Missouri HB 2627: Modifies provisions relating to community paramedic services

Bill Text

SECOND REGULAR SESSION
HOUSE BILL NO. 2627
102ND GENERAL ASSEMBLY
INTRODUCED BY REPRESENTATIVE COOK.
5227H.01I DANA RADEMAN MILLER, Chief Clerk
AN ACT
To repeal section 190.098, RSMo, and to enact in lieu thereof one new section relating to
community paramedic services.
Be it enacted by the General Assembly of the state of Missouri, as follows:
Section A. Section 190.098, RSMo, is repealed and one new section enacted in lieu
2 thereof, to be known as section 190.098, to read as follows:
190.098. 1. As used in this section, the term "community paramedic services"
2 means services that are:
3 (1) Provided by any entity that:
4 (a) Employs licensed paramedics who are certified as community paramedics by
5 the department; and
6 (b) Has received an endorsement by the department as a community paramedic
7 service entity;
8 (2) Provided in a nonemergent setting, independent of a 911 system or
9 emergency summons;
10 (3) Consistentwiththetrainingandeducation,aswellaswithinthescopeofskill
11 and practice, of the personnel and with the supervisory standard approved by the
12 medical director; and
13 (4) Reflected and documented in the entity's patient care plans or protocols
14 approved by the medical director in accordance with section 190.142.
15 2. In order for a person to be eligible for certification by the department as a
16 community paramedic, an individual shall:
17 (1) Be currently [certified] licensed as a paramedic;
EXPLANATION — Matter enclosed in bold-faced brackets [thus] in the above bill is not enacted and is
intended to be omitted from the law. Matter in bold-face type in the above bill is proposed language.

18 (2) Successfully complete or have successfully completed a community paramedic
19 certification program from a college, university, or educational institution that has been
20 approved by the department or accredited by a national accreditation organization approved
21 by the department; and
22 (3) Complete an application form approved by the department.
23 [2. A community paramedic shall practice in accordance with protocols and
24 supervisory standards established by the medical director. A community paramedic shall
25 provideservicesofahealthcareplaniftheplanhasbeendevelopedbythepatient'sphysician
26 orbyanadvancedpracticeregisterednursethroughacollaborativepracticearrangementwith
27 a physician or a physician assistant through a collaborative practice arrangement with a
28 physician and there is no duplication of services to the patient from another provider.]
29 3. [Any ambulance service shall enter into a written contract to provide community
30 paramedic services in another ambulance service area, as that term is defined in section
31 190.100. The contract that is agreed upon may be for an indefinite period of time, as long as
32 it includes at least a sixty-day cancellation notice by either ambulance service] (1) Any
33 ambulance service that seeks to provide community paramedic services outside of its
34 ambulance service area, as described in section 190.105 and administered by the
35 department, and in the service area of another ambulance service that currently
36 provides community paramedic services shall be required to have a memorandum of
37 understanding with that ambulance service regarding the provision of such community
38 paramedicservices. Anambulanceservicethatprovidescommunityparamedicservices
39 may provide community paramedic services without a memorandum of understanding
40 in the ambulance service area of an ambulance service that is not providing community
41 paramedic services, but the ambulance service providing community paramedic
42 services shall provide notification to the ambulance service with emergency service
43 responsibilities in the service area of the general community paramedic activities being
44 performed.
45 (2) Any emergency medical response agency seeking to provide community
46 paramedic services within its designated response service area may do so if the ground
47 ambulance service covering the area within which the emergency medical response
48 agency is located does not provide community paramedic services. If such ground
49 ambulance service does provide community paramedic services, the ground ambulance
50 service may establish, at its sole discretion, a memorandum of understanding with the
51 emergency medical response agency planning to offer community paramedic services in
52 order to coordinate programs and avoid service duplication. If an emergency medical
53 response agency is providing community paramedic services in a service areabefore the
54 ground ambulance service in that service area begins offering community paramedic
HB 2627 2

55 services, the emergency medical response agency and the ground ambulance service
56 shall establish a memorandum of understanding for the coordination of services.
57 (3) A community paramedic program shall notify the appropriate local
58 ambulance service when providing services within the serv