An Act To Implement Emergency Medical Dispatch Services for E-9-1-1 Calls
Maine Legislature, Session 122, LD 1373
Committee Amendment CA_A_H560 (House)
Amends: 25 MRSA §2927, 32 MRSA §85-A

COMMITTEE AMENDMENT ·A" to H.P. 959, L.D. 1373, Bill, "An 
Act To Implement Emergency Medical Dispatch Services for E-9-1-1 
Calls" 
Amend the bill by striking out everything after the enacting 
clause and before the swnmary and inserting in its place the 
following: 
. Sec. 1. 25 MRSA §2927, sub-§3, as amended by PL 2003, c. 194, 
§l, is further amended to read: 
3. 
Expenditure of funds. 
The bureau may use the revenues 
in the E-9-l-l fund to fund staff and to defray costs associated 
with the implementation, operation and management of E-9-l-1 and 
transfer funds to the Other Special Revenue Funds, 
Emergency 
Medical Services account within the Department of Public Safety 
to defray the costs, including necessary staffing costs, of the 
Emergency 
Medical 
Services' 
Board 
in 
implementing 
the 
requirements of Title 32, 
section 85-A. 
The bureau, 
to the 
extent it determines 
sufficient 
funds 
are 
available 
in the 
E-9-l-1 fund, shall use revenues in the E-9-1-l fund to reimburse 
local 
exchange 
carriers 
and 
cellular 
and 
wireless 
telecommunications 
service 
providers 
for 
eligible 
expenses 
incurred by the carriers and service providers. 
For purposes of 
this subsection, the term "eligible expenses" means expenses: 
A. Incurred in preparing, correcting, verifying or updating 
subscriber information for use in databases necessary to 
implement the E-9-l-l system; 
Page l-LR1273(2) 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT ·A .. to H.P. 959, L.D. 1373 
B. Determined by the Public Utilities Commission to meet the 
requirements of paragraph A and to be reasonable expenses 
for the services provided; and 
C. 
When 
incurred 
by 
a 
cellular 
or 
wireless 
telecommunications service provider: 
(1) That are approved by the bureau to be properly 
incurred for the implementation of E-9-l-l technologies 
and procedures; 
(2) That are not separately billed to customers; and 
(3) For which the provider is not reimbursed from any 
other source. 
The Public Utilities Commission, in consultation with the bureau, 
shall establish procedures for reviewing and approving expenses 
pursuant to paragraph B. 
Sec. 2. 25 MRSA §2927, sub-§3-A is enacted to read: 
3-A. 
P~nt of emergency medical dispatch training costs. 
To 
assist 
public 
safety 
answering 
points 
in 
meeting 
the 
requirements of Title 32, section 85-A, the bureau shall provide 
free 
training courses 
for 
emergency medical 
dispatchers, 
as 
defined in Title 32, section a5-A, subsection I. paragraph D. or 
reimburse public safety answering points for reasonable costs. as 
determined by the bureau, incurred for training courses approved 
by the bureau and attended by employees of the public safety 
answering point upon submission by the public safety answering 
point of adequate documentation of completion of the courses by 
the employees. 
The 
bureau shall provide each public safety 
answering point a sufficient number of approved Emergency Medical 
Dispatch 
Priority 
Reference 
System 
documents 
in printed 
or 
electronic format, as determined by the bureau pursuant to Title 
32, section 85 A. 
All costs incurred by the bureau under this 
subsection must be paid from the E-9-l-1 fund. 
Sec. 3. 32 MRSA §85-A is enacted to read: 
SUS-A. 
Emergency medical dispatch personnel 
1. 
Definitions. 
As 
used in this 
section, 
unless 
the 
context 
otherwise 
indicates, 
the 
following 
terms 
have 
the 
following meanings. 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT 'A" to H.P. 959, L.D. 1373 
A.. 
"Bureau" 
means 
the 
Emergency 
Services 
Communication 
Bureau within the Public Utilities Commission. 
B. 
"Emergency Medical Dispatch Priority Reference System" 
means a system approved by the bureau and the board that 
includes: 
(1) 
A. 
protocol 
for 
emergency 
medical 
dispatcher 
response to calls; 
(2) 
A. 
continuous guality 
improvement 
program that 
measures compliance with the protocol through ongoing 
random 
case 
review 
of 
each 
emergency 
medical 
dispatcher; and 
(3) 
A. 
training 
curriculum 
and 
testing 
process 
consistent with the protocol. 
C. 
"Emergency medical dispatch services" means any of the 
following services provided by a public safety answering 
point in the context of an emergency call made to the 
E-9-l-1 system: 
(1) 
Reception, evaluation or processing of calls; 
(2) 
Provision of dispatch life support; 
(3) 
Management 
of 
reguests 
for 
emergency 
medical 
assistance; and 
(4) 
Evaluation or improvement of the emergency medical 
dispatch process, including identifying the nature of 
an emergency reguest, 
prioritizing the urgency of a 
reguest, 
dispatching 
necessary 
resources, 
providing 
medical aid and safety instructions to the caller and 
coordinating the responding resources as needed. 
D. 
"Emergency medical dispatcher" means a person employed 
by a public safety answering point who provides emergency 
medical dispatch services. 
E. 
"Provider of emergency medical dispatch services" means 
an emergency medical dispatcher or public safety answering 
point. 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT ·A" to H.P. 959, L.D. 1373 
F. 
"Public safety answering point" has the same meaning as 
in Title 25, section 2921. 
2. 
Mandatox:y qualifications. 
The board, 
in consultation 
with the bureau, shall adopt rules governing qualifications for 
and standards to be observed by providers of emergency medical 
dispatch services. 
The rules must, at a minimum: 
A. 
Require biennial certification of providers of emergency 
medical dispatch services: 
B. 
Establish minimum education and continuing education 
requirements for emergency medical dispatchers, including at 
least 12 
hours of emergency medical dispatch continuing 
education each year: 
C. 
Establish a process for approving an Emergency Medical 
Dispatch 
Priority 
Reference 
System 
that 
all 
emergency 
medical dispatchers are required to follow; 
D. 
Require an emergency medical dispatcher to inform the 
board of the public safety answering point that employs or 
supervises the emergency medical dispatcher; 
E. 
Establish or provide for approval of emergency medical 
dispatcher certification training programs, 
which must be 
conducted in accordance with appropriate national standards: 
F. 
Establish qualifications for instructors of emergency 
medical dispatcher certification training programs: 
G. 
Require regular reporting to the board by a 
public 
safety answering point with respect to the use of the 
Emergency Medical Dispatch Priority Reference System: and 
H. 
Require that each public safety answering point appoint 
a director of emergency medical dispatch services to review 
and ensure compliance with the requirements of this section. 
Rules adopted pursuant to this subsection are routine teChnical 
rules as defined in Title 5, chapter 375, subchapter 2-A. 
3. 
Prohibitions. 
Beginning January 1, 2007, the following 
provisions apply. 
A. 
A person may not provide emergency medical dispatch 
services unless the person is certified as an emergency 
medical dispatcher in accordance with this section. 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT .)\ .. to H.P. 959, L.D. 1373 
B. 
An entity may not operate as a public safety answering 
point unless certified in accordance with this section. 
C. 
A person may 
not offer 
a 
training course that is 
represented as 
a 
course for emergency medical dispatcher 
certification unless the person is approved to provide such 
training in accordance with this section. 
D. 
An entity may not provide emergency medical dispatch 
services except in accordance with an 
Emergency Medical 
Dispatch Priority Reference System approved in accordance 
with this section. 
4. 
Licensing actions. 
A certification pursuant to this 
section is deemed a license for the purposes of sections 90-A and 
91-A. 
Before the board or its subcommittee or staff takes any 
final action to suspend or revoke a certification or to refuse to 
reissue a certification. the board shall contact the bureau for 
input on the effect of such an action on the E-9-1-1 system and. 
notwithstanding section 92. may. to the extent necessary for this 
purpose. disclose to the bureau information that is designated as 
confidential under section 92. 
5. 
Effect 
on 
tort 
claims. 
Nothing 
in 
this 
section 
increases any liability that may arise or be limited under Title 
14. chapter 741. 
Sec. 
4. 
Appropriations 
and 
allocations. 
appropriations and allocations are made. 
PUBLIC SAFETY, DEPARTMENT OF 
Emerqency Medical Services 
0485 
The 
following 
Initiative: 
Provides funds for a staff position to assist the 
Emergency Medical Services' Board in implementing certification 
requirements. 
OTHER SPECIAL REVENUE FUNDS 
2005-06 
2006-07 
POSITIONS -
LEGISLATIVE COUNT 
1.000 
1.000 
Personal Services 
$58,736 
$76,356 
All Other 
$17,668 
$23,550 
OTHER SPECIAL REVENUE FUNDS TOTAL 
$76,404 
$99,906 
PUBLIC SAFETY, DEPAR'1"MENT OF 
DEPARTMERT TOTALS 
2005-06 
2006-07 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT ,A" to H.P. 959, L.D. 1373 
O'I'BER SPECIAL REVENUE FUNDS 
$76,404 
$99,906 
DEPARTMENT "l'O'XAL -
ALL FUNDS 
$76,404 
$99,906 
PUBLIC UTILITIES COMMISSION 
Emerqency Services Communication Bureau 
0994 
Initiative: 
Provides 
funds 
for 
emergency 
medical 
dispatch 
training costs and other required expenses. 
O'I'BER SPECIAL REvENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
PUBLIC UTILITIES COMMISSION 
DEPARTMERT TOTALS 
O'I'BER SPECIAL REVENUE FUNDS 
DEPARTMERT "l'O'XAL -
ALL FUNDS 
SECTION "l'O'XALS 
O'I'RER SPECIAL REVENUE FUNDS 
SECTION "l'O'XAL -
ALL FUNDS 
SUMMARY 
This amendment: 
2005-06 
$67,600 
$67,600 
2005-06 
$67,600 
$67,600 
2005-06 
$144,004 
$144,004 
1. 
Moves the certification of emergency medical 
services from the Public Utilities Commission, Emergency 
Communication 
Bureau 
to 
the 
Department 
of 
Public 
Emergency Medical Services' Board; 
2006-07 
$27,500 
$27,500 
2006-07 
$27,500 
$27,500 
2006-07 
$127,406 
$127,406' 
dispatch 
Services 
Safety, 
2. 
Limits the application of the certification requirements 
to public safety answering points and their employees; 
3. 
Provides funding from the E-9-l-l fund to cover the 
costs of the Emergency Medical Services' Board in implementing 
the certification requirements; 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT ·A .. to H.P. 959, L.D. 1373 
4. 
Provides 
that 
the 
Emergency 
Services 
Communication 
Bureau use the E-9-1-1 fund to pay the costs of training incurred 
by public safety answering points in meeting the certification 
requirements; and 
5. 
Removes 
the penalty 
prov~s~on for violations of the 
requirements 
imposed by the bill. 
Under current law, 
these 
violations will be grounds for licensing actions by the Emergency 
Medical Services' Board. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05125/05 ;:::Idac:.. 
LD 1373 
LR 1273(02) 
An Act To Implement Emergency Medical Dispatch Services for E-9-1-1 Calls 
Fiscal Note for Bill as Amended by Committee Amendment 'A" 
Committee: Utilities and Energy 
Appropriations/Allocations 
Other Special Revenue Funds 
Transfers 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
2005-06 
$144,004 
$0 
2006-07 
$127,406 
$0 
Projections 
2007-08 
$130,362 
$0 
Projections 
2008-09 
$134,19'1 
$0 
This legislation includes an allocation of Other Special Revenue Funds to the Emergency Medical Services Bureau 
within the Department of Public Safety of $76,404 in fiscal year 2005-06 and $99,906 in fiscal year 2006-07. This 
allocation provides funds for a staff position and other costs associated with the Emergency Medical Services Board 
implementing the requirements of Title 32, section 85-A. 
This legislation also includes an allocation of Other Special Revenue Funds to the Emergency Services 
Communication Bureau within the Public Utilities Commission of $67,600 in fiscal year 2005-06 and $27,500 in 
fiscal year 2006-07. This allocation provides funds for emergency medical dispatch training costs and other required 
expenses. 
The funding source for the allocations is provided through available balances in the dedicated E-9-1-1 account 
administered by the Emergency Services Communication Bureau within the Public Utilities Commission. 
LR1273(2) - Fiscal Note - Pa!!e 1 of 1