reconsideration must:
(1) be in writing;
(2) be delivered by certified mail;
(3) specify the parts of the correction order that are alleged to be in error;
(4) explain why they are in error; and
(5) include documentation to support the allegation of error.
(c) A request for reconsideration does not stay any provision or requirement of the
correction order. The board's disposition of a request for reconsideration is final and not
subject to appeal under chapter 14.
    Subd. 3. Fine. (a) The board may order a fine concurrently with the issuance of a
correction order, or after the licensee or training education program has not corrected the
violation within the time specified in the correction order.
(b) A licensee or training education program that is ordered to pay a fine shall be
notified of the order by certified mail. The notice shall be mailed to the address shown on
the application or the last known address of the licensee or training education program.
The notice shall state the reasons the fine was ordered and shall inform the licensee or
training program of the right to a contested case hearing under chapter 14.
(c) A licensee or training education program may appeal the order to pay a fine by
notifying the board by certified mail within 15 calendar days after receiving the order. A
timely appeal shall stay payment of the fine until the board issues a final order.
(d) A licensee or training education program shall pay the fine assessed on or before
the payment date specified in the board's order. If a licensee or training education program
fails to fully comply with the order, the board shall suspend the license or cancel approval
until there is full compliance with the order.
(e) Fines shall be assessed as follows:
(1) $150 for violation of section 144E.123;
(2) $400 for violation of sections 144E.06, 144E.07, 144E.101, 144E.103, 144E.121,
144E.125, 144E.265, 144E.285, and 144E.305;
(3) $750 for violation of rules adopted under section 144E.16, subdivision 4, clause
(8); and
(4) $50 for violation of all other sections under this chapter or rules adopted under
this chapter that are not specifically enumerated in clauses (1) to (3).
(f) Fines collected by the board shall be deposited as nondedicated receipts in the
general fund.
    Subd. 4. Additional penalties. This section does not prohibit the board from
suspending, revoking, placing conditions on, or refusing to renew a licensee's license or
a training an education program's approval in addition to ordering a fine.

    Sec. 44. Minnesota Statutes 2010, section 144E.32, subdivision 2, is amended to read:
    Subd. 2. Review organization defined. A review organization, as defined under
section 145.61, includes a committee of an ambulance service provider, a physician
medical director, a medical advisor, or ambulance supervisory personnel who gather,
create, and review information relating to the care and treatment of patients in providing
emergency medical care, including employee performance reviews, quality assurance
data, and other ambulance service or first emergency medical responder performance data
for ambulance services licensed under section 144E.10 or 144E.12 or first emergency
medical responders registered under section 144E.27, for the purposes specified under
section 145.61, subdivision 5.

    Sec. 45. Minnesota Statutes 2010, section 144E.35, subdivision 1, is amended to read:
    Subdivision 1. Repayment for volunteer training education. A licensed
ambulance service shall be reimbursed by the board for the necessary expense of the initial
training education of a volunteer ambulance attendant upon successful completion by the
attendant of a basic emergency care an EMT education course, or a continuing education
course for basic emergency EMT care, or both, which has been approved by the board,
pursuant to section 144E.285. Reimbursement may include tuition, transportation, food,
lodging, hourly payment for the time spent in the training education course, and other
necessary expenditures, except that in no instance shall a volunteer ambulance attendant
be reimbursed more than $600 for successful completion of a basic an initial education
course, and $275 for successful completion of a continuing education course.

    Sec. 46. Minnesota Statutes 2010, section 144E.41, is amended to read:
144E.41 PROGRAM ELIGIBILITY; QUALIFIED AMBULANCE SERVICE
PERSONNEL.
(a) Persons eligible to participate in the Cooper/Sams volunteer ambulance program
are qualified ambulance service personnel.
(b) Qualified ambulance service personnel are ambulance attendants, ambulance
drivers, and ambulance service medical directors or medical advisors who meet the
following requirements:
(1) employment of the person by or provision by the person of service to an
ambulance service that is licensed as such by the state of Minnesota and that provides
ambulance services that are generally available to the public and are free of unfair
discriminatory practices under chapter 363A;
(2) performance by the person during the 12 months ending as of the immediately
previous June 30 of all or a predominant portion of the person's services in the state of
Minnesota or on behalf of Minnesota residents, as verified by August 1 annually in an
affidavit from the chief administrative officer of the ambulance service;
(3) current certification of the person during the 12 months ending as of the
immediately previous June 30 by the board as an ambulance attendant, ambulance driver,
or ambulance service medical director or medical advisor under section 144E.265 or
144E.28, and supporting rules, and current active ambulance service employment or
service provision status of the person, as verified by August 1 annually in an affidavit from
the chief administrative officer of the ambulance service; and
(4) conformance by the person with the definition of the phrase "volunteer
ambulance attendant" under section 144E.001, subdivision 15, except that for the salary
limit specified in that provision there must be substituted, for purposes of this section
only, a limit of $6,000 for calendar year 2004, and $6,000 multiplied by the cumulative
percentage increase in the national Consumer Price Index, all items, for urban wage
earners and clerical workers, as published by the federal Department of Labor, Bureau
of Labor Statistics, since December 31, 2004, and for an ambulance service medical
director, conformance based solely on the person's hourly stipends or salary for service as
a medical director.
(c) The term "active ambulance service employment or service provision status"
means being in good standing with and on the active roster of the ambulance service
making the certification.
(d) For a person who is employed by or provides service to more than one ambulance
service concurrently during any period during the 12-month period, credit towards an
award under this chapter is limited to one ambulance service during any period. The
creditable period is with the ambulance service for which the person undertakes the
greatest portion of employment or service hours.
(e) Verification of the person's performance and certification for the 12 months
immediately preceding June 30 as required in paragraph (b), clauses (2) and (3), must
be reported annually to the board by August 1 in a notarized affidavit from the chief
administrative officer of the ambulance service. Affidavits verifying service submitted
to the board after August 1 shall not be considered as credited ambulance service for
purposes of section 144E.46, unless specifically authorized by law.
EFFECTIVE DATE.This section is effective the day following final enactment.

    Sec. 47. Minnesota Statutes 2010, section 144E.52, is amended to read:
144E.52 FUNDING FOR EMERGENCY MEDICAL SERVICES REGIONS.
The Emergency Medical Services Regulatory Board shall distribute funds
appropriated from the general fund equally among the emergency medical service
regions. Each regional board may use this money to reimburse eligible emergency
medical services personnel for continuing education costs related to emergency care that
are personally incurred and are not reimbursed from other sources. Eligible emergency
medical services personnel include, but are not limited to, dispatchers, emergency room
physicians, emergency room nurses, first emergency medical responders, emergency
medical technicians, and paramedics.

    Sec. 48. COOPER/SAMS VOLUNTEER AMBULANCE PROGRAM SERVICE
CREDIT REPORTING.
(a) The Emergency Medical Services Regulatory Board shall accept verification of
service that was performed by qualified ambulance service personnel as described in
Minnesota Statutes, section 144E.41, during the 12 months immediately preceding June
30, 2010, in the form of a notarized affidavit from the chief administrative officer of the
ambulance service. If a notarized affidavit is submitted to the board by August 1, 2012,
verifying service performed during this time period, the board shall add the applicable
service credits to the record of potential award accumulations for each qualified ambulance
service person according to Minnesota Statutes, section 144E.45.
(b) Notwithstanding Minnesota Statutes, section 144E.46, if a qualified ambulance
service person affected by paragraph (a) applied for and received a Cooper/Sams volunteer
ambulance award in fiscal year 2011, the board shall pay the person for the added service
credits verified according to paragraph (a) as part of the awards paid out in fiscal year
2012. This payment shall be made before any other award amount.
EFFECTIVE DATE.This section is effective the day following final enactment.

    Sec. 49. REVISOR INSTRUCTION.
The revisor of statutes shall substitute the words "physician assistant" for the words
"physician's assistant" wherever found in Minnesota Statutes, chapter 144E.

    Sec. 50. REPEALER.
Minnesota Rules, parts 4690.0100, subparts 16 and 17; and 4690.1400, are repealed.
Presented to the governor April 17, 2012
Signed by the governor April 18, 2012, 01:58 p.m.

700 State Office Building, 100 Rev. Dr. Martin Luther King Jr. Blvd., St. Paul, MN 55155 ♦ Phone: (651) 296-2868 ♦ TTY: 1-800-627-3529 ♦ Fax: (651) 296-0569