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LRB-4284/1
TJD:ahe
2019 - 2020 LEGISLATURE
September 12, 2019 - Introduced by Representatives Loudenbeck, Sanfelippo and
Kuglitsch, cosponsored by Senators Kooyenga and Craig. Referred to
Committee on Health.
AB427,1,3 1An Act to renumber and amend 256.12 (2) (a) and 256.15 (6p); and to create
2256.12 (2) (a) 4. and 256.15 (6p) (a) and (b) of the statutes; relating to:
3emergency medical services programs.
Analysis by the Legislative Reference Bureau
This bill allows an approved emergency medical services program to provide
emergency medical care in circumstances other than at the scene of an emergency,
during transport to a hospital, while in the hospital emergency department until
regular hospital staff assume responsibility for care, and during transfer of a patient
between health care facilities. The bill allows the emergency medical services
program to provide emergency medical care during transport to another facility or
institution in which health care is provided and under a delegation from a health care
provider. Under current law, an emergency medical services practitioner may act
upon a delegation by a health care provider without violating the scope of the
emergency medical services practitioner's license. The bill adds conditions that the
actions delegated to the emergency medical services practitioner must be all of the
following: 1) within the scope of the health care provider's license and competency
and 2) delegated to an emergency medical services practitioner whom the health care
provider ensures is adequately knowledgeable and trained to perform the delegated
action.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB427,1
1Section 1. 256.12 (2) (a) of the statutes is renumbered 256.12 (2) (a) (intro.)
2and amended to read:
AB427,2,83 256.12 (2) (a) (intro.) Any county, city, town, village, hospital, ambulance
4service provider, or combination thereof may, after submission of a plan approved by
5the department, conduct an emergency medical services program using emergency
6medical services practitioners for the delivery of emergency medical care to sick,
7disabled, or injured individuals at the scene of an emergency and during under any
8of the following circumstances:
AB427,2,10 91. During transport to a hospital, while or facility or institution in which health
10care is provided.
AB427,2,12 112. While in the hospital emergency department until responsibility for care is
12assumed by the regular hospital staff, and during .
AB427,2,13 133. During transfer of a patient between health care facilities.
AB427,2,18 14(ad) An ambulance service provider may, after submission of a plan approved
15by the department under par. (a), conduct an emergency medical services program
16using emergency medical services practitioners for the delivery of emergency
17medical care to sick, disabled, or injured individuals during transfer of the
18individuals between health care facilities.
AB427,2,22 19(ah) Nothing in this section prohibits an emergency medical services program
20from using community paramedics and community emergency medical services
21practitioners for services described in ss. 256.205 (6) and 256.21 (6) or from providing
22nonemergency services in accordance with s. 256.15 (6p).
AB427,3,2 23(am) Nothing in this section shall be construed to prohibit the operation of fire
24department, police department, for-profit ambulance service provider, or other

1emergency vehicles using the services of emergency medical services practitioners
2in conjunction with a program approved by the department.
AB427,3,5 3(ar) Hospitals that offer approved training courses for emergency medical
4services practitioners should, if feasible, serve as the base of operation for approved
5programs under this section using emergency medical services practitioners.
AB427,2 6Section 2. 256.12 (2) (a) 4. of the statutes is created to read:
AB427,3,87 256.12 (2) (a) 4. Under a delegation from a health care provider in accordance
8with s. 256.15 (6p).
AB427,3 9Section 3. 256.15 (6p) of the statutes is renumbered 256.15 (6p) (intro.) and
10amended to read:
AB427,3,1511 256.15 (6p) Delegation from a health care provider. (intro.) An emergency
12medical services practitioner who is acting upon a delegation by a health care
13provider does not violate the actions authorized for emergency services under sub.
14(6n) for actions taken in accordance with that delegation. delegation if all of the
15following criteria are satisfied:
AB427,4 16Section 4. 256.15 (6p) (a) and (b) of the statutes are created to read:
AB427,3,1917 256.15 (6p) (a) The health care provider delegates to the emergency medical
18services practitioner only actions that are within the scope of the health care
19provider's credential and competency.
AB427,3,2220 (b) The health care provider ensures that the action is delegated to an
21emergency medical services practitioner who is adequately knowledgeable and
22trained to perform the delegated action.
AB427,3,2323 (End)
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