02RS HB469

HB469

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HB 469/LM/CI (BR 439) - J. Callahan, J. Richards, J. Adams, Ro. Adams, E. Ballard, P. Bather, C. Belcher, J. Bruce, T. Burch, M. Cherry, L. Clark, J. Coleman, H. Collins, R. Damron, M. Denham, J. Draud, J. Gooch, J. Gray, J. Haydon, B. Heleringer, C. Hoffman, J. Hoover, T. Kerr, Ji. Lee, M. Marzian, T. McKee, S. Nunn, A. Simpson, D. Sims, K. Stein, J. Stewart, G. Stumbo, G. Tapp, J. Thompson, M. Weaver, R. Webb, B. Yonts

     AN ACT relating to emergency medical services.
     Create KRS Chapter 311A relating to emergency medical services and move all statutes currently in KRS 311.652 to KRS 311.658 relating to emergency medical services to the new chapter; increase the Board of Emergency Medical Services membership by one representative from an air ambulance service and one representative from a private ground ambulance service; rewrite provisions relating to discipline and provide for prehearing suspension of license or certification if public safety demands; require hiring a hearing officer to assist the board in the conduct of hearings; define ranges of punishments; change the EMS grant program from a matching program to a block grant program; amend various sections to conform; repeal all statutes in the KRS 311.652 to 311.658 range.

HB 469 - AMENDMENTS


     HCS/LM/CI - Delete provision relating to the collection and analysis of emergency medical services data; clarify the role of paramedics operating within a hospital and the medical staff which have control over them; amend KRS 311.990 to delete penalties relating to persons holding themselves out as paramedics, emergency medical technicians, first responders, or medical technicians; and make technical corrections.

     SFA (1, T. Buford) - Retain original provisions except add physician assistants to the medical professionals that may provide orders for a paramedic; and specify that first responders, emergency medical technicians, or paramedics shall not exceed their scope of practice regardless of orders from medical professionals, including physician assistants.

     SFA (2, J. Denton) - Retain original provisions; in Section 9 relating to licensing and certification of first responders, emergency medical technicians, paramedics, and others licensed by the board; prohibit licensing or certifying a person convicted of a felony; in Section 11 relating to penalties for violation of statutes or regulations, require revocation of license or certification of a person convicted of a felony.

     SFA (3, L. Casebier) - Prohibit paramedics working in an emergency room from inserting central intravenous access lines and performing other surgical procedures; create chapter KRS 311A instead of amending KRS 311.658 and creating a new section from KRS 311.652 to 311.658.

     SFA (4, J. Denton) - Create a new section of KRS Chapter 311A to permit the board to issue a limited license or certification as a first responder, emergency medical technician, or paramedic to a convicted felon for medical services only to inmates, staff, and visitors of the Department of Corrections.

     SFA (5, E. Scorsone) - Repeal, reenact, and amend various sections to restore the HIV/AIDS education requirement for initial licensure of paramedics or emergency medical technicians as is consistent with other health care providers; provide for HIV/AIDS education for certification of first responders; restore the HIV/AIDS continuing education requirement of one time every 10 years for relicensure or recertification; make conforming amendments.

     SFA (6, L. Casebier) - Limit the scope of practice for paramedics by excluding the administration of intravenous medications, triage, and documentation of patient histories for the purpose of triage from the tasks that paramedics are authorized to perform in the emergency room setting.

     SFA (7, L. Casebier) - Create a new section of KRS 311A to permit emergency medical technician-basic providers and paramedics to administer epinephrine for allergic reactions under medical protocol of the licensed ambulance service; require ambulance providers to stock epinephrine and administration supplies on ambulances; establish medical protocols for the treatment of allergic reactions.

     Jan 24-introduced in House
     Jan 25-to Local Government (H)
     Jan 30-posted in committee
     Feb 14-reported favorably, 1st reading, to Calendar with Committee Substitute
     Feb 15-2nd reading, to Rules
     Feb 19-posted for passage in the Regular Orders of the Day for Wednesday, February 20, 2002
     Feb 20-3rd reading, passed 97-0 with Committee Substitute
     Feb 21-received in Senate
     Feb 26-to State and Local Government (S)
     Mar 12-reported favorably, 1st reading, to Calendar
     Mar 13-2nd reading, to Rules; floor amendment (1) filed
     Mar 18-recommitted to Appropriations and Revenue (S); floor amendment (2) filed
     Mar 21-taken from committee; to Rules (S); floor amendment (3) filed
     Mar 22-floor amendments (4) and (5) filed
     Mar 25-posted for passage in the Regular Orders of the Day for Monday, March 25, 2002; passed over and retained in the Orders of the Day; floor amendments (6) and (7) filed
     Mar 26-3rd reading; floor amendment (3) withdrawn ; floor amendment (6) rejected ; passed 37-1 with floor amendments (1) (2) (4) (5) and (7)
     Mar 27-received in House; posted for passage for concurrence in Senate floor amendments (1) (2) (4) (5) and (7)
     Mar 28-House concurred in Senate floor amendments (1) (2) (4) (5) and (7) ; passed 96-0
     Mar 29-enrolled, signed by each presiding officer; delivered to Governor
     Apr 5-signed by Governor (Acts ch. 211)


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