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                                                      PRINTER'S NO. 3608

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 2444 Session of 2008


        INTRODUCED BY CAUSER, O'NEILL, SOLOBAY, PAYNE, BAKER, BEYER,
           BOYD, CAPPELLI, CARROLL, CLYMER, DALEY, DENLINGER, EVERETT,
           FABRIZIO, FLECK, GEIST, GEORGE, GILLESPIE, GINGRICH, GOODMAN,
           HARRIS, HENNESSEY, HESS, HICKERNELL, HUTCHINSON, M. KELLER,
           KILLION, KOTIK, MAJOR, MARSHALL, McGEEHAN, MILLARD,
           R. MILLER, MURT, PETRONE, PHILLIPS, PICKETT, QUINN, READSHAW,
           REICHLEY, SAYLOR, SCAVELLO, SIPTROTH, SONNEY, STERN, SURRA,
           THOMAS, VEREB, VULAKOVICH, WATSON AND ROAE, APRIL 15, 2008

        REFERRED TO COMMITTEE ON VETERANS AFFAIRS AND EMERGENCY
           PREPAREDNESS, APRIL 15, 2008

                                     AN ACT

     1  Establishing the State Director of Emergency Medical Services
     2     within the Department of Health.

     3     The General Assembly of the Commonwealth of Pennsylvania
     4  hereby enacts as follows:
     5  Section 1.  Short title.
     6     This act shall be known and may be cited as the State
     7  Director of Emergency Medical Services Act.
     8  Section 2.  Definitions.
     9     The following words and phrases when used in this act shall
    10  have the meanings given to them in this section unless the
    11  context clearly indicates otherwise:
    12     "Department."  The Department of Health of the Commonwealth.
    13     "Director."  The State Director of Emergency Medical
    14  Services.


     1     "Emergency medical services."  The medical care, including
     2  medical assessment, monitoring, treatment and transportation
     3  that may be provided to a person in responding to an actual or
     4  reported emergency to prevent or protect against loss of life or
     5  a deterioration in physiological or psychological condition, and
     6  to address pain or morbidity associated with the person's
     7  condition. This term also includes the transport of a person
     8  with medical assessment, monitoring or treatment of a person
     9  who, due to the person's condition, requires medical assessment,
    10  monitoring or treatment during transport.
    11     "Secretary."  The Secretary of Health of the Commonwealth.
    12  Section 3.  State Director of Emergency Medical Services.
    13     (a)  Hierarchy.--Within the department there shall be the
    14  State Director of Emergency Medical Services, who, through the
    15  Lieutenant Governor, shall report to the Governor on all matters
    16  that pertain to maintaining a fully operational emergency
    17  medical service system throughout this Commonwealth.
    18     (b)  Powers and duties.--The director shall be responsible
    19  for fulfilling, on behalf of the secretary and the department as
    20  stipulated in the act of July 3, 1985 (P.L.164, No.45), known as
    21  the Emergency Medical Services Act, only those powers and duties
    22  solely related to the function and operation of the
    23  Commonwealth's emergency medical services system.
    24     (c)  Additional powers and duties.--Additionally, the
    25  director shall have the power and duty to:
    26         (1)  Provide and evaluate Statewide certification
    27     programs for prehospital practitioners and establish the
    28     criteria and standards associated with certification and
    29     recertification.
    30         (2)  Assist in the development and oversight of
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     1     continuing education and training programs needed for
     2     emergency medical services personnel to become recertified.
     3         (3)  Coordinate the activities of State and local
     4     community interests engaged in the delivery of emergency and
     5     nonemergency treatment and transportation within this
     6     Commonwealth, pursuant to the provisions of the Emergency
     7     Medical Services Act.
     8         (4)  Serve as a focal point for information relative to
     9     emergency medical service, injuries, prevention and loss of
    10     life resulting from trauma or medical events in this
    11     Commonwealth.
    12         (5)  Gather and retain data relevant to standards of care
    13     and submit periodic reports a minimum of annually, regarding
    14     the performance and safety of the emergency medical system.
    15         (6)  Develop and participate in a program of public
    16     awareness and education concerning the roles and uses of the
    17     emergency medical system, and education to individuals
    18     regarding the prevention of its misuse.
    19         (7)  Serve as a central point to support local efforts
    20     and interests in all matters pertaining to treatment and
    21     transportation within the emergency medical system.
    22         (8)  Cause economic impact studies to be performed prior
    23     to introducing or changing existing laws, rules or
    24     regulations governing the performance and delivery of
    25     clinical protocols, financial mandates or operational
    26     mandates that cause change to the clinical, fiscal or
    27     operational health of the emergency medical system.
    28         (9)  Coordinate and participate, in cooperation with the
    29     secretary, in all matters that pertain to both the department
    30     and the Bureau of Emergency Medical Services to ensure a
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     1     seamless delivery system of health care to the residents and
     2     visitors of this Commonwealth.
     3     (d)  Powers and duties of secretary and department.--Any
     4  powers or duties as stipulated in the Emergency Medical Services
     5  Act that are not solely related to the function and operation of
     6  the Commonwealth's emergency medical services system or any
     7  power or duty that may be construed to involve public health
     8  facilities or trauma centers, as defined in the Emergency
     9  Medical Services Act, shall remain the responsibility of the
    10  secretary and the department.
    11     (e)  Qualifications and appointment.--The director shall be a
    12  person who, by reason of training, experience and attainment, is
    13  qualified to coordinate emergency medical services and control
    14  activities. The person shall have documented experience managing
    15  the day-to-day clinical, financial and operational activities of
    16  emergency medical services. The director shall be appointed by
    17  the Governor after consultation with the emergency medical
    18  services community. The director shall act as the Commonwealth's
    19  primary representative with the Statewide emergency medical
    20  services community.
    21     (f)  Transfer.--The director shall use, employ and expend, in
    22  connection with the functions, powers and duties enumerated in
    23  subsection (b) for the position of the director, personnel,
    24  contract obligations, if any, records, files, property, supplies
    25  and equipment now being used or held in connection with such
    26  functions, powers and duties and the unexpended balance of
    27  appropriations, allocations, Federal grants and other funds
    28  available or to be made available for use in connection with
    29  such functions, powers and duties as previously were vested in
    30  the department under sections 11 and 12 of the Emergency Medical
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     1  Services Act.
     2  Section 4.  Emergency Medical Services Advisory Committee.
     3     (a)  Establishment.--There is hereby established the
     4  Emergency Medical Services Advisory Committee to assist the
     5  State Director of Emergency Medical Services. The committee
     6  shall consist of nine members as follows:
     7         (1)  The secretary of the department, ex officio.
     8         (2)  The State Director of Emergency Medical Services,
     9     who shall serve as chairman.
    10         (3)  Two members of the emergency medical services
    11     community to be appointed by the Governor from a list of at
    12     least six nominees submitted by the Ambulance Association of
    13     Pennsylvania and the Pennsylvania Fire and Emergency Services
    14     Institute.
    15         (4)  One member of the public, to be appointed by the
    16     Governor.
    17         (5)  Four members of the emergency medical services
    18     community, one each to be appointed by the President pro
    19     tempore of the Senate, the Minority Leader of the Senate, the
    20     Speaker of the House of Representatives and the Minority
    21     Leader of the House of Representatives.
    22     (b)  Service.--Members of the committee shall serve at the
    23  pleasure of their appointing authority. The committee shall
    24  advise the director on matters pertaining to system improvement
    25  and policy issues. The establishment of the Emergency Medical
    26  Services Advisory Committee shall in no way supersede the duties
    27  of the State Advisory Council as stipulated in the act of July
    28  3, 1985 (P.L.164, No.45), known as the Emergency Medical
    29  Services Act.
    30     (c)  Compensation and expenses.--The members shall serve
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     1  without compensation, but shall be reimbursed for their actual
     2  and necessary traveling and other expenses incurred in
     3  connection with attendance at meetings.
     4     (d)  Regular meetings.--For the conduct of routine business,
     5  including particularly the consideration of matters of basic
     6  policy, the committee shall meet at the call of the chairman and
     7  at least three times during each calendar year.
     8  Section 5.  Appropriation.
     9     An appropriation providing for this act shall be by a
    10  separate line item in the general appropriation act.
    11  Section 6.  Effective date.
    12     This act shall take effect in 60 days.












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