Florida Senate - 2012 COMMITTEE AMENDMENT
Bill No. SB 450
Barcode 172906
LEGISLATIVE ACTION
Senate . House
Comm: RCS .
12/07/2011 .
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The Committee on Health Regulation (Gaetz) recommended the
following:
1 Senate Amendment (with title amendment)
2
3 Delete everything after the enacting clause
4 and insert:
5 Section 1. Subsection (1) of section 381.0034, Florida
6 Statutes, is amended to read:
7 381.0034 Requirement for instruction on HIV and AIDS.—
8 (1) As of July 1, 1991, the Department of Health shall require
9 each person licensed or certified under chapter 401, chapter
10 467, part IV of chapter 468, or chapter 483, as a condition of
11 biennial relicensure, to complete an educational course approved
12 by the department on the modes of transmission, infection
13 control procedures, clinical management, and prevention of human
14 immunodeficiency virus and acquired immune deficiency syndrome.
15 Such course shall include information on current state Florida
16 law on acquired immune deficiency syndrome and its impact on
17 testing, confidentiality of test results, and treatment of
18 patients. Each such licensee or certificateholder shall submit
19 confirmation of having completed the said course, on a form
20 provided by the department, when submitting fees or application
21 for each biennial renewal.
22 Section 2. Subsection (7) of section 401.23, Florida
23 Statutes, is amended to read:
24 401.23 Definitions.—As used in this part, the term:
25 (7) “Basic life support” means treatment of medical
26 emergencies by a qualified person through the use of techniques
27 such as patient assessment, cardiopulmonary resuscitation (CPR),
28 splinting, obstetrical assistance, bandaging, administration of
29 oxygen, application of medical antishock trousers,
30 administration of a subcutaneous injection using a premeasured
31 autoinjector of epinephrine to a person suffering an
32 anaphylactic reaction, and other techniques described in the
33 Emergency Medical Technician Basic Training Course Curriculum or
34 the National EMS Education Standards of the United States
35 Department of Transportation, and as approved by the department.
36 The term “basic life support” also includes other techniques
37 that which have been approved and are performed under conditions
38 specified by rules of the department.
39 Section 3. Section 401.24, Florida Statutes, is amended to
40 read:
41 401.24 Emergency medical services state plan.—The
42 department is responsible, at a minimum, for the improvement and
43 regulation of basic and advanced life support programs. The
44 department shall develop, and biennially revise every 5 years, a
45 comprehensive state plan for basic and advanced life support
46 services, the emergency medical services grants program, trauma
47 centers, the injury control program, and medical disaster
48 preparedness. The state plan shall include, but need not be
49 limited to:
50 (1) Emergency medical systems planning, including the
51 prehospital and hospital phases of patient care, and injury
52 control effort and unification of such services into a total
53 delivery system to include air, water, and land services.
54 (2) Requirements for the operation, coordination, and
55 ongoing development of emergency medical services, which
56 includes: basic life support or advanced life support vehicles,
57 equipment, and supplies; communications; personnel; training;
58 public education; state trauma system; injury control; and other
59 medical care components.
60 (3) The definition of areas of responsibility for
61 regulating and planning the ongoing and developing delivery
62 service requirements.
63 Section 4. Subsections (4) and (12) of section 401.27,
64 Florida Statutes, are amended to read:
65 401.27 Personnel; standards and certification.—
66 (4) An applicant for certification or recertification as an
67 emergency medical technician or paramedic must:
68 (a) Have completed an appropriate training course as
69 follows:
70 1. For an emergency medical technician, an emergency
71 medical technician training course equivalent to the most recent
72 national standard curriculum or National EMS Education Standards
73 emergency medical technician basic training course of the United
74 States Department of Transportation, and as approved by the
75 department;
76 2. For a paramedic, a paramedic training program equivalent
77 to the most recent national standard curriculum or National EMS
78 Education Standards paramedic course of the United States
79 Department of Transportation, and as approved by the department;
80 (b) Certify under oath that he or she is not addicted to
81 alcohol or any controlled substance;
82 (c) Certify under oath that he or she is free from any
83 physical or mental defect or disease that might impair the
84 applicant’s ability to perform his or her duties;
85 (d) Within 2 years 1 year after course completion have
86 passed an examination developed or required by the department;
87 (e)1. For an emergency medical technician, hold either a
88 current American Heart Association cardiopulmonary resuscitation
89 course card or an American Red Cross cardiopulmonary
90 resuscitation course card or its equivalent as defined by
91 department rule;
92 2. For a paramedic, hold a certificate of successful course
93 completion in advanced cardiac life support from the American
94 Heart Association or its equivalent as defined by department
95 rule;
96 (f) Submit the certification fee and the nonrefundable
97 examination fee prescribed in s. 401.34, which examination fee
98 will be required for each examination administered to an
99 applicant; and
100 (g) Submit a completed application to the department, which
101 application documents compliance with paragraphs (a), (b), (c),
102 (e), (f), (g), and, if applicable, (d). The application must be
103 submitted so as to be received by the department at least 30
104 calendar days before the next regularly scheduled examination
105 for which the applicant desires to be scheduled.
106 (12) An applicant for certification who is an out-of-state
107 trained emergency medical technician or paramedic must provide
108 proof of current emergency medical technician or paramedic
109 certification or registration based upon successful completion
110 of the United States Department of Transportation emergency
111 medical technician or paramedic training curriculum or the
112 National EMS Education Standards, and as approved by the
113 department, and hold a current certificate of successful course
114 completion in cardiopulmonary resuscitation (CPR) or advanced
115 cardiac life support for emergency medical technicians or
116 paramedics, respectively, to be eligible for the certification
117 examination. The applicant must successfully complete the
118 certification examination within 1 year after the date of the
119 receipt of his or her application by the department. After 1
120 year, the applicant must submit a new application, meet all
121 eligibility requirements, and submit all fees to reestablish
122 eligibility to take the certification examination.
123 Section 5. Paragraph (a) of subsection (1) and subsection
124 (5) of section 401.2701, Florida Statutes, are amended to read:
125 401.2701 Emergency medical services training programs.—
126 (1) Any private or public institution in Florida desiring
127 to conduct an approved program for the education of emergency
128 medical technicians and paramedics shall:
129 (a) Submit a completed application on a form provided by
130 the department, which must include:
131 1. Evidence that the institution is in compliance with all
132 applicable requirements of the Department of Education.
133 2. Evidence of an affiliation agreement with a hospital
134 that has an emergency department staffed by at least one
135 physician and one registered nurse.
136 3. Evidence of an affiliation agreement with a current
137 Florida-licensed emergency medical services provider that is
138 licensed in this state. Such agreement shall include, at a
139 minimum, a commitment by the provider to conduct the field
140 experience portion of the education program.
141 4. Documentation verifying faculty, including:
142 a. A medical director who is a licensed physician meeting
143 the applicable requirements for emergency medical services
144 medical directors as outlined in this chapter and rules of the
145 department. The medical director shall have the duty and
146 responsibility of certifying that graduates have successfully
147 completed all phases of the education program and are proficient
148 in basic or advanced life support techniques, as applicable.
149 b. A program director responsible for the operation,
150 organization, periodic review, administration, development, and
151 approval of the program.
152 5. Documentation verifying that the curriculum:
153 a. Meets the course guides and instructor’s lesson plans in
154 the most recent Emergency Medical Technician-Basic National
155 Standard Curricula or the National EMS Education Standards for
156 emergency medical technician programs and Emergency Medical
157 Technician-Paramedic National Standard Curricula or the National
158 EMS Education Standards for paramedic programs, and as approved
159 by the department.
160 b. Includes 2 hours of instruction on the trauma scorecard
161 methodologies for assessment of adult trauma patients and
162 pediatric trauma patients as specified by the department by
163 rule.
164 c. Includes 4 hours of instruction on HIV/AIDS training
165 consistent with the requirements of chapter 381.
166 6. Evidence of sufficient medical and educational equipment
167 to meet emergency medical services training program needs.
168 (5) Each approved program must notify the department within 30
169 days after of any change in the professional or employment
170 status of faculty. Each approved program must require its
171 students to pass a comprehensive final written and practical
172 examination evaluating the skills described in the current
173 United States Department of Transportation EMT-Basic or EMT
174 Paramedic, National Standard Curriculum or the National EMS
175 Education Standards, and as approved by the department. Each
176 approved program must issue a certificate of completion to
177 program graduates within 14 days after of completion.
178 Section 6.
179
180 ================= T I T L E A M E N D M E N T ================
181 And the title is amended as follows:
182 Delete everything before the enacting clause
183 and insert:
184 A bill to be entitled
185 An act relating to emergency medical services;
186 amending s. 381.0034, F.S.; deleting the requirement
187 for emergency medical technicians, paramedics, and 911
188 public safety telecommunicators to complete an
189 educational course on the modes of transmission,
190 infection control procedures, clinical management, and
191 prevention of human immunodeficiency virus and
192 acquired immune deficiency syndrome; amending s.
193 401.23, F.S.; redefining the term “basic life support”
194 for purposes of the Raymond H. Alexander, M.D.,
195 Emergency Medical Transportation Services Act;
196 amending s. 401.24, F.S.; revising the period for
197 review of the comprehensive state plan for emergency
198 medical services and programs; amending s. 401.27,
199 F.S.; revising the requirements for certification or
200 recertification as an emergency medical technician or
201 paramedic; revising the requirements for certification
202 for an out-of-state trained emergency medical
203 technician or paramedic; amending s. 401.2701, F.S.;
204 revising requirements for an institution that conducts
205 an approved program for the education of emergency
206 medical technicians and paramedics; revising the
207 requirements that students must meet in order to
208 receive a certificate of completion from an approved
209 program; providing an effective date.; providing an
210 effective date.