Senate File 2148 - Introduced
SENATE FILE 2148
BY DRISCOLL
A BILL FOR
1 An Act relating to the provision of emergency medical services
2 by a physician and surgeon or osteopathic physician and
3 surgeon and the definition of first responder.
4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
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1 Section 1. Section 135.190A, subsection 7, paragraph a,
2 Code 2024, is amended to read as follows:
3 a. “First responder” means an emergency medical care
4 provider, a registered nurse staffing an authorized service
5 program under section 147A.12, a physician assistant staffing
6 an authorized service program under section 147A.13, a
7 physician staffing an authorized service program under section
8 147A.13A, a fire fighter, or a peace officer as defined in
9 section 801.4 who is trained and authorized to administer an
10 opioid antagonist.
11 Sec. 2. Section 147A.1, subsection 7, Code 2024, is amended
12 to read as follows:
13 7. “First responder” means an emergency medical care
14 provider, a registered nurse staffing an authorized service
15 program under section 147A.12, a physician assistant staffing
16 an authorized service program under section 147A.13, a
17 physician staffing an authorized service program under section
18 147A.13A, a fire fighter, or a peace officer as defined in
19 section 801.4 who is trained and authorized to administer an
20 opioid antagonist.
21 Sec. 3. NEW SECTION. 147A.13A Physician exception.
22 This subchapter shall not restrict a physician from staffing
23 an authorized service program if the physician can document
24 equivalency through education and additional skills training
25 essential in the delivery of out-of-hospital emergency care.
26 The equivalency shall be accepted when:
27 1. Documentation has been reviewed and approved at the
28 local level by the medical director of the service program in
29 accordance with the rules of the board of medicine adopted
30 after consultation with the department.
31 2. Authorization has been granted to that service program
32 by the department.
33 Sec. 4. Section 233.1, subsection 2, paragraph g, Code 2024,
34 is amended to read as follows:
35 g. “First responder” means an emergency medical care
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 S.F. 2148
1 provider as defined in section 147A.1, a registered nurse
2 staffing an authorized service program under section 147A.12,
3 a physician assistant staffing an authorized service program
4 under section 147A.13, a physician staffing an authorized
5 service program under section 147A.13A, a fire fighter, or a
6 peace officer as defined in section 801.4.
7 EXPLANATION
8 The inclusion of this explanation does not constitute agreement with
9 the explanation’s substance by the members of the general assembly.
10 This bill allows a physician and surgeon or osteopathic
11 physician and surgeon to staff a medical care ambulance
12 service or nontransport service if the physician and surgeon
13 or osteopathic physician and surgeon can document equivalency
14 through education and additional skills training essential
15 in the delivery of out-of-hospital emergency care. The bill
16 requires that the medical director of the relevant service
17 program reviews and approves documentation in accordance with
18 rules adopted by the board of medicine in consultation with the
19 department of health and human services (HHS). The bill also
20 requires the service program to receive authorization from HHS.
21 The bill adds physicians staffing an authorized service program
22 to the definition of “first responder” for the purposes of the
23 opioid antagonist medication fund and the newborn safe haven
24 Act.
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Statutes affected:
Introduced: 135.190A, 147A.12