Rep. Norm Thurston — Voting Record

Bill

Number

H.B. 14 (2025GS)

Sponsor

Rep. Thurston, Norman K  (Thurston’s own bill)

Final action

Governor Signed 2/27/2025

Outcome

Became law — signed by Gov. Spencer J. Cox

Summary

What it does

• This bill:
• defines terms; and
• allows a licensed emergency medical service personnel to provide non-911 emergency medical services to individuals consistent with the personnel's medical expertise.

Every vote on this bill

Bill text

3
53-2d-210
Emergency Services Personnel Amendments
2025 GENERAL SESSION
STATE OF UTAH
Chief Sponsor: Norman K Thurston
Senate Sponsor: Lincoln Fillmore
LONG TITLE
General Description:
This bill allows licensed emergency medical service personnel to provide non-911 
emergency medical services in certain circumstances. 
Highlighted Provisions:
This bill:
defines terms; and
allows a licensed emergency medical service personnel to provide non-911 emergency 
medical services to individuals consistent with the personnel's medical expertise.
Money Appropriated in this Bill:
None
Other Special Clauses:
None
Utah Code Sections Affected:
ENACTS:
53-2d-210
, Utah Code Annotated 1953
Be it enacted by the Legislature of the state of Utah:
Section 1, Section 
53-2d-210
 is enacted to read:
53-2d-210. Emergency medical service employees providing medical services in 
non-911 emergency settings.
(1)
As used in this section:
(a)
"Direct supervision" means a medical director or other physician is present and 
available for face-to-face communication with an emergency medical service 
employee being supervised by the medical director or other physician at the time and 
place any non-911 emergency medical services authorized by the medical director or 
other physician are being provided by the emergency medical service employee.
(b)
"Emergency medical service employee" means a following individual licensed under 
this chapter:
(i)
a paramedic;
(ii)
an advanced emergency medical services technician;
(iii)
emergency medical services technician; or
(iv)
an emergency medical responder.
(c)
"Indirect supervision" means a medical director or other physician, licensed under 
Title 58, Chapter 67, Utah Medical Practice Act, or Title 58, Chapter 68, Utah 
Osteopathic Medical Practice Act, who is available for consultation regarding any 
non-911 emergency medical services the medical director or other physician has 
authorized an emergency medical service employee to perform, regardless of whether 
the medical director or other physician is located on the same premises as the 
emergency medical service employee being supervised.
(d)
"Medical director" means a physician licensed under Title 58, Chapter 67, Utah 
Medical Practice Act, or Title 58, Chapter 68, Utah Osteopathic Medical Practice Act, 
who is accountable for the non-911 emergency medical services provided by an 
emergency medical service employee.
(e)
"Non-911 emergency medical services" means medical services that are not provided 
by a licensed ambulance provider or a licensed paramedic provider.
(2)
A company, a corporation, a partnership, or other entity may employ an emergency 
medical service employee to provide non-911 emergency medical services as described 
in Subsection (3) if the company, corporation, partnership, or other entity:
(a)
employs a medical director to manage the emergency medical service employee;
(b)
has protocols approved by the medical director establishing how the emergency 
medical service employee is:
(i)
to provide non-911 emergency medical services; and
(ii)
to be supervised by the medical director or other physician as described in 
Subsection (4);
(c)
implements and maintains a quality improvement process;
(d)
establishes a process for the emergency medical service employee to initiate 911 
emergency services for identified emergencies in compliance with rules made by the 
bureau;
(e)
maintains patient records for all patients receiving non-911 emergency medical 
services that:
(i)
comply with typical medical documentation standards; and
(ii)
are auditable and accessible upon request by the bureau;
(f)
obtains any licenses required by law for the non-911 emergency medical services the 
company, corporation, partnership, or other entity will employ the emergency 
medical service employee to perform;
(g)
does not advertise or claim that the company, corporation, partnership, or other entity 
is providing non-911 emergency medical services as an alternative to 911 emergency 
response;
(h)
assesses the education and training of the emergency medical service employee to 
ensure that the emergency medical service employee is competent and able to 
provide the non-911 emergency medical services sought;
(i)
provides continuing education and training as needed to ensure the continued 
competency and eligibility for licensure of the emergency medical service employee 
to provide the non-911 emergency medical services sought; and
(j)
complies with any bureau rules created in accordance with this section.
(3)
(a)
Except as provided in Subsection (3)(b), and subject to Subsection (4), an 
emergency medical service employee employed by a company, a corporation, a 
partnership, or other entity that complies with Subsection (2) may provide non-911 
emergency medical services that:
(i)
the emergency medical service employee has been trained to perform;
(ii)
the emergency medical service employee has been credentialed, privileged, or 
authorized to perform; and
(iii)
are within the emergency medical service employee's scope of practice as 
defined by the bureau.
(b)
Notwithstanding Subsection (3)(a), an emergency medical service employee may 
provide non-911 emergency medical services outside the emergency medical service 
employee's scope of practice described in Subsection (3)(a) if:
(i)
the medical service is approved by the bureau;
(ii)
the emergency medical service employee has been trained to perform the non-911 
emergency medical service; and
(iii)
the emergency medical service employee is otherwise complying with the 
requirements of this section.
(4)
(a)
Except as provided in Subsection (4)(b), an emergency medical service employee 
may provide the non-911 emergency medical services described in Subsection (3) if 
the emergency medical service employee is providing the services under the direct 
supervision or indirect supervision of a medical director or another physician.
(b)
An emergency medical service employee may provide the non-911 emergency 
medical services described in Subsection (3) under the direct supervision or indirect 
supervision of a nurse practitioner or physician assistant if:
(i)
the emergency medical service employee is providing the non-911 emergency 
medical services in a county of the fourth, fifth, or sixth class as described in 
Section 
17-50-50
1; or
(ii)
if approved by the bureau.
(5)
An emergency medical service employee providing non-911 emergency medical 
services under this section may perform the non-911 emergency medical services in a 
hospital, in an emergency room, in a clinic, in a community paramedicine program, at an 
event, or any other location where non-911 emergency medical services may need to be 
provided.
(6)
The bureau shall make rules in accordance with Title 63G, Chapter 3, Utah 
Administrative Rulemaking Act, to:
(a)
define the scope of practice for an emergency medical service employee as described 
in Subsection (3)(a); and
(b)
establish minimum standards for the requirements listed in Subsection (2).
(7)
This section does not expand or limit the scope of practice for an emergency medical 
service employee when the emergency medical service employee is responding to an 
emergency or providing 911 ambulance services.
Section 2. 
Effective date.
This bill takes effect on 
May 7, 2025
.
2-10-25 12:12 PM