,i #aad? ,,congress #b;d ,session ,h4 ,r4 #dcfe ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,janu>y #ab1 #bjaf ,mr4 ,hudson 7= himself1 ,mr4 ,butt]field1 ,mr4 ,coh51 ,mr4 ,f>5?old1 ,mr4 ,heck ( ,nevada1 ,mr4 ,ruiz1 & ,mr4 ,we/]man7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ! ,judici>y1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to am5d ! ,controll$ ,sub/ances ,act ) reg>d to ! provision ( em]g5cy m$ical s]vices4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,protect+ ,pati5t ,access to ,em]g5cy ,m$ications ,act ( #bjaf4 #b4 ,f9d+s ,! ,congress f9ds z foll[s3 7#a7 ,! use ( controll$ sub/ances by em]g5cy m$ical s]vices ag5cies to adm9i/] m$ical c>e & m$ic9es to individuals 9 ! field is ess5tial to save lives1 manage pa91 & improve heal? outcomes4 7#b7 ,! unique nature ( mobile em]g5cy m$ical s]vices is unlike o!r heal? c>e s]vices gov]n$ by ! ,controll$ ,sub/ances ,act 9 t x requires ! provision ( "t-s5sitive & mobile m$ical c>e to individuals ) critical injuries & illnesses 9 ! field & movem5t ( su* individuals to def9itive c>e4 7#c7 ,regulatory ov]sight to prev5t div]sion %\ld n disrupt ! curr5t deliv]y model ( provid+ m$ical c>e to individuals by em]g5cy m$ical s]vices practition]s "u ! sup]vision ( a physician m$ical director4 7#d7 ,su* ov]sight %\ld also recognize ! v>iety ( em]g5cy m$ical s]vices ag5cies includ+ gov]nm5tal1 nongov]nm5tal1 private1 & volunte] em]g5cy m$ical s]vices ag5cies4 #c4 ,em]g5cy m$ical s]vices ,"p ,c ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hba et seq47 is am5d$ by add+ at ! end ! foll[+3 #cab4 ,em]g5cy m$ical s]vices 7a7 ,regi/ration 7#a7 ,9 g5]al ,= ! purpose ( enabl+ em]g5cy m$ical s]vices practition]s to disp5se controll$ sub/ances 9 s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v to ultimate us]s receiv+ em]g5cy m$ical s]vices1 ! ,attorney ,g5]al %all1 at ! reque/ ( ! em]g5cy m$ical s]vices ag5cy employ+ su* practition]s1 regi/] su* em]g5cy m$ical s]vices ag5cy "u section #cjc7;f7 9 lieu ( regi/]+ ! individual practition]s or "o or m m$ical directors ( su* ag5cy4 7#b7 ,s+le regi/ration ,9 regi/]+ an em]g5cy m$ical s]vices ag5cy pursuant to p>agraph 7#a71 ! ,attorney ,g5]al %all require a s+le regi/ration p] ,/ate1 n a sep>ate regi/ration = ea* location ( ! em]g5cy m$ical s]vices ag5cy4 7b7 ,m$ical ov]sight ,not)/&+ section #cji3 7#a7 ,a regi/rant em]g5cy m$ical s]vices ag5cy %all h "o or m m$ical directors responsible = m$ical ov]sight ( ! ag5cy's provision ( em]g5cy m$ical s]vices4 7#b7 ,controll$ sub/ances 9 s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v may be adm9i/]$ by ! em]g5cy m$ical s]vices practition]s ( a regi/rant em]g5cy m$ical s]vices ag5cy 9 ! c\rse ( provid+ em]g5cy m$ical s]vices pursuant to a /&+ ord] issu$ by "o or m m$ical directors ( su* ag5cy4 ,a regi/rant em]g5cy m$ical s]vices ag5cy %all keep any su* /&+ ord] on file & make su* /&+ ord] available to ! ,attorney ,g5]al ^u ! ,attorney ,g5]al's reque/4 7#c7 ,9 ! case ( adm9i/]+ a controll$ sub/ance pursuant to p>agraph 7#b71 ! m$ical directors ( ! regi/rant em]g5cy m$ical s]vices ag5cy %all n be requir$-- 7,a7 to be pres5t2 or 7,b7 to provide a writt5 or oral prescription ) reg>d to a kn[n individual be=e or at ! "t ( su* adm9i/]+4 7c7 ,receipt1 movem5t1 & /orage ( controll$ sub/ances 7#a7 ,receipt ,! regi/rant em]g5cy m$ical s]vices ag5cy-- 7,a7 may receive controll$ sub/ances at any location ( ! ag5cy designat$ by ! ag5cy = su* receipt2 & 7,b7 may n receive controll$ sub/ances at any location n s designat$4 7#b7 ,movem5t & deliv]y ,! regi/rant em]g5cy m$ical s]vices ag5cy may move or deliv] controll$ sub/ances )9 ! possession ( su* ag5cy betwe5 any locations ( su* ag5cy4 ,a regi/rant em]g5cy m$ical s]vices ag5cy %all n be treat$ z a di/ributor ( controll$ sub/ances "u ?is ,act by reason ( su* movem5t or di/ribution4 7#c7 ,/orage ,su* ag5cy-- 7,a7 may /ore controll$ sub/ances at any location ( ! ag5cy designat$ by ! ag5cy = su* /orage2 & 7,b7 may n /ore controll$ sub/ances at any location n s designat$4 7d7 ,def9itions ,9 ?is section3 7#a7 ,! t]m em]g5cy m$ical s]vices means em]g5cy m$ical response1 & em]g5cy mobile m$ical s]vices1 provid$ outside ( a m$ical facility4 7#b7 ,! t]m em]g5cy m$ical s]vices ag5cy means an organization provid+ em]g5cy m$ical s]vices1 includ+ su* organizations t-- 7,a7 are gov]nm5tal 7includ+ fire-bas$ ag5cies71 nongov]nm5tal 7includ+ hospital-bas$ ag5cies71 private1 or volunte]-bas$2 & 7,b7 provide em]g5cy m$ical s]vices by gr\nd1 air1 or o!rwise4 7#c7 ,! t]m em]g5cy m$ical s]vices practition] means a heal? c>e practition] 7includ+ nurse1 p>am$ic1 or em]g5cy m$ical te*nician7 lic5s$ or c]tifi$ by a ,/ate & cr$5tial$ by a m$ical director ( ! respective em]g5cy m$ical s]vices ag5cy to provide em]g5cy m$ical s]vices to individuals )9 ! scope ( ! practition]'s ,/ate lic5se or c]tification4 7#d7 ,! t]m m$ical director means a physician provid+ m$ical ov]sight = an em]g5cy m$ical s]vices ag5cy4 7#e7 ,! t]m m$ical ov]sight means sup]vision ( m$ical op]ations ( an em]g5cy m$ical s]vices ag5cy4 7#f7 ,! t]m /&+ ord] means a writt5 m$ical protocol 9 :i* a m$ical director prescribes 9 advance ! m$ical crit]ia to be foll[$ by em]g5cy m$ical s]vices practition]s 9 adm9i/]+ controll$ sub/ances to individuals 9 ne$ ( em]g5cy m$ical s]vices4 4