House File 2258 - Introduced HOUSE FILE 2258 BY KAUFMANN A BILL FOR An Act relating to the provision of emergency medical services 1 by a physician and surgeon or osteopathic physician and 2 surgeon and the definition of first responder. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 5525YH (4) 90 ss/ko

H.F. 2258 Section 1. Section 135.190A, subsection 7, paragraph a, 1 Code 2024, is amended to read as follows: 2 a. “First responder” means an emergency medical care 3 provider, a registered nurse staffing an authorized service 4 program under section 147A.12 , a physician assistant staffing 5 an authorized service program under section 147A.13 , a 6 physician staffing an authorized service program under section 7 147A.13A, a fire fighter, or a peace officer as defined in 8 section 801.4 who is trained and authorized to administer an 9 opioid antagonist. 10 Sec. 2. Section 147A.1, subsection 7, Code 2024, is amended 11 to read as follows: 12 7. “First responder” means an emergency medical care 13 provider, a registered nurse staffing an authorized service 14 program under section 147A.12 , a physician assistant staffing 15 an authorized service program under section 147A.13 , a 16 physician staffing an authorized service program under section 17 147A.13A, a fire fighter, or a peace officer as defined in 18 section 801.4 who is trained and authorized to administer an 19 opioid antagonist. 20 Sec. 3. NEW SECTION . 147A.13A Physician exception. 21 This subchapter shall not restrict a physician from staffing 22 an authorized service program if the physician can document 23 equivalency through education and additional skills training 24 essential in the delivery of out-of-hospital emergency care. 25 The equivalency shall be accepted when: 26 1. Documentation has been reviewed and approved at the 27 local level by the medical director of the service program in 28 accordance with the rules of the board of medicine adopted 29 after consultation with the department. 30 2. Authorization has been granted to that service program 31 by the department. 32 Sec. 4. Section 233.1, subsection 2, paragraph g, Code 2024, 33 is amended to read as follows: 34 g. “First responder” means an emergency medical care 35 -1- LSB 5525YH (4) 90 ss/ko 1/ 2

H.F. 2258 provider as defined in section 147A.1 , a registered nurse 1 staffing an authorized service program under section 147A.12 , 2 a physician assistant staffing an authorized service program 3 under section 147A.13 , a physician staffing an authorized 4 service program under section 147A.13A, a fire fighter, or a 5 peace officer as defined in section 801.4 . 6 EXPLANATION 7 The inclusion of this explanation does not constitute agreement with 8 the explanation’s substance by the members of the general assembly. 9 This bill allows a physician and surgeon or osteopathic 10 physician and surgeon to staff a medical care ambulance 11 service or nontransport service if the physician and surgeon 12 or osteopathic physician and surgeon can document equivalency 13 through education and additional skills training essential 14 in the delivery of out-of-hospital emergency care. The bill 15 requires that the medical director of the relevant service 16 program reviews and approves documentation in accordance with 17 rules adopted by the board of medicine in consultation with the 18 department of health and human services (HHS). The bill also 19 requires the service program to receive authorization from HHS. 20 The bill adds physicians staffing an authorized service program 21 to the definition of “first responder” for the purposes of the 22 opioid antagonist medication fund and the newborn safe haven 23 Act. 24 -2- LSB 5525YH (4) 90 ss/ko 2/ 2