,,ii  #aad? ,,congress  #b;d ,session   
,s4 #bicb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #af1 #bjaf ,mr4   
,cassidy introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,controll$        
,sub/ances ,act ) respect to ! provision
 ( em]g5cy m$ical s]vices4  #a4 ,%ort   
title ,?is ,act may be cit$ z !         
,protect+ ,pati5t ,access to ,em]g5cy   
,m$ications ,act ( #bjaf4  #b4 ,f9d+s ,!
 ,congress f9ds t--  7#a7 ! use (       
controll$ sub/ances by em]g5cy m$ical   
s]vices ag5cies to adm9i/] m$ical c>e & 
m$ic9es to individuals 9 ! field is     
ess5tial to save lives1 manage pa91 &   
improve heal? outcomes2  7#b7 ! unique  
nature ( mobile em]g5cy m$ical s]vices  
is unlike o!r heal?c>e s]vices gov]n$ by
 ! ,controll$ ,sub/ances ,act 7#ba      
,u4,s4,c4 #hja et seq47 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>e2  7#c7 !re 
h be5 few inve/igations by ! ,drug      
,en=cem5t ,adm9i/ration relat$ to       
div]sion 9 em]g5cy m$ical s]vices2  7#d7
 "o rec5t survey ( l>ge em]g5cy m$ical  
s]vices ag5cies 9 ! ,unit$ ,/ates %[$   
less ?an #bj div]sions or inve/igations 
= ne>ly #gj1jjj doses ( controll$       
sub/ances adm9i/]$2  7#e7 regulatory    
ov]sight to prev5t div]sion is ess5tial 
9 all heal? c>e sett+s1 includ+ em]g5cy 
m$ical s]vices2  7#f7 su* ov]sight %all 
be c>efully tailor$ to recognize unique 
c>e deliv]y models1 includ+ ! provision 
( m$ical c>e to individuals by em]g5cy  
m$ical s]vices practition]s "u !        
sup]vision ( a physician m$ical         
director2 &  7#g7 su* ov]sight %\ld     
fur!r promote uni=mity ( rules1         
application & en=cem5t to prev5t        
div]sion & e/abli% cle> guidel9es )9    
em]g5cy m$ical s]vices :ile also        
recogniz+ ! 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$ical s]vices  7a7 ,def9itions ,9 ?is  
section-- 7#a7 ! t]m em]g5cy m$ical     
s]vices means em]g5cy m$ical response1 &
 em]g5cy mobile m$ical s]vices1 provid$ 
outside ( a m$ical facility2  7#b7 ! t]m
 em]g5cy m$ical s]vices ag5cy means an  
organization provid+ em]g5cy m$ical     
s]vices1 includ+ an organization t--    
7,a7 is gov]nm5tal 7includ+ a fire-bas$ 
ag5cy71 nongov]nm5tal 7includ+ a        
hospital-bas$ ag5cy71 private1 or       
volunte]-bas$2 &  7,b7 provides em]g5cy 
m$ical s]vices by gr\nd1 air1 or        
o!rwise2  7#c7 ! t]m em]g5cy m$ical     
s]vices practition] means a heal? c>e   
practition] 7includ+ a nurse1 a p>am$ic1
 or an 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$ical s]vices to individuals )9 ! scope
 ( ! ,/ate lic5se or c]tification ( !   
practition]2  7#d7 ! t]m m$ical director
 means a physician provid+ m$ical       
ov]sight = an em]g5cy m$ical s]vices    
ag5cy2  7#e7 ! t]m m$ical ov]sight means
 sup]vision ( m$ical op]ations ( an     
em]g5cy m$ical s]vices ag5cy2  7#f7 !   
t]m /&+ ord] means a writt5 m$ical      
protocol 9 :i* a m$ical director        
prescribes 9 advance ! m$ical crit]ia to
 be foll[$ by em]g5cy m$ical s]vices    
practition]s 9 adm9i/]+ a controll$     
sub/ance to an individual 9 ne$ (       
em]g5cy m$ical s]vices2  7#g7 ! t]m     
v]bal ord] means a v]bal prescription to
 be foll[$ by an em]g5cy m$ical s]vices 
practition] 9 adm9i/]+ a controll$      
sub/ance to an individual 9 ne$ (       
em]g5cy m$ical s]vices2  7#h7 ! t]m     
onl9e m$ical direction means v]bal      
in/ructions provid$ by a physician to an
 em]g5cy m$ical s]vices practition] )   
reg>d to pati5t c>e & treatm5t1 includ+ 
by radio or telephone2 &  7#i7 ! t]m    

regi/rant em]g5cy m$ical s]vices ag5cy  
means an em]g5cy m$ical s]vices ag5cy t 
regi/]s "u subsection 7b7 or a hospital 
t-- 7,a7 owns & op]ates an em]g5cy      
m$ical s]vices ag5cy2 &  7,b7 is regi/]$
 "u its own hospital lic5se4  7b7       
,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 #a 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  7#c7     
,guidance to regi/rants ,= purposes (   

provid+ guidance to regi/rant em]g5cy   
m$ical s]vices ag5cies1 ! ,attorney     
,g5]al %all tailor su* guidance to      
recognize--  7,a7 ! exi/+ deliv]y (     
m$ical c>e & m$ical ov]sight to pati5ts 
) em]g5cy m$ical conditions2 &  7,b7 !  
v>iety ( em]g5cy m$ical s]vice c>e      
deliv]y models provid$ by em]g5cy m$ical
 s]vices ag5cies4  7c7 ,m$ical ov]sight 
7#a7 ,9 g5]al ,not)/&+ section #cji--   
7,a7 a regi/rant em]g5cy m$ical s]vices 
ag5cy %all h #a or m m$ical directors   
responsible = m$ical ov]sight ( !       
provision ( em]g5cy m$ical s]vices by ! 
ag5cy2  7,b7 ! m$ical director %all be a
 physician lic5s$ by ! ,/ate 9 :i* !    
physician practices m$ic9e & 9 :i* !    
em]g5cy m$ical s]vices ag5cy is locat$2 
7,c7 subject to ! au?ority provid$ by ! 
,/ate or a political subdivision or o!r 
delegat$ au?ority ( su* ,/ate1 !        
responsibilities ( ! m$ical director may
 include--  7i7 decisions ) reg>d to    
transportation de/9ation ( pati5ts2     
7ii7 approv+ all m$ical protocols1      

includ+ /&+ ord]s2  7iii7 ov]see+ pati5t
 c>e deliv]$ by em]g5cy m$ical s]vices  
practition]s ( ! em]g5cy m$ical s]vices 
ag5cy1 includ+--  7,i7 ! evaluation1    
treatm5t1 & int]v5tions ( pati5ts2      
7,,ii7 onl9e m$ical direction2 &        
7,,iii7 e/abli%+ drug =mul>ies & !      
disp5s+ & adm9i/]+ ( all m$ications &   
controll$ sub/ances to pati5ts2  7iv7   
ov]see+ m$ical education & tra9+        
programs = em]g5cy m$ical s]vices       
practition]s2 &  7v7 ov]see+ quality    
improvem5t = ! em]g5cy m$ical s]vices   
ag5cy2 &  7,d7 subject to ! au?ority    
provid$ by ! ,/ate or a political       
subdivision or o!r delegat$ au?ority (  
su* ,/ate1 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$ical s]vices pursuant to--   
7i7 a /&+ ord] issu$ by #a or m m$ical  
directors ( su* ag5cy2 or  7ii7 an onl9e
 m$ical direction t includes a v]bal    

ord] issu$ by #a or m m$ical directors1 
or o!r lic5s$ physician1 9 accordance ) 
a policy ( su* ag5cy "u ! foll[+        
circum/ances--  7,i7 ! em]g5cy m$ical   
s]vices practition]s reque/ su* an ord] 
) reg>d to a specific pati5t & ! m$ical 
director v]bally provides su* an ord]2  
7,,ii7 ! m$ical director provides v]bal 
ord]s ^u dispat*+ em]g5cy m$ical s]vices
 practition]s respond+ to an            
unanticipat$ mass casualty incid5t2 or  
7,,iii7 o!r specific pati5t situations 9
 :i* ! m$ical director id5tifies a ne$  
to provide su* an ord] to ensure prop]  
c>e & treatm5t to pati5ts4  7#b7        
,imp]missible limitations on all[able   
prescriptions ,9 ! case ( adm9i/]+ a    
controll$ sub/ance "u p>agraph 7#a71 !  
m$ical directors ( ! regi/rant em]g5cy  
m$ical s]vices ag5cy %all n be requir$--
  7,a7 to be pres5t2 or  7,b7 to provide
 a writt5 or oral prescription ) reg>d  
to a kn[n individual be=e or at ! "t (  
su* adm9i/]+4  7#c7 ,docum5tation  7,a7 
,9 g5]al ,a regi/rant em]g5cy m$ical    

s]vices ag5cy %all keep any su* /&+ ord]
 on file & make su* /&+ ord] available  
to ! ,attorney ,g5]al ^u ! reque/ ( !   
,attorney ,g5]al4  7,b7 ,policy ,a      
regi/rant em]g5cy m$ical s]vices ag5cy  
%all h a policy requir+ practition]s to 
docum5t 9 ! pati5t c>e *>t a v]bal ord] 
0 receiv$ f onl9e m$ical direction & a  
controll$ sub/ance 0 adm9i/]$4 ,any su* 
adm9i/ration ( a controll$ sub/ance %all
 be docum5t$ 9 ! pati5t c>e *>t z soon z
 practicable & available to ! ,attorney 
,g5]al ^u ! reque/ ( ! ,attorney ,g5]al4
  7d7 ,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$4  7e7 ,rule ( con/ruction     
,no?+ 9 ?is section %all be con/ru$ to--
  7#a7 alt] any requirem5ts "u titles   
,,xviii or ,,xix ( ! ,social ,security  
,act2 or  7#b7 limit ! au?ority ve/$ 9 !
 ,attorney ,g5]al to en=ce div]sion (   
controll$ sub/ances o!rwise provid$ 9   
?is ,act4  4