,i #aadth ,,congress #b;d ,session ,h4 ,r4 #dcfe ,,in ,,the ,,house ,,of ,,representatives ,january #ab1 #bjaf ,mr4 ,hudson 7for himself1 ,mr4 ,butterfield1 ,mr4 ,cohen1 ,mr4 ,farenthold1 ,mr4 ,heck of ,nevada1 ,mr4 ,ruiz1 and ,mr4 ,westerman7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committee on the ,judiciary1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to amend the ,controlled ,substances ,act with regard to the provision of emergency medical services4 #a4 ,short title ,this ,act may be cited as the ,protecting ,patient ,access to ,emergency ,medications ,act of #bjaf4 #b4 ,findings ,the ,congress finds as follows3 7#a7 ,the use of controlled substances by emergency medical services agencies to administer medical care and medicines to individuals in the field is essential to save lives1 manage pain1 and improve health outcomes4 7#b7 ,the unique nature of mobile emergency medical services is unlike other health care services governed by the ,controlled ,substances ,act in that it requires the provision of time-sensitive and mobile medical care to individuals with critical injuries and illnesses in the field and movement of such individuals to definitive care4 7#c7 ,regulatory oversight to prevent diversion should not disrupt the current delivery model of providing medical care to individuals by emergency medical services practitioners under the supervision of a physician medical director4 7#d7 ,such oversight should also recognize the variety of emergency medical services agencies including governmental1 nongovernmental1 private1 and volunteer emergency medical services agencies4 #c4 ,emergency medical services ,part ,c of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hba et seq47 is amended by adding at the end the following3 #cab4 ,emergency medical services 7a7 ,registration 7#a7 ,in general ,for the purpose of enabling emergency medical services practitioners to dispense controlled substances in schedule ,,ii1 ,,iii1 ,,iv1 or ,v to ultimate users receiving emergency medical services1 the ,attorney ,general shall1 at the request of the emergency medical services agency employing such practitioners1 register such emergency medical services agency under section #cjc7;f7 in lieu of registering the individual practitioners or one or more medical directors of such agency4 7#b7 ,single registration ,in registering an emergency medical services agency pursuant to paragraph 7#a71 the ,attorney ,general shall require a single registration per ,state1 not a separate registration for each location of the emergency medical services agency4 7b7 ,medical oversight ,notwithstanding section #cji3 7#a7 ,a registrant emergency medical services agency shall have one or more medical directors responsible for medical oversight of the agency's provision of emergency medical services4 7#b7 ,controlled substances in schedule ,,ii1 ,,iii1 ,,iv1 or ,v may be administered by the emergency medical services practitioners of a registrant emergency medical services agency in the course of providing emergency medical services pursuant to a standing order issued by one or more medical directors of such agency4 ,a registrant emergency medical services agency shall keep any such standing order on file and make such standing order available to the ,attorney ,general upon the ,attorney ,general's request4 7#c7 ,in the case of administering a controlled substance pursuant to paragraph 7#b71 the medical directors of the registrant emergency medical services agency shall not be required-- 7,a7 to be present2 or 7,b7 to provide a written or oral prescription with regard to a known individual before or at the time of such administering4 7c7 ,receipt1 movement1 and storage of controlled substances 7#a7 ,receipt ,the registrant emergency medical services agency-- 7,a7 may receive controlled substances at any location of the agency designated by the agency for such receipt2 and 7,b7 may not receive controlled substances at any location not so designated4 7#b7 ,movement and delivery ,the registrant emergency medical services agency may move or deliver controlled substances within the possession of such agency between any locations of such agency4 ,a registrant emergency medical services agency shall not be treated as a distributor of controlled substances under this ,act by reason of such movement or distribution4 7#c7 ,storage ,such agency-- 7,a7 may store controlled substances at any location of the agency designated by the agency for such storage2 and 7,b7 may not store controlled substances at any location not so designated4 7d7 ,definitions ,in this section3 7#a7 ,the term emergency medical services means emergency medical response1 and emergency mobile medical services1 provided outside of a medical facility4 7#b7 ,the term emergency medical services agency means an organization providing emergency medical services1 including such organizations that-- 7,a7 are governmental 7including fire-based agencies71 nongovernmental 7including hospital-based agencies71 private1 or volunteer-based2 and 7,b7 provide emergency medical services by ground1 air1 or otherwise4 7#c7 ,the term emergency medical services practitioner means a health care practitioner 7including nurse1 paramedic1 or emergency medical technician7 licensed or certified by a ,state and credentialed by a medical director of the respective emergency medical services agency to provide emergency medical services to individuals within the scope of the practitioner's ,state license or certification4 7#d7 ,the term medical director means a physician providing medical oversight for an emergency medical services agency4 7#e7 ,the term medical oversight means supervision of medical operations of an emergency medical services agency4 7#f7 ,the term standing order means a written medical protocol in which a medical director prescribes in advance the medical criteria to be followed by emergency medical services practitioners in administering controlled substances to individuals in need of emergency medical services4 4