CODING: Words stricken are deletions; words underlined are additions.
HOUSE AMENDMENT
Bill No. HB 507
Amendment No. 1 (for drafter's use only)
CHAMBER ACTION
Senate House
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5 ORIGINAL STAMP BELOW
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11 The Committee on Health Regulation offered the following:
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13 Amendment (with title amendment)
14 On page 8, between lines 13 & 14,
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17 Section 5. Section 401.23, Florida Statutes, is
18 amended to read:
19 401.23 Definitions.--As used in this part, the term:
20 (1) "Advanced life support" means the use of skills
21 and techniques described in the most recent U.S. DOT National
22 Standard Paramedic Curriculum by a paramedic under the
23 supervision of a licensee's medical director as required by
24 rules of the department. The term "advanced life support" also
25 includes other techniques which have been approved and are
26 performed under conditions specified by rules of the
27 department. The term "advanced life support" also includes
28 provision of care by a paramedic under the supervision of a
29 licensee's medical director to one experiencing an emergency
30 medical condition as defined herein.
31 (1) "Advanced life support" means treatment of
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HOUSE AMENDMENT
Bill No. HB 507
Amendment No. 1 (for drafter's use only)
1 life-threatening medical emergencies through the use of
2 techniques such as endotracheal intubation, the administration
3 of drugs or intravenous fluids, telemetry, cardiac monitoring,
4 and cardiac defibrillation by a qualified person, pursuant to
5 rules of the department.
6 (2) "Advanced life support service" means any
7 emergency medical transport or nontransport service which uses
8 advanced life support techniques.
9 (3) "Air ambulance" means any fixed-wing or
10 rotary-wing aircraft used for, or intended to be used for, air
11 transportation of sick or injured persons requiring or likely
12 to require medical attention during transport.
13 (4) "Air ambulance service" means any publicly or
14 privately owned service, licensed in accordance with the
15 provisions of this part, which operates air ambulances to
16 transport persons requiring or likely to require medical
17 attention during transport.
18 (5) "Ambulance" or "emergency medical services
19 vehicle" means any privately or publicly owned land or water
20 vehicle that is designed, constructed, reconstructed,
21 maintained, equipped, or operated for, and is used for, or
22 intended to be used for, land or water transportation of sick
23 or injured persons requiring or likely to require medical
24 attention during transport.
25 (6) "Ambulance driver" means any person who meets the
26 requirements of s. 401.281.
27 (7) "Basic life support" means the use of skills and
28 techniques described in the most recent U.S. DOT National
29 Standard EMT-Basic Curriculum by an emergency medical
30 technician or paramedic under the supervision of a licensee's
31 medical director as required by rules of the department. The
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HOUSE AMENDMENT
Bill No. HB 507
Amendment No. 1 (for drafter's use only)
1 term "basic life support" also includes other techniques which
2 have been approved and are performed under conditions
3 specified by rules of the department. The term "basic life
4 support" also includes provision of care by a paramedic or
5 emergency medical technician under the supervision of a
6 licensee's medical director to one experiencing an emergency
7 medical condition as defined herein.
8 (7) "Basic life support" means treatment of medical
9 emergencies by a qualified person through the use of
10 techniques such as patient assessment, cardiopulmonary
11 resuscitation (CPR), splinting, obstetrical assistance,
12 bandaging, administration of oxygen, application of medical
13 antishock trousers, administration of a subcutaneous injection
14 using a premeasured autoinjector of epinephrine to a person
15 suffering an anaphylactic reaction, and other techniques
16 described in the Emergency Medical Technician Basic Training
17 Course Curriculum of the United States Department of
18 Transportation. The term "basic life support" also includes
19 other techniques which have been approved and are performed
20 under conditions specified by rules of the department.
21 (8) "Basic life support service" means any emergency
22 medical service which uses only basic life support techniques.
23 (9) "Certification" means any authorization issued
24 pursuant to this part to a person to act as an emergency
25 medical technician or a paramedic.
26 (10) "Department" means the Department of Health.
27 (11) "Emergency medical condition" means:
28 (a) A medical condition manifesting itself by acute
29 symptoms of sufficient severity, which may include severe
30 pain, psychiatric disturbances, symptoms of substance abuse,
31 or other acute symptoms, such that the absence of immediate
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HOUSE AMENDMENT
Bill No. HB 507
Amendment No. 1 (for drafter's use only)
1 medical attention could reasonably be expected to result in
2 any of the following:
3 1. Serious jeopardy to patient health, including a
4 pregnant woman or fetus.
5 2. Serious impairment to bodily functions.
6 3. Serious dysfunction of any bodily organ or part.
7 (b) With respect to a pregnant woman, that there is
8 evidence of the onset and persistence of uterine contractions
9 or rupture of the membranes.
10 (c) With respect to a person exhibiting acute
11 psychiatric disturbance or substance abuse, that the absence
12 of immediate medical attention could reasonably be expected to
13 result in:
14 1. Serious jeopardy to the health of a patient; or
15 2. Serious jeopardy to the health of others.
16 (12)(11) "Emergency medical technician" means a person
17 who is certified by the department to perform basic life
18 support pursuant to this part.
19 (13)(12) "Interfacility transfer" means the
20 transportation by ambulance of a patient between two
21 facilities licensed under chapter 393, chapter 395, or chapter
22 400, pursuant to this part.
23 (14)(13) "Licensee" means any basic life support
24 service, advanced life support service, or air ambulance
25 service licensed pursuant to this part.
26 (15)(14) "Medical direction" means direct supervision
27 by a physician through two-way voice communication or, when
28 such voice communication is unavailable, through established
29 standing orders, pursuant to rules of the department.
30 (16)(15) "Medical director" means a physician who is
31 employed or contracted by a licensee and who provides medical
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HOUSE AMENDMENT
Bill No. HB 507
Amendment No. 1 (for drafter's use only)
1 supervision, including appropriate quality assurance but not
2 including administrative and managerial functions, for daily
3 operations and training pursuant to this part.
4 (17)(16) "Mutual aid agreement" means a written
5 agreement between two or more entities whereby the signing
6 parties agree to lend aid to one another under conditions
7 specified in the agreement and as sanctioned by the governing
8 body of each affected county.
9 (18)(17) "Paramedic" means a person who is certified
10 by the department to perform basic and advanced life support
11 pursuant to this part.
12 (19)(18) "Permit" means any authorization issued
13 pursuant to this part for a vehicle to be operated as a basic
14 life support or advanced life support transport vehicle or an
15 advanced life support nontransport vehicle providing basic or
16 advanced life support.
17 (20)(19) "Physician" means a practitioner who is
18 licensed under the provisions of chapter 458 or chapter 459.
19 For the purpose of providing "medical direction" as defined in
20 subsection (14) for the treatment of patients immediately
21 prior to or during transportation to a United States
22 Department of Veterans Affairs medical facility, "physician"
23 also means a practitioner employed by the United States
24 Department of Veterans Affairs.
25 (21)(20) "Registered nurse" means a practitioner who
26 is licensed to practice professional nursing pursuant to part
27 I of chapter 464.
28 (22)(21) "Secretary" means the Secretary of Health.
29 (23)(22) "Service location" means any permanent
30 location in or from which a licensee solicits, accepts, or
31 conducts business under this part.
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HOUSE AMENDMENT
Bill No. HB 507
Amendment No. 1 (for drafter's use only)
1 ================ T I T L E A M E N D M E N T ===============
2 And the title is amended as follows:
3 On page 1, line 20, after the semicolon,
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5 insert:
6 amending s. 401.23, F.S., relating to
7 definitions of "advanced life support," "basic
8 life support," and "emergency medical
9 conditions;"
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