HB-6102, As Passed Senate, December 8, 2004
SENATE SUBSTITUTE FOR
HOUSE BILL NO. 6102
A bill to amend 1978 PA 368, entitled
"Public health code,"
by amending section 20910 (MCL 333.20910), as amended by 2004 PA
200.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
1 Sec. 20910. (1) The department shall do all of the
2 following:
3 (a) Be responsible for the development, coordination, and
4 administration of a statewide emergency medical services system.
5 (b) Facilitate and promote programs of public information and
6 education concerning emergency medical services.
7 (c) In case of actual disasters and disaster training drills
8 and exercises, provide emergency medical services resources
9 pursuant to applicable provisions of the Michigan emergency
10 preparedness plan, or as prescribed by the director of emergency
1 services pursuant to the emergency management act, 1976 PA 390,
2 MCL 30.401 to 30.420 30.421.
3 (d) Consistent with the rules of the federal communications
4 commission, plan, develop, coordinate, and administer a statewide
5 emergency medical services communications system.
6 (e) Develop and maintain standards of emergency medical
7 services and personnel as follows:
8 (i) License emergency medical services personnel in
9 accordance with this part.
10 (ii) License ambulance operations, nontransport prehospital
11 life support operations, and medical first response services in
12 accordance with this part.
13 (iii) At least annually, inspect or provide for the
14 inspection of each life support agency, except medical first
15 response services. As part of that inspection, the department
16 shall conduct random inspections of life support vehicles. If a
17 life support vehicle is determined by the department to be out of
18 compliance, the department shall give the life support agency 24
19 hours to bring the life support vehicle into compliance. If the
20 life support vehicle is not brought into compliance in that time
21 period, the department shall order the life support vehicle taken
22 out of service until the life support agency demonstrates to the
23 department, in writing, that the life support vehicle has been
24 brought into compliance.
25 (iv) Promulgate rules to establish the requirements for
26 licensure of life support agencies, vehicles, and individuals
27 licensed under this part to provide emergency medical services
1 and other rules necessary to implement this part. The department
2 shall submit all proposed rules and changes to the state
3 emergency medical services coordination committee and provide a
4 reasonable time for the committee's review and recommendations
5 before submitting the rules for public hearing under the
6 administrative procedures act of 1969.
7 (f) Promulgate rules to establish and maintain standards for
8 and regulate the use of descriptive words, phrases, symbols, or
9 emblems that represent or denote that an ambulance operation,
10 nontransport prehospital life support operation, or medical first
11 response service is or may be provided. The department's
12 authority to regulate use of the descriptive devices includes use
13 for the purposes of advertising, promoting, or selling the
14 services rendered by an ambulance operation, nontransport
15 prehospital life support operation, or medical first response
16 service, or by emergency medical services personnel.
17 (g) Designate a medical control authority as the medical
18 control for emergency medical services for a particular
19 geographic region as provided for under this part.
20 (h) Develop and implement field studies involving the use of
21 skills, techniques, procedures, or equipment that are not
22 included as part of the standard education for medical first
23 responders, emergency medical technicians, emergency medical
24 technician specialists, or paramedics, if all of the following
25 conditions are met:
26 (i) The state emergency medical services coordination
27 committee reviews the field study prior to implementation.
1 (ii) The field study is conducted in an area for which a
2 medical control authority has been approved pursuant to
3 subdivision (g).
4 (iii) The medical first responders, emergency medical
5 technicians, emergency medical technician specialists, and
6 paramedics participating in the field study receive training for
7 the new skill, technique, procedure, or equipment.
8 (i) Collect data as necessary to assess the need for and
9 quality of emergency medical services throughout the state
10 pursuant to 1967 PA 270, MCL 331.531 to 331.533.
11 (j) Develop, with the advice of the emergency medical
12 services coordination committee, an emergency medical services
13 plan that includes rural issues.
14 (k) Develop recommendations for territorial boundaries of
15 medical control authorities that are designed to assure that
16 there exists reasonable emergency medical services capacity
17 within the boundaries for the estimated demand for emergency
18 medical services.
19 (l) Within 180 days after the effective date of the
20 amendatory act that
added this subdivision July 12,
2004, in
21 consultation with the emergency medical services coordination
22 committee, conduct a study on the potential medical benefits,
23 costs, and impact on life support agencies if each ambulance is
24 required to be equipped with an automated external defibrillator
25 and submit its recommendation to the standing committees in the
26 senate and the house of representatives with jurisdiction over
27 health policy issues.
1 (m) Within 1 year after the statewide trauma care advisory
2 subcommittee is established under section 20917a and in
3 consultation with the statewide trauma care advisory
4 subcommittee, develop, implement, and promulgate rules for the
5 implementation and operation of a statewide trauma care system
6 within the emergency medical services system consistent with the
7 document entitled "Michigan Trauma Systems Plan" prepared by the
8 Michigan trauma coalition, dated November 2003. The
9 implementation and operation of the statewide trauma care system,
10 including the rules promulgated in accordance with this
11 subdivision, are subject to review by the emergency medical
12 services coordination committee and the statewide trauma care
13 advisory subcommittee. The rules promulgated under this
14 subdivision shall not require a hospital to be designated as
15 providing a certain level of trauma care. Upon implementation of
16 a statewide trauma care system, the department shall review and
17 identify potential funding mechanisms and sources for the
18 statewide trauma care system.
19 (n) (m) Promulgate
other rules to implement this part.
20 (o) (n) Perform
other duties as set forth in this part.
21 (2) The department may do all of the following:
22 (a) In consultation with the emergency medical services
23 coordination committee, promulgate rules to require an ambulance
24 operation, nontransport prehospital life support operation, or
25 medical first response service to periodically submit designated
26 records and data for evaluation by the department.
27 (b) Establish a grant program or contract with a public or
1 private agency, emergency medical services professional
2 association, or emergency medical services coalition to provide
3 training, public information, and assistance to medical control
4 authorities and emergency medical services systems or to conduct
5 other activities as specified in this part.
6 Enacting section 1. This amendatory act does not take
7 effect unless all of the following bills of the 92nd Legislature
8 are enacted into law:
9 (a) House Bill No. 6103.
10 (b) House Bill No. 6104.