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Senate File 178

Partial Bill History

Bill Text

PAG LIN
  1  1    Section 1.  Section 68B.2A, subsection 1, paragraph a, Code
  1  2 1995, is amended to read as follows:
  1  3    a.  The outside employment or activity involves the use of
  1  4 the state's or the political subdivision's time, facilities,
  1  5 equipment, and supplies or the use of the state or political
  1  6 subdivision badge, uniform, business card, or other evidences
  1  7 of office or employment to give the person or member of the
  1  8 person's immediate family an advantage or pecuniary benefit
  1  9 that is not available to other similarly situated members or
  1 10 classes of members of the general public.  This paragraph does
  1 11 not apply to off-duty peace officers who provide private duty
  1 12 security or fire fighters or basic or advanced emergency
  1 13 medical care providers certified under chapter 147 or 147A who
  1 14 provide private duty fire safety or emergency medical services
  1 15 while carrying their badge or wearing their official uniform,
  1 16 provided that the person has secured the prior approval of the
  1 17 agency or political subdivision in which the person is
  1 18 regularly employed to engage in the activity.  For purposes of
  1 19 this subsection, a person is not "similarly situated" merely
  1 20 by being or being related to a person who serves or is
  1 21 employed by the state or a political subdivision of the state.
  1 22    Sec. 2.  Section 85.36, subsection 10, paragraph a, Code
  1 23 1995, is amended to read as follows:
  1 24    a.  In computing the compensation to be allowed a volunteer
  1 25 fire fighter, basic or advanced emergency medical care
  1 26 provider, or reserve peace officer, the earnings as a fire
  1 27 fighter, basic or advanced emergency medical care provider, or
  1 28 reserve peace officer shall be disregarded and the volunteer
  1 29 fire fighter, basic or advanced emergency medical care
  1 30 provider, or reserve peace officer shall be paid an amount
  1 31 equal to the compensation the volunteer fire fighter, basic or
  1 32 advanced emergency medical care provider, or reserve peace
  1 33 officer would be paid if injured in the normal course of the
  1 34 volunteer fire fighter's, basic or advanced emergency medical
  1 35 care provider's, or reserve peace officer's regular employment
  2  1 or an amount equal to one hundred and forty percent of the
  2  2 statewide average weekly wage, whichever is greater.
  2  3    Sec. 3.  Section 85.61, subsection 2, Code 1995, is amended
  2  4 to read as follows:
  2  5    2.  "Employer" includes and applies to a person, firm,
  2  6 association, or corporation, state, county, municipal
  2  7 corporation, school corporation, area education agency,
  2  8 township as an employer of volunteer fire fighters and basic
  2  9 or advanced emergency medical care providers only, benefited
  2 10 fire district, and the legal representatives of a deceased
  2 11 employer.  "Employer" includes and applies to a rehabilitation
  2 12 facility approved for purchase-of-service contracts or for
  2 13 referrals by the department of human services or the
  2 14 department of education.
  2 15    Sec. 4.  Section 85.61, subsection 7, unnumbered paragraph
  2 16 3, Code 1995, is amended to read as follows:
  2 17    Personal injuries sustained by basic emergency medical care
  2 18 providers, as defined in section 147.1, or by advanced
  2 19 emergency medical care providers as defined in section 147A.1,
  2 20 arise in the course of employment if the injuries are
  2 21 sustained at any time from the time the emergency medical care
  2 22 providers are summoned to duty until the time those duties
  2 23 have been fully discharged.
  2 24    Sec. 5.  Section 85.61, subsection 11, unnumbered paragraph
  2 25 3, Code 1995, is amended to read as follows:
  2 26    "Worker" or "employee" includes a basic an emergency
  2 27 medical care provider as defined in section 147.1, an advanced
  2 28 emergency medical care provider as defined in section 147A.1,
  2 29 a volunteer ambulance driver, or an emergency medical
  2 30 technician trainee, only if an agreement is reached between
  2 31 such worker or employee and the employer for whom the
  2 32 volunteer services are provided that workers' compensation
  2 33 coverage under chapters 85, 85A, and 85B is to be provided by
  2 34 the employer.  A basic or advanced An emergency medical care
  2 35 provider who is a worker or employee under this paragraph is
  3  1 not a casual employee.  "Volunteer ambulance driver" means a
  3  2 person performing services as a volunteer ambulance driver at
  3  3 the request of the person in charge of a fire department or
  3  4 ambulance service of a municipality.  "Emergency medical
  3  5 technician trainee" means a person enrolled in and training
  3  6 for emergency medical technician certification.
  3  7    Sec. 6.  Section 139B.1, subsection 1, paragraph d, Code
  3  8 1995, is amended to read as follows:
  3  9    d.  "Emergency care provider" means a person who is trained
  3 10 and authorized by federal or state law to provide emergency
  3 11 medical assistance or treatment, for compensation or in a
  3 12 voluntary capacity, including but not limited to, all of the
  3 13 following:
  3 14    (1)  A basic emergency care provider as defined in section
  3 15 147.1.
  3 16    (2) (1)  An advanced emergency medical care provider as
  3 17 defined in section 147A.1.
  3 18    (3) (2)  A health care provider as defined in this section.
  3 19    (4) (3)  A fire fighter.
  3 20    (5) (4)  A peace officer.
  3 21    "Emergency care provider" also includes a person who
  3 22 renders direct emergency aid without compensation.
  3 23    Sec. 7.  Section 141.22A, subsection 1, paragraph a, Code
  3 24 1995, is amended to read as follows:
  3 25    a.  "Emergency care provider" means a person who is trained
  3 26 and authorized by federal or state law to provide emergency
  3 27 medical assistance or treatment, for compensation or in a
  3 28 voluntary capacity, including but not limited to all of the
  3 29 following:
  3 30    (1)  A basic emergency medical care provider as defined in
  3 31 section 147.1.
  3 32    (2) (1)  An advanced emergency medical care provider as
  3 33 defined in section 147A.1.
  3 34    (3) (2)  A health care provider as defined in this section.
  3 35    (4) (3)  A fire fighter.
  4  1    (5) (4) A peace officer.
  4  2    "Emergency care provider" also includes a person who
  4  3 renders emergency aid without compensation.
  4  4    Sec. 8.  Section 147.1, Code 1995, is amended by striking
  4  5 subsections 1, 3, 4, and 6.
  4  6    Sec. 9.  Section 147A.1, Code 1995, is amended by striking
  4  7 the section and inserting in lieu thereof the following:
  4  8    147A.1  DEFINITIONS.
  4  9    As used in this chapter, unless the context otherwise
  4 10 requires:
  4 11    1.  "Board" means the board of medical examiners appointed
  4 12 pursuant to section 147.14, subsection 2.
  4 13    2.  "Department" means the Iowa department of public
  4 14 health.
  4 15    3.  "Director" means the director of the Iowa department of
  4 16 public health.
  4 17    4.  "Emergency medical care" means such medical procedures
  4 18 as:
  4 19    a.  Administration of intravenous solutions.
  4 20    b.  Intubation.
  4 21    c.  Performance of cardiac defibrillation and synchronized
  4 22 cardioversion.
  4 23    d.  Administration of emergency drugs as provided by rule
  4 24 by the department.
  4 25    e.  Any other medical procedure approved by the department,
  4 26 by rule, as appropriate to be performed by emergency medical
  4 27 care providers who have been trained in that procedure.
  4 28    5.  "Emergency medical care provider" means an individual
  4 29 trained to provide emergency and nonemergency medical care at
  4 30 the first-responder, EMT-basic, EMT-intermediate, EMT-
  4 31 paramedic level, or other certification levels adopted by rule
  4 32 by the department, who has been issued a certificate by the
  4 33 department.
  4 34    6.  "Emergency medical services" or "EMS" means an
  4 35 integrated medical care delivery system to provide emergency
  5  1 and nonemergency medical care at the scene or during out-of-
  5  2 hospital patient transportation in an ambulance.
  5  3    7.  "Emergency medical services instructor" means an
  5  4 individual who has successfully completed an EMS curriculum
  5  5 determined in rules in accordance with chapter 17A by the
  5  6 director and subject to the approval of the state board of
  5  7 health.
  5  8    8.  "Emergency rescue technician" or "ERT" means an
  5  9 individual trained in various rescue techniques including, but
  5 10 not limited to, extrication from vehicles and agricultural
  5 11 rescue, and who has successfully completed a curriculum
  5 12 approved by the department in cooperation with the Iowa fire
  5 13 service institute.
  5 14    9.  "First responder" or "FR" means an individual trained
  5 15 in patient-stabilizing techniques, through the use of initial
  5 16 emergency medical care procedures and skills prior to the
  5 17 arrival of an ambulance, pursuant to rules established by the
  5 18 department and who is currently certified as a first responder
  5 19 by the department.
  5 20    10.  "Physician" means an individual licensed under chapter
  5 21 148, 150, or 150A.
  5 22    Sec. 10.  NEW SECTION.  147A.2  COUNCIL ESTABLISHED &endash;
  5 23 TERMS OF OFFICE.
  5 24    An EMS advisory council shall be appointed by the director.
  5 25 Membership of the council shall be comprised of individuals
  5 26 nominated from, but not limited to, the following state or
  5 27 national organizations:  Iowa osteopathic medical association,
  5 28 Iowa medical society, American college of emergency
  5 29 physicians, Iowa physician assistant society, Iowa academy of
  5 30 family physicians, university of Iowa hospitals and clinics,
  5 31 Iowa EMS association, Iowa firemen's association, Iowa
  5 32 professional firefighters, EMS education programs committee,
  5 33 EMS regional council, Iowa nurses association, Iowa hospital
  5 34 association, and the Iowa state association of counties.
  5 35    The EMS advisory council shall advise the director and
  6  1 develop policy recommendations concerning the regulation,
  6  2 administration, and coordination of emergency medical services
  6  3 in the state.
  6  4    Sec. 11.  NEW SECTION.  147A.3  MEETINGS OF THE COUNCIL &endash;
  6  5 QUORUM &endash; EXPENSES.
  6  6    Membership, terms of office, quorum, and expenses shall be
  6  7 determined by the director pursuant to chapter 135.
  6  8    Sec. 12.  Section 147A.4, Code 1995, is amended to read as
  6  9 follows:
  6 10    147A.4  RULEMAKING AUTHORITY.
  6 11    1.  The department shall adopt rules required or authorized
  6 12 by this chapter pertaining to the operation of ambulance,
  6 13 rescue, and first response services which have received
  6 14 authorization under section 147A.5 to utilize the services of
  6 15 certified advanced emergency medical care providers.  These
  6 16 rules shall include, but need not be limited to, requirements
  6 17 concerning physician supervision, necessary equipment and
  6 18 staffing, and reporting by ambulance, rescue, and first
  6 19 response services which have received the authorization
  6 20 pursuant to section 147A.5.
  6 21    The director, pursuant to rule, may grant exceptions and
  6 22 variances from the requirements of rules adopted under this
  6 23 chapter for any ambulance, rescue, or first response service.
  6 24 Exceptions or variations shall be reasonably related to undue
  6 25 hardships which existing services experience in complying with
  6 26 this chapter or the rules adopted pursuant to this chapter.
  6 27 However, no exception or variance may be granted unless the
  6 28 service has adopted a plan approved by the department prior to
  6 29 July 1, 1996, to achieve compliance during a period not to
  6 30 exceed seven years with this chapter and rules adopted
  6 31 pursuant to this chapter.  Services requesting exceptions and
  6 32 variances shall be subject to other applicable rules adopted
  6 33 pursuant to this chapter.
  6 34    2.  The department shall adopt rules required or authorized
  6 35 by this chapter pertaining to the examination and
  7  1 certification of advanced emergency medical care providers.
  7  2 These rules shall include, but need not be limited to,
  7  3 requirements concerning prerequisites, training, and
  7  4 experience for advanced emergency medical care providers and
  7  5 procedures for determining when individuals have met these
  7  6 requirements.  The department shall adopt rules to recognize
  7  7 the previous EMS training and experience of first responders
  7  8 and emergency medical technicians to provide for an equitable
  7  9 transition to the EMT-basic certification.  The department may
  7 10 require additional training and examinations as necessary and
  7 11 appropriate to ensure that individuals seeking certification
  7 12 have met the EMT-basic knowledge and skill requirements.  The
  7 13 department shall consult with the board concerning these
  7 14 rules.
  7 15    3.  The department shall establish the fee for the
  7 16 examination of the advanced emergency medical care providers
  7 17 to cover the administrative costs of the examination program.
  7 18    Sec. 13.  Section 147A.5, subsections 1 and 3, Code 1995,
  7 19 are amended to read as follows:
  7 20    1.  An ambulance, rescue, or first response service in this
  7 21 state, that desires to provide advanced emergency medical care
  7 22 in the prehospital out-of-hospital setting, shall apply to the
  7 23 department for authorization to establish a program utilizing
  7 24 certified advanced emergency medical care providers for
  7 25 delivery of the care at the scene of an emergency, during
  7 26 transportation to a hospital, during transfer from one medical
  7 27 care facility to another or to a private residence, or while
  7 28 in the hospital emergency department, and until care is
  7 29 directly assumed by a physician or by authorized hospital
  7 30 personnel.
  7 31    3.  The department may deny an application for
  7 32 authorization to establish a program utilizing the services of
  7 33 certified advanced emergency medical care providers, or may
  7 34 place on probation, suspend, or revoke existing authorization
  7 35 if the department finds reason to believe the program has not
  8  1 been or will not be operated in compliance with this chapter
  8  2 and the rules adopted pursuant to this chapter, or that there
  8  3 is insufficient assurance of adequate protection for the
  8  4 public.  The denial or period of probation, suspension, or
  8  5 revocation shall be effected and may be appealed as provided
  8  6 by section 17A.12.
  8  7    Sec. 14.  Section 147A.6, Code 1995, is amended to read as
  8  8 follows:
  8  9    147A.6  ADVANCED EMERGENCY MEDICAL CARE PROVIDER
  8 10 CERTIFICATES &endash; RENEWAL.
  8 11    1.  The department, upon application and receipt of the
  8 12 prescribed fee, shall issue a certificate attesting to the
  8 13 qualifications of to an individual who has met all of the
  8 14 requirements for advanced emergency medical care provider
  8 15 certification established by the rules adopted under section
  8 16 147A.4, subsection 2.
  8 17    2.  Advanced emergency Emergency medical care provider
  8 18 certificates are valid for the multiyear period determined by
  8 19 the department, unless sooner suspended or revoked.  The
  8 20 certificate shall be renewed upon application of the holder
  8 21 and receipt of the prescribed fee if the holder has
  8 22 satisfactorily completed continuing medical education programs
  8 23 as required by rule.
  8 24    Sec. 15.  Section 147A.7, subsection 1, unnumbered
  8 25 paragraph 1, Code 1995, is amended to read as follows:
  8 26    The board department may deny an application for issuance
  8 27 or renewal of an advanced emergency medical care provider
  8 28 certificate, or suspend or revoke the certificate when it
  8 29 finds that the applicant or certificate holder is guilty of
  8 30 any of the following acts or offenses:
  8 31    Sec. 16.  Section 147A.7, subsection 1, paragraphs j and k,
  8 32 Code 1995, are amended to read as follows:
  8 33    j.  Violating a statute of this state, another state, or
  8 34 the United States, without regard to its designation as either
  8 35 a felony or misdemeanor, which relates to the practice of an
  9  1 advanced emergency medical care provider.  A copy of the
  9  2 record of conviction or plea of guilty is conclusive evidence
  9  3 of the violation.
  9  4    k.  Having certification to practice as an advanced
  9  5 emergency medical care provider revoked or suspended, or
  9  6 having other disciplinary action taken by a licensing or
  9  7 certifying authority of another state, territory, or country.
  9  8 A certified copy of the record or order of suspension,
  9  9 revocation, or disciplinary action is conclusive or prima
  9 10 facie evidence.
  9 11    Sec. 17.  Section 147A.8, Code 1995, is amended to read as
  9 12 follows:
  9 13    147A.8  AUTHORITY OF CERTIFIED ADVANCED EMERGENCY MEDICAL
  9 14 CARE PROVIDER.
  9 15    An advanced emergency medical care provider properly
  9 16 certified under this chapter may:
  9 17    1.  Render advanced emergency and nonemergency medical
  9 18 care, rescue, and lifesaving services in those areas for which
  9 19 the advanced emergency medical care provider is certified, as
  9 20 defined and approved in accordance with the rules of the
  9 21 department, at the scene of an emergency, during
  9 22 transportation to a hospital or while in the hospital
  9 23 emergency department, and until care is directly assumed by a
  9 24 physician or by authorized hospital personnel.
  9 25    2.  Function in any hospital when:
  9 26    a.  Enrolled as a student or participating as a preceptor
  9 27 in a training program approved by the department; or
  9 28    b.  Fulfilling continuing education requirements as defined
  9 29 by rule; or
  9 30    c.  Employed by or assigned to a hospital as a member of an
  9 31 authorized ambulance, rescue, or first response service, by
  9 32 rendering lifesaving services in the facility in which
  9 33 employed or assigned pursuant to the advanced emergency
  9 34 medical care provider's certification and under the direct
  9 35 supervision of a physician, physician assistant, or registered
 10  1 nurse.  An advanced emergency medical care provider shall not
 10  2 routinely function without the direct supervision of a
 10  3 physician, physician assistant, or registered nurse.  However,
 10  4 when the physician, physician assistant, or registered nurse
 10  5 cannot directly assume emergency care of the patient, the
 10  6 advanced emergency medical care provider may perform without
 10  7 direct supervision advanced emergency medical care procedures
 10  8 for which that individual is certified if the life of the
 10  9 patient is in immediate danger and such care is required to
 10 10 preserve the patient's life; or
 10 11    d.  Employed by or assigned to a hospital as a member of an
 10 12 authorized ambulance, rescue, or first response service to
 10 13 perform nonlifesaving procedures for which those individuals
 10 14 have been trained and are designated in a written job
 10 15 description.  Such procedures may be performed after the
 10 16 patient is observed by and when the advanced emergency medical
 10 17 care provider is under the supervision of the physician,
 10 18 physician assistant, or registered nurse and where the
 10 19 procedure may be immediately abandoned without risk to the
 10 20 patient.
 10 21    The department shall consult with the board concerning
 10 22 rules and training requirements related to this section.
 10 23    Nothing in this chapter shall be construed to require any
 10 24 voluntary ambulance, rescue, or first response service to
 10 25 provide a level of care beyond minimum basic care standards.
 10 26    Sec. 18.  Section 147A.9, Code 1995, is amended to read as
 10 27 follows:
 10 28    147A.9  REMOTE SUPERVISION OF ADVANCED EMERGENCY MEDICAL
 10 29 CARE PROVIDERS &endash; EMERGENCY COMMUNICATION FAILURE &endash;
 10 30 AUTHORIZATION OF IMMEDIATE LIFESAVING TO INITIATE EMERGENCY
 10 31 MEDICAL CARE PROCEDURES.
 10 32    1.  When voice contact or a telemetered electrocardiogram
 10 33 is monitored by a physician, physician's designee, or
 10 34 physician assistant, and direct communication is maintained,
 10 35 an advanced emergency medical care provider may upon order of
 11  1 the monitoring physician or upon standing orders of a
 11  2 physician transmitted by the monitoring physician's designee
 11  3 or physician assistant perform any advanced emergency medical
 11  4 care procedure for which that advanced emergency medical care
 11  5 provider is certified.
 11  6    2.  If communications fail during an emergency or
 11  7 nonemergency situation, the advanced emergency medical care
 11  8 provider may perform any advanced emergency medical care
 11  9 procedure for which that individual is certified and which is
 11 10 included in written protocols if in the judgment of the
 11 11 advanced emergency medical care provider the life of the
 11 12 patient is in immediate danger and such care is required to
 11 13 preserve the patient's life.
 11 14    3.  The department shall adopt rules to authorize the
 11 15 institution of lifesaving medical care procedures which can be
 11 16 initiated in accordance with written protocols in instances
 11 17 where prior to the establishment of communication in lieu of
 11 18 immediate action may cause patient harm or death.
 11 19    4.  The department shall consult with the board concerning
 11 20 rules related to this section.
 11 21    Sec. 19.  Section 147A.10, Code 1995, is amended to read as
 11 22 follows:
 11 23    147A.10  EXEMPTIONS FROM LIABILITY IN CERTAIN
 11 24 CIRCUMSTANCES.
 11 25    1.  A physician, physician's designee, advanced registered
 11 26 nurse practitioner, or physician assistant, who gives orders,
 11 27 either directly or via communications equipment from some
 11 28 other point, or via standing protocols to an appropriately
 11 29 certified advanced emergency medical care provider, registered
 11 30 nurse, or licensed practical nurse at the scene of an
 11 31 emergency, and an appropriately certified advanced emergency
 11 32 medical care provider, registered nurse, or licensed practical
 11 33 nurse following the orders, are not subject to criminal
 11 34 liability by reason of having issued or executed the orders,
 11 35 and are not liable for civil damages for acts or omissions
 12  1 relating to the issuance or execution of the orders unless the
 12  2 acts or omissions constitute recklessness.
 12  3    2.  A physician, physician's designee, advanced registered
 12  4 nurse practitioner, physician assistant, registered nurse,
 12  5 licensed practical nurse, or advanced emergency medical care
 12  6 provider shall not be subject to civil liability solely by
 12  7 reason of failure to obtain consent before rendering emergency
 12  8 medical, surgical, hospital or health services to any
 12  9 individual, regardless of age, when the patient is unable to
 12 10 give consent for any reason and there is no other person
 12 11 reasonably available who is legally authorized to consent to
 12 12 the providing of such care.
 12 13    3.  An act of commission or omission of any appropriately
 12 14 certified advanced emergency medical care provider, registered
 12 15 nurse, licensed practical nurse, or physician assistant while
 12 16 rendering advanced emergency medical care under the
 12 17 responsible supervision and control of a physician to a person
 12 18 who is deemed by them to be in immediate danger of serious
 12 19 injury or loss of life, shall not impose any liability upon
 12 20 the certified advanced emergency medical care provider,
 12 21 registered nurse, licensed practical nurse, or physician
 12 22 assistant, the supervising physician, physician designee,
 12 23 advanced registered nurse practitioner, or any hospital, or
 12 24 upon the state, or any county, city or other political
 12 25 subdivision, or the employees of any of these entities;
 12 26 provided that this section shall not relieve any person of
 12 27 liability for civil damages for any act of commission or
 12 28 omission which constitutes recklessness.
 12 29    Sec. 20.  Section 147A.11, subsections 1 and 2, Code 1995,
 12 30 are amended to read as follows:
 12 31    1.  Any person not certified as required by this chapter
 12 32 who claims to be an advanced emergency medical care provider,
 12 33 or who uses any other term to indicate or imply that the
 12 34 person is an advanced emergency medical care provider, or who
 12 35 acts as an advanced emergency medical care provider without
 13  1 having obtained the appropriate certificate under this
 13  2 chapter, is guilty of a class "D" felony.
 13  3    2.  An owner of an unauthorized ambulance, rescue, or first
 13  4 response service in this state who operates or purports to
 13  5 operate an authorized ambulance, rescue, or first response
 13  6 service, or who uses any term to indicate or imply such
 13  7 authorization without having obtained the appropriate
 13  8 authorization under this chapter, is guilty of a class "D"
 13  9 felony.
 13 10    Sec. 21.  Section 147A.12, subsection 1, Code 1995, is
 13 11 amended to read as follows:
 13 12    1.  This chapter does not restrict a registered nurse,
 13 13 licensed pursuant to chapter 152, from staffing an authorized
 13 14 ambulance, rescue, or first response service provided the
 13 15 registered nurse can document equivalency through education
 13 16 and additional skills training essential in the delivery of
 13 17 prehospital out-of-hospital emergency care.  The equivalency
 13 18 shall be accepted when:
 13 19    a.  Documentation has been reviewed and approved at the
 13 20 local level by the medical director of the ambulance, rescue,
 13 21 or first response service in accordance with the rules of the
 13 22 board of nursing developed jointly with the board of medical
 13 23 examiners department.
 13 24    b.  Authorization has been granted to that ambulance,
 13 25 rescue, or first response service by the department.
 13 26    Sec. 22.  Section 147A.13, Code 1995, is amended to read as
 13 27 follows:
 13 28    147A.13  PHYSICIAN ASSISTANT EXCEPTION.
 13 29    This chapter does not restrict a physician assistant,
 13 30 licensed pursuant to chapter 148C, from staffing an authorized
 13 31 ambulance, rescue, or first response service if the physician
 13 32 assistant can document equivalency through education and
 13 33 additional skills training essential in the delivery of
 13 34 prehospital out-of-hospital emergency care.  The equivalency
 13 35 shall be accepted when:
 14  1    1.  Documentation has been reviewed and approved at the
 14  2 local level by the medical director of the ambulance, rescue,
 14  3 or first response service in accordance with the rules of the
 14  4 board of physician assistant examiners developed after
 14  5 consultation with the department.
 14  6    2.  Authorization has been granted to that ambulance,
 14  7 rescue, or first response service by the department.
 14  8    Sec. 23.  Section 152B.11, unnumbered paragraph 3, Code
 14  9 1995, is amended to read as follows:
 14 10    This section does not apply to persons who are licensed to
 14 11 practice a health profession covered by chapter 147 or to any
 14 12 person who performs respiratory care procedures as a first
 14 13 responder, emergency rescue technician, emergency medical
 14 14 technician-ambulance, advanced emergency medical care
 14 15 provider, or other person functioning as part of a rescue unit
 14 16 or in a hospital as authorized by chapter 147A, or to persons
 14 17 whose function with respect to respiratory care is limited to
 14 18 the home delivery and connection of oxygen tanks.
 14 19    Sec. 24.  Section 232.68, subsection 5, Code 1995, is
 14 20 amended to read as follows:
 14 21    5.  "Health practitioner" includes a licensed physician and
 14 22 surgeon, osteopath, osteopathic physician and surgeon,
 14 23 dentist, optometrist, podiatrist or chiropractor; a resident
 14 24 or intern in any of such professions; a licensed dental
 14 25 hygienist, a registered nurse or licensed practical nurse; a
 14 26 physician assistant; and a basic an emergency medical care
 14 27 provider certified under section 147.161 or an advanced
 14 28 emergency medical care provider certified under section
 14 29 147A.6.
 14 30    Sec. 25.  Section 321.423, subsection 1, Code 1995, is
 14 31 amended to read as follows:
 14 32    1.  DEFINITIONS.  As used in this section, unless the
 14 33 context otherwise requires:
 14 34    a.  "Advanced emergency Emergency medical care provider"
 14 35 means as defined in section 147A.1.
 15  1    b.  "Basic emergency medical care provider" means as
 15  2 defined in section 147.1.
 15  3    c. b.  "Fire department" means a paid or volunteer fire
 15  4 protection service provided by a benefited fire district under
 15  5 chapter 357B or by a county, municipality or township, or a
 15  6 private corporate organization that has a valid contract to
 15  7 provide fire protection service for a benefited fire district,
 15  8 county, municipality, township or governmental agency.
 15  9    d. c.  "Member" means a person who is a member in good
 15 10 standing of a fire department or a person who is an advanced
 15 11 or basic emergency medical care provider employed by an
 15 12 ambulance, rescue, or first responder service.
 15 13    Sec. 26.  Section 724.6, subsection 2, Code 1995, is
 15 14 amended to read as follows:
 15 15    2.  Notwithstanding subsection 1, fire fighters, as defined
 15 16 in section 411.1, subsection 9, airport fire fighters included
 15 17 under section 97B.49, subsection 16, paragraph "b",
 15 18 subparagraph (2), emergency medical technicians-ambulance and
 15 19 emergency rescue technicians, as defined in section 147.1, and
 15 20 advanced emergency medical care providers, as defined in
 15 21 section 147A.1, shall not, as a condition of employment, be
 15 22 required to obtain a permit under this section.  However, the
 15 23 provisions of this subsection shall not apply to a person
 15 24 designated as an arson investigator by the chief fire officer
 15 25 of a political subdivision.
 15 26    Sec. 27.  Section 147.161, Code 1995, is repealed.
 15 27    Sec. 28.  COSTS PAID BY IOWA DEPARTMENT OF PUBLIC HEALTH.
 15 28 The Iowa department of public health shall pay any additional
 15 29 training and equipment costs, excluding vehicle costs,
 15 30 incurred by a political subdivision after the effective date
 15 31 of this Act and as a result of this Act.  
 15 32 SF 178
 15 33 cl/cc/26
     
Text: SF00177                           Text: SF00179
Text: SF00100 - SF00199                 Text: SF Index
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