SB736,17,13 (m) “Remote state” means a member state in which an individual is not licensed.

SB736,17,15 (n) “Restricted” means the outcome of an adverse action that limits a license or the privilege to practice.

SB736,17,21 (o) “Rule” means a written statement by the interstate commission promulgated pursuant to sub. (12) that is of general applicability; implements, interprets, or prescribes a policy or provision of the compact; or is an organizational, procedural, or practice requirement of the commission and has the force and effect of statutory law in a member state and includes the amendment, repeal, or suspension of an existing rule.

SB736,17,25 (p) “Scope of practice” means defined parameters of various duties or services that may be provided by an individual with specific credentials. Whether regulated by rule, statute, or court decision, it tends to represent the limits of services an individual may perform.

SB736,18,1 (q) “Significant investigatory information” means any of the following:

SB736,18,5 1. Investigative information that a state EMS authority, after a preliminary inquiry that includes notification and an opportunity to respond if required by state law, has reason to believe, if proven true, would result in the imposition of an adverse action on a license or privilege to practice.

SB736,18,8 2. Investigative information that indicates that the individual represents an immediate threat to public health and safety regardless of whether the individual has been notified and had an opportunity to respond.

SB736,18,10 (r) “State” means any state, commonwealth, district, or territory of the United States.

SB736,18,12 (s) “State EMS authority” means the board, office, or other agency with the legislative mandate to license emergency medical services personnel.

SB736,18,14 (3) Home state licensure. (a) Any member state in which an individual holds a current license shall be deemed a home state for purposes of this compact.

SB736,18,17 (b) Any member state may require an individual to obtain and retain a license to be authorized to practice in the member state under circumstances not authorized by the privilege to practice under the terms of this compact.

SB736,18,19 (c) A home state's license authorizes an individual to practice in a remote state under the privilege to practice only if the home state does all of the following:

SB736,18,22 1. Currently requires the use of the National Registry of Emergency Medical Technicians examination as a condition of issuing initial licenses at the EMT and paramedic levels.

SB736,18,24 2. Has a mechanism in place for receiving and investigating complaints about individuals.

SB736,19,2 3. Notifies the commission, in compliance with the terms herein, of any adverse action or significant investigatory information regarding an individual.

SB736,19,8 4. No later than 5 years after activation of the compact, requires a criminal background check of all applicants for initial licensure, including the use of the results of fingerprint or other biometric data checks compliant with the requirements of the federal bureau of investigation with the exception of federal employees who have suitability determination in accordance with 5 CFR 731.202 and submit documentation of such as promulgated in the rules of the commission.

SB736,19,9 5. Complies with the rules of the commission.

SB736,19,12 (4) Compact privilege to practice. (a) Member states shall recognize the privilege to practice of an individual licensed in another member state that is in conformance with sub. (3).

SB736,19,14 (b) To exercise the privilege to practice under the terms and provisions of this compact, an individual must satisfy all of the following requirements:

SB736,19,15 1. Be at least 18 years of age.

SB736,19,18 2. Possess a current unrestricted license in a member state as an EMT, AEMT, paramedic, or state recognized and licensed level with a scope of practice and authority between EMT and paramedic.

SB736,19,19 3. Practice under the supervision of a medical director.

SB736,19,23 (c) An individual providing patient care in a remote state under the privilege to practice shall function within the scope of practice authorized by the home state unless and until modified by an appropriate authority in the remote state as may be defined in the rules of the commission.

SB736,20,4 (d) Except as provided in par. (c), an individual practicing in a remote state will be subject to the remote state's authority and laws. A remote state may, in accordance with due process and that state's laws, restrict, suspend, or revoke an individual's privilege to practice in the remote state and may take any other necessary actions to protect the health and safety of its citizens. If a remote state takes action, it shall promptly notify the home state and the commission.

SB736,20,7 (e) If an individual's license in any home state is restricted or suspended, the individual shall not be eligible to practice in a remote state under the privilege to practice until the individual's home state license is restored.

SB736,20,10 (f) If an individual's privilege to practice in any remote state is restricted, suspended, or revoked, the individual shall not be eligible to practice in any remote state until the individual's privilege to practice is restored.

SB736,20,15 (5) Conditions of practice in a remote state. An individual may practice in a remote state under a privilege to practice only in the performance of the individual's emergency medical services duties as assigned by an appropriate authority, as defined in the rules of the commission, and under all of the following circumstances:

SB736,20,17 (a) The individual originates in the home state and transports the patient to a remote state.

SB736,20,19 (b) The individual originates in the home state and enters a remote state to pick up a patient and provide care and transport of the patient to the home state.