SENATE BILL No. 275

 

 

April 16, 2015, Introduced by Senator ROBERTSON and referred to the Committee on Health Policy.

 

 

 

     A bill to amend 1978 PA 368, entitled

 

"Public health code,"

 

(MCL 333.1101 to 333.25211) by adding sections 17039 and 17539.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 17039. (1) Subject to section 16215, a physician who

 

supervises a community paramedic may delegate to the community

 

paramedic the performance of medical care services for a patient

 

who is under the case management responsibility of the physician,

 

if the delegation is consistent with the community paramedic's

 

training. However, a physician shall not delegate ultimate

 

responsibility for the quality of medical care services, even if

 

the medical care services are provided by a community paramedic.

 

     (2) A physician who supervises a community paramedic is

 

responsible for the clinical supervision of a community paramedic

 

to whom the physician delegates the performance of medical care


services under subsection (1).

 

     (3) An individual shall not engage in practice as a community

 

paramedic unless he or she is certified as a community paramedic by

 

the department of health and human services. The department of

 

health and human services shall issue a certificate as a community

 

paramedic to an individual only if he or she meets all of the

 

following requirements:

 

     (a) Is currently licensed as a paramedic under section 20950.

 

     (b) Has 2 years of full-time service as a paramedic, or an

 

equivalent amount of part-time experience as determined by the

 

department of health and human services.

 

     (c) Has successfully completed a community paramedic training

 

program from a college or university that is approved by the

 

department of health and human services or accredited by a

 

department-approved national accreditation organization. The

 

training program must include clinical experience and didactic

 

instruction that has a family practice or tertiary care focus and

 

meets 1 of the following:

 

     (i) Is provided under the supervision of a medical director.

 

     (ii) Is provided by an advanced practice registered nurse, a

 

physician's assistant, or a nurse practitioner, who is operating

 

under the direct supervision of a primary care provider.

 

     (4) In his or her practice as a community paramedic, an

 

individual may provide services according to the terms of a written

 

patient care plan developed by the patient's primary physician, or

 

by a physician's assistant or nurse practitioner who is operating

 

under the supervision of that primary care provider. The care plan


must ensure that the services provided by the community paramedic

 

are consistent with the services offered by the patient's primary

 

care physician, that the patient receives the necessary services,

 

and that there is no duplication of services to the patient.

 

     (5) All licensure, disciplinary, complaint, renewal, and other

 

regulatory requirements that apply to paramedics under part 209

 

apply to a community paramedic's license as a paramedic under

 

section 20950.

 

     (6) The department of health and human services by rule shall

 

establish a process for the application, grant, and renewal of

 

community paramedic certificates for purposes of this section.

 

     (7) As used in this section, "practice as a community

 

paramedic" means the practice of medicine, osteopathic medicine and

 

surgery, or podiatric medicine and surgery, delegated by and

 

performed under the supervision of a physician or podiatrist who is

 

licensed under this article.

 

     Sec. 17539. (1) Subject to section 16215, a physician who

 

supervises a community paramedic may delegate to the community

 

paramedic the performance of medical care services for a patient

 

who is under the case management responsibility of the physician,

 

if the delegation is consistent with the community paramedic's

 

training. However, a physician shall not delegate ultimate

 

responsibility for the quality of medical care services, even if

 

the medical care services are provided by a community paramedic.

 

     (2) A physician who supervises a community paramedic is

 

responsible for the clinical supervision of a community paramedic

 

to whom the physician delegates the performance of medical care


services under subsection (1).

 

     (3) An individual shall not engage in practice as a community

 

paramedic unless he or she is certified as a community paramedic by

 

the department of health and human services. The department of

 

health and human services shall issue a certificate as a community

 

paramedic to an individual only if he or she meets all of the

 

following requirements:

 

     (a) Is currently licensed as a paramedic under section 20950.

 

     (b) Has 2 years of full-time service as a paramedic, or an

 

equivalent amount of part-time experience as determined by the

 

department of health and human services.

 

     (c) Has successfully completed a community paramedic training

 

program from a college or university that is approved by the

 

department of health and human services or accredited by a

 

department-approved national accreditation organization. The

 

training program must include clinical experience and didactic

 

instruction that has a family practice or tertiary care focus and

 

meets 1 of the following:

 

     (i) Is provided under the supervision of a medical director.

 

     (ii) Is provided by an advanced practice registered nurse, a

 

physician's assistant, or a nurse practitioner, who is operating

 

under the direct supervision of a primary care provider.

 

     (4) In his or her practice as a community paramedic, an

 

individual may provide services according to the terms of a written

 

patient care plan developed by the patient's primary physician, or

 

by a physician's assistant or nurse practitioner who is operating

 

under the supervision of that primary care physician. The care plan


must ensure that the services provided by the community paramedic

 

are consistent with the services offered by the patient's primary

 

care physician, that the patient receives the necessary services,

 

and that there is no duplication of services to the patient.

 

     (5) All licensure, disciplinary, complaint, renewal, and other

 

regulatory requirements that apply to paramedics under part 209

 

apply to a community paramedic's license as a paramedic under

 

section 20950.

 

     (6) The department of health and human services by rule shall

 

establish a process for the application, grant, and renewal of

 

community paramedic certificates for purposes of this section.

 

     (7) As used in this section, "practice as a community

 

paramedic" means the practice of medicine, osteopathic medicine and

 

surgery, or podiatric medicine and surgery, delegated by and

 

performed under the supervision of a physician or podiatrist who is

 

licensed under this article.

 

     Enacting section 1. This amendatory act takes effect 90 days

 

after the date it is enacted into law.

 

     Enacting section 2. This amendatory act does not take effect

 

unless Senate Bill No. 276                                      

 

          of the 98th Legislature is enacted into law.