SB736,32 12Section 32 . 256.12 (2) (a) of the statutes is amended to read:
SB736,14,1113 256.12 (2) (a) Any county, city, town, village, hospital, ambulance service
14provider, or combination thereof may, after submission of a plan approved by the
15department, conduct an emergency medical services program using emergency
16medical services practitioners or individuals with a privilege to practice, as defined
17in s. 256.60 (2) (L),
for the delivery of emergency medical care to sick, disabled, or
18injured individuals at the scene of an emergency and during transport to a hospital,
19while in the hospital emergency department until responsibility for care is assumed
20by the regular hospital staff, and during transfer of a patient between health care
21facilities. An ambulance service provider may, after submission of a plan approved
22by the department, conduct an emergency medical services program using
23emergency medical services practitioners or individuals with a privilege to practice
24for the delivery of emergency medical care to sick, disabled, or injured individuals
25during transfer of the individuals between health care facilities. Nothing in this

1section prohibits an emergency medical services program from using community
2paramedics and community emergency medical services practitioners for services
3described in ss. 256.205 (6) and 256.21 (6) or from providing nonemergency services
4in accordance with s. 256.15 (6p). Nothing in this section shall be construed to
5prohibit the operation of fire department, police department, for-profit ambulance
6service provider, or other emergency vehicles using the services of emergency
7medical services practitioners or individuals with a privilege to practice in
8conjunction with a program approved by the department. Hospitals that offer
9approved training courses for emergency medical services practitioners should, if
10feasible, serve as the base of operation for approved programs using emergency
11medical services practitioners.
SB736,33 12Section 33. Subchapter II of chapter 256 [precedes 256.60] of the statutes is
13created to read:
SB736,14,1414 chapter 256
SB736,14,1515 SUBCHAPTER II
SB736,14,1816 EMERGENCY MEDICAL SERVICES
17 PERSONNEL LICENSURE
18 INTERSTATE COMPACT
SB736,15,7 19256.60 Emergency medical services personnel licensure interstate
20compact. (1)
Purpose. (a) In order to protect the public through verification of
21competency and ensure accountability for patient care related activities, all states
22license emergency medical services personnel, such as emergency medical
23technicians, advanced emergency medical technicians, and paramedics. This
24compact is intended to facilitate the day-to-day movement of emergency medical
25services personnel across state boundaries in the performance of their emergency

1medical services duties as assigned by an appropriate authority and authorize state
2emergency medical services offices to afford immediate legal recognition to
3emergency medical services personnel licensed in a member state. This compact
4recognizes that states have a vested interest in protecting the public's health and
5safety through their licensing and regulation of emergency medical services
6personnel and that such state regulation shared among the member states will best
7protect public health and safety.
SB736,15,88 (b) This compact is designed to achieve the following purposes and objectives:
SB736,15,99 1. Increase public access to emergency medical services personnel.
SB736,15,1110 2. Enhance the states' ability to protect the public's health and safety, especially
11patient safety.
SB736,15,1312 3. Encourage the cooperation of member states in the areas of emergency
13medical services personnel licensure and regulation.
SB736,15,1514 4. Support licensing of military members who are separating from an active
15duty tour and their spouses.
SB736,15,1816 5. Facilitate the exchange of information between member states regarding
17emergency medical services personnel licensure, adverse action, and significant
18investigatory information.
SB736,15,2019 6. Promote compliance with the laws governing emergency medical services
20personnel practice in each member state.
SB736,15,2321 7. Invest all member states with the authority to hold emergency medical
22services personnel accountable through the mutual recognition of member state
23licenses.
SB736,15,24 24(2) Definitions. In this section:
SB736,16,4
1(a) “Advanced emergency medical technician” or “AEMT” means an individual
2licensed with cognitive knowledge and a scope of practice that corresponds to that
3level in the National Emergency Medical Services Education Standards and
4National Emergency Medical Services Scope of Practice Model.
SB736,16,115 (b) “Adverse action” means any administrative, civil, equitable, or criminal
6action permitted by a state's laws that may be imposed against licensed emergency
7medical services personnel by a state EMS authority or state court, including, but
8not limited to, actions against an individual's license such as revocation, suspension,
9probation, consent agreement, monitoring or other limitation or encumbrance on the
10individual's practice, letters of reprimand or admonition, fines, criminal convictions,
11and state court judgments enforcing adverse actions by the state EMS authority.
SB736,16,1312 (c) “Alternative program” means a voluntary, nondisciplinary substance abuse
13recovery program approved by a state EMS authority.
SB736,16,1614 (d) “Certification” means the successful verification of entry-level cognitive
15and psychomotor competency using a reliable, validated, and legally defensible
16examination.
SB736,16,1817 (e) “Commission” means the national administrative body of which all states
18that have enacted the compact are members.
SB736,16,2219 (f) “Emergency medical technician” or “EMT” means an individual licensed
20with cognitive knowledge and a scope of practice that corresponds to that level in the
21National Emergency Medical Services Education Standards and National
22Emergency Medical Services Scope of Practice Model.
SB736,16,2423 (g) “Home state” means a member state where an individual is licensed to
24practice emergency medical services.
SB736,17,2
1(h) “License” means the authorization by a state for an individual to practice
2as an EMT, AEMT, paramedic, or a level in between EMT and paramedic.
SB736,17,43 (i) “Medical director” means a physician licensed in a member state who is
4accountable for the care delivered by emergency medical services personnel.
SB736,17,55 (j) “Member state” means a state that has enacted this compact.
SB736,17,96 (k) “Paramedic” means an individual licensed with cognitive knowledge and a
7scope of practice that corresponds to that level in the National Emergency Medical
8Services Education Standards and National Emergency Medical Services Scope of
9Practice Model.
SB736,17,1110 (L) “Privilege to practice” means an individual's authority to deliver emergency
11medical services in remote states as authorized under this compact.
SB736,17,1312 (m) “Remote state” means a member state in which an individual is not
13licensed.