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LRB-4145/1
TJD:cjs
2019 - 2020 LEGISLATURE
January 8, 2020 - Introduced by Senators Marklein, Nass, Olsen, Stroebel and
Testin, cosponsored by Representatives Tranel, Novak, Kurtz, Oldenburg,
VanderMeer, Brooks, Dittrich, Horlacher, Knodl, Krug, Kulp, Mursau,
Quinn, Tusler and Born. Referred to Committee on Health and Human
Services.
SB667,1,3 1An Act to amend 256.15 (4m) (d); and to create 256.12 (5) (c), 256.15 (1) (ij),
2256.15 (4) (a) 4. and 256.15 (10m) of the statutes; relating to: ambulance
3staffing and emergency medical personnel.
Analysis by the Legislative Reference Bureau
Generally, this bill changes ambulance staffing requirements and makes other
changes related to emergency medical personnel.
The bill allows an ambulance that is engaged in an interfacility transport to be
staffed with one emergency medical technician and one individual who has a
certification in cardiopulmonary resuscitation. Currently, an ambulance may be
staffed with any of the following: any two emergency medical services practitioners,
licensed registered nurses, licensed physician assistants or physicians, or any
combination of those individuals; one emergency medical services practitioner plus
one individual with a emergency medical services practitioner training permit; or,
for certain rural ambulance service providers, one emergency medical technician
and one emergency medical responder.
Current law allows a rural ambulance service provider to upgrade the service
level of an ambulance to the highest level of license of any emergency services
practitioner staffing that ambulance if approved by the medical director. The bill
prohibits the Department of Health Services from requiring the rural ambulance
service provider to stock an ambulance with equipment to perform all functions that
the emergency medical services practitioner with the highest level of license may
perform in order to upgrade its ambulance service level.

Under the bill, an ambulance service provider or emergency medical services
program may not prohibit an emergency medical responder or emergency medical
services practitioner who is employed by or volunteering with it from being employed
by or volunteering with another ambulance service provider or emergency medical
services program.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
SB667,1 1Section 1 . 256.12 (5) (c) of the statutes is created to read:
SB667,2,52 256.12 (5) (c) 1. If the department requires the signature of a clerk of a
3municipality before allowing an ambulance service provider to receive funds under
4this subsection, the department shall allow the clerk to submit an electronic
5signature.
SB667,2,106 2. If the department requires an ambulance service provider to submit the
7population of its service area, the population shall be derived using census data. The
8department may only require an updated and signed population form after a census
9every 10 years, except that the department may require an updated and signed
10population form if the service area of the ambulance service provider changes.
SB667,2 11Section 2 . 256.15 (1) (ij) of the statutes is created to read:
SB667,2,1312 256.15 (1) (ij) “Interfacility transport” means any transfer of a patient between
13health care facilities or any nonemergent transfer of a patient.
SB667,3 14Section 3 . 256.15 (4) (a) 4. of the statutes is created to read:
SB667,2,1815 256.15 (4) (a) 4. If the ambulance is engaged in an interfacility transport, one
16emergency medical technician who is in the patient compartment during transport
17of the patient and one individual who has a certification in cardiopulmonary
18resuscitation, through a course approved by the department.
SB667,4 19Section 4 . 256.15 (4m) (d) of the statutes is amended to read:
SB667,3,7
1256.15 (4m) (d) A rural ambulance service provider that is intending to
2upgrade its service under par. (b) shall submit to the department an update to its
3operational plan including a description of its intention to upgrade. The department
4may not require a rural ambulance service provider to stock an ambulance with
5equipment to perform all functions that the emergency medical services practitioner
6with the highest level of license may perform in order to upgrade the ambulance
7service level under par. (b).
SB667,5 8Section 5 . 256.15 (10m) of the statutes is created to read:
SB667,3,149 256.15 (10m) Exclusive arrangements prohibited. An ambulance service
10provider or emergency medical services program may not prohibit an emergency
11medical responder or emergency medical services practitioner who is employed by
12or volunteering with the ambulance service provider or emergency medical services
13program from being employed by or volunteering with another ambulance service
14provider or emergency medical services program.
SB667,6 15Section 6 . Effective date.
SB667,3,1716 (1) This act takes effect on the first day of the 7th month beginning after
17publication.
SB667,3,1818 (End)
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