CHAPTER 384d*

EMERGENCY MEDICAL SERVICES
PERSONNEL

*See Sec. 19a-88b re renewal of certain professional and occupational licenses, certificates, permits or registrations which become void while the holder is on active duty in the armed forces of the United States.

Table of Contents

Sec. 20-206jj. (Formerly Sec. 19a-193). Definitions.

Sec. 20-206kk. Practice restricted to licensed persons. Exceptions. Title protection.

Sec. 20-206ll. Licensure and certification application. Renewal. Fees.

Sec. 20-206mm. Qualifications for licensure and certification. Licensure and certification by endorsement. License and certificate renewal.

Sec. 20-206nn. Disciplinary action. Grounds.

Sec. 20-206oo. Regulations.


Sec. 20-206jj. (Formerly Sec. 19a-193). Definitions. As used in this section and sections 20-206kk to 20-206oo, inclusive:

(1) “Advanced emergency medical technician” means an individual who is certified as an advanced emergency medical technician by the Department of Public Health;

(2) “Commissioner” means the Commissioner of Public Health;

(3) “Emergency medical services instructor” means a person who is certified under the provisions of section 20-206ll or 20-206mm by the Department of Public Health to teach courses, the completion of which is required in order to become an emergency medical technician;

(4) “Emergency medical responder” means an individual who is certified to practice as an emergency medical responder under the provisions of section 20-206ll or 20-206mm;

(5) “Emergency medical services personnel” means an individual certified to practice as an emergency medical responder, emergency medical technician, advanced emergency medical technician, emergency medical services instructor or an individual licensed as a paramedic;

(6) “Emergency medical technician” means a person who is certified to practice as an emergency medical technician under the provisions of section 20-206ll or 20-206mm;

(7) “National organization for emergency medical certification” means a national organization approved by the Department of Public Health and identified on the department's Internet web site, or such national organization's successor organization, that tests and provides certification to emergency medical responders, emergency medical technicians, advanced medical technicians and paramedics;

(8) “Office of Emergency Medical Services” means the office established within the Department of Public Health pursuant to section 19a-178;

(9) “Paramedicine” means the carrying out of (A) all phases of cardiopulmonary resuscitation and defibrillation, (B) the administration of drugs and intravenous solutions under written or oral authorization from a licensed physician or a licensed advanced practice registered nurse, and (C) the administration of controlled substances, as defined in section 21a-240, in accordance with written protocols or standing orders of a licensed physician or a licensed advanced practice registered nurse;

(10) “Paramedic” means a person licensed to practice as a paramedic under the provisions of section 20-206ll; and

(11) “Continuing education platform Internet web site” means an online database, approved by the Commissioner of Public Health, for emergency medical services personnel to enter, track and reconcile the hours and topics of continuing education completed by such personnel.

(P.A. 77-349, S. 2; P.A. 97-311, S. 9; P.A. 00-47, S. 3; P.A. 15-223, S. 5; P.A. 16-39, S. 29; P.A. 19-118, S. 57.)

History: Sec. 19-73oo transferred to Sec. 19a-193 in 1983; P.A. 97-311 replaced provisions re conduct of paramedics with definition of “paramedicine”; Sec. 19a-193 transferred to Sec. 20-206jj in 1999; P.A. 00-47 deleted requirement for the administration of controlled substances under the supervision of a physician by simultaneous communication, added requirement for the administration of controlled substances in accordance with written protocols or standing orders of a licensed physician, and made technical changes; P.A. 15-223 defined “advanced emergency medical technician”, “commissioner”, “emergency medical services instructor”, “emergency medical responder”, “emergency medical services personnel”, “emergency medical technician”, “Office of Emergency Medical Services” and “paramedic”, and made technical changes; P.A. 16-39 made technical changes in the introductory language and amended Subdiv. (8) by adding references to licensed advanced practice registered nurse; P.A. 19-118 added new Subdiv. (7) defining “national organization for emergency medical certification”, redesignated existing Subdivs. (7) to (9) as Subdivs. (8) to (10) and added Subdiv. (11) defining “continuing education platform Internet web site”, effective July 1, 2019.

See Sec. 20-9 re paramedics and meaning of practice of medicine.

Sec. 20-206kk. Practice restricted to licensed persons. Exceptions. Title protection. (a) Except as provided in subsection (c) of this section, no person shall practice paramedicine unless licensed as a paramedic pursuant to section 20-206ll or 20-206mm.

(b) No person shall use the title “paramedic”, “emergency medical responder”, “emergency medical technician”, “advanced emergency medical technician” or “emergency medical services instructor” or make use of any title, words, letters or abbreviations that may reasonably be confused with licensure as a paramedic or certification as an emergency medical responder, emergency medical technician, advanced emergency medical technician, or emergency medical services instructor unless licensed or certified pursuant to section 20-206ll or 20-206mm.

(c) No license as a paramedic or certificate as an emergency medical responder, emergency medical technician, advanced emergency medical technician or emergency medical services instructor shall be required of (1) a person performing services within the scope of practice for which he or she is licensed or certified by any agency of this state, or (2) a student, intern or trainee pursuing a course of study in emergency medical services in an accredited institution of education or within an emergency medical services program approved by the commissioner, provided the activities that would otherwise require a license or certificate as an emergency medical services personnel are performed under supervision and constitute a part of a supervised course of study.

(d) Paramedics who are currently licensed by a state that maintains licensing requirements equal to or higher than those in this state shall be eligible for licensure as a paramedic in this state.

(P.A. 97-311, S. 10; P.A. 10-117, S. 31; P.A. 15-223, S. 6; P.A. 19-118, S. 56.)

History: P.A. 10-117 added Subsec. (d) re licensure eligibility for paramedics currently licensed by another state with licensing requirements equal to or higher than those in this state; P.A. 15-223 amended Subsec. (a) by adding reference to Sec. 20-206mm, amended Subsec. (b) by adding references to emergency medical responder, emergency medical technician, advanced emergency medical technician and emergency medical services instructor, certification and Sec. 20-206mm, and amended Subsec. (c) by making conforming changes; P.A. 19-118 amended Subsec. (c) by adding “or she” in Subdiv. (1) and replacing “provider” with “personnel” in Subdiv. (2), effective July 1, 2019.

Sec. 20-206ll. Licensure and certification application. Renewal. Fees. (a) The commissioner shall issue a license as a paramedic to any applicant who furnishes evidence satisfactory to the commissioner that the applicant has met the requirements of section 20-206mm. The commissioner shall develop and provide application forms. The application fee shall be one hundred fifty dollars. The license may be renewed annually pursuant to section 19a-88 for a fee of one hundred fifty-five dollars.

(b) The commissioner shall issue a certification as an emergency medical technician, emergency medical services instructor, emergency medical responder or advanced emergency medical technician to any applicant who furnishes evidence satisfactory to the commissioner that the applicant has met the requirements of section 20-206mm.

(P.A. 97-311, S. 11; June Sp. Sess. P.A. 09-3, S. 223; P.A. 15-223, S. 7; 15-244, S. 130; June Sp. Sess. P.A. 15-5, S. 474.)

History: June Sp. Sess. P.A. 09-3 increased fees from $75 to $150; P.A. 15-223 amended Subsec. (a) by deleting reference to Sec. 19a-175, deleted existing Subsec. (b) designator and repositioned existing provision re license renewal to Subsec. (a), and added new Subsec. (b) re certification; P.A. 15-244 amended Subsec. (b) to increase renewal fee from $150 to $155, effective July 1, 2015; June Sp. Sess. P.A. 15-5 changed effective date of P.A. 15-244, S. 130, from July 1, 2015, to October 1, 2015, and applicable to the renewal of a license or certificate that expires on or after that date, effective June 30, 2015.

Sec. 20-206mm. Qualifications for licensure and certification. Licensure and certification by endorsement. License and certificate renewal. (a) Except as provided in subsections (b) and (c) of this section, an applicant for a license as a paramedic shall submit evidence satisfactory to the Commissioner of Public Health that the applicant has successfully (1) completed a paramedic training program approved by the commissioner, (2) for applicants applying on and after January 1, 2020, completed mental health first aid training as part of a program provided by an instructor certified by the National Council for Behavioral Health, and (3) passed an examination prescribed by the commissioner.

(b) An applicant for licensure by endorsement shall present evidence satisfactory to the commissioner that the applicant (1) is licensed or certified as a paramedic in another state or jurisdiction whose requirements for practicing in such capacity are substantially similar to or higher than those of this state and that the applicant has no pending disciplinary action or unresolved complaint against him or her, or (2) (A) is currently licensed or certified as a paramedic in good standing in any New England state, New York or New Jersey, (B) has completed an initial training program consistent with the National Emergency Medical Services Education Standards, as promulgated by the National Highway Traffic Safety Administration for the paramedic scope of practice model conducted by an organization offering a program that is recognized by the national emergency medical services program accrediting organization, (C) for applicants applying on or after January 1, 2020, has completed mental health first aid training as part of a program provided by an instructor certified by the National Council for Behavioral Health, and (D) has no pending disciplinary action or unresolved complaint against him or her.

(c) Any person who is certified as an emergency medical technician-paramedic by the Department of Public Health on October 1, 1997, shall be deemed a licensed paramedic. Any person so deemed shall renew his license pursuant to section 19a-88 for a fee of one hundred fifty-five dollars.

(d) On or after January 1, 2020, each person seeking certification as an emergency medical responder, emergency medical technician or advanced emergency medical technician shall apply to the department on forms prescribed by the commissioner. Applicants for certification shall comply with the following requirements: (1) For initial certification, an applicant shall present evidence satisfactory to the commissioner that the applicant (A) has completed an initial training program consistent with the National Emergency Medical Services Education Standards, as promulgated by the National Highway Traffic Safety Administration for the emergency medical responder, emergency medical technician or advanced emergency medical technician curriculum, (B) has passed the examination administered by the national organization for emergency medical certification for an emergency medical responder, emergency medical technician or advanced emergency medical technician as necessary for the type of certification sought by the applicant or an examination approved by the department, and (C) has no pending disciplinary action or unresolved complaints against such applicant, (2) a certificate issued under this subsection shall be renewed once every two years in accordance with the provisions of section 19a-88 upon presentation of evidence satisfactory to the commissioner that the applicant (A) has successfully completed continuing education for an emergency medical responder, emergency medical technician or advanced emergency medical technician as required by the national organization for emergency medical certification or as approved by the department, or (B) presents a current certification as an emergency medical responder, emergency medical technician or advanced emergency medical technician from the national organization for emergency medical certification, or (3) for certification by endorsement from another state, an applicant shall present evidence satisfactory to the commissioner that the applicant (A) is currently certified as an emergency medical responder, emergency medical technician or advanced emergency medical technician in good standing by a state that maintains certification or licensing requirements that the commissioner determines are equal to or greater than those in this state, or (B) holds a current certification as an emergency medical responder, emergency medical technician or advanced emergency medical technician from the national organization for emergency medical certification.

(e) On or after January 1, 2020, each person seeking certification as an emergency medical services instructor shall apply to the department on forms prescribed by the commissioner. Applicants for certification shall comply with the following requirements: (1) For initial certification, an applicant shall present evidence satisfactory to the commissioner that the applicant (A) is currently certified by the department as an emergency medical technician or advanced emergency medical technician or licensed by the department as a paramedic, (B) has completed a program of training as an emergency medical instructor based on current national education standards within the prior two years, (C) has completed twenty-five hours of teaching activity under the supervision of a currently certified emergency medical services instructor, (D) has completed written and practical examinations as prescribed by the commissioner, (E) has no pending disciplinary action or unresolved complaints against the applicant, and (F) effective on a date prescribed by the commissioner, presents documentation satisfactory to the commissioner that the applicant is currently certified as an emergency medical technician, advanced emergency medical technician or paramedic by the national organization for emergency medical certification, or (2) for renewal certification, an applicant shall present evidence satisfactory to the commissioner that the applicant (A) has successfully completed continuing education and teaching activity as required by the department, (B) maintains current certification by the department as an emergency medical technician, advanced emergency medical technician or licensure by the department as a paramedic, and (C) effective on a date as prescribed by the commissioner, presents documentation satisfactory to the commissioner that the applicant is currently certified as an emergency medical technician, advanced emergency medical technician or paramedic by the national organization for emergency medical certification.

(f) A certified emergency medical responder, emergency medical technician, advanced emergency medical technician or emergency medical services instructor shall document the completion of his or her continuing educational requirements through the continuing education platform Internet web site. A certified emergency medical responder, emergency medical technician, advanced emergency medical technician or emergency medical services instructor who is not engaged in active professional practice in any form during a certification period shall be exempt from the continuing education requirements of this section, provided the emergency medical responder, emergency medical technician, advanced emergency medical technician or emergency medical services instructor submits to the department, prior to the expiration of the certification period, an application for inactive status on a form prescribed by the department and such other documentation as may be required by the department. The application for inactive status pursuant to this subsection shall contain a statement that the emergency medical responder, emergency medical technician, advanced emergency medical technician or emergency medical services instructor may not engage in professional practice until the continuing education requirements of this section have been met.

(g) The commissioner may issue a temporary emergency medical technician certificate to an applicant who presents evidence satisfactory to the commissioner that (1) the applicant was certified by the department as an emergency medical technician prior to becoming licensed as a paramedic pursuant to section 20-206ll, or (2) the applicant's certification as an emergency medical technician has expired and the applicant's license as a paramedic has become void pursuant to section 19a-88. Such temporary certificate shall be valid for a period not to exceed one year and shall not be renewable.

(h) An applicant who is issued a temporary emergency medical technician certificate pursuant to subsection (g) of this section may, prior to the expiration of such temporary certificate, apply to the department for: (1) Renewal of such person's paramedic license, giving such person's name in full, such person's residence and business address and such other information as the department requests, provided the application for license renewal is accompanied by evidence satisfactory to the commissioner that the applicant was under the medical oversight of a sponsor hospital, as those terms are defined in section 19a-175, on the date the applicant's paramedic license became void for nonrenewal; or (2) recertification as an emergency medical technician, provided the application for recertification is accompanied by evidence satisfactory to the commissioner that the applicant completed emergency medical technician refresher training approved by the commissioner not later than one year after issuance of the temporary emergency medical technician certificate. The department shall recertify such person as an emergency medical technician without the examination required for initial certification specified in regulations adopted by the commissioner pursuant to section 20-206oo.

(i) Any person certified as an emergency medical responder, emergency medical technician, advanced emergency medical technician or emergency medical services instructor pursuant to this chapter and the regulations adopted pursuant to section 20-206oo whose certification has expired may apply to the Department of Public Health for reinstatement of such certification, provided such person completes the requirements for renewal certification specified in this section. Any certificate issued pursuant to this section shall remain valid for ninety days after the expiration date of such certificate and become void upon the expiration of such ninety-day period.

(j) The Commissioner of Public Health shall issue an emergency medical technician certification to an applicant who is a member of the armed forces or the National Guard or a veteran and who (1) presents evidence satisfactory to the commissioner that such applicant holds a current certification as a person entitled to perform similar services under a different designation by the National Registry of Emergency Medical Technicians, or (2) satisfies the regulations promulgated pursuant to subdivision (3) of subsection (a) of section 19a-179. Such applicant shall be exempt from any written or practical examination requirement for certification.

(k) For the purposes of this section, “veteran” means any person who was discharged or released under conditions other than dishonorable from active service in the armed forces and “armed forces” has the same meaning as provided in section 27-103.

(P.A. 97-311, S. 12; P.A. 04-221, S. 37; June Sp. Sess. P.A. 09-3, S. 224; P.A. 14-141, S. 4; 14-231, S. 20; P.A. 15-223, S. 8; 15-242, S. 43; P.A. 19-118, S. 58; 19-191, S. 10.)

History: P.A. 04-221 made a technical change in Subsec. (a) and amended Subsec. (b) by designating existing requirements re paramedic licensure or certification as Subdiv. (1), adding Subdiv. (2) re licensure by endorsement for persons licensed in New England states, New York or New Jersey, completion of initial training program and no pending disciplinary action or unresolved complaint, and making technical changes, effective June 8, 2004; June Sp. Sess. P.A. 09-3 amended Subsec. (c) to increase fee from $75 to $150; P.A. 14-141 added provisions, codified by the Revisors as Subsec. (i), re issuance of emergency medical technician certification to member of armed forces or the National Guard or veteran who meets criteria and added provisions, codified by the Revisors as Subsec. (j), defining “veteran” and “armed forces”; P.A. 14-231 amended Subsec. (a) by replacing “mobile intensive care” with “paramedic” and making a technical change, amended Subsec. (b) by substantially revising Subdiv. (2)(B) re initial training program, added Subsec. (d) re issuance of emergency medical technician certificate or emergency medical responder certificate, added Subsec. (e) re issuance of temporary emergency medical technician certificate, added Subsec. (f) re applicant who is issued temporary emergency medical technician certificate, added Subsec. (g) re issuance of emergency medical responder certificate to applicant currently certified in another state and added Subsec. (h) re issuance of emergency medical services instructor certificate; P.A. 15-223 amended Subsec. (d) to add references to advanced emergency medical technician, added new Subsec. (e) re recertification, redesignated existing Subsecs. (e) and (f) as Subsecs. (f) and (g), redesignated existing Subsec. (g) as Subsec. (h) and amended same to add references to emergency medical technician, advanced emergency medical technician and certification by endorsement, redesignated existing Subsec. (h) as Subsec. (i), added new Subsec. (j) re certification reinstatement, redesignated existing Subsecs. (i) and (j) as Subsecs. (k) and (l), and made technical and conforming changes; P.A. 15-242 amended Subsec. (h) by making a technical change; P.A. 19-118 amended Subsec. (c) by replacing fee of $150 with fee of $155, substantially amended Subsec. (d) including by replacing provisions re certification requirements for emergency medical responder, emergency medical technician and advanced emergency medical technician with new provisions re same, deleted former Subsec. (e) re recertification, added new Subsec. (e) re certification requirements for emergency medical services instructor, added Subsec. (f) re continuing educational requirements and exemption, redesignated existing Subsecs. (f) and (g) as new Subsecs. (g) and (h), deleted former Subsecs. (h) and (i) re certification by endorsement and emergency medical service instructor certificate, respectively, redesignated existing Subsec. (j) as new Subsec. (i) and amended same by deleting provision re expiration of certification 1 year or less from date of application for reinstatement, deleting reference to regulations adopted and deleting provision re expiration of certification more than 1 year but less than 3 years from date of application for reinstatement, redesignated existing Subsecs. (k) and (l) as Subsecs. (j) and (k), and made technical and conforming changes, effective July 1, 2019; P.A. 19-191 amended Subsec. (a) by adding provision re mental health first aid training in new Subdiv. (2) and redesignating existing Subdiv. (2) as Subdiv. (3), amended Subsec. (b) by adding new Subdiv. (2)(C) re mental health first aid training and redesignated existing Subdiv. (2)(C) as Subdiv. (2)(D), substantially amended Subsec. (d) including by replacing provisions re certification requirements for emergency medical responder, emergency medical technician and advanced emergency medical technician with new provisions re same, amended Subsec. (e) by replacing provision re recertification every 3 years with provision re recertification every 2 years, deleted former Subsec. (h) re certification by endorsement, redesignated existing Subsecs. (i) to (l) as Subsecs. (h) to (k) and made technical changes.

Sec. 20-206nn. Disciplinary action. Grounds. The Commissioner of Public Health may take any disciplinary action set forth in section 19a-17 against a paramedic, emergency medical technician, emergency medical responder, advanced emergency medical technician or emergency medical services instructor for any of the following reasons: (1) Failure to conform to the accepted standards of the profession; (2) conviction of a felony, in accordance with the provisions of section 46a-80; (3) fraud or deceit in obtaining or seeking reinstatement of a license to practice paramedicine or a certificate to practice as an emergency medical technician, emergency medical responder, advanced emergency medical technician or emergency medical services instructor; (4) fraud or deceit in the practice of paramedicine, the provision of emergency medical services or the provision of emergency medical services education; (5) negligent, incompetent or wrongful conduct in professional activities; (6) physical, mental or emotional illness or disorder resulting in an inability to conform to the accepted standards of the profession; (7) alcohol or substance abuse; or (8) wilful falsification of entries in any hospital, patient or other health record. The commissioner may take any such disciplinary action against emergency medical services personnel for violation of any provision of section 20-206mm or any regulations adopted pursuant to section 20-206oo. The commissioner may order a license or certificate holder to submit to a reasonable physical or mental examination if his or her physical or mental capacity to practice safely is the subject of an investigation. The commissioner may petition the superior court for the judicial district of Hartford to enforce such order or any action taken pursuant to section 19a-17. The commissioner shall give notice and an opportunity to be heard on any contemplated action under said section 19a-17.

(P.A. 88-230, S. 10, 12; P.A. 90-98, S. 1, 2; P.A. 93-142, S. 7, 8; P.A. 95-220, S. 4–6; P.A. 97-311, S. 14; P.A. 13-306, S. 1; P.A. 15-223, S. 9.)

History: (Revisor's note: P.A. 88-230, 90-98, 93-142 and 95-220 authorized substitution of “judicial district of Hartford” for judicial district of Hartford-New Britain” in 1997 public and special acts, effective September 1, 1998); P.A. 13-306 added provisions re emergency medical technician, emergency medical responder, advanced emergency medical technician and emergency medical services instructor, added reference to provisions of Sec. 46a-80 in Subdiv. (2), deleted Subdiv. (9) designator, and made technical and conforming changes; P.A. 15-223 replaced “a paramedic” with “emergency medical services personnel” and “20-206jj” with “20-206mm”.

Sec. 20-206oo. Regulations. (a) The Commissioner of Public Health may adopt regulations in accordance with the provisions of chapter 54 to carry out the provisions of subdivision (24) of subsection (c) of section 19a-14, subsection (e) of section 19a-88, subsection (b) of section 20-9, subsection (d) of section 20-195c, and sections 20-206jj to 20-206nn, inclusive.

(b) The commissioner may adopt regulations in accordance with the provisions of chapter 54 to (1) provide for state-wide standardization of certification for each class of emergency medical services personnel, including, but not limited to, (A) emergency medical technicians, (B) emergency medical services instructors, (C) emergency medical responders, and (D) advanced emergency medical technicians, (2) allow course work for such certification to be taken state-wide, and (3) allow persons so certified to perform work within their scope of certification state-wide. Such regulations shall include methods and conditions for the issuance, renewal and reinstatement of certification or recertification of emergency medical technicians, emergency medical services instructors, emergency medical responders and advanced emergency medical technicians.

(P.A. 97-311, S. 13; P.A. 14-231, S. 21; P.A. 15-223, S. 10; P.A. 19-117, S. 172.)

History: P.A. 14-231 replaced reference to Sec. 19a-14(c)(18) with reference to Sec. 19a-14(c)(24); P.A. 15-223 designated existing provisions as Subsec. (a) and amended same to delete “subdivision (15) of section 19a-175”, and added Subsec. (b) re adoption of regulations for state-wide standardization of certification and state-wide course work and performance of work; P.A. 19-117 amended Subsec. (a) by replacing reference to Sec. 20-195c(c) with reference to Sec. 20-195c(d), deleting reference to Secs. 20-195aa to 20-195ff and replacing reference to Sec. 20-206oo with reference to Sec. 20-206nn.