An Act Regarding Delegating Authority for Services Performed by Emergency Medical Services Personnel in Health Care Facilities
Maine Legislature, Session 130, LD 1858
Committee Amendment CA_A_S478 (Senate)

COMMITTEE Afv1ENDMENT " A " to S.P. 633, L.D. 1858, "An Act Regarding 
Delegating Authority for Services Performed by Emergency Medical Services Personnel 
in Health Care Facilities" 
Amend the bill by striking out the emergency preamble and substituting the following: 
'Emergency preamble. Whereas, acts and resolves of the Legislature do not 
become effective until 90 days after adjournment unless enacted as emergencies; and 
Whereas, current law authorizes licensed emergency medical services persons to 
provide medical services in hospital settings under delegated authority if certain criteria are 
met; and 
Whereas, the authority of licensed emergency medical services persons who work in 
other health care facility settings to provide medical services in those settings under 
delegated authority is unclear; and 
Whereas, the authority of licensed emergency medical services persons to work in 
health care settings, including approved pilot projects, must be clarified as soon as possible; 
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,' 
Amend the bill in section 1 in subsection 7 in paragraph A in the first line (page 1, line 
in L.D.) by striking out the following: "or contracted agent" 
Amend the bill by inserting after section 1 the following: 
'Sec. 2. Critical access integrated paramedic projects. Notwithstanding any 
provision of law to the contrary and as authorized in accordance with the Maine Revised 
Statutes, Title 32, chapter 2-B, an emergency medical services person is authorized to 
provide the services described in the application approved by the Emergency Medical 
COMMITTEE AMENDMENT 
ROS 
COMMITTEE AMENDMENT"{¼ "to S.P. 633, L.D. 1858 ( S-Ln 'C)) 
Services' Board on October 6, 2021 for a pilot project to be implemented in the Town of 
Jackman, jointly sponsored by North East Mobile Health Services, St. Joseph Hospital, 
Penobscot Community Health Center and the Town of Jackman and known as "the Maine 
EMS Critical Access Integrated Paramedic (CAIP) Pilot Project," for as long as the project 
remains approved by the Emergency Medical Services' Board. 
Sec. 3. Development of guidance for emergency medical services persons 
acting under delegated authority. The Board of Li censure in Medicine and the Board 
of Osteopathic Li censure, in consultation with the Emergency Medical Services' Board and 
interested stakeholders, shall develop guidance under which physicians and physician 
assistants may delegate activities pursuant to the Maine Revised Statutes, Title 32, sections 
2594-A and 3270-A to an individual acting contemporaneously pursuant to a contractual 
arrangement as a medical assistant under delegated authority and as an emergency medical 
services person under a license issued in accordance with Title 32, section 82. The guidance 
for the contractual arrangements required to be developed by this section must address the 
legal relationship of the parties to such arrangements, the appropriate settings for the 
arrangements, the scope and extent of supervision under delegated authority for the 
arrangements and any education and training requirements for persons acting under 
delegated authority pursuant to the arrangements. The boards shall submit a report 
including the guidance and any recommendations for necessary statutory changes to the 
joint standing committee of the Legislature having jurisdiction over physician licensing 
matters no later than January 31, 2023. The committee may submit legislation related to 
the report to the First Regular Session of the 131st Legislature.' 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section 
number to read consecutively. 
SUMMARY 
This amendment clarifies the criteria for which licensed emergency medical services 
persons may provide medical services in health care facility settings in addition to hospital 
settings, as provided in current law, under delegated authority. 
The amendment authorizes emergency medical services persons to provide services 
described in a pilot project approved by the Emergency Medical Services' Board on 
October 6, 2021, which services are within the lawful scope of practice for emergency 
medical services persons pursuant to statute, as long as the pilot project remains approved. 
The amendment also directs the Board of Licensure in Medicine and the Board of 
Osteopathic Licensure, in consultation with the Emergency Medical Services' Board and 
interested stakeholders, to develop guidance under which physicians and physician 
assistants may delegate activities to an individual acting contemporaneously pursuant to a 
contractual arrangement as a medical assistant under delegated authority and as a licensed 
emergency medical services person. The boards are required to submit a report including 
the guidance and any recommendations for statutory changes to the joint standing 
committee of the Legislature having jurisdiction over physician licensing matters no later 
than January 31, 2023. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Revised: 03/22/22 ;:!Pae. 
LD 1858 
LR 2127(02) 
An Act Regarding Delegating Authority for Services Performed by Emergency Medical Services 
Personnel in Health Care Facilities 
Fiscal Detail and Notes 
Fiscal Note for Bill as Amended by Committee Amendment 'if C s-'--(1 '5) 
Committee: Health Coverage, Insurance and Financial Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Minor cost .increase - Other Special Revenue Funds 
Additional costs to the Board of Li censure in Medicine and the Board of Osteopathic Li censure to develop the 
required guidance, in consultation with the Emergency Medical Services' Board and interested stakeholders, and to 
submit the required report can be absorbed within the existing budgeted resources of each board. 
LR2127(02) - Fiscal Note - Page 1 of 1