An Act Regarding Community Paramedicine Pilot Projects
Maine Legislature, Session 127, LD 0629
Committee Amendment CA_A_S32 (Senate)
Amends: 32 MRSA §84

COMMITTEE AMENDMENT "A-" to S.P. 222, L.D. 629, Bill, "An Act Regarding 
Community Paramedicine Pilot Projects" 
Amend the bill by striking out everything after the title and before the summary and 
inserting the following: 
'Emergency preamble. Whereas, acts and resolves of the Legislature do not 
become effective until 90 days after adjournment unless enacted as e:mergencies; and 
Whereas, current law provides that a community paramedicine: pilot project may not 
exceed 3 years in duration; and 
Whereas, approval granted by the Emergency Medical Services' Board for the first 
community paramedicine pilot project may expire prior to enactment of this law unless it 
is enacted on an emergency basis; and 
Whereas, community paramedicine pilot projects have proven to be of value to their 
communities, and continuation is in the public interest; and 
Whereas, in the judgment of the Legislature, these facts create an emergency within 
the meaning of the Constitution of Maine and require the following legislation as 
immediately necessary for the preservation of the public peace, health and safety; now, 
therefore, 
Be it enacted by the People of the State of Maine as follows: 
Sec. 1. 32 MRSA §84, sub-§4, as enacted by PL 2011, c. 562, §1, is amended 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 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT "A "to S.P. 222, L.D. 629 
program. A oilot oroiect established oursuant 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 repmi 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 sUlmnarizes the work and progress during the previous calendar year of each pilot 
project authorized pursuant to this subsection. 
Emergency clause. 
In view of the emergency cited in the preamble, this 
legislation takes effect when approved.' 
SUMMARY 
This amendment adds an emergency preamble and an emergency clause to the bill. 
The amendment removes the time limitation of 3 years for community paramedicine pilot 
projects. Like the bill, the amendment removes a provision limiting the number of pilot 
projects. 
Unlike the bill, the amendment does not strike the requirement that an 
emergency medical services provider that conducts a cOlmnunity paramedicine pilot 
project 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. 
FISCAL N'OTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
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Fiscal Detail and Notes 
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Approved: 04/06/15 
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127thMAINE LEGISLATURE 
LD 629 
LR 498(02) 
An Act R~garding Community Paramedicine Pilot Projects 
Fiscal Note for Bill as Amended by Committee Amendment "A' (~-32.) 
Committee: Criminal Justice and Public Safety 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Additional costs to the Department of Public Safety associated with preparing and submitting the report can be 
absorbed within existing budgeted resources. 
LR0498(02) - Fiscal Note - Page 1 of 1