HB 1106-1_ Filed 02/20/2006, 09:51 Dillon

SENATE MOTION


MADAM PRESIDENT:

    I move
that Engrossed House Bill 1106 be amended to read as follows:

SOURCE: Page 1, line 1; (06)MO110601.1. -->     Page 1, between the enacting clause and line 1, begin a new paragraph and insert:
SOURCE: IC 16-18-2-33.5; (06)MO110601.1. -->     "SECTION 1. IC 16-18-2-33.5 IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2006]: Sec. 33.5. (a) "Basic life support", for purposes of IC 16-31, means the following:
        (1) Assessment of emergency patients.
        (2) Administration of oxygen.
        (3) Use of mechanical breathing devices.
        (4) Application of anti-shock trousers.
        (5) Performance of cardiopulmonary resuscitation.
        (6) Application of dressings and bandage materials.
        (7) Application of splinting and immobilization devices.
        (8) Use of lifting and moving devices to ensure safe transport.
        (9) Use of an automatic or a semiautomatic defibrillator if the defibrillator is used in accordance with training procedures established by the Indiana emergency medical services commission.
        (10) (9) Administration by an emergency medical technician or emergency medical technician-basic advanced of epinephrine through an auto-injector.
        (11) (10) For an emergency medical technician-basic advanced, the following:
            (A) Electrocardiogram interpretation.
            (B) Manual external defibrillation.
            (C) Intravenous fluid therapy.
        (12) (11) Other procedures authorized by the Indiana emergency medical services commission, including procedures contained in the revised national emergency medical technician basic training curriculum guide.
    (b) Except as provided by:
        (1) subsection (a)(10) (a)(9) and the training and certification standards established under IC 16-31-2-9(4); IC 16-31-2-9(3);
        (2) subsection (a)(11)(C); (a)(10)(C); and
        (3) the training standards established under IC 16-31-2-9(5); IC 16-31-2-9(4);
the term does not include invasive medical care techniques or advanced life support.
SOURCE: IC 16-31-2-9; (06)MO110601.2. -->     SECTION 2. IC 16-31-2-9 IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2006]: Sec. 9. The commission shall establish the following:
        (1) Standards for persons who provide emergency medical services and who are not licensed or regulated under IC 16-31-3.
        (2) Training and certification standards for the use of automatic and semiautomatic defibrillators by first responders.
        (3) (2) Training standards for the administration of antidotes, vaccines, and antibiotics to prepare for or respond to a terrorist or military attack.
        (4) (3) Training and certification standards for the administration of epinephrine through an auto-injector by:
            (A) an emergency medical technician; or
            (B) an emergency medical technician-basic advanced.
        (5) (4) Training standards to permit the use of antidote kits containing atropine and pralidoxime chloride for the treatment of exposure to nerve agents by an emergency medical technician-basic advanced, an emergency medical technician, or a first responder.
SOURCE: IC 16-31-3-1; (06)MO110601.3. -->     SECTION 3. IC 16-31-3-1 IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2006]: Sec. 1. (a) Except as provided in subsection (b), a person other than:
        (1) a licensed physician;
        (2) a registered nurse or an individual acting under the supervision of a licensed physician; or
        (3) a person providing health care in a hospital or an ambulatory outpatient surgical center licensed under IC 16-21;
may not furnish, operate, conduct, maintain, advertise, or otherwise be engaged in providing emergency medical services, except for the use of an automated external defibrillator, as a part of the regular course of doing business, either paid or voluntary, unless that person holds a valid certificate issued by the commission.
    (b) A:
        (1) licensed physician;
        (2) registered nurse or an individual acting under the supervision of a licensed physician; or
        (3) person providing health care in a hospital or an ambulatory outpatient surgical center licensed under IC 16-21;
who operates a business
            (A) of transporting emergency patients by ambulance or
            (B) using a nontransporting emergency medical services vehicle
must hold a valid certificate issued by the commission under this article.".
    Renumber all SECTIONS consecutively.
    (Reference is to EH 1106 as printed February 17, 2006.)

________________________________________

Senator DILLON


MO110601/DI 104
2006