HB-4659, As Passed Senate, February 4, 2004                                 

SUBSTITUTE FOR

HOUSE BILL NO. 4659

                                                                             A bill to amend 1978 PA 368, entitled                                             

"Public health code,"                                                       

by amending section 20906 (MCL 333.20906), as amended by 2000 PA            

375.                                                                        

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

1       Sec. 20906.  (1) "Life support agency" means an ambulance                   

2   operation, nontransport prehospital life support operation,                 

3   aircraft transport operation, or medical first response service.            

4       (2) "Limited advanced life support" means patient care that                 

5   may include any care an emergency medical technician specialist             

6   is qualified to provide by emergency medical technician                     

7   specialist education that meets the educational requirements                

8   established by the department under section 20912 or is                     

9   authorized to provide by the protocols established by the local             

10  medical control authority under section 20919 for an emergency              

1   medical technician specialist.                                              

2       (3) "Local governmental unit" means a county, city, village,                

3   charter township, or township.                                              

4       (4) "Medical control" means supervising and coordinating                    

5   emergency medical services through a medical control authority,             

6   as prescribed, adopted, and enforced through department-approved            

7   protocols, within an emergency medical services system.                     

8       (5) "Medical control authority" means an organization                       

9   designated by the department under section 20910(1)(g) to provide           

10  medical control.                                                            

11      (6) "Medical director" means a physician who is appointed to                

12  that position by a medical control authority under                          

13  section 20918.                                                              

14      (7) "Medical first responder" means an individual who has met               

15  the educational requirements of a department approved medical               

16  first responder course and who is licensed to provide medical               

17  first response life support as part of a medical first response             

18  service or as a driver of an ambulance that provides basic life             

19  support services only.  Medical first responder does not include            

20  a police officer solely because his or her police vehicle is                

21  equipped with an automated external defibrillator.

22      (8) "Medical first response life support" means patient care                

23  that may include any care a medical first responder is qualified            

24  to provide by medical first responder education that meets the              

25  educational requirements established by the department under                

26  section 20912 or is authorized to provide by the protocols                  

27  established by the local medical control authority under                    

1   section 20919 for a medical first responder.                                

2       (9) "Medical first response service" means a person licensed                

3   by the department to respond under medical control to an                    

4   emergency scene with a medical first responder and equipment                

5   required by the department before the arrival of an ambulance,              

6   and includes a fire suppression agency only if it is dispatched             

7   for medical first response life support.  Medical first response            

8   service does not include a law enforcement agency, as defined in            

9   section 8 of 1968 PA 319, MCL 28.258, unless the law enforcement            

10  agency holds itself out as a medical first response service and             

11  the unit responding was dispatched to provide medical first                 

12  response life support.                                                      

13      (10) "Medical first response vehicle" means a motor vehicle                 

14  staffed by at least 1 medical first responder and meeting                   

15  equipment requirements of the department.