98RS HB285

HB285

Unofficial WWW Version


HB 285/FN/LM (BR 133) - J. Coleman

     AN ACT relating to emergency medical services.
     Create a new section of KRS Chapter 311 to permit paramedics with specialized training in determination of death to pronounce persons dead and call the coroner to the scene; create a new section of KRS Chapter 311 to permit paramedics, with proper equipment, to perform advanced life support to persons in emergency situations anywhere in the state; amend KRS 311.658 regarding rendering of services by paramedics to provide that the State Board of Medical Licensure determine in what prehospital settings services may be rendered; create a new section of KRS Chapter 216B to permit ambulance services to contract with or employ physician medical directors; create a new section of KRS Chapter 216B to permit ambulance services to provide liability insurance for physicians serving as medical directors; create a new section of KRS Chapter 216B to specify offenses during ambulance inspections, specify that certain supplies and equipment carried in medical care kits by emergency medical technicians and paramedics is considered to be on the ambulance for inspection purposes, and set penalties; create a new section of KRS Chapter 216B to set corrective actions for deficiencies of ambulance services and set penalties; amend KRS 216B.410 relating to ambulance run reports to permit electronic filing of information and to provide that state provide free master copy for making written reports; provide for authorized uses of ambulance run reports.

HB 285 - AMENDMENTS


     HCS/FN/LM/CI - Delete provisions relating to expansion of practice of paramedics, insurance for medical directors of ambulance services, and hiring of medical directors of ambulance services; insert new provisions permitting registered nurses with proper training to pronounce death, and providing that complaints against nurses serving with an ambulance service be made to the Board of Nursing; retain provisions relating to complaints against physicians, paramedics with proper training pronouncing death, and emergency medical services data collection.
     HFA (1, J. Coleman) - Provide that only a paramedic or nurse who has successfully completed required training may make a determination of death, provide that civil litigation is not compromised by sending complaints to the Board of Medical Licensure or the Board of Nursing.
     HCA (1, M. Marzian) - Retain original provisions except clarify that the State Board of Nursing has sole jurisdiction regarding to complaints about nursing service in ambulance settings.
     HFA (2, R. Damron) - Require paramedic or nurse to attempt to resuscitate patient who is resuscitatable prior to determining the patient to be dead.
     SFA (1, T. Buford) - Make technical corrections.
     SFA (2, T. Buford) - WITHDRAWN

     Jan 14-introduced in House
     Jan 15-to Health and Welfare (H)
     Feb 2-posted in committee
     Mar 10-reported favorably, 1st reading, to Calendar with Committee Substitute and Committee Amendment (1); floor amendment (1) filed to Committee Substitute
     Mar 11-2nd reading, to Rules; posted for passage in the Regular Orders of the Day for March 12, 1998
     Mar 12-floor amendment (2) filed to Committee Substitute
     Mar 17-3rd reading, passed 75-17 with Committee Substitute, committee amendment (1) and floor amendments (1) and (2)
     Mar 18-received in Senate
     Mar 19-to Health and Welfare (S)
     Mar 20-reported favorably, 1st reading, to Consent Calendar
     Mar 23-2nd reading, to Rules
     Mar 24-posted for passage in the Consent Orders of the Day for March 25, 1998
     Mar 25-passed over and retained in the Orders of the Day; floor amendments (1) and (2) filed; floor amendment (2) withdrawn
     Mar 26-taken from the Consent Orders of the Day, placed in the Regular Orders of the Day; 3rd reading, passed 34-0 with floor amendment (1); received in House; posted for passage for concurrence in Senate amendment
     Mar 31-House concurred in Senate floor amendment (1); passed 73-17
     Apr 1-enrolled, signed by each presiding officer, delivered to Governor
     Apr 10-signed by Governor


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