7 LONG TITLE
8 General Description:
9 This bill authorizes the creation of community paramedicine programs.
10 Highlighted Provisions:
11 This bill:
12 ▸ defines terms;
13 ▸ authorizes the creation of community paramedicine programs; and
14 ▸ makes technical changes.
15 Money Appropriated in this Bill:
17 Other Special Clauses:
19 Utah Code Sections Affected:
21 26-8a-102, as last amended by Laws of Utah 2021, Chapters 208, 237, and 265
23 26-8a-212, Utah Code Annotated 1953
25 Be it enacted by the Legislature of the state of Utah:
26 Section 1. Section 26-8a-102 is amended to read:
27 26-8a-102. Definitions.
28 As used in this chapter:
29 (1) (a) "911 ambulance or paramedic services" means:
30 (i) either:
31 (A) 911 ambulance service;
32 (B) 911 paramedic service; or
33 (C) both 911 ambulance and paramedic service; and
34 (ii) a response to a 911 call received by a designated dispatch center that receives 911
35 or E911 calls.
36 (b) "911 ambulance or paramedic services" does not mean a seven or ten digit
37 telephone call received directly by an ambulance provider licensed under this chapter.
38 (2) "Ambulance" means a ground, air, or water vehicle that:
39 (a) transports patients and is used to provide emergency medical services; and
40 (b) is required to obtain a permit under Section 26-8a-304 to operate in the state.
41 (3) "Ambulance provider" means an emergency medical service provider that:
42 (a) transports and provides emergency medical care to patients; and
43 (b) is required to obtain a license under Part 4, Ambulance and Paramedic Providers.
44 (4) (a) "Behavioral emergency services" means delivering a behavioral health
45 intervention to a patient in an emergency context within a scope and in accordance with
46 guidelines established by the department.
47 (b) "Behavioral emergency services" does not include engaging in the:
48 (i) practice of mental health therapy as defined in Section 58-60-102;
49 (ii) practice of psychology as defined in Section 58-61-102;
50 (iii) practice of clinical social work as defined in Section 58-60-202;
51 (iv) practice of certified social work as defined in Section 58-60-202;
52 (v) practice of marriage and family therapy as defined in Section 58-60-302; or
53 (vi) practice of clinical mental health counseling as defined in Section 58-60-402; and
54 (vii) practice as a substance use disorder counselor as defined in Section 58-60-502.
55 (5) "Committee" means the State Emergency Medical Services Committee created by
56 Section 26-1-7.
57 (6) "Community paramedicine" means medical care:
58 (a) provided by emergency medical service personnel; and
59 (b) provided to a patient who is not:
60 (i) in need of ambulance transportation; or
61 (ii) located in a health care facility as defined in Section 26-21-2.
63 physician, registered nurse, physician's assistant, or individual licensed under Section
66 (a) a medical condition that manifests itself by symptoms of sufficient severity,
67 including severe pain, that a prudent layperson, who possesses an average knowledge of health
68 and medicine, could reasonably expect the absence of immediate medical attention to result in:
69 (i) placing the individual's health in serious jeopardy;
70 (ii) serious impairment to bodily functions; or
71 (iii) serious dysfunction of any bodily organ or part; or
72 (b) a medical condition that in the opinion of a physician or the physician's designee
73 requires direct medical observation during transport or may require the intervention of an
74 individual licensed under Section 26-8a-302 during transport.
76 emergency medical services or behavioral emergency services to a patient and is required to be
77 licensed or certified under Section 26-8a-302.
78 (b) "Emergency medical service personnel" includes a paramedic, medical director of a
79 licensed emergency medical service provider, emergency medical service instructor, behavioral
80 emergency services technician, other categories established by the committee, and a certified
81 emergency medical dispatcher.
83 (a) licensed ambulance providers and paramedic providers;
84 (b) a facility or provider that is required to be designated under Subsection
85 26-8a-303(1)(a); and
86 (c) emergency medical service personnel.
88 (a) medical services;
89 (b) transportation services;
90 (c) behavioral emergency services; or
91 (d) any combination of the services described in Subsections [
93 that is:
94 (a) maintained and used for the transportation of emergency medical personnel,
95 equipment, and supplies to the scene of a medical emergency; and
96 (b) required to be permitted under Section 26-8a-304.
98 (a) means the same as that term is defined in Section 11-42-102; and
99 (b) for purposes of a "special service district" under Section 11-42-102, means a
100 special service district that has been delegated the authority to select a provider under this
101 chapter by the special service district's legislative body or administrative control board.
103 (a) a licensed or designated emergency medical services provider that provides
104 emergency medical services within or in an area that abuts an exclusive geographic service area
105 that is the subject of an application submitted pursuant to Part 4, Ambulance and Paramedic
107 (b) any municipality, county, or fire district that lies within or abuts a geographic
108 service area that is the subject of an application submitted pursuant to Part 4, Ambulance and
109 Paramedic Providers; or
110 (c) the department when acting in the interest of the public.
112 emergency medical service provider.
114 under Subsection (1).
116 (a) provides nonemergency secure transportation services for an individual who:
117 (i) is not required to be transported by an ambulance under Section 26-8a-305; and
118 (ii) requires behavioral health observation during transport between any of the
119 following facilities:
120 (A) a licensed acute care hospital;
121 (B) an emergency patient receiving facility;
122 (C) a licensed mental health facility; and
123 (D) the office of a licensed health care provider; and
124 (b) is required to be designated under Section 26-8a-303.
126 (a) employs emergency medical service personnel; and
127 (b) is required to obtain a license under Part 4, Ambulance and Paramedic Providers.
129 behavioral emergency condition, meets any of the criteria in Section 26-8a-305.
131 (a) a city, town, or metro township;
132 (b) a county;
133 (c) a special service district created under Title 17D, Chapter 1, Special Service
134 District Act, for the purpose of providing fire protection services under Subsection
136 (d) a local district created under Title 17B, Limited Purpose Local Government Entities
137 - Local Districts, for the purpose of providing fire protection, paramedic, and emergency
139 (e) areas coming together as described in Subsection 26-8a-405.2(2)(b)(ii); or
140 (f) an interlocal entity under Title 11, Chapter 13, Interlocal Cooperation Act.
144 (a) organizes and coordinates the delivery of trauma care within defined geographic
145 areas from the time of injury through transport and rehabilitative care; and
146 (b) is inclusive of all prehospital providers, hospitals, and rehabilitative facilities in
147 delivering care for trauma patients, regardless of severity.
149 or priority. For prehospital trauma victims, triage requires a determination of injury severity to
150 assess the appropriate level of care according to established patient care protocols.
152 procedures that:
153 (a) direct the care of patients; and
154 (b) are adopted by the medical staff of an emergency patient receiving facility, trauma
155 center, or an emergency medical service provider.
156 Section 2. Section 26-8a-212 is enacted to read:
157 26-8a-212. Community paramedicine program.
158 (1) A ground ambulance provider or a designated quick response provider, as
159 designated in accordance with Section 26-8a-303, may develop and implement a community
160 paramedicine program.
161 (2) (a) Before providing services, a community paramedicine program shall:
162 (i) implement training requirements as determined by the committee; and
163 (ii) submit a written community paramedicine operational plan to the department that
164 meets requirements established by the committee.
165 (b) A community paramedicine program shall report data, as determined by the
166 committee, related to community paramedicine to the department.
167 (3) A service provided as part of a community paramedicine program may not be billed
168 to an individual or a health benefit plan as defined in Section 31A-1-301 unless:
169 (a) the service is provided in partnership with a health care facility as defined in
170 Section 26-21-2; and
171 (b) the partnering health care facility is the person that bills the individual or health
172 benefit plan.
173 (4) Nothing in this section affects any billing authorized under Section 26-8a-403.
174 (5) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
175 committee shall make rules to implement this section.