1.1.................... moves to amend H.F. No. 4738, the third engrossment, as follows:
1.2Page 8, delete section 10
1.3Page 18, after line 3, insert:

1.4    "Sec. .... ALTERNATIVE EMERGENCY MEDICAL SERVICES RESPONSE
1.5MODEL PILOT PROGRAM.
1.6    Subdivision 1. Definitions. (a) For purposes of this section, the following terms have
1.7the meanings given.
1.8(b) "Board" means the Emergency Medical Services Regulatory Board.
1.9(c) "Partnering ambulance services" means the primary ambulance service and the
1.10supporting ambulance service that partner to jointly respond to emergency ambulance calls
1.11under the pilot program.
1.12(d) "Pilot program" means the alternative emergency medical services response model
1.13pilot program established under this section.
1.14(e) "Primary ambulance service" means a basic life support ambulance service or part-time
1.15advanced life support ambulance service.
1.16(f) "Supporting ambulance service" means a full-time advanced life support ambulance
1.17service.
1.18    Subd. 2. Pilot program established. The board must establish and oversee an alternative
1.19emergency medical services response model pilot program, with one pilot program site in
1.20Otter Tail County and Grant County and one pilot program site in St. Louis County. Under
1.21the pilot program, the board may authorize primary ambulance services with primary service
1.22areas that include: (1) any portion of Otter Tail County or Grant County; or (2) any portion
1.23of St. Louis County to partner with supporting ambulance services to provide expanded
2.1advanced life support service intercept capability and staffing support for emergency
2.2ambulance calls to locations anywhere in the partnering ambulance services' primary service
2.3areas, including locations outside of Otter Tail County, Grant County, or St. Louis County.
2.4    Subd. 3. Application. A primary ambulance service that wishes to participate in the
2.5pilot program must apply to the board. An application from a primary ambulance service
2.6must be submitted jointly with the supporting ambulance service with which the primary
2.7ambulance service proposes to partner. The application must identify the ambulance services
2.8applying to be partnering ambulance services and must include:
2.9(1) approval to participate in the pilot program from the medical directors of the proposed
2.10partnering ambulance services;
2.11(2) procedures the primary ambulance service will implement to respond to emergency
2.12ambulance calls when the primary ambulance service is unable to meet the minimum staffing
2.13requirements under Minnesota Statutes, section 144E.101, and the supporting ambulance
2.14service is unavailable to jointly respond to emergency ambulance calls;
2.15(3) an agreement between the proposed partnering ambulance services specifying which
2.16ambulance service is responsible for:
2.17(i) workers' compensation insurance;
2.18(ii) motor vehicle insurance; and
2.19(iii) billing, identifying which if any ambulance service will bill the patient or the patient's
2.20insurer and specifying how payments received will be distributed among the proposed
2.21partnering ambulance services;
2.22(4) communication procedures to coordinate and make known the real-time availability
2.23of the supporting ambulance service to its proposed partnering primary ambulance service
2.24and public safety answering points;
2.25(5) an acknowledgment that the proposed partnering ambulance services must coordinate
2.26compliance with the prehospital care data requirements in Minnesota Statutes, section
2.27144E.123; and
2.28(6) an acknowledgment that the proposed partnering ambulance services remain
2.29responsible for providing continual service as required under Minnesota Statutes, section
2.30144E.101, subdivision 3.
2.31    Subd. 4. Operation. Under the pilot program, a supporting ambulance service may
2.32partner with one or more primary ambulance services. Under this partnership, the supporting
3.1ambulance service and primary ambulance service must jointly respond to emergency
3.2ambulance calls originating in the primary service area of the primary ambulance service.
3.3The supporting ambulance service must respond to emergency ambulance calls with either
3.4an ambulance or a nontransporting vehicle fully equipped with the advanced life support
3.5complement of equipment and medications required for that nontransporting vehicle by that
3.6ambulance service's medical director.
3.7    Subd. 5. Staffing. (a) When responding to an emergency ambulance call covered by the
3.8pilot program and an ambulance or nontransporting vehicle from the supporting ambulance
3.9service is confirmed to be available and is responding to the call:
3.10(1) the primary ambulance service ambulance must be staffed by at least one emergency
3.11medical technician; and
3.12(2) the supporting ambulance service ambulance or nontransporting vehicle must be
3.13staffed with a minimum of one paramedic.
3.14(b) The staffing specified in paragraph (a) is deemed to satisfy the staffing requirements
3.15in Minnesota Statutes, section 144E.101, for both the primary ambulance service response
3.16and the supporting ambulance service intercept requirements.
3.17    Subd. 6. Medical director oversight. The medical directors for ambulance services
3.18participating in the pilot program retain responsibility for the ambulance service personnel
3.19of their respective ambulance services. When a paramedic from the supporting ambulance
3.20service makes contact with the patient, the standing orders, clinical policies, protocols, and
3.21triage, treatment, and transportation guidelines for the supporting ambulance service must
3.22direct patient care related to the encounter.
3.23    Subd. 7. Waivers and variances. The board may issue any waivers of or variances to
3.24Minnesota Statutes, chapter 144E, or Minnesota Rules, chapter 4690, to partnering ambulance
3.25services that are needed to implement the pilot program, provided the waiver or variance
3.26does not adversely affect the public health or welfare.
3.27    Subd. 8. Data and evaluation. In administering the pilot program, the board shall collect
3.28from partnering ambulance services data needed to evaluate the impacts of the pilot program
3.29on response times, patient outcomes, and patient experience for emergency ambulance calls.
3.30    Subd. 9. Expiration. This section expires June 30, 2027."
3.31Page 19, delete section 23 and insert:

4.1    "Sec. .... APPROPRIATION.
4.2$6,000,000 in fiscal year 2025 is appropriated from the general fund to the Emergency
4.3Medical Services Regulatory Board for grants to Otter Tail County and St. Louis County
4.4to fund the alternative emergency medical services response model pilot program.
4.5Notwithstanding Minnesota Statutes, section 16B.98, subdivision 14, the Emergency Medical
4.6Services Regulatory Board may retain up to ten percent of this appropriation for
4.7administrative costs. This is a onetime appropriation and is available until June 30, 2027."
4.8Page 30, after line 14, insert:


4.12    Section 1. Minnesota Statutes 2022, section 144E.001, subdivision 3a, is amended to read:
4.13    Subd. 3a. Ambulance service personnel. "Ambulance service personnel" means
4.14individuals who are authorized by a licensed ambulance service to provide emergency care
4.15for the ambulance service and are:
4.16(1) EMTs, AEMTs, or paramedics;
4.17(2) Minnesota registered nurses who are: (i) EMTs, are currently practicing nursing, and
4.18have passed a paramedic practical skills test, as approved by the board and administered by
4.19an educational program approved by the board been approved by the ambulance service
4.20medical director; (ii) on the roster of an ambulance service on or before January 1, 2000;
4.21or (iii) after petitioning the board, deemed by the board to have training and skills equivalent
4.22to an EMT, as determined on a case-by-case basis; or (iv) certified as a certified flight
4.23registered nurse or certified emergency nurse; or
4.24(3) Minnesota licensed physician assistants who are: (i) EMTs, are currently practicing
4.25as physician assistants, and have passed a paramedic practical skills test, as approved by
4.26the board and administered by an educational program approved by the board been approved
4.27by the ambulance service medical director; (ii) on the roster of an ambulance service on or
4.28before January 1, 2000; or (iii) after petitioning the board, deemed by the board to have
4.29training and skills equivalent to an EMT, as determined on a case-by-case basis.

5.1    Sec. 2. Minnesota Statutes 2023 Supplement, section 144E.101, subdivision 6, is amended
5.2to read:
5.3    Subd. 6. Basic life support. (a) Except as provided in paragraph (f) subdivision 6a, a
5.4basic life-support ambulance shall be staffed by at least two EMTs, one of whom must
5.5accompany the patient and provide a level of care so as to ensure that:
5.6(1) one individual who is:
5.7(i) certified as an EMT;
5.8(ii) a Minnesota registered nurse who meets the qualification requirements in section
5.9144E.001, subdivision 3a, clause (2); or
5.10(iii) a Minnesota licensed physician assistant who meets the qualification requirements
5.11in section 144E.001, subdivision 3a, clause (3); and
5.12(2) one individual to drive the ambulance who:
5.13(i) either meets one of the qualification requirements in clause (1) or is a registered
5.14emergency medical responder driver; and
5.15(ii) satisfies the requirements in subdivision 10.
5.16(b) An individual who meets one of the qualification requirements in paragraph (a),
5.17clause (1), must accompany the patient and provide a level of care so as to ensure that:
5.18    (1) life-threatening situations and potentially serious injuries are recognized;
5.19    (2) patients are protected from additional hazards;
5.20    (3) basic treatment to reduce the seriousness of emergency situations is administered;
5.21and
5.22    (4) patients are transported to an appropriate medical facility for treatment.
5.23    (b) (c) A basic life-support service shall provide basic airway management.
5.24    (c) (d) A basic life-support service shall provide automatic defibrillation.
5.25(d) (e) A basic life-support service shall administer opiate antagonists consistent with
5.26protocols established by the service's medical director.
5.27    (e) (f) A basic life-support service licensee's medical director may authorize ambulance
5.28service personnel to perform intravenous infusion and use equipment that is within the
5.29licensure level of the ambulance service. Ambulance service personnel must be properly
6.1trained. Documentation of authorization for use, guidelines for use, continuing education,
6.2and skill verification must be maintained in the licensee's files.
6.3    (f) For emergency ambulance calls and interfacility transfers, an ambulance service may
6.4staff its basic life-support ambulances with one EMT, who must accompany the patient,
6.5and one registered emergency medical responder driver. For purposes of this paragraph,
6.6"ambulance service" means either an ambulance service whose primary service area is
6.7mainly located outside the metropolitan counties listed in section 473.121, subdivision 4,
6.8and outside the cities of Duluth, Mankato, Moorhead, Rochester, and St. Cloud; or an
6.9ambulance service based in a community with a population of less than 2,500.

6.10    Sec. 3. Minnesota Statutes 2022, section 144E.101, is amended by adding a subdivision
6.11to read:
6.12    Subd. 6a. Variance; staffing of basic life-support ambulance. (a) Upon application
6.13from an ambulance service that includes evidence demonstrating hardship, the board may
6.14grant a variance from the staff requirements in subdivision 6, paragraph (a), and may
6.15authorize a basic life-support ambulance to be staffed, for all emergency calls and interfacility
6.16transfers, with one individual who meets the qualification requirements in paragraph (b) to
6.17drive the ambulance and one individual who meets one of the qualification requirements in
6.18subdivision 6, paragraph (a), clause (1), and who must accompany the patient. The variance
6.19applies to basic life-support ambulances until the ambulance service renews its license.
6.20When the variance expires, the ambulance service may apply for a new variance under this
6.21subdivision.
6.22(b) In order to drive an ambulance under a variance granted under this subdivision, an
6.23individual must:
6.24(1) hold a valid driver's license from any state;
6.25(2) have attended an emergency vehicle driving course approved by the ambulance
6.26service;
6.27(3) have completed a course on cardiopulmonary resuscitation approved by the ambulance
6.28service; and
6.29(4) register with the board according to a process established by the board.
6.30(c) If an individual serving as a driver under this subdivision commits or has a record
6.31of committing an act listed in section 144E.27, subdivision 5, paragraph (a), the board may
6.32temporarily suspend or prohibit the individual from driving an ambulance or place conditions
7.1on the individual's ability to drive an ambulance using the procedures and authority in
7.2section 144E.27, subdivisions 5 and 6.

7.3    Sec. 4. Minnesota Statutes 2023 Supplement, section 144E.101, subdivision 7, as amended
7.4by Laws 2024, chapter 85, section 32, is amended to read:
7.5    Subd. 7. Advanced life support. (a) Except as provided in paragraphs (f) and (g), an
7.6advanced life-support ambulance shall be staffed by at least:
7.7    (1) one EMT or one AEMT and one paramedic;
7.8    (2) one EMT or one AEMT and one registered nurse who: (i) is an EMT or an AEMT,
7.9is currently practicing nursing, and has passed a paramedic practical skills test approved by
7.10the board and administered by an education program has been approved by the ambulance
7.11service medical director; or (ii) is certified as a certified flight registered nurse or certified
7.12emergency nurse; or
7.13    (3) one EMT or one AEMT and one physician assistant who is an EMT or an AEMT,
7.14is currently practicing as a physician assistant, and has passed a paramedic practical skills
7.15test approved by the board and administered by an education program has been approved
7.16by the ambulance service medical director.
7.17    (b) An advanced life-support service shall provide basic life support, as specified under
7.18subdivision 6, paragraph (a) (b), advanced airway management, manual defibrillation,
7.19administration of intravenous fluids and pharmaceuticals, and administration of opiate
7.20antagonists.
7.21    (c) In addition to providing advanced life support, an advanced life-support service may
7.22staff additional ambulances to provide basic life support according to subdivision 6 and
7.23section 144E.103, subdivision 1.
7.24    (d) An ambulance service providing advanced life support shall have a written agreement
7.25with its medical director to ensure medical control for patient care 24 hours a day, seven
7.26days a week. The terms of the agreement shall include a written policy on the administration
7.27of medical control for the service. The policy shall address the following issues:
7.28    (1) two-way communication for physician direction of ambulance service personnel;
7.29    (2) patient triage, treatment, and transport;
7.30    (3) use of standing orders; and
7.31    (4) the means by which medical control will be provided 24 hours a day.
8.1    The agreement shall be signed by the licensee's medical director and the licensee or the
8.2licensee's designee and maintained in the files of the licensee.
8.3    (e) When an ambulance service provides advanced life support, the authority of a
8.4paramedic, Minnesota registered nurse-EMT, or Minnesota registered physician
8.5assistant-EMT to determine the delivery of patient care prevails over the authority of an
8.6EMT.
8.7    (f) Upon application from an ambulance service that includes evidence demonstrating
8.8hardship, the board may grant a variance from the staff requirements in paragraph (a), clause
8.9(1), and may authorize an advanced life-support ambulance to be staffed by a registered
8.10emergency medical responder driver with a paramedic for all emergency calls and interfacility
8.11transfers. The variance shall apply to advanced life-support ambulance services until the
8.12ambulance service renews its license. When the variance expires, an ambulance service
8.13may apply for a new variance under this paragraph. This paragraph applies only to an
8.14ambulance service whose primary service area is mainly located outside the metropolitan
8.15counties listed in section 473.121, subdivision 4, and outside the cities of Duluth, Mankato,
8.16Moorhead, Rochester, and St. Cloud, or an ambulance service based in a community with
8.17a population of less than 1,000 persons.
8.18    (g) After an initial emergency ambulance call, each subsequent emergency ambulance
8.19response, until the initial ambulance is again available, and interfacility transfers, may be
8.20staffed by one registered emergency medical responder driver and an EMT or paramedic.
8.21This paragraph applies only to an ambulance service whose primary service area is mainly
8.22located outside the metropolitan counties listed in section 473.121, subdivision 4, and outside
8.23the cities of Duluth, Mankato, Moorhead, Rochester, and St. Cloud, or an ambulance service
8.24based in a community with a population of less than 1,000 persons.
8.25    (h) An individual who staffs an advanced life-support ambulance as a driver must also
8.26meet the requirements in subdivision 10.

8.27    Sec. 5. Minnesota Statutes 2022, section 144E.27, subdivision 3, is amended to read:
8.28    Subd. 3. Renewal. (a) The board may renew the registration of an emergency medical
8.29responder who:
8.30(1) successfully completes a board-approved refresher course; and
8.31(2) successfully completes a course in cardiopulmonary resuscitation approved by the
8.32board or by the licensee's medical director. This course may be a component of a
8.33board-approved refresher course; and
9.1(2) (3) submits a completed renewal application to the board before the registration
9.2expiration date.
9.3(b) The board may renew the lapsed registration of an emergency medical responder
9.4who:
9.5(1) successfully completes a board-approved refresher course; and
9.6(2) successfully completes a course in cardiopulmonary resuscitation approved by the
9.7board or by the licensee's medical director. This course may be a component of a
9.8board-approved refresher course; and
9.9(2) (3) submits a completed renewal application to the board within 12 48 months after
9.10the registration expiration date.

9.11    Sec. 6. Minnesota Statutes 2022, section 144E.27, subdivision 5, is amended to read:
9.12    Subd. 5. Denial, suspension, revocation; emergency medical responders and
9.13drivers. (a) This subdivision applies to individuals seeking registration or registered as an
9.14emergency medical responder and to individuals seeking registration or registered as a driver
9.15of a basic life-support ambulance under section 144E.101, subdivision 6a. The board may
9.16deny, suspend, revoke, place conditions on, or refuse to renew the registration of an individual
9.17who the board determines:
9.18(1) violates sections 144E.001 to 144E.33 or the rules adopted under those sections, an
9.19agreement for corrective action, or an order that the board issued or is otherwise empowered
9.20to enforce;
9.21(2) misrepresents or falsifies information on an application form for registration;
9.22(3) is convicted or pleads guilty or nolo contendere to any felony; any gross misdemeanor
9.23relating to assault, sexual misconduct, theft, or the illegal use of drugs or alcohol; or any
9.24misdemeanor relating to assault, sexual misconduct, theft, or the illegal use of drugs or
9.25alcohol;
9.26(4) is actually or potentially unable to provide emergency medical services or drive an
9.27ambulance with reasonable skill and safety to patients by reason of illness, use of alcohol,
9.28drugs, chemicals, or any other material, or as a result of any mental or physical condition;
9.29(5) engages in unethical conduct, including, but not limited to, conduct likely to deceive,
9.30defraud, or harm the public, or demonstrating a willful or careless disregard for the health,
9.31welfare, or safety of the public;
9.32(6) maltreats or abandons a patient;
10.1(7) violates any state or federal controlled substance law;
10.2(8) engages in unprofessional conduct or any other conduct which has the potential for
10.3causing harm to the public, including any departure from or failure to conform to the
10.4minimum standards of acceptable and prevailing practice without actual injury having to
10.5be established;
10.6(9) for emergency medical responders, provides emergency medical services under
10.7lapsed or nonrenewed credentials;
10.8(10) is subject to a denial, corrective, disciplinary, or other similar action in another
10.9jurisdiction or by another regulatory authority;
10.10(11) engages in conduct with a patient that is sexual or may reasonably be interpreted
10.11by the patient as sexual, or in any verbal behavior that is seductive or sexually demeaning
10.12to a patient; or
10.13(12) makes a false statement or knowingly provides false information to the board, or
10.14fails to cooperate with an investigation of the board as required by section 144E.30.
10.15(b) Before taking action under paragraph (a), the board shall give notice to an individual
10.16of the right to a contested case hearing under chapter 14. If an individual requests a contested
10.17case hearing within 30 days after receiving notice, the board shall initiate a contested case
10.18hearing according to chapter 14.
10.19(c) The administrative law judge shall issue a report and recommendation within 30
10.20days after closing the contested case hearing record. The board shall issue a final order
10.21within 30 days after receipt of the administrative law judge's report.
10.22(d) After six months from the board's decision to deny, revoke, place conditions on, or
10.23refuse renewal of an individual's registration for disciplinary action, the individual shall
10.24have the opportunity to apply to the board for reinstatement.

10.25    Sec. 7. Minnesota Statutes 2022, section 144E.27, subdivision 6, is amended to read:
10.26    Subd. 6. Temporary suspension; emergency medical responders and drivers. (a)
10.27This subdivision applies to emergency medical responders registered under this section and
10.28to individuals registered as drivers of basic life-support ambulances under section 144E.101,
10.29subdivision 6a. In addition to any other remedy provided by law, the board may temporarily
10.30suspend the registration of an individual after conducting a preliminary inquiry to determine
10.31whether the board believes that the individual has violated a statute or rule that the board
11.1is empowered to enforce and determining that the continued provision of service by the
11.2individual would create an imminent risk to public health or harm to others.
11.3(b) A temporary suspension order prohibiting an individual from providing emergency
11.4medical care or from driving a basic life-support ambulance shall give notice of the right
11.5to a preliminary hearing according to paragraph (d) and shall state the reasons for the entry
11.6of the temporary suspension order.
11.7(c) Service of a temporary suspension order is effective when the order is served on the
11.8individual personally or by certified mail, which is complete upon receipt, refusal, or return
11.9for nondelivery to the most recent address provided to the board for the individual.
11.10(d) At the time the board issues a temporary suspension order, the board shall schedule
11.11a hearing, to be held before a group of its members designated by the board, that shall begin
11.12within 60 days after issuance of the temporary suspension order or within 15 working days
11.13of the date of the board's receipt of a request for a hearing from the individual, whichever
11.14is sooner. The hearing shall be on the sole issue of whether there is a reasonable basis to
11.15continue, modify, or lift the temporary suspension. A hearing under this paragraph is not
11.16subject to chapter 14.
11.17(e) Evidence presented by the board or the individual may be in the form of an affidavit.
11.18The individual or the individual's designee may appear for oral argument.
11.19(f) Within five working days of the hearing, the board shall issue its order and, if the
11.20suspension is continued, notify the individual of the right to a contested case hearing under
11.21chapter 14.
11.22(g) If an individual requests a contested case hearing within 30 days after receiving
11.23notice under paragraph (f), the board shall initiate a contested case hearing according to
11.24chapter 14. The administrative law judge shall issue a report and recommendation within
11.2530 days after the closing of the contested case hearing record. The board shall issue a final
11.26order within 30 days after receipt of the administrative law judge's report.

11.27    Sec. 8. Minnesota Statutes 2022, section 144E.28, subdivision 3, is amended to read:
11.28    Subd. 3. Reciprocity. The board may certify an individual who possesses a current
11.29National Registry of Emergency Medical Technicians registration certification from another
11.30jurisdiction if the individual submits a board-approved application form. The board
11.31certification classification shall be the same as the National Registry's classification.
11.32Certification shall be for the duration of the applicant's registration certification period in
11.33another jurisdiction, not to exceed two years.

12.1    Sec. 9. Minnesota Statutes 2022, section 144E.28, subdivision 8, is amended to read:
12.2    Subd. 8. Reinstatement. (a) Within four years of a certification expiration date, a person
12.3whose certification has expired under subdivision 7, paragraph (d), may have the certification
12.4reinstated upon submission of:
12.5(1) evidence to the board of training equivalent to the continuing education requirements
12.6of subdivision 7 or, for community paramedics, evidence to the board of training equivalent
12.7to the continuing education requirements of subdivision 9, paragraph (c); and
12.8(2) a board-approved application form.
12.9(b) If more than four years have passed since a certificate expiration date, an applicant
12.10must complete the initial certification process required under subdivision 1.
12.11(c) Beginning July 1, 2024, through December 31, 2025, and notwithstanding paragraph
12.12(b), a person whose certification as an EMT, AEMT, paramedic, or community paramedic
12.13expired more than four years ago but less than ten years ago may have the certification
12.14reinstated upon submission of:
12.15(1) evidence to the board of the training required under paragraph (a), clause (1). This
12.16training must have been completed within the 24 months prior to the date of the application
12.17for reinstatement;
12.18(2) a board-approved application form; and
12.19(3) a recommendation from an ambulance service medical director.
12.20This paragraph expires December 31, 2025.

12.21    Sec. 10. Minnesota Statutes 2022, section 144E.285, subdivision 1, is amended to read:
12.22    Subdivision 1. Approval required. (a) All education programs for an EMR, EMT,
12.23AEMT, or paramedic must be approved by the board.
12.24(b) To be approved by the board, an education program must:
12.25(1) submit an application prescribed by the board that includes:
12.26(i) type and length of course to be offered;
12.27(ii) names, addresses, and qualifications of the program medical director, program
12.28education coordinator, and instructors;
12.29(iii) names and addresses of clinical sites, including a contact person and telephone
12.30number;
13.1(iv) (iii) admission criteria for students; and
13.2(v) (iv) materials and equipment to be used;
13.3(2) for each course, implement the most current version of the United States Department
13.4of Transportation EMS Education Standards, or its equivalent as determined by the board
13.5applicable to EMR, EMT, AEMT, or paramedic education;
13.6(3) have a program medical director and a program coordinator;
13.7(4) utilize instructors who meet the requirements of section 144E.283 for teaching at
13.8least 50 percent of the course content. The remaining 50 percent of the course may be taught
13.9by guest lecturers approved by the education program coordinator or medical director;
13.10(5) have at least one instructor for every ten students at the practical skill stations;
13.11(6) maintain a written agreement with a licensed hospital or licensed ambulance service
13.12designating a clinical training site;
13.13(7) (5) retain documentation of program approval by the board, course outline, and
13.14student information;
13.15(8) (6) notify the board of the starting date of a course prior to the beginning of a course;
13.16and
13.17(9) (7) submit the appropriate fee as required under section 144E.29; and.
13.18(10) maintain a minimum average yearly pass rate as set by the board on an annual basis.
13.19The pass rate will be determined by the percent of candidates who pass the exam on the
13.20first attempt. An education program not meeting this yearly standard shall be placed on
13.21probation and shall be on a performance improvement plan approved by the board until
13.22meeting the pass rate standard. While on probation, the education program may continue
13.23providing classes if meeting the terms of the performance improvement plan as determined
13.24by the board. If an education program having probation status fails to meet the pass rate
13.25standard after two years in which an EMT initial course has been taught, the board may
13.26take disciplinary action under subdivision 5.

13.27    Sec. 11. Minnesota Statutes 2022, section 144E.285, is amended by adding a subdivision
13.28to read:
13.29    Subd. 1a. EMR education program requirements. The National EMS Education
13.30Standards established by the National Highway Traffic Safety Administration of the United
13.31States Department of Transportation specify the minimum requirements for knowledge and
13.32skills for emergency medical responders. An education program applying for approval to
14.1teach EMRs must comply with the requirements under subdivision 1, paragraph (b). A
14.2medical director of an emergency medical responder group may establish additional
14.3knowledge and skill requirements for EMRs.

14.4    Sec. 12. Minnesota Statutes 2022, section 144E.285, is amended by adding a subdivision
14.5to read:
14.6    Subd. 1b. EMT education program requirements. In addition to the requirements
14.7under subdivision 1, paragraph (b), an education program applying for approval to teach
14.8EMTs must:
14.9(1) include in the application prescribed by the board the names and addresses of clinical
14.10sites, including a contact person and telephone number;
14.11(2) maintain a written agreement with at least one clinical training site that is of a type
14.12recognized by the National EMS Education Standards established by the National Highway
14.13Traffic Safety Administration; and
14.14(3) maintain a minimum average yearly pass rate as set by the board. An education
14.15program not meeting this standard must be placed on probation and must comply with a
14.16performance improvement plan approved by the board until the program meets the pass
14.17rate standard. While on probation, the education program may continue to provide classes
14.18if the program meets the terms of the performance improvement plan, as determined by the
14.19board. If an education program that is on probation status fails to meet the pass rate standard
14.20after two years in which an EMT initial course has been taught, the board may take
14.21disciplinary action under subdivision 5.

14.22    Sec. 13. Minnesota Statutes 2022, section 144E.285, subdivision 2, is amended to read:
14.23    Subd. 2. AEMT and paramedic education program requirements. (a) In addition to
14.24the requirements under subdivision 1, paragraph (b), an education program applying for
14.25approval to teach AEMTs and paramedics must:
14.26(1) be administered by an educational institution accredited by the Commission of
14.27Accreditation of Allied Health Education Programs (CAAHEP).;
14.28(2) include in the application prescribed by the board the names and addresses of clinical
14.29sites, including a contact person and telephone number; and
14.30(3) maintain a written agreement with a licensed hospital or licensed ambulance service
14.31designating a clinical training site.
15.1(b) An AEMT and paramedic education program that is administered by an educational
15.2institution not accredited by CAAHEP, but that is in the process of completing the
15.3accreditation process, may be granted provisional approval by the board upon verification
15.4of submission of its self-study report and the appropriate review fee to CAAHEP.
15.5(c) An educational institution that discontinues its participation in the accreditation
15.6process must notify the board immediately and provisional approval shall be withdrawn.
15.7(d) This subdivision does not apply to a paramedic education program when the program
15.8is operated by an advanced life-support ambulance service licensed by the Emergency
15.9Medical Services Regulatory Board under this chapter, and the ambulance service meets
15.10the following criteria:
15.11(1) covers a rural primary service area that does not contain a hospital within the primary
15.12service area or contains a hospital within the primary service area that has been designated
15.13as a critical access hospital under section 144.1483, clause (9);
15.14(2) has tax-exempt status in accordance with the Internal Revenue Code, section
15.15501(c)(3);
15.16(3) received approval before 1991 from the commissioner of health to operate a paramedic
15.17education program;
15.18(4) operates an AEMT and paramedic education program exclusively to train paramedics
15.19for the local ambulance service; and
15.20(5) limits enrollment in the AEMT and paramedic program to five candidates per
15.21biennium.

15.22    Sec. 14. Minnesota Statutes 2022, section 144E.285, subdivision 4, is amended to read:
15.23    Subd. 4. Reapproval. An education program shall apply to the board for reapproval at
15.24least three months 30 days prior to the expiration date of its approval and must:
15.25(1) submit an application prescribed by the board specifying any changes from the
15.26information provided for prior approval and any other information requested by the board
15.27to clarify incomplete or ambiguous information presented in the application; and
15.28(2) comply with the requirements under subdivision 1, paragraph (b), clauses (2) to (10).
15.29(7);
15.30(3) be subject to a site visit by the board;
16.1(4) for education programs that teach EMRs, comply with the requirements in subdivision
16.21a;
16.3(5) for education programs that teach EMTs, comply with the requirements in subdivision
16.41b; and
16.5(6) for education programs that teach AEMTs and paramedics, comply with the
16.6requirements in subdivision 2 and maintain accreditation with CAAHEP.

16.7    Sec. 15. REPEALER.
16.8Minnesota Statutes 2022, section 144E.27, subdivisions 1 and 1a, are repealed."
16.9Renumber the sections in sequence and correct internal references
16.10Amend the title accordingly