Senate Introduced Bill B00177

SENATE BILL No. 177

February 8, 2001, Introduced by Senator BENNETT and referred to the Committee on Health

Policy.

A bill to amend 1978 PA 368, entitled

"Public health code,"

by amending section 20920 (MCL 333.20920), as amended by 2000 PA

375.

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

1 Sec. 20920. (1) A person shall not establish, operate, or

2 cause to be operated an ambulance operation unless the ambulance

3 operation is licensed under this section.

4 (2) Upon proper application and payment of a $100.00 fee,

5 the department shall issue a license as an ambulance operation to

6 a person who meets the requirements of this part and the rules

7 promulgated under this part.

8 (3) An applicant shall specify in the application each

9 ambulance to be operated.

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1 (4) An ambulance operation license shall specify the

2 ambulances licensed to be operated.

3 (5) An ambulance operation license shall state the level of

4 life support the ambulance operation is licensed to provide. An

5 ambulance operation shall operate in accordance with this part,

6 rules promulgated under this part, and approved medical control

7 authority protocols and shall not provide life support at a level

8 that exceeds its license or violates approved medical control

9 authority protocols.

10 (6) An ambulance operation license may be renewed annually

11 upon application to the department and payment of a $100.00

12 renewal fee. Before issuing a renewal license, the department

13 shall determine that the ambulance operation is in compliance

14 with this part, the rules promulgated under this part, and medi-

15 cal control authority protocols.

16 (7) Beginning on July 22, 1997, an ambulance operation that

17 meets all of the following requirements may apply for an ambu-

18 lance operation upgrade license under subsection (8):

19 (a) On or before July 22, 1997, holds an ambulance operation

20 license that designates the ambulance operation either as a

21 transporting basic life support service or as a transporting

22 limited advanced life support service.

23 (b) Is a transporting basic life support service, that is

24 able to staff and equip 1 or more ambulances for the transport of

25 emergency patients at a life support level higher than basic life

26 support, or is a transporting limited advanced life support

27 service, that is able to staff and equip 1 or more ambulances for

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1 the transport of emergency patients at the life support level of

2 advanced life support.

3 (c) Is owned or operated by or under contract to a local

4 unit of government and providing first-line emergency medical

5 response to that local unit of government on or before July 22,

6 1997.

7 (d) Will provide the services described in subdivision (b)

8 only to the local unit of government described in

9 subdivision (c), and only in response to a 911 call or other call

10 for emergency transport.

11 (8) An ambulance operation meeting the requirements of

12 subsection (7) that applies for an ambulance operation upgrade

13 license shall include all of the following information in the

14 application provided by the department:

15 (a) Verification of all of the requirements of subsection

16 (7) including, but not limited to, a description of the staffing

17 and equipment to be used in providing the higher level of life

18 support services.

19 (b) If the applicant is a transporting basic life support

20 service, a plan of action to upgrade from providing basic life

21 support to providing limited advanced life support or advanced

22 life support to take place over a period of not more than 2

23 years. If the applicant is a transporting limited advanced life

24 support service, a plan of action to upgrade from providing

25 limited advanced life support to providing advanced life support

26 to take place over a period of not more than 2 years.

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1 (c) The medical control authority protocols for the

2 ambulance operation upgrade license, along with a recommendation

3 from the medical control authority under which the ambulance

4 operation operates that the ambulance operation upgrade license

5 be issued by the department.

6 (d) Other information required by the department.

7 (9) The statewide emergency medical services coordination

8 committee shall review the information described in

9 subsection (8)(c) and make a recommendation to the department as

10 to whether or not an ambulance operation upgrade license should

11 be granted to the applicant.

12 (10) Upon receipt of a completed application as required

13 under subsection (8), a positive recommendation under

14 subsection (9), and payment of a $100.00 fee, the department

15 shall issue to the applicant an ambulance operation upgrade

16 license. Subject to subsection (12), the license is valid for 2

17 years from the date of issuance and is renewable for 1 addi-

18 tional 2-year ~~period~~ PERIODS. An application for renewal of an

19 ambulance operation upgrade license shall contain documentation

20 of the progress made on the plan of action described in

21 subsection (8)(b). In addition, the medical control authority

22 under which the ambulance operation operates shall annually file

23 with the statewide emergency medical services coordination com-

24 mittee a written report on the progress made by the ambulance

25 operation on the plan of action described in subsection (8)(b),

26 including, but not limited to, information on training,

27 equipment, and personnel.

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1 (11) If an ambulance operation is designated by its regular

2 license as providing basic life support services, then an ambu-

3 lance operation upgrade license issued under this section allows

4 the ambulance operation to provide limited advanced life support

5 services or advanced life support services when the ambulance

6 operation is able to staff and equip 1 or more ambulances to pro-

7 vide services at the higher levels. If an ambulance operation is

8 designated by its regular license as providing limited advanced

9 life support services, then an ambulance operation upgrade

10 license issued under this section allows the ambulance operation

11 to provide advanced life support services when the ambulance

12 operation is able to staff and equip 1 or more ambulances to pro-

13 vide services at the higher level. An ambulance operation shall

14 not provide services under an ambulance operation upgrade license

15 unless the medical control authority under which the ambulance

16 operation operates has adopted protocols for the ambulance opera-

17 tion upgrade license regarding quality monitoring procedures, use

18 and protection of equipment, and patient care.

19 (12) The department may revoke or fail to renew an ambulance

20 operation upgrade license for a violation of this part or a rule

21 promulgated under this part or for failure to comply with the

22 plan of action filed under subsection (8)(b). An ambulance oper-

23 ation that obtains an ambulance operation upgrade license must

24 annually renew its regular license under subsections (2) to (6).

25 An ambulance operation's regular license is not affected by the

26 following:

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1 (a) The fact that the ambulance operation has obtained or

2 renewed an ambulance operation upgrade license.

3 (b) The fact that an ambulance operation's ambulance opera-

4 tion upgrade license is revoked or is not renewed under this

5 subsection.

6 ~~(c) The fact that the ambulance operation's ambulance oper-~~

7 ~~ation upgrade license expires at the end of the second 2-year~~

8 ~~period prescribed by subsection (10).~~

9 (13) By July 22, 2000, the department shall file a written

10 report to the legislature. The department shall include all of

11 the following information in the report:

12 (a) The number of ambulance operations that were qualified

13 under subsection (7) to apply for an ambulance operation upgrade

14 license under subsection (8) during the 3-year period.

15 (b) The number of ambulance operations that in fact applied

16 for an ambulance operation upgrade license during the 3-year

17 period.

18 (c) The number of ambulance operations that successfully

19 upgraded from being a transporting basic life support service to

20 a transporting limited advanced service or a transporting

21 advanced life support service or that successfully upgraded from

22 being a transporting limited advanced life support service to a

23 transporting advanced life support service under an ambulance

24 operation upgrade license.

25 (d) The number of ambulance operations that failed to suc-

26 cessfully upgrade, as described in subdivision (c), under an

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1 ambulance operation upgrade license, but that improved their

2 services during the 3-year period.

3 (e) The number of ambulance operations that failed to suc-

4 cessfully upgrade, as described in subdivision (c), under an

5 ambulance operation upgrade license, and that showed no improve-

6 ment or a decline in their services.

7 (f) The effect of the amendatory act that added this subsec-

8 tion on the delivery of emergency medical services in this

9 state.

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