Missouri Senate

Introduced

TAX INCREMENT FINANCING REFUNDS - 99.848

Current law provides that any district providing emergency services is entitled to reimbursement from the special allocation fund in an amount of 50 to 100 percent of the district's tax increment. This act provides that 911 centers are also entitled to reimbursement from the fund. In addition, this act specifies that a governing body operating a 911 center providing emergency or dispatch services, an ambulance or fire protection district board, or an emergency telephone service 911 board, must set the reimbursement rate before the assessment is paid into the special allocation fund. The board reserves the right to recalculate the refund amount and the base year if the redevelopment project, plan, or project is amended.

This provision is identical to a provision of HCS/HB 868 (2015).

DUTIES OF EMS MEDICAL DIRECTORS - 190.103

The act modifies the designations and duties of state and regional EMS medical directors, including that regional EMS directors shall be considered public officials for certain purposes, the state EMS medical director's advisory committee shall be considered a peer review committee and eligible to participate in certain programs, allowing regional medical directors to provide medical direction by telecommunication, and provisions allowing regional medical directors to promulgate treatment protocols for patients with special needs and requiring EMS agencies to follow those protocols.

TRAINING REQUIREMENTS - 190.131 & 190.142

This act requires training curricula for emergency service providers to include curriculum on the risks associated with autism and other intellectual and developmental disabilities and provide instruction on the appropriate recognition and response techniques concerning such disabilities.

TEMPORARY HOLDS - 190.147

This act provides that Emergency Medical Technician Paramedics (EMT-P's) who have completed certain training, received authorization, and whose ambulance service has adopted certain protocols may make a good faith determination that certain behavioral health patients must be placed in a temporary hold for transport to the nearest appropriate facility.

This act also specifies that the EMT-P's who have made such determinations shall no longer rely on the common law doctrine of implied consent and are not to be held civilly liable nor be considered to have waived certain specified defenses if employed by a governmental employer.

Under this act, ambulance services adopting the authority and protocols under this act shall have a memorandum of understanding with local law enforcement agencies to achieve a collaborative and coordinated response to patients displaying a likelihood of serious harm to themselves or others or significant incapacitation by alcohol or drugs.

DISCIPLINE OF LICENSED EMS PROVIDERS - 190.165

Under current law, licensed EMS providers who are the subjects of disciplinary investigations are instructed that they are not entitled to have holders of certain certificates, permits, or licenses present at an interview. This act removes this instruction, and so requires EMS providers who are the subject of disciplinary investigations to be advised that they may have anyone present at an interview whom they deem necessary or desirable.

The act also provides that the Administrative Hearing Commission shall hear all relevant evidence on remediation activities of the licensee and shall make a recommendation to the Department of Health and Senior Services as to licensure disposition based on such evidence.

POWERS OF THE EMERGENCY SERVICES BOARD - 190.339

The act states that emergency services boards shall possess all of the powers delineated in section 190.327, including those necessary, incidental, or appropriate to carry out any express power.

This act is similar to SB 895 (2016).

JOHN GRANA