Source: https://leg.mt.gov/bills/2017/billhtml/HB0612.htm
Timestamp: 2018-07-23 15:35:55
Document Index: 437423872

Matched Legal Cases: ['art 3', 'arts 1', 'arts 1', 'art 2', 'art 2', 'art 2']

INTRODUCED BY M. HOPKINS, A. HERTZ, G. HERTZ, A. KNUDSEN, J. KARJALA, J. KNOKEY, R. LYNCH, D. SKEES, J. TREBAS, B. TSCHIDA
A BILL FOR AN ACT ENTITLED: "AN ACT REVISING, REORGANIZING, AND UPDATING LAWS RELATED TO EMERGENCY CARE PROVIDERS; PROVIDING THAT EMERGENCY CARE PROVIDERS MAY RECEIVE AN ENDORSEMENT TO PRACTICE AS COMMUNITY VETERAN EMERGENCY CARE PROVIDERS BASED ON SPECIAL ADDITIONAL TRAINING; ESTABLISHING AN ADDITIONAL FEE; PROVIDING RULEMAKING AUTHORITY; AMENDING SECTIONS 2-15-1731, 7-33-4510, 7-34-102, 37-3-102, 37-3-203, 37-3-303, 37-20-303, 37-27-104, 39-71-118, 45-5-214, 46-4-114, 50-6-105, 50-6-206, 50-6-302, 50-6-322, 50-6-323, 50-6-506, 50-9-102, 50-16-701, 61-2-502, 61-2-503, AND 61-2-504, MCA; AND REPEALING SECTIONS 50-6-201, 50-6-202, 50-6-203, AND 50-6-207, MCA."
NEW SECTION. Section 1. Definitions. As used in [sections 1 through 6], the following definitions apply:
(3) "Emergency care provider" means a person licensed by the board pursuant to [sections 1 through 6], including but not limited to an emergency medical responder, an emergency medical technician, an advanced emergency medical technician, or a paramedic.
(4) "Endorsement" means a defined set of skills and knowledge that expands the scope of practice of an emergency care provider as approved by the board.
(5) "Medical director" means a physician licensed under Title 37, chapter 3, or a physician assistant licensed under Title 37, chapter 20, who is responsible professionally and legally for providing medical direction and oversight to an emergency care provider.
(6) "Scope of practice" means the procedures, actions, and processes that may be performed by an emergency care provider pursuant to [sections 1 through 6] as authorized by the board and a medical director.
(7) "Volunteer emergency care provider" means an emergency care provider who provides emergency medical care:
NEW SECTION. Section 2. Powers and duties of board -- rulemaking -- emergency care provider training and licensure -- endorsements. (1) After consultation with the department of public health and human services, THE BOARD OF BEHAVIORAL HEALTH ESTABLISHED IN 2-15-1744, and other appropriate departments, associations, and organizations, the board shall adopt rules governing emergency care providers, including:
(c) the handling of complaints involving patient care provided by emergency care providers.
(2) The board shall by rule establish various levels of and special endorsements for emergency care providers and shall specify for each level and endorsement the training requirements, acts allowed, licensure and license renewal requirements, and any other requirements it considers necessary, subject to the provisions of 37-1-138 and [sections 1 through 6].
(c) the handling of complaints involving patient care provided by a community veteran emergency care provider.
NEW SECTION. Section 3. Training requirements for CVECP endorsement. To receive an endorsement as a community veteran emergency care provider, an emergency care provider must complete a training course APPROVED BY THE STATE APPROVING AGENCY FOR VETERANS' EDUCATIONAL BENEFITS that includes but is not limited to the following topics:
(2) pain and stress management techniques, including but not limited to medication management, exercise, nutrition, and how to recognize pain or stress management issues, provide emergency care, and refer the person to appropriate community services;
(5) benefit programs for veterans and social security benefits and referral of veterans and their families to appropriate entities to help facilitate benefit claims; AND
(6) PEER OR FAITH-BASED COUNSELING.
NEW SECTION. Section 4. Scope of practice for community veteran emergency care providers. (1) A community veteran emergency care provider may practice only under the direction of a medical director.
(2) A community veteran emergency care provider's scope of practice includes the scope of practice set by the board for an emergency care provider and additional practices consistent with the training requirements provided for pursuant to [section 3].
NEW SECTION. Section 5. Construction. [Sections 1 through 6] may not be construed to detract from the powers granted to the department of public health and human services to regulate emergency medical services provided for in Title 50, chapter 6, part 3.
NEW SECTION. Section 6. Additional administrative fee -- disposition. (1) An individual receiving a CVECP endorsement shall pay a $1 administrative fee for the CVECP endorsement in addition to any other applicable fees prescribed by law.
(2) Fees collected pursuant to this section must be deposited in a special revenue account to the credit of the board and used to defray costs incurred to administer the provisions of [section 2(3)].
Section 7. Section 2-15-1731, MCA, is amended to read:
(g) one member who is a volunteer emergency medical technician care provider, as defined in 50-6-202 [section 1]; and
Section 8. Section 7-33-4510, MCA, is amended to read:
(c) (i) "Volunteer firefighter" means a volunteer who is on the employer's roster of service. A volunteer firefighter includes a volunteer emergency medical technician care provider as defined in 50-6-202 [section 1] who is on the roster of service. A volunteer firefighter is not required to be an active member as defined in 19-17-102.
Section 9. Section 7-34-102, MCA, is amended to read:
"7-34-102. Ambulance service mill levy permitted. Subject to 15-10-420 and in addition to all other levies authorized by law, each county, city, or town may levy an annual tax on the taxable value of all taxable property within the county, city, or town to defray the costs incurred in providing ambulance service. These costs may include workers' compensation coverage for emergency medical technicians care providers, as defined in [section 1], on volunteer duty with the ambulance service or members of a paid or volunteer nontransporting medical unit defined in 50-6-302."
Section 10. Section 37-3-102, MCA, is amended to read:
(9)(8) "LCME" means the liaison committee on medical education.
(a) adopt rules necessary or proper to carry out the requirements in Title 37, chapter 3, parts 1 through 4, as well as chapters covering podiatry, acupuncture, physician assistants, nutritionists, and emergency care providers as set forth in Title 37, chapters 6, 13, 20, and 25, and 50-6-203 [sections 1 through 6], respectively. The rules must be fair, impartial, and nondiscriminatory.
(c) aid the county attorneys of this state in the enforcement of parts 1 through 4 and 8 of this chapter as well as Title 37, chapters 6, 13, 20, and 25, and [sections 1 through 6], and Title 50, chapter 6, regarding emergency care providers licensed by the board. The board also may assist the county attorneys of this state in the prosecution of persons, firms, associations, or corporations charged with violations of the provisions listed in this subsection (1)(c).
(4) The board may enter into agreements with other states for the purposes of mutual recognition of licensing standards and licensing of physicians and ECPs emergency care providers from other states under the terms of a mutual recognition agreement."
Section 12. Section 37-3-303, MCA, is amended to read:
Section 13. Section 37-20-303, MCA, is amended to read:
(g) an emergency medical technician care provider licensed pursuant to Title 50, chapter 6 [sections 1 through 6]; or
Section 14. Section 37-27-104, MCA, is amended to read:
"37-27-104. Exemptions. This chapter does not limit or regulate the practice of a licensed physician, certified nurse-midwife, or licensed basic or advanced emergency medical technician care provider, as defined in [section 1]. The practice of direct-entry midwifery does not constitute the practice of medicine, certified nurse-midwifery, or emergency medical care to the extent that a direct-entry midwife advises, attends, or assists a woman during pregnancy, labor, natural childbirth, or the postpartum period when the pregnancy is not a high-risk pregnancy."
Section 15. Section 39-71-118, MCA, is amended to read:
(10) (a) An ambulance service not otherwise covered by subsection (1)(g) or a paid or volunteer nontransporting medical unit, as defined in 50-6-302, in service to a town, city, or county may elect to include as an employee within the provisions of this chapter a volunteer emergency medical technician care provider, as defined in [section 1], who serves public safety through the ambulance service not otherwise covered by subsection (1)(g) or the paid or volunteer nontransporting medical unit. The ambulance service or nontransporting medical unit may purchase workers' compensation coverage from any entity authorized to provide workers' compensation coverage under plan No. 1, 2, or 3 as provided in this chapter.
(e) (i) The term "volunteer emergency medical technician care provider" means a person volunteer who has received a certificate an emergency care provider license issued by the board of medical examiners as provided in Title 50, chapter 6, part 2 [sections 1 through 6], and who serves the public through an ambulance service not otherwise covered by subsection (1)(g) or a paid or volunteer nontransporting medical unit, as defined in 50-6-302, in service to a town, city, or county.
Section 16. Section 45-5-214, MCA, is amended to read:
(b) "Emergency responder" means a licensed medical services provider, law enforcement officer, firefighter, volunteer firefighter or officer of a nonprofit volunteer fire company, emergency medical technician care provider as defined in [section 1], emergency nurse, ambulance operator, provider of civil defense services, or any other person who in good faith renders emergency care or assistance at a crime scene or the scene of an emergency or accident."
Section 17. Section 46-4-114, MCA, is amended to read:
"46-4-114. Reporting fetal deaths. A licensed nurse, a midwife, a physician assistant, an emergency medical technician care provider as defined in [section 1], a birthing assistant, or any other person who assists in the delivery that occurs outside a licensed medical facility of a fetus that is believed or declared to be dead shall report the death by the earliest means available to the coroner of the county in which the death occurred."
Section 18. Section 50-6-105, MCA, is amended to read:
Section 19. Section 50-6-206, MCA, is amended to read:
"50-6-206. Consent. No An emergency medical technician care provider may not be subject to civil liability for failure to obtain consent in performing acts as authorized herein pursuant to [sections 1 through 6] and this section to any individual regardless of age where the patient is unable to give consent and there is no other person present legally authorized to consent, provided that such the acts are in good faith and without knowledge of facts negating consent."
(5) "Emergency care provider" has the meaning provided in [section 1].
(5)(6) "Emergency medical service" means a prehospital or interfacility emergency medical transportation or treatment service provided by an ambulance or nontransporting medical unit that is licensed by the department.
(12)(13) "Volunteer emergency medical technician care provider" means an individual who is licensed by the board pursuant to Title 50, chapter 6, part 2 [sections 1 through 6], and provides emergency medical care:
Section 21. Section 50-6-322, MCA, is amended to read:
"50-6-322. Staffing -- nonemergency ambulance transports -- transports in rural areas. An emergency medical service that is staffed primarily by volunteer emergency medical technicians care providers may staff an ambulance with one emergency medical technician care provider licensed pursuant to [sections 1 through 6] at an emergency medical technician-basic technician level or higher and one driver trained in the operation of emergency vehicles for the following types of responses:
Section 22. Section 50-6-323, MCA, is amended to read:
Section 23. Section 50-6-506, MCA, is amended to read:
Section 24. Section 50-9-102, MCA, is amended to read:
(7) "Emergency medical services personnel" means paid or volunteer firefighters, law enforcement officers, first responders, emergency medical technicians care providers as defined in [section 1], or other emergency services personnel acting within the ordinary course of their professions.
Section 25. Section 50-16-701, MCA, is amended to read:
(5) "Emergency services provider" means a person employed by or acting as a volunteer with an emergency services organization, including but not limited to a law enforcement officer, firefighter, emergency medical technician, paramedic care provider as defined in [section 1], corrections officer, or ambulance service attendant.
Section 26. Section 61-2-502, MCA, is amended to read:
(6) "Emergency medical technician care provider" means a person who has been specially trained in emergency care in a training program approved by the board and licensed by the board as having demonstrated a level of competence suitable to treat victims of injury or other emergent condition pursuant to [sections 1 through 6].
(11) "Volunteer emergency medical technician care provider" means an individual who is licensed pursuant to Title 50, chapter 6, part 2, [sections 1 through 6] and provides emergency medical care:
Section 27. Section 61-2-503, MCA, is amended to read:
(c) a majority of its active emergency medical technicians care providers, as defined in [section 1], are volunteer emergency medical technicians care providers.
Section 28. Section 61-2-504, MCA, is amended to read:
(6) number of volunteer emergency medical technicians care providers, as defined in [section 1], on the active call roster."
NEW SECTION. Section 29. Repealer. The following sections of the Montana Code Annotated are repealed:
NEW SECTION. Section 30. Codification instruction -- instructions to code commissioner. (1) [Sections 1 through 6] are intended to be codified as an integral part of Title 37, and the provisions of Title 37 apply to [sections 1 through 6].
(2) The code commissioner is instructed to renumber 50-6-206 and codify it in the same part as [sections 1 through 6].
NEW SECTION. Section 31. Saving clause. [This act] does not affect rights and duties that matured, penalties that were incurred, or proceedings that were begun before [the effective date of this act].
Latest Version of HB 612 (HB0612.03)
Processed for the Web on April 13, 2017 (12:10pm)