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SB 870 - Under this act, any emergency services district or 911 call center providing emergency or dispatch services shall be entitled to a reimbursement from a special allocation fund. An ambulance district board, fire protection board, or emergency services board shall set the reimbursement rate prior to the time an assessment is paid into the fund. If a redevelopment plan, area, or project is amended by ordinance or other means, the board shall have the right to recalculate the base year and the refund amount. This act changes the term "emergency medical technician-intermediate" to "advanced emergency medical technician". This act requires the state EMS medical director to be elected by the members of the regional EMS medical director's advisory committee, to serve a four-year term, and to coordinate EMS services between the EMS regions, as well as to promote educational efforts for agency medical directors, represent Missouri EMS nationally, and incorporate the EMS system into Missouri's health care system. Under this act, emergency medical technicians and paramedics shall only perform medical procedures as directed by treatment protocols approved by the regional medical director or as authorized through direct communication with online medical control. Additionally, this act modifies education, training, and accreditation requirements for emergency medical technicians and paramedics. Paramedic training programs shall be accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or hold a CAAHEP letter of review. This act provides that emergency medical technician paramedics (EMT-Ps) 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-Ps 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 government employer. Any 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. 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 prohibition against holders of certain certificates, permits, or licenses. Additionally, the act 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. Finally, this act provides that any information regarding the physical or mailing address, phone number, fax number, or email address of a licensed ambulance service or certified training entity shall not be considered confidential. This act is similar to provisions in HB 1431 (2018), HCS/SS/SCS/SB 124 (2017), SCS/SB 418 (2017), and HCS/HB 1044 (2017). SARAH HASKINS
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