S.F. 2141 Section 1. Section 85.36, subsection 9, paragraph a, Code 1 2009, is amended to read as follows: 2 a. In computing the compensation to be allowed a volunteer 3 fire fighter, emergency medical care provider, reserve peace 4 officer, volunteer ambulance driver, volunteer emergency 5 rescue medical technician as defined in section 147A.1 , 6 or emergency medical technician trainee, the earnings as 7 a fire fighter, emergency medical care provider, reserve 8 peace officer, volunteer ambulance driver, volunteer 9 emergency rescue medical technician, or emergency medical 10 technician trainee shall be disregarded and the volunteer 11 fire fighter, emergency medical care provider, reserve peace 12 officer, volunteer ambulance driver, volunteer emergency 13 rescue medical technician, or emergency medical technician 14 trainee shall be paid an amount equal to the compensation 15 the volunteer fire fighter, emergency medical care provider, 16 reserve peace officer, volunteer ambulance driver, volunteer 17 emergency rescue medical technician, or emergency medical 18 technician trainee would be paid if injured in the normal 19 course of the volunteer fire fighter’s, emergency medical 20 care provider’s, reserve peace officer’s, volunteer ambulance 21 driver’s, volunteer emergency rescue medical technician’s, or 22 emergency medical technician trainee’s regular employment or an 23 amount equal to one hundred and forty percent of the statewide 24 average weekly wage, whichever is greater. 25 Sec. 2. Section 85.61, subsection 2, paragraph a, Code 2009, 26 is amended to read as follows: 27 a. A person, firm, association, or corporation, state, 28 county, municipal corporation, school corporation, area 29 education agency, township as an employer of volunteer fire 30 fighters, volunteer emergency rescue medical technicians, and 31 emergency medical care providers only, benefited fire district, 32 and the legal representatives of a deceased employer. 33 Sec. 3. Section 85.61, subsection 7, paragraph b, Code 2009, 34 is amended to read as follows: 35 -1- LSB 5803XS (3) 83 jr/nh 1/ 16

S.F. 2141 b. Personal injuries sustained by volunteer emergency 1 rescue medical technicians or emergency medical care providers 2 as defined in section 147A.1 arise in the course of employment 3 if the injuries are sustained at any time from the time the 4 volunteer emergency rescue medical technicians or emergency 5 medical care providers are summoned to duty until the time 6 those duties have been fully discharged. 7 Sec. 4. Section 85.61, subsection 11, paragraph a, 8 subparagraph (2), Code 2009, is amended to read as follows: 9 (2) An emergency medical care provider as defined in section 10 147A.1, a volunteer emergency rescue medical technician as 11 defined in section 147A.1 , a volunteer ambulance driver, or 12 an emergency medical technician trainee, only if an agreement 13 is reached between such worker or employee and the employer 14 for whom the volunteer services are provided that workers’ 15 compensation coverage under this chapter and chapters 85A and 16 85B is to be provided by the employer. An emergency medical 17 care provider or volunteer emergency rescue medical technician 18 who is a worker or employee under this subparagraph is not 19 a casual employee. “Volunteer ambulance driver” means a 20 person performing services as a volunteer ambulance driver 21 at the request of the person in charge of a fire department 22 or ambulance service of a municipality. “Emergency medical 23 technician trainee” means a person enrolled in and training for 24 emergency medical technician certification licensure . 25 Sec. 5. Section 100B.31, subsection 3, paragraph b, Code 26 Supplement 2009, is amended to read as follows: 27 b. A person performing the functions of an emergency 28 medical care provider or emergency rescue technician as defined 29 in section 147A.1 who was not paid full-time by the entity 30 for which such services were being performed at the time the 31 incident giving rise to the death occurred. 32 Sec. 6. Section 135.24, subsection 7, paragraph d, Code 33 Supplement 2009, is amended to read as follows: 34 d. “Health care provider” means a physician licensed under 35 -2- LSB 5803XS (3) 83 jr/nh 2/ 16

S.F. 2141 chapter 148, a chiropractor licensed under chapter 151, a 1 physical therapist licensed pursuant to chapter 148A, an 2 occupational therapist licensed pursuant to chapter 148B, 3 a podiatrist licensed pursuant to chapter 149, a physician 4 assistant licensed and practicing under a supervising physician 5 pursuant to chapter 148C, a licensed practical nurse, a 6 registered nurse, or an advanced registered nurse practitioner 7 licensed pursuant to chapter 152 or 152E, a respiratory 8 therapist licensed pursuant to chapter 152B, a dentist, dental 9 hygienist, or dental assistant registered or licensed to 10 practice under chapter 153, an optometrist licensed pursuant to 11 chapter 154, a psychologist licensed pursuant to chapter 154B, 12 a social worker licensed pursuant to chapter 154C, a mental 13 health counselor or a marital and family therapist licensed 14 pursuant to chapter 154D, a speech pathologist or audiologist 15 licensed pursuant to chapter 154F, a pharmacist licensed 16 pursuant to chapter 155A, or an emergency medical care provider 17 certified licensed pursuant to chapter 147A. 18 Sec. 7. Section 147A.1, subsection 4, Code Supplement 2009, 19 is amended to read as follows: 20 4. “Emergency medical care provider” means an individual 21 trained to provide emergency and nonemergency medical 22 care at the first-responder, EMT-basic, EMT-intermediate, 23 EMT-paramedic level, emergency medical responder, 24 emergency medical technician, advanced emergency medical 25 technician, paramedic, or other certification levels license 26 level adopted by rule by the department, who has been issued a 27 certificate license by the department. 28 Sec. 8. Section 147A.1, subsections 6, 8, and 9, Code 29 Supplement 2009, are amended by striking the subsections. 30 Sec. 9. Section 147A.1, Code Supplement 2009, is amended by 31 adding the following new subsections: 32 NEW SUBSECTION . 11. “Service program” or “service” means 33 any medical care ambulance service or nontransport service that 34 has received authorization from the department under section 35 -3- LSB 5803XS (3) 83 jr/nh 3/ 16

S.F. 2141 147A.5. 1 NEW SUBSECTION . 12. “Training program” means an Iowa 2 college approved by the north central association of colleges 3 and schools or an Iowa hospital authorized by the department to 4 conduct emergency medical care services training. 5 Sec. 10. Section 147A.2, Code 2009, is amended to read as 6 follows: 7 147A.2 Council established —— terms of office. 8 1. An EMS advisory council shall be appointed by the 9 director. Membership of the council shall be comprised of 10 individuals nominated from, but not limited to, the following 11 state or national organizations: Iowa osteopathic medical 12 association, Iowa medical society, American college of 13 emergency physicians, Iowa physician assistant society, Iowa 14 academy of family physicians, university of Iowa hospitals 15 and clinics, American academy of emergency medicine, American 16 academy of pediatrics, Iowa EMS association, Iowa firemen’s 17 association, Iowa professional firefighters, EMS education 18 programs committee, EMS regional council, Iowa nurses 19 association, Iowa hospital association, and the Iowa state 20 association of counties. The council shall also include a 21 member-at-large who is an emergency medical care provider. 22 2. The EMS advisory council shall advise the director and 23 develop policy recommendations concerning the regulation, 24 administration, and coordination of emergency medical services 25 in the state. 26 Sec. 11. Section 147A.4, Code Supplement 2009, is amended 27 to read as follows: 28 147A.4 Rulemaking authority. 29 1. a. The department shall adopt rules required or 30 authorized by this subchapter pertaining to the operation 31 of ambulance, rescue, and first response services service 32 programs which have received authorization under section 147A.5 33 to utilize the services of certified licensed emergency medical 34 care providers. These rules shall include but need not be 35 -4- LSB 5803XS (3) 83 jr/nh 4/ 16

S.F. 2141 limited to requirements concerning physician supervision, 1 necessary equipment and staffing, and reporting by ambulance, 2 rescue, and first response services service programs which have 3 received the authorization pursuant to section 147A.5. 4 b. The director, pursuant to rule, may grant exceptions and 5 variances from the requirements of rules adopted under this 6 subchapter for any ambulance, rescue, or first response service 7 program . Exceptions or variations shall be reasonably related 8 to undue hardships which existing services experience in 9 complying with this subchapter or the rules adopted pursuant 10 to this subchapter. However, no exception or variance may 11 be granted unless the service adopted a plan approved by the 12 department prior to July 1, 1996, to achieve compliance during 13 a period not to exceed seven years with this subchapter and 14 rules adopted pursuant to this subchapter . Services requesting 15 exceptions and variances shall be subject to other applicable 16 rules adopted pursuant to this subchapter. 17 2. The department shall adopt rules required or authorized 18 by this subchapter pertaining to the examination and 19 certification licensure of emergency medical care providers. 20 These rules shall include, but need not be limited to, 21 requirements concerning prerequisites, training, and experience 22 for emergency medical care providers and procedures for 23 determining when individuals have met these requirements. The 24 department shall adopt rules to recognize the previous EMS 25 training and experience of first responders and emergency 26 medical technicians to provide for an equitable transition to 27 the EMT-basic certification emergency medical care providers 28 transitioning to the emergency medical responder, emergency 29 medical technician, advanced emergency medical technician, 30 and paramedic levels . The department may require additional 31 training and examinations as necessary and appropriate to 32 ensure that individuals seeking certification transition to 33 another level have met the EMT-basic knowledge and skill 34 requirements. All requirements for transition to another 35 -5- LSB 5803XS (3) 83 jr/nh 5/ 16

S.F. 2141 level, including fees, shall be adopted by rule. 1 3. The department shall establish the fee for the 2 examination of the emergency medical care providers to cover 3 the administrative costs of the examination program. 4 4. The department shall adopt rules required or authorized 5 by this subchapter pertaining to the operation of training 6 programs. These rules shall include but need not be limited 7 to requirements concerning curricula, resources, facilities, 8 and staff. 9 Sec. 12. Section 147A.5, subsections 1 and 3, Code 2009, are 10 amended to read as follows: 11 1. An ambulance, rescue, or first response A service 12 program in this state that desires to provide emergency 13 medical care in the out-of-hospital setting shall apply to 14 the department for authorization to establish a program for 15 delivery of the care at the scene of an emergency, during 16 transportation to a hospital, during transfer from one medical 17 care facility to another or to a private residence, or while in 18 the hospital emergency department, and until care is directly 19 assumed by a physician or by authorized hospital personnel. 20 3. The department may deny an application for 21 authorization , or may impose a civil penalty not to exceed 22 one thousand dollars upon, place on probation, suspend , or 23 revoke the authorization of, or otherwise discipline a service 24 program with an existing authorization if the department 25 finds reason to believe the service program has not been or 26 will not be operated in compliance with this subchapter and 27 the rules adopted pursuant to this subchapter, or that there 28 is insufficient assurance of adequate protection for the 29 public. The authorization denial or , civil penalty, period of 30 probation, suspension, or revocation , or other disciplinary 31 action shall be effected and may be appealed as provided by 32 section 17A.12. 33 Sec. 13. Section 147A.6, Code 2009, is amended to read as 34 follows: 35 -6- LSB 5803XS (3) 83 jr/nh 6/ 16

S.F. 2141 147A.6 Emergency medical care provider certificates 1 licenses —— renewal. 2 1. The department, upon application and receipt of the 3 prescribed fee, shall issue a certificate license to an 4 individual who has met all of the requirements for emergency 5 medical care provider certification licensure established by 6 the rules adopted under section 147A.4, subsection 2. All 7 fees and civil penalties received pursuant to this section and 8 sections 147A.5, 147A.7, and 147A.17 shall be deposited in the 9 emergency medical services fund established in section 135.25. 10 2. Emergency medical care provider certificates licenses 11 are valid for the multiyear period determined by the 12 department, unless sooner suspended or revoked. The 13 certificate license shall be renewed upon application of the 14 holder and receipt of the prescribed fee if the holder has 15 satisfactorily completed continuing medical education programs 16 as required by rule. 17 3. If the licensee fails to complete the required continuing 18 medical education programs prior to the time of renewal, the 19 department shall issue the licensee a temporary license for a 20 period of sixty days. The license may be renewed only during 21 that sixty-day period, on proof that the licensee has completed 22 all required education programs, paid the required renewal fee, 23 and paid a penalty of twenty dollars for each credit hour of 24 education the licensee failed to complete. 25 Sec. 14. Section 147A.7, Code 2009, is amended to read as 26 follows: 27 147A.7 Denial, suspension , or revocation of certificates 28 licenses —— other disciplinary action —— hearing —— appeal. 29 1. The department may deny an application for issuance or 30 renewal of an emergency medical care provider certificate, 31 or license or may impose a civil penalty not to exceed one 32 thousand dollars upon, place on probation, suspend or revoke 33 the certificate license of, or otherwise discipline the 34 licensee when it finds that the applicant or certificate 35 -7- LSB 5803XS (3) 83 jr/nh 7/ 16

S.F. 2141 holder licensee is guilty of any of the following acts or 1 offenses: 2 a. Negligence in performing authorized services. 3 b. Failure to follow the directions of the supervising 4 physician. 5 c. Rendering treatment not authorized under this subchapter. 6 d. Fraud in procuring certification license . 7 e. Professional incompetency. 8 f. Knowingly making misleading, deceptive, untrue or 9 fraudulent representation in the practice of a profession 10 or engaging in unethical conduct or practice harmful or 11 detrimental to the public. Proof of actual injury need not be 12 established. 13 g. Habitual intoxication or addiction to the use of drugs. 14 h. Fraud in representations as to skill or ability. 15 i. Willful or repeated violations of this subchapter or of 16 rules adopted pursuant to this subchapter. 17 j. Violating a statute of this state, another state, or 18 the United States, without regard to its designation as either 19 a felony or misdemeanor, which relates to the practice of an 20 emergency medical care provider. A copy of the record of 21 conviction or plea of guilty is conclusive evidence of the 22 violation. 23 k. Having certification the license to practice as an 24 emergency medical care provider revoked or suspended, or having 25 other disciplinary action taken by a licensing or certifying 26 authority of another state, territory, or country. A certified 27 copy of the record or order of suspension, revocation, or 28 disciplinary action is conclusive or prima facie evidence. 29 l. Other acts or offenses as specified by rule. 30 2. A determination of mental incompetence by 31 a court of competent jurisdiction automatically 32 suspends a certificate license for the duration of the 33 certificate license unless the department orders otherwise. 34 3. A license denial, civil penalty, period of 35 -8- LSB 5803XS (3) 83 jr/nh 8/ 16

S.F. 2141 probation, suspension , or revocation , or other disciplinary 1 action under this section shall be effected, and may be 2 appealed in accordance with the rules of the department 3 established pursuant to chapter 272C. 4 Sec. 15. Section 147A.8, Code Supplement 2009, is amended 5 to read as follows: 6 147A.8 Authority of certified licensed emergency medical care 7 provider. 8 1. An emergency medical care provider properly 9 certified licensed under this subchapter may: 10 a. 1. Render emergency and nonemergency medical care, 11 rescue, and lifesaving services in those areas for which 12 the emergency medical care provider is certified licensed , 13 as defined and approved in accordance with the rules of the 14 department, at the scene of an emergency, during transportation 15 to a hospital or while in the hospital emergency department, 16 and until care is directly assumed by a physician or by 17 authorized hospital personnel. 18 b. 2. Function in any hospital or any other entity in which 19 health care is ordinarily provided only when under the direct 20 supervision, as defined by rules adopted pursuant to chapter 21 17A, of a physician, when the emergency care provider is any 22 of the following : 23 (1) a. Enrolled as a student or participating as a preceptor 24 in a training program approved by the department ; or or an 25 agency authorized in another state to provide initial EMS 26 education and approved by the department. 27 (2) b. Fulfilling continuing education requirements as 28 defined by rule ; or . 29 (3) c. Employed by or assigned to a hospital or other entity 30 in which health care is ordinarily provided only when under the 31 direct supervision of a physician, as a member of an authorized 32 ambulance, rescue, or first response service program , or in 33 an individual capacity, by rendering lifesaving services in 34 the facility in which employed or assigned pursuant to the 35 -9- LSB 5803XS (3) 83 jr/nh 9/ 16

S.F. 2141 emergency medical care provider’s certification license and 1 under the direct supervision of a physician, physician 2 assistant, or registered nurse. An emergency medical care 3 provider shall not routinely function without the direct 4 supervision of a physician, physician assistant, or registered 5 nurse. However, when the physician, physician assistant, or 6 registered nurse cannot directly assume emergency care of 7 the patient, the emergency medical care provider may perform 8 without direct supervision emergency medical care procedures 9 for which that individual is certified licensed if the life of 10 the patient is in immediate danger and such care is required to 11 preserve the patient’s life ; or . 12 (4) d. Employed by or assigned to a hospital or other entity 13 in which health care is ordinarily provided only when under the 14 direct supervision of a physician, as a member of an authorized 15 ambulance, rescue, or first response service program , or in 16 an individual capacity, to perform nonlifesaving procedures 17 for which those individuals have been certified licensed and 18 are designated in a written job description. Such procedures 19 may be performed after the patient is observed by and when the 20 emergency medical care provider is under the supervision of the 21 physician, physician assistant, or registered nurse, including 22 when the registered nurse is not acting in the capacity of a 23 physician designee, and where the procedure may be immediately 24 abandoned without risk to the patient. 25 2. Nothing in this subchapter shall be construed to require 26 any voluntary ambulance, rescue, or first response service to 27 provide a level of care beyond minimum basic care standards. 28 Sec. 16. Section 147A.9, subsections 1 and 2, Code 2009, are 29 amended to read as follows: 30 1. When voice contact or a telemetered electrocardiogram is 31 monitored by a physician, physician’s designee, or physician 32 assistant, and direct communication is maintained, an emergency 33 medical care provider may upon order of the monitoring 34 physician or upon standing orders of a physician transmitted 35 -10- LSB 5803XS (3) 83 jr/nh 10/ 16

S.F. 2141 by the monitoring physician’s designee or physician assistant 1 perform any emergency medical care procedure for which that 2 emergency medical care provider is certified licensed . 3 2. If communications fail during an emergency or 4 nonemergency situation, the emergency medical care provider 5 may perform any emergency medical care procedure for which 6 that individual is certified licensed and which is included in 7 written protocols if in the judgment of the emergency medical 8 care provider the life of the patient is in immediate danger 9 and such care is required to preserve the patient’s life. 10 Sec. 17. Section 147A.10, subsections 1 and 3, Code 2009, 11 are amended to read as follows: 12 1. A physician, physician’s designee, advanced registered 13 nurse practitioner, or physician assistant who gives orders, 14 either directly or via communications equipment from some 15 other point, or via standing protocols to an appropriately 16 certified licensed emergency medical care provider, registered 17 nurse, or licensed practical nurse at the scene of an 18 emergency, and an appropriately certified licensed emergency 19 medical care provider, registered nurse, or licensed practical 20 nurse following the orders, are not subject to criminal 21 liability by reason of having issued or executed the orders, 22 and are not liable for civil damages for acts or omissions 23 relating to the issuance or execution of the orders unless the 24 acts or omissions constitute recklessness. 25 3. An act of commission or omission of any appropriately 26 certified licensed emergency medical care provider, registered 27 nurse, licensed practical nurse, or physician assistant, 28 while rendering emergency medical care under the responsible 29 supervision and control of a physician to a person who is 30 deemed by them to be in immediate danger of serious injury 31 or loss of life, shall not impose any liability upon the 32 certified licensed emergency medical care provider, registered 33 nurse, licensed practical nurse, or physician assistant, the 34 supervising physician, physician designee, advanced registered 35 -11- LSB 5803XS (3) 83 jr/nh 11/ 16

S.F. 2141 nurse practitioner, or any hospital, or upon the state, or any 1 county, city or other political subdivision, or the employees 2 of any of these entities; provided that this section shall not 3 relieve any person of liability for civil damages for any act 4 of commission or omission which constitutes recklessness. 5 Sec. 18. Section 147A.11, Code 2009, is amended to read as 6 follows: 7 147A.11 Prohibited acts. 8 1. Any person not certified licensed as required by this 9 subchapter who claims to be an emergency medical care provider, 10 or who uses any other term to indicate or imply that the 11 person is an emergency medical care provider, or who acts as 12 an emergency medical care provider without having obtained 13 the appropriate certificate license under this subchapter, is 14 guilty of a class “D” felony. 15 2. An owner of an unauthorized ambulance, rescue, or 16 first response service program in this state who operates 17 or purports to operate an ambulance, rescue, or first 18 response a service program , or who uses any term to indicate 19 or imply authorization without having obtained the appropriate 20 authorization under this subchapter, is guilty of a class “D” 21 felony. 22 3. Any person who imparts or conveys, or causes to be 23 imparted or conveyed, or attempts to impart or convey false 24 information concerning the need for assistance of an ambulance, 25 rescue, or first response a service program or of any personnel 26 or equipment thereof, knowing such information to be false, is 27 guilty of a serious misdemeanor. 28 Sec. 19. Section 147A.12, subsection 1, Code 2009, is 29 amended to read as follows: 30 1. This subchapter does not restrict a registered nurse, 31 licensed pursuant to chapter 152, from staffing an authorized 32 ambulance, rescue, or first response service program, provided 33 the registered nurse can document equivalency through education 34 and additional skills training essential in the delivery of 35 -12- LSB 5803XS (3) 83 jr/nh 12/ 16

S.F. 2141 out-of-hospital emergency care. The equivalency shall be 1 accepted when: 2 a. Documentation has been reviewed and approved at the local 3 level by the medical director of the ambulance, rescue, or 4 first response service program in accordance with the rules of 5 the board of nursing developed jointly with the department. 6 b. Authorization has been granted to that ambulance, rescue, 7 or first response service program by the department. 8 Sec. 20. Section 147A.13, Code 2009, is amended to read as 9 follows: 10 147A.13 Physician assistant exception. 11 This subchapter does not restrict a physician assistant, 12 licensed pursuant to chapter 148C, from staffing an authorized 13 ambulance, rescue, or first response service program if the 14 physician assistant can document equivalency through education 15 and additional skills training essential in the delivery of 16 out-of-hospital emergency care. The equivalency shall be 17 accepted when: 18 1. Documentation has been reviewed and approved at the local 19 level by the medical director of the ambulance, rescue, or 20 first response service program in accordance with the rules of 21 the board of physician assistants developed after consultation 22 with the department. 23 2. Authorization has been granted to that ambulance, 24 rescue, or first response service program by the department. 25 Sec. 21. Section 147A.16, subsection 1, Code 2009, is 26 amended to read as follows: 27 1. This subchapter does not apply to a registered member 28 of the national ski patrol system, an industrial safety 29 officer, a lifeguard, or a person employed or volunteering 30 in a similar capacity in which the person provides on-site 31 emergency medical care at a facility solely to the patrons or 32 employees of that facility, provided that such person provides 33 emergency medical care only within the scope of the person’s 34 training and certification and the person does not claim to 35 -13- LSB 5803XS (3) 83 jr/nh 13/ 16

S.F. 2141 be a certified licensed emergency medical care provider or 1 use any other term to indicate or imply that the person is a 2 certified licensed emergency medical care provider. 3 Sec. 22. NEW SECTION . 147A.17 Applications for emergency 4 medical care services training programs —— approval or denial —— 5 disciplinary actions. 6 1. An Iowa college approved by the north central association 7 of colleges and schools or an Iowa hospital in this state that 8 desires to provide emergency medical care services training 9 leading to licensure as an emergency medical care provider 10 shall apply to the department for authorization to establish a 11 training program. 12 2. The department shall approve an application submitted in 13 accordance with subsection 1 when the department is satisfied 14 that the program proposed by the application will be operated 15 in compliance with this subchapter and the rules adopted 16 pursuant to this subchapter. 17 3. The department may deny an application for authorization 18 or may impose a civil penalty not to exceed one thousand 19 dollars upon, place on probation, suspend or revoke the 20 authorization of, or otherwise discipline a training program 21 with an existing authorization if the department finds reason 22 to believe the program has not been or will not be operated in 23 compliance with this subchapter and the rules adopted pursuant 24 to this subchapter, or that there is insufficient assurance of 25 adequate protection for the public. The authorization denial, 26 civil penalty, period of probation, suspension, or revocation, 27 or other disciplinary action shall be effected and may be 28 appealed as provided by section 17A.12. 29 Sec. 23. Section 232.68, subsection 5, Code Supplement 30 2009, is amended to read as follows: 31 5. “Health practitioner” includes a licensed physician 32 and surgeon, osteopathic physician and surgeon, dentist, 33 optometrist, podiatric physician, or chiropractor; a resident 34 or intern in any of such professions; a licensed dental 35 -14- LSB 5803XS (3) 83 jr/nh 14/ 16

S.F. 2141 hygienist, a registered nurse or licensed practical nurse; a 1 physician assistant; and an emergency medical care provider 2 certified licensed under section 147A.6. 3 Sec. 24. Section 272C.1, subsection 6, paragraph ad, Code 4 Supplement 2009, is amended to read as follows: 5 ad. The director of public health in 6 certifying licensing emergency medical care providers and 7 emergency medical care services pursuant to chapter 147A. 8 Sec. 25. Section 321.267A, subsection 5, Code 2009, is 9 amended to read as follows: 10 5. For the purposes of this section, “other emergency 11 responder” means a fire fighter certified as a fire fighter 12 I pursuant to rules adopted under chapter 100B and trained 13 in emergency driving or an emergency medical responder 14 certified care provider licensed under chapter 147A and trained 15 in emergency driving. 16 Sec. 26. Section 724.6, subsection 2, Code Supplement 2009, 17 is amended to read as follows: 18 2. Notwithstanding subsection 1, fire fighters, as defined 19 in section 411.1, subsection 10, airport fire fighters included 20 under section 97B.49B, emergency rescue technicians, and 21 emergency medical care providers, as defined in section 147A.1, 22 shall not, as a condition of employment, be required to obtain 23 a permit under this section. However, the provisions of 24 this subsection shall not apply to a person designated as an 25 arson investigator by the chief fire officer of a political 26 subdivision. 27 EXPLANATION 28 This bill provides for the licensure, rather than 29 certification, of emergency medical care providers. 30 An emergency medical care provider is defined by the bill 31 as an individual trained to provide emergency and nonemergency 32 medical care as an emergency medical responder, emergency 33 medical technician, advanced emergency medical technician, or 34 paramedic. The bill eliminates definitions for and references 35 -15- LSB 5803XS (3) 83 jr/nh 15/ 16

S.F. 2141 to “emergency medical services instructor”, “emergency rescue 1 technician”, and “first responder”. The bill empowers the 2 department of public health to create other levels of licensure 3 by rule. 4 The bill adds a definition of a service program, as a 5 department-authorized medical care ambulance service or 6 nontransport service. The authorization is similar to a 7 license. 8 The bill adds two stakeholder groups to the current 9 EMS advisory council, representing emergency medicine and 10 pediatrics. 11 The bill establishes a civil penalty of up to $1,000 for 12 licensees, service programs, and training programs, if the 13 department finds that the licensee or program has not been 14 or will not be operated in compliance with the licensing or 15 authorization requirements, or that there is insufficient 16 assurance of adequate protection for the public. 17 The bill establishes a procedure for the approval of 18 training programs for emergency medical care providers. 19 These programs must be approved by the department, and may 20 be provided by an Iowa college approved by the north central 21 association of colleges and schools or by an Iowa hospital. 22 -16- LSB 5803XS (3) 83 jr/nh 16/ 16