SF 2148 (LSB 5525XS (1) 90)

SENATE FILE 2148

BY  DRISCOLL

A BILL FOR

An Act relating to the provision of emergency medical services by a physician and surgeon or osteopathic physician and surgeon and the definition of first responder.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  Section 135.190A, subsection 7, paragraph a, Code 2024, is amended to read as follows:
   a.  “First responder” means an emergency medical care provider, a registered nurse staffing an authorized service program under section 147A.12, a physician assistant staffing an authorized service program under section 147A.13, a physician staffing an authorized service program under section 147A.13A, a fire fighter, or a peace officer as defined in section 801.4 who is trained and authorized to administer an opioid antagonist.
    Sec. 2.  Section 147A.1, subsection 7, Code 2024, is amended to read as follows:
   7.  “First responder” means an emergency medical care provider, a registered nurse staffing an authorized service program under section 147A.12, a physician assistant staffing an authorized service program under section 147A.13, a physician staffing an authorized service program under section 147A.13A, a fire fighter, or a peace officer as defined in section 801.4 who is trained and authorized to administer an opioid antagonist.
    Sec. 3.  NEW SECTION.  147A.13A  Physician exception.
   This subchapter shall not restrict a physician from staffing an authorized service program if the physician can document equivalency through education and additional skills training essential in the delivery of out-of-hospital emergency care. The equivalency shall be accepted when:
   1.  Documentation has been reviewed and approved at the local level by the medical director of the service program in accordance with the rules of the board of medicine adopted after consultation with the department.
   2.  Authorization has been granted to that service program by the department.
    Sec. 4.  Section 233.1, subsection 2, paragraph g, Code 2024, is amended to read as follows:
   g.  “First responder” means an emergency medical care provider as defined in section 147A.1, a registered nurse staffing an authorized service program under section 147A.12, a physician assistant staffing an authorized service program under section 147A.13, a physician staffing an authorized service program under section 147A.13A, a fire fighter, or a peace officer as defined in section 801.4.
EXPLANATION
The inclusion of this explanation does not constitute agreement with
the explanation’s substance by the members of the general assembly.
   This bill allows a physician and surgeon or osteopathic physician and surgeon to staff a medical care ambulance service or nontransport service if the physician and surgeon or osteopathic physician and surgeon can document equivalency through education and additional skills training essential in the delivery of out-of-hospital emergency care. The bill requires that the medical director of the relevant service program reviews and approves documentation in accordance with rules adopted by the board of medicine in consultation with the department of health and human services (HHS). The bill also requires the service program to receive authorization from HHS. The bill adds physicians staffing an authorized service program to the definition of “first responder” for the purposes of the opioid antagonist medication fund and the newborn safe haven Act.