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

(8) “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; and

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

(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.)

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.

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 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 provider 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.)

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.

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, and (2) 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, and (C) 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 dollars.

(d) The commissioner may issue an emergency medical technician certificate, emergency medical responder certificate or advanced emergency medical technician certificate to an applicant who presents evidence satisfactory to the commissioner that the applicant (1) is currently certified as an emergency medical technician, emergency medical responder, or advanced emergency medical technician in good standing in any New England state, New York or New Jersey, (2) 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 technician, emergency medical responder curriculum, or advanced emergency medical technician, and (3) has no pending disciplinary action or unresolved complaint against him or her.

(e) An emergency medical responder, emergency medical technician, advanced emergency medical technician or emergency medical services instructor shall be recertified every three years. For the purpose of maintaining an acceptable level of proficiency, each emergency medical technician who is recertified for a three-year period shall complete thirty hours of refresher training approved by the commissioner or meet such other requirements as may be prescribed by the commissioner. The refresher training or other requirements shall include, but not be limited to, training in Alzheimer's disease and dementia symptoms and care.

(f) 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.

(g) An applicant who is issued a temporary emergency medical technician certificate pursuant to subsection (f) 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.

(h) The commissioner may issue an emergency medical responder, emergency medical technician or advanced emergency medical technician certificate to an applicant for certification by endorsement who presents evidence satisfactory to the commissioner that the applicant (1) is currently certified as an emergency medical responder, emergency medical technician or advanced emergency medical technician in good standing by a state that maintains licensing requirements that the commissioner determines are equal to, or greater than, those in this state, (2) has completed an initial department-approved emergency medical responder, emergency medical technician or advanced emergency medical technician training program that includes written and practical examinations at the completion of the course, or a program outside the state that adheres to national education standards for the emergency medical responder, emergency medical technician or advanced emergency medical technician scope of practice and that includes an examination, and (3) has no pending disciplinary action or unresolved complaint against him or her.

(i) The commissioner may issue an emergency medical service instructor certificate to an applicant who presents (1) evidence satisfactory to the commissioner that the applicant is currently certified as an emergency medical technician in good standing, (2) documentation satisfactory to the commissioner, with reference to national education standards, regarding qualifications as an emergency medical service instructor, (3) a letter of endorsement signed by two instructors holding current emergency medical service instructor certification, (4) documentation of having completed written and practical examinations as prescribed by the commissioner, and (5) evidence satisfactory to the commissioner that the applicant has no pending disciplinary action or unresolved complaints against him or her.

(j) 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 as follows: (1) If such certification expired one year or less from the date of the application for reinstatement, such person shall complete the requirements for recertification specified in regulations adopted pursuant to section 20-206oo; (2) if such recertification expired more than one year but less than three years from the date of application for reinstatement, such person shall complete the training required for recertification and the examination required for initial certification specified in regulations adopted pursuant to section 20-206oo; or (3) if such certification expired three or more years from the date of application for reinstatement, such person shall complete the requirements for initial certification set forth 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.

(k) 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 (4) of subsection (a) of section 19a-179. Such applicant shall be exempt from any written or practical examination requirement for certification.

(l) 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.)

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.

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 (c) of section 20-195c, sections 20-195aa to 20-195ff, inclusive, and sections 20-206jj to 20-206oo, 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.)

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 perfomance of work.