August 4, 2004, Introduced by Rep. Newell and referred to the Committee on Health Policy.
A bill to amend 1978 PA 368, entitled
"Public health code,"
by amending section 20910 (MCL 333.20910), as amended by 2000 PA
375.
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) Develop, implement, and promulgate rules for the
20 implementation and operation of a statewide trauma care system
21 within the emergency medical services system. The rules
22 promulgated under this subdivision shall include, at a minimum, a
23 method to classify and designate each hospital in accordance with
24 its trauma care capabilities. The classification system shall be
25 based upon standards developed by the American college of
26 surgeons professional association or its successor organization.
27 (m) (l) Promulgate
other rules to implement this part.
1 (n) (m) Perform
other duties as set forth in this part.
2 (2) The department may do all of the following:
3 (a) In consultation with the emergency medical services
4 coordination committee, promulgate rules to require an ambulance
5 operation, nontransport prehospital life support operation, or
6 medical first response service to periodically submit designated
7 records and data for evaluation by the department.
8 (b) Establish a grant program or contract with a public or
9 private agency, emergency medical services professional
10 association, or emergency medical services coalition to provide
11 training, public information, and assistance to medical control
12 authorities and emergency medical services systems or to conduct
13 other activities as specified in this part.
14 Enacting section 1. This amendatory act does not take
15 effect unless all of the following bills of the 92nd Legislature
16 are enacted into law:
17 (a) Senate Bill No. _____ or House Bill No. 6103 (request
18 no. 04999'03).
19 (b) Senate Bill No. _____ or House Bill No. 6104 (request
20 no. 06985'04).