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LRB-2224/1
TJD:kjf:kf
2015 - 2016 LEGISLATURE
May 1, 2015 - Introduced by Senators Moulton, Bewley, Nass and Petrowski,
cosponsored by Representatives Mursau, Kulp, Ballweg, E. Brooks,
Considine, Czaja, Horlacher, Jarchow, Kitchens, Knodl, Krug, T. Larson,
Murphy, A. Ott, Petryk, Tauchen, Tittl and Tranel. Referred to Committee
on Health and Human Services.
SB143,1,3 1An Act to amend 256.01 (9), 256.15 (4) (a) 2. and 256.15 (4) (c); and to create
2256.15 (4) (d) of the statutes; relating to: ambulance staffing by emergency
3medical technicians and first responders.
Analysis by the Legislative Reference Bureau
Under current law, an ambulance transporting a sick, disabled, or injured
individual must contain any two emergency medical technicians (EMTs), licensed
registered nurses, licensed physician assistants, physicians, a combination of those
individuals, or one EMT and one individual with an EMT training permit. The
Department of Health Services (DHS) promulgated rules regarding staffing of
ambulances at various ambulance services levels. This bill allows an ambulance
transporting a sick, disabled, or injured individual to be staffed with one EMT and
one first responder. The bill requires DHS to allow an ambulance service provider
providing services at the EMT — basic level to staff an ambulance with at least one
EMT — basic and an additional EMT — basic, an individual with an EMT — basic
training permit, or a first responder. An ambulance service provider providing
services at the EMT — basic level shall require an EMT — basic to be in the patient
compartment of the ambulance during transport. The bill requires DHS to allow an
ambulance service provider providing services at the EMT — intermediate or EMT
— intermediate technician level to staff an ambulance with one EMT at the level of
the ambulance service and one individual who holds a credential at the first
responder level or higher. An ambulance service provider providing services at the
EMT — intermediate or EMT — intermediate technician level shall require the

individual who holds the same level credential as the ambulance service to remain
with the patient at all times during care and transport of the patient, if the patient
requires that level of care.
For further information see the local fiscal estimate, which will be printed as
an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
SB143,1 1Section 1. 256.01 (9) of the statutes is amended to read:
SB143,2,72 256.01 (9) "First responder" means a person who is certified by the department
3as a first responder under s. 256.15 (8) (a) and who, as a condition of employment or
4as a member of an organization that provides emergency medical care before
5hospitalization, provides emergency medical care to a sick, disabled or injured
6individual before the arrival of an ambulance, but who does not provide
7transportation for a patient
.
SB143,2 8Section 2. 256.15 (4) (a) 2. of the statutes is amended to read:
SB143,2,109 256.15 (4) (a) 2. One emergency medical technician plus one individual with
10a training permit issued under sub. (5) (b) or plus one first responder.
SB143,3 11Section 3. 256.15 (4) (c) of the statutes is amended to read:
SB143,2,1612 256.15 (4) (c) Notwithstanding par. (a) and subject to par. (d), the department
13may promulgate rules that establish standards for staffing of ambulances in which
14the primary services provided are those which an emergency medical technician —
15intermediate is authorized to provide or those which an emergency medical
16technician — paramedic is authorized to provide.
SB143,4 17Section 4. 256.15 (4) (d) of the statutes is created to read:
SB143,3,618 256.15 (4) (d) 1. The department shall allow an ambulance service provider
19providing services at the emergency medical technician — basic level to staff an

1ambulance with at least one emergency medical technician — basic and one
2individual who is an emergency medical technician — basic, an individual with an
3emergency medical technician — basic training permit, or a first responder. An
4ambulance service provider providing services at the emergency medical technician
5— basic level shall require an emergency medical technician — basic to be in the
6patient compartment of the ambulance during transport.
SB143,3,167 2. The department shall allow an ambulance service provider providing
8services at the emergency medical technician — intermediate or emergency medical
9technician — intermediate technician level to staff an ambulance with one
10emergency medical technician at the level of the ambulance service and one
11individual who holds a credential at the first responder level or higher. An
12ambulance service provider providing services at the emergency medical technician
13— intermediate or emergency medical technician — intermediate technician level
14shall require the individual who holds the same level credential as the ambulance
15service to remain with the patient at all times during care and transport of the
16patient, if the patient requires that level of care.
SB143,3,1717 (End)
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