February 18, 1998



Mr. Speaker:

    The Health and Human Services Committee reports a favorable recommendation on H.B. 166, EMT-PARAMEDIC LICENSURE, by Representative S. Koehn, with the following amendments:
1.    Page 1, line 6:    After "EMT-PARAMEDICS;" insert "PROHIBITING INDEPENDENT BILLING BY AN EMT-PARAMEDIC;"
2.    Page 4, line 13:    After "to" insert "Section 26-8-4.5 and"
3.    Page 8, line 3:    After " EMT-paramedics" insert " - - Scope of practice - - Independent billing prohibited"
4.    Page 8, line 4:    Delete "(4)" and insert "(7)"
5.    Page 8, line 9:    After line 9, insert:
        "(3) An EMT-paramedic may not obtain an initial license until after successfully completing a license exam adopted by the committee."
6.    Page 8, line 10:    Delete "(3)" and insert "(4)" and after "by" insert ": (a)"
7.    Page 8, line 12:    Delete "(a)" and insert "(i)"
8.    Page 8, line 13:    Delete "(i)" and insert "(A)"
9.    Page 8, line 15:    Delete "(ii)" and insert "(B)"
10.    Page 8, line 17:    Delete "(b)" and insert "(ii)"
11.    Page 8, line 19:    Delete "(c)" and insert "(iii)" and after "examination" insert:
        "; and (b) successfully completing a license renewal exam adopted by the committee"
        "(5) An EMT-paramedic licensed by the department may render EMT-paramedic services enumerated in rules adopted by the committee pursuant to this chapter, including:
        (a) rendering advanced first aid, rescue, and resuscitation services;
        (b) administering parenteral medications under the direct supervision of a licensed physician or registered nurse;
        (c) performing cardiopulmonary resuscitation and defibrillation in a pulseless, non-breathing patient; and
        (d) subject to the provisions of Subsection (6):
        (i) administering:
        (A) airway intubation by esophageal tube or endotracheal tube;
        (B) intravenous or intraosseous solutions; and
        (C) drugs; and
        (ii) performing:
        (A) gastric suction by intubation;
        (B) needle aspiration of the chest; and
        (C) a phlebotomy or drawing blood specimens for analysis.
        (6) An EMT-paramedic licensed by the department may not render the EMT-paramedic services authorized under Subsection (5)(d) except upon orders of a licensed physician, or a registered nurse under the supervision of a licensed physician, monitoring the EMT-paramedic's activities by continuous direct voice contact or telemetered electrocardiogram.
12.    Page 8, line 20:    Delete "(4)" and insert "(7)" and after line 20, insert:
        (8) An EMT-paramedic may not independently charge or bill a patient, or others on behalf of a patient, for services rendered."


        Respectfully,



        Nora B. Stephens
        Committee Chair



Voting: 7-0-4
3 HB0166.HC1 bbushman/MDA RCL/ALH 9:52 AM