An Act To Authorize the Establishment of Pilot Projects for Community Paramedicine
Maine Legislature, Session 125, LD 1837
Committee Amendment CA_A_H801 (House)
Amends: 32 MRSA §84

COMMITTEE AMENDMENT "f} " 
to H.P. 1359, L.D. 1837, Bill, "An Act To 
Authorize the Establishment of Pilot Projects for Community Paramedicine" 
Amend the bill by striking out all of section 1 and inserting the following: 
'Sec. 1. 32 MRSA §84, sub-§4 is enacted to read: 
4. Establishment of community paramedicine pilot projects. Using the same 
process established by the board in rule for using pilot projects to evaluate the workability 
and appropriateness of incorporating a particular emergency medical treatment technique 
or a type of equipment into any licensure level, the board may establish up to 12 pilot 
projects for the purpose of developing and evaluating a community paramedicine 
program. A pilot project established pursuant to this subsection may not exceed 3 years 
in duration. 
As used in this subsection, "community paramedicine" means the practice by an 
emergency medical services provider primarily in an out-of-hospital setting of providing 
episodic patient evaluation, advice and treatment directed at preventing or improving a 
particular medical condition, within the scope of practice of the emergency medical 
services provider as specifically requested or directed by a physician. 
The board shall establish the requirements and application and approval process of pilot 
projects established pursuant to this subsection. At a minimum, an emergency medical 
services provider, including, but not limited to, an ambulance service or nontransporting 
emergency medical service, that conducts a pilot project shall work with an identified 
primary care medical director, have an emergency medical services medical director and 
collect and submit data and written reports to the board, in accordance with requirements 
established by the board. 
On or before January 30th of each year, the board shall submit a written report to the joint 
standing committees of the Legislature having jurisdiction over criminal justice and 
public safety matters and labor, commerce, research and economic development matters 
that summarizes the work and progress during the previous calendar year of each pilot 
project authorized pursuant to this subsection.' 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT" ~"to H.P. 1359, L.D. 1837 
SUMMARY 
This amendment clarifies that the Department of Public Safety, Emergency Medical 
Services' Board may develop and evaluate a community paramedicine pilot program 
using the same process established by the board in rule for the use of pilot projects to 
evaluate incorporating an emergency medical treatment technique or a type of equipment 
into any licensure level. It specifies that the board may establish up to 12 pilot projects. 
It also adds the joint standing committee of the Legislature having jurisdiction over 
labor, commerce, research and economic development matters as a recipient of the annual 
report issued by the board. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03/14112 
~ac.. 
LD 1837 
LR 2764(02) 
An Act To Authorize the Establishment of Pilot Projects for Community Paramedicine 
Fiscal Note for Bill as Amended by Committee Amendment "~,, C H, ?1 0 I) 
Committee: Criminal Justice and Public Safety 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Fiscal Detail and Notes 
Additional costs to the Department of Public Safety associated with establishing pilot projects for community 
paramedicine programs and reporting on the work and progress of each pilot project can be absorbed within existing 
budgeted resources. 
LR2764(02) - Fiscal Note - Page 1 of 1