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AB151,3
1Section 3. 256.12 (2) (a) of the statutes is amended to read:
AB151,3,232 256.12 (2) (a) Any county, city, town, village, hospital, ambulance service
3provider,
or combination thereof may, after submission of a plan approved by the
4department, conduct an emergency medical services program using emergency
5medical technicians — paramedics for the delivery of emergency medical care to sick,
6disabled, or injured individuals at the scene of an emergency and during transport
7to a hospital, while in the hospital emergency department until responsibility for
8care is assumed by the regular hospital staff, and during transfer of a patient
9between health care facilities. An ambulance service provider may, after submission
10of a plan approved by the department, conduct an emergency medical services
11program using emergency medical technicians — paramedics for the delivery of
12emergency medical care to sick, disabled, or injured individuals during transfer of
13the individuals between health care facilities. Nothing in this section prohibits an
14emergency medical services program from using community paramedics and
15community emergency medical technicians for services described in ss. 256.205 (6)
16and 256.21 (6) or from providing nonemergency services in accordance with sub. (6p).

17Nothing in this section shall be construed to prohibit the operation of fire
18department, police department, for-profit ambulance service provider , or other
19emergency vehicles using the services of emergency medical technicians —
20paramedics in conjunction with a program approved by the department. Hospitals
21that offer approved training courses for emergency medical technicians —
22paramedics should, if feasible, serve as the base of operation for approved programs
23using emergency medical technicians — paramedics.
AB151,4 24Section 4 . 256.15 (6p) of the statutes is created to read:
AB151,4,4
1256.15 (6p) Delegation from a health care provider. An emergency medical
2technician who is acting upon a delegation by a health care provider does not violate
3the actions authorized for emergency services under sub. (6n) for actions taken in
4accordance with that delegation.
AB151,5 5Section 5 . 256.205 of the statutes is created to read:
AB151,4,8 6256.205 Community paramedics. (1) Definition. In this section,
7“community paramedic" means an individual who has obtained an approval issued
8under sub. (2).
AB151,4,13 9(2) Departmental approval. No person may use the title “community
10paramedic" unless he or she obtains an approval from the department issued under
11this section to provide services as a community paramedic. To be eligible for an
12approval by the department as a community paramedic, an individual shall meet all
13of the following criteria:
AB151,4,1614 (a) The individual is licensed as an emergency medical technician —
15paramedic, that license is not suspended or revoked, and the individual is not the
16subject of an action under s. 256.15 (11).
AB151,4,1817 (b) The individual has the equivalent of 2 years of service as an emergency
18medical technician — paramedic.
AB151,4,2019 (c) The individual successfully completes a training program that has been
20approved by the department under sub. (3).
AB151,4,2221 (d) The individual submits an application for the approval on a form specified
22by the department.
AB151,4,2423 (e) The individual satisfies any other requirements established by the
24department.
AB151,5,4
1(3) Training program. The department shall, after consulting the board,
2approve training programs for community paramedics that include clinical
3experience, that provide flexibility in addressing local service needs, and that meet
4any other criteria established by the department.
AB151,5,8 5(4) Affiliation. A community paramedic may provide services under sub. (6)
6only if he or she is a volunteer for or an employee of a community emergency medical
7services provider, as defined in s. 256.215 (1) (a), or if he or she is an employee of or
8under contract with a hospital, clinic, or physician.
AB151,5,10 9(5) Requirements. (a) A community paramedic shall follow any protocols and
10supervisory standards established by the department or by a medical director.
AB151,5,1311 (b) A community paramedic is subject to certification, disciplinary, complaint,
12and other regulatory requirements that apply to emergency medical technicians
13under s. 256.15.
AB151,5,20 14(6) Services provided. Notwithstanding the actions authorized for emergency
15services under s. 256.15 (6n), a community paramedic may provide services for which
16he or she is trained under a training program approved by the department under sub.
17(3), that are not duplicative of services already being provided to a patient, and that
18are approved by the hospital, clinic, or physician for which the community paramedic
19is an employee or contractor or are incorporated in the patient care protocols under
20s. 256.215 (2) (b).
AB151,6 21Section 6 . 256.21 of the statutes is created to read:
AB151,5,24 22256.21 Community emergency medical technicians. (1) Definition. In
23this section, “community emergency medical technician" means an individual who
24has obtained an approval issued under sub. (2).
AB151,6,5
1(2) Departmental approval. No person may use the title “community
2emergency medical technician" unless he or she obtains an approval from the
3department issued under this section to provide services as a community emergency
4medical technician. To be eligible for an approval by the department as a community
5emergency medical technician, an individual shall meet all of the following criteria:
AB151,6,86 (a) The individual is licensed as an emergency medical technician of any level,
7that license is not suspended or revoked, and the individual is not the subject of an
8action under s. 256.15 (11).
AB151,6,109 (b) The individual has the equivalent of 2 years of service as an emergency
10medical technician at any level.
AB151,6,1211 (c) The individual successfully completes a training program that has been
12approved by the department under sub. (3).
AB151,6,1413 (d) The individual submits an application for the approval on a form specified
14by the department.
AB151,6,1615 (e) The individual satisfies any other requirements established by the
16department.
AB151,6,20 17(3) Training program. The department shall, after consulting the board,
18approve training programs for community emergency medical technicians that
19include clinical experience, that provide flexibility in addressing local service needs,
20and that meet any other criteria established by the department.
AB151,6,24 21(4) Affiliation. A community emergency medical technician may provide
22services under sub. (6) only if he or she is a volunteer for or an employee of a
23community emergency medical services provider, as defined in s. 256.215 (1) (a), or
24if he or she is an employee of or under contract with a hospital, clinic, or physician.
AB151,7,3
1(5) Requirements. (a) A community emergency medical technician shall follow
2any protocols and supervisory standards established by the department or by a
3medical director.
AB151,7,64 (b) A community emergency medical technician is subject to certification,
5disciplinary, complaint, and other regulatory requirements that apply to emergency
6medical technicians under s. 256.15.
AB151,7,13 7(6) Services provided. Notwithstanding the actions authorized for emergency
8services under s. 256.15 (6n), a community emergency medical technician may
9provide services for which he or she is trained under a training program approved
10by the department under sub. (3), that are not duplicative of services already being
11provided to a patient, and that are approved by the hospital, clinic, or physician for
12which the community emergency medical technician is an employee or contractor or
13are incorporated in the patient care protocols under s. 256.215 (2) (b).
AB151,7 14Section 7 . 256.215 of the statutes is created to read:
AB151,7,16 15256.215 Providers of community emergency medical services. (1)
16Definitions. In this section:
AB151,7,1917 (a) “Community emergency medical services provider” means an emergency
18medical services provider that has approval from the department for its personnel
19to provide community emergency medical services under sub. (2).
AB151,7,2120 (b) “Community emergency medical technician” has the meaning given under
21s. 256.21 (1).
AB151,7,2222 (c) “Community paramedic” has the meaning given under s. 256.205 (1).
AB151,8,223 (d) “Emergency medical services provider” means an emergency medical
24services program under s. 256.12 that provides services as a nontransporting

1emergency medical technician provider or an ambulance service provider licensed
2under s. 256.15 (5).
AB151,8,9 3(2) Approval. No emergency medical services provider may advertise as
4providing community emergency medical services or may advertise having
5community paramedics or community emergency medical technicians unless the
6emergency medical services provider has approval from the department under this
7subsection. To be eligible for approval to provide community emergency medical
8services, an emergency medical services provider shall satisfy all of the following
9criteria:
AB151,8,1110 (a) The emergency medical services provider is licensed by the department at
11any emergency medical services level.
AB151,8,1812 (b) The emergency medical services provider establishes, submits to the
13department, and maintains patient care protocols corresponding to the appropriate
14service level to be used by a community paramedic or a community emergency
15medical technician. The emergency medical services provider may include in a
16patient care protocol only those services that do not require a license, certificate, or
17other credential under subch. II, III, IV, or VII of ch. 448 or ch. 441, 446, 447, 449,
18450, 451, 455, 457, or 459 to provide.
AB151,9,219 (c) The emergency medical services provider agrees to provide to the
20department a list identifying each community paramedic and community emergency
21medical technician providing community emergency medical services as a volunteer
22or employee of that emergency medical services provider. If the emergency medical
23services provider is approved under this subsection as a community emergency
24medical services provider, the emergency medical services provider shall provide and

1update its list of community paramedics and community emergency medical
2technicians.
AB151,9,43 (d) The emergency medical services provider meets other requirements as
4specified by the department.
AB151,9,55 (End)
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