CCS HCS SS SB 732, 2016 (Amended Section - as Truly Agreed)
190.103. 1. One physician with expertise in emergency
medical services from each of the EMS regions shall be elected
by that region's EMS medical directors to serve as a regional
EMS medical director. The regional EMS medical directors shall
constitute the state EMS medical director's advisory committee
and shall advise the department and their region's ambulance
services on matters relating to medical control and medical direction
in accordance with sections 190.001 to 190.245 and rules adopted
by the department pursuant to sections 190.001 to 190.245. The
regional EMS medical director shall serve a term of four years.
The southwest, northwest, and Kansas City regional EMS medical
directors shall be elected to an initial two-year term. The central,
east central, and southeast regional EMS medical directors shall
be elected to an initial four-year term. All subsequent terms
following the initial terms shall be four years.
2. A medical director is required for all ambulance services and emergency medical response agencies that provide: advanced life support services; basic life support services utilizing medications or providing assistance with patients' medications; or basic life support services performing invasive procedures including invasive airway procedures. The medical director shall provide medical direction to these services and agencies in these instances.
3. The medical director, in cooperation with the ambulance service or emergency medical response agency administrator, shall have the responsibility and the authority to ensure that the personnel working under their supervision are able to provide care meeting established standards of care with consideration for state and national standards as well as local area needs and resources. The medical director, in cooperation with the ambulance service or emergency medical response agency administrator, shall establish and develop triage, treatment and transport protocols, which may include authorization for standing orders.
4. All ambulance services and emergency medical response agencies that are required to have a medical director shall establish an agreement between the service or agency and their medical director. The agreement will include the roles, responsibilities and authority of the medical director beyond what is granted in accordance with sections 190.001 to 190.245 and rules adopted by the department pursuant to sections 190.001 to 190.245. The agreement shall also include grievance procedures regarding the emergency medical response agency or ambulance service, personnel and the medical director.