An Act Regarding
Maine Legislature, Session 132, LD 2133
Committee Amendment CA_A_S552 (Senate)
Amends: 32 MRSA §83

COMMITTEE AMENDMENT "/\ " to S,P. 830, L.D. 2133, "An Act Regarding
Licensing of Community Paramedicine Services and Clinicians"
Amend the bill in section 1 in subsection 15 by striking out all of paragraph A (page 1,
lines 11 to 14 in L.D.) inserting the following;
'A. The care is episodic. For the purposes of this paragraph, "episodic" means an
encounter with a patient focused on presenting concerns and an identified medical
condition in which neither the community paramedic nor the patient has the expectation
of an ongoing general home care relationship; and'
Amend the bill by inserting after section 6 the following;
'See. 7. 32 MRSA §83, sub-§12-B is enacted to read:
12-B. Emereency medical services instructor. "Emergency medical services
instructor" means the lead instructor in a Maine Emergency Medical Services Ucensure
oroeram,'
Amend the bill in section 8 in §85-C in subsection 2 in paragraph A in the first line
(page 2, line 22 in L.D.) by inserting after the following: "training" the following:
'conductedby an emereencv medical services instructor as*
Amend the bill in section 8 in §85-C in the first indented paragraph in the first line
(page 2, line 28 in L.D.) by striking out the following: "Rules" and inserting the following:
'Initial rules adopted pursuant to this section are major substantive rules and any subsequent
amendments to rules'
Amend the bill in section 9 in §85-D in subsection 2 by inserting after paragraph B the
following;
'C. The qualifications for a primary care medical director or emergency medical
services medical director identified under paragraph A or B. except that the board may
notjrestnct elieibilitv to only licensed phvsioians and shall oermit elieibilitv for an
individual servine as a volunteer or servine in a dual capacity as a community
COMMITTEE AMENDMENT
ROS
COMMITTEE AMENDMENT "^ " to S.P. 830, L.D. 2133 (J^> '<-
paramedicine service's primary care medical director and emergency' medLcMsei'vices
medical du'ector;'
Amend the bill in section 9 in §85-D in the first indented paragraph in the first line
(page 3, line 15 in L.D.) by striking out the following; "Rules" and inserting the following:
'Initial rules adopted pursuant to this section are major substantive rules and any subsequent
amendments to rules'
Amend the bill in section 9 in §85-D in subsection 2 by relettering the paragraphs to
read alphabetically.
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section
number to read consecutively.
SUMMARY
This amendment restores language in current law establishing that community
paramedicine services must be episodio for purposes of the exemption from licensing
requirements for home health agencies overseen by the Department of Health and Human
Services.
The amendment adds a definition of "emergency medical services instructor," It
clarifies the mandatory qualifications for a community paramedicine service to provide that
the individual identified by a community paramedicine service as the primaty care medical
director and emergency medical services medical director may not b© limited to a physician
only, that the individual may serve as a volunteer and that the same individual may serve
in both capacities for a licensed community paramedicine service.
The amendment provides that the initial rules adopted by the Emergency Medical
Services' Board to implement licensing standards for community paramedicine services
and community paramedicine clinicians are major substantive rules subject to legislative
approval before final adoption.
COMMITTEE AMENDMENT