C.R.S. Section 25-3.5-206
Emergency medical practice advisory council

  • creation
  • powers and duties
  • emergency medical service provider scope of practice
  • definitions
  • rules

(1)

There is created in the department, under the direction of the director of the department, the emergency medical practice advisory council, referred to in this part 2 as the “advisory council”. The advisory council is responsible for advising the department regarding the appropriate scope of practice for emergency medical service providers certified or licensed under section 25-3.5-203. The advisory council is a
type 2
entity, as defined in section 24-1-105.

(2)

Intentionally left blank —Ed.

(a)

The advisory council consists of the following thirteen members:

(I)

Eight voting members appointed by the governor as follows:

(A)

Two physicians licensed in good standing in Colorado who are actively serving as emergency medical service medical directors and are practicing in rural or frontier counties;

(B)

Two physicians licensed in good standing in Colorado who are actively serving as emergency medical service medical directors and are practicing in urban counties;

(C)

One physician licensed in good standing in Colorado who is actively serving as an emergency medical service medical director in any area of the state;

(D)

One emergency medical service provider certified or licensed at an advanced life support level who is actively involved in the provision of emergency medical services;

(E)

One emergency medical service provider certified or licensed at a basic life support level who is actively involved in the provision of emergency medical services; and

(F)

One emergency medical service provider certified or licensed at any level who is actively involved in the provision of emergency medical services;

(II)

One voting member who, as of July 1, 2010, is a member of the state emergency medical and trauma services advisory council, appointed by the executive director of the department;

(III)

Two nonvoting ex officio members appointed by the executive director of the department.

(IV)

One voting member who is a clinical psychiatrist licensed in good standing in Colorado, recommended by a statewide association of psychiatrists, and appointed by the governor; and

(V)

One voting member who is an anesthesiologist licensed in good standing in Colorado, recommended by a statewide association of anesthesiologists, and appointed by the governor.

(b)

Members of the advisory council shall serve four-year terms; except that, of the members initially appointed to the advisory council by the governor, four members shall serve three-year terms. A vacancy on the advisory council shall be filled by appointment by the appointing authority for that vacant position for the remainder of the unexpired term. Members serve at the pleasure of the appointing authority and continue in office until the member’s successor is appointed.

(c)

Members of the advisory council shall serve without compensation but shall be reimbursed from the emergency medical services account, created in section 25-3.5-603, for their actual and necessary travel expenses incurred in the performance of their duties under this article.

(d)

The advisory council shall elect a chair and vice-chair from its members.

(e)

The advisory council shall meet at least quarterly and more frequently as necessary to fulfill its obligations.

(f)

The department shall provide staff support to the advisory council.

(g)

As used in this subsection (2), “licensed in good standing” means that the physician holds a current, valid license to practice medicine in Colorado that is not subject to any restrictions.

(3)

The advisory council shall provide general technical expertise on matters related to the provision of patient care by emergency medical service providers and shall advise or make recommendations to the department in the following areas:

(a)

The acts and medications that emergency medical service providers at each level of certification or licensure are authorized to perform or administer under the direction of a physician medical director. The advisory council shall submit a report to the house of representatives health and insurance committee and the senate health and human services committee, or any successor committees, any time the advisory council advises or recommends authorizing the administration of any new chemical restraint, as defined in section 26-20-102 (2). The report must include the advisory council’s reasoning for such advisement or recommendation.

(b)

Requests for waivers to the scope of practice rules adopted pursuant to this section and section 25-3.5-203 (1)(a.5);

(c)

Modifications to emergency medical service provider certification or licensure levels and capabilities; and

(d)

Criteria for physicians to serve as emergency medical service medical directors.

(4)

Intentionally left blank —Ed.

(a)

The director or, if the director is not a physician, the chief medical officer shall adopt rules in accordance with article 4 of title 24 concerning the scope of practice of emergency medical service providers. The rules must include the following:

(I)

Allowable acts for each level of emergency medical service provider certification or licensure and the medications that a certificate holder or licensee at each level of emergency medical service provider certification or licensure can administer;

(II)

Defining the physician medical direction required for appropriate oversight of an emergency medical service provider by an emergency medical services medical director;

(III)

Criteria for requests to waive the scope of practice rules in a prehospital setting and the conditions for the waivers;

(IV)

Minimum standards for physicians to be emergency medical services medical directors; and

(V)

Intentionally left blank —Ed.

(A)

Standards for the issuance by the department of a critical care endorsement for emergency medical service providers. An emergency medical service provider with a critical care endorsement is authorized to perform the tasks and procedures specified by rule. The endorsement is valid as long as the emergency medical service provider maintains certification or licensure by the department.

(B)

The director or, if the director is not a physician, the chief medical officer, shall adopt rules implementing this subparagraph (V) by August 1, 2014.

(a.5)

Intentionally left blank —Ed.

(I)

The director or, if the director is not a physician, the chief medical officer shall adopt rules in accordance with article 4 of title 24 concerning the scope of practice of a community paramedic. An emergency medical service provider’s endorsement as a community paramedic, issued pursuant to the rules adopted under section 25-3.5-203.5, is valid for as long as the emergency medical service provider maintains the emergency medical service provider’s certification or licensure by the department.

(II)

The rules must establish the tasks and procedures that an emergency medical service provider with a community paramedic endorsement is authorized to perform in addition to an emergency medical service provider’s scope of practice, including:

(A)

An initial assessment of the patient and any subsequent assessments, as needed;

(B)

Medical interventions;

(C)

Care coordination;

(D)

Resource navigation;

(E)

Patient education;

(F)

Inventory, compliance, and administration of medications; and

(G)

Gathering of laboratory and diagnostic data.

(b)

Rules adopted pursuant to this subsection (4) supersede any rules of the Colorado medical board regarding the matters set forth in this subsection (4).

(5)

As used in this section:

(a)

“Interfacility transport” has the meaning set forth in section 25-3.5-207 (1)(c).

(b)

Repealed.

(c)

“Scope of practice” has the meaning set forth in section 25-3.5-207 (1)(f).

Source: Section 25-3.5-206 — Emergency medical practice advisory council - creation - powers and duties - emergency medical service provider scope of practice - definitions - rules, https://leg.­colorado.­gov/sites/default/files/images/olls/crs2023-title-25.­pdf (accessed Oct. 20, 2023).

25‑3.5‑101
Short title
25‑3.5‑102
Legislative declaration
25‑3.5‑103
Definitions
25‑3.5‑104
Emergency medical and trauma services advisory council - creation - duties
25‑3.5‑105
Rules and regulations
25‑3.5‑106
Local standards - uninterrupted service - repeal
25‑3.5‑107
Religious exception
25‑3.5‑108
EMS system sustainability task force - created - powers and duties - membership - reports - repeal
25‑3.5‑201
Training programs
25‑3.5‑202
Personnel - basic requirements
25‑3.5‑203
Emergency medical service providers - licensure - renewal of license - duties of department - rules - record checks - definitions
25‑3.5‑203.5
Community paramedic endorsement - rules
25‑3.5‑204
Emergency medical services for children
25‑3.5‑205
Emergency medical service providers - investigation - discipline
25‑3.5‑206
Emergency medical practice advisory council - creation - powers and duties - emergency medical service provider scope of practice - definitions - rules
25‑3.5‑207
Ability of certified or licensed emergency medical service providers to work in clinical settings - restrictions - definitions - rules
25‑3.5‑208
Emergency medical service providers’ peer health assistance program - fund - rules
25‑3.5‑209
Use of ketamine in prehospital setting when peace officer is present - definition
25‑3.5‑210
Report on statewide use of ketamine
25‑3.5‑301
Number of individuals needed for ambulance operation - exception - repeal
25‑3.5‑302
Issuance of licenses and permits - term - requirements - repeal
25‑3.5‑303
Vehicular liability insurance required - repeal
25‑3.5‑304
Suspension - revocation - hearings - repeal
25‑3.5‑305
Alleged negligence
25‑3.5‑306
Violation - penalty
25‑3.5‑307
Licensure of fixed-wing and rotor-wing air ambulances - cash fund created - rules
25‑3.5‑307.5
Standards for air ambulance services - rules - civil penalties - disciplinary actions
25‑3.5‑308
Rules - repeal
25‑3.5‑309
Secure transportation - license required - fees - exceptions
25‑3.5‑310
Secure transportation - issuance of licenses and permits - term - requirements
25‑3.5‑311
Secure transportation - rules
25‑3.5‑312
Funding
25‑3.5‑313
Reporting
25‑3.5‑314
Ambulance service - license required - exceptions - rules - local authorization to operate - penalties - liability insurance
25‑3.5‑315
Minimum standards for ambulance services - rules
25‑3.5‑316
Ambulance services cash fund - created
25‑3.5‑317
License - application - inspection - criminal history record check - issuance - investigation
25‑3.5‑318
License denial, suspension, revocation, or refusal to renew
25‑3.5‑401
Responsibility for coordination
25‑3.5‑402
Local government participation
25‑3.5‑501
Records - ambulance services to report - access to patient information
25‑3.5‑502
Forms and reports - repeal
25‑3.5‑601
Legislative declaration
25‑3.5‑602
Definitions
25‑3.5‑603
Emergency medical services account - creation - allocation of funds
25‑3.5‑604
EMTS grant program - EMS account - role of council and department - rules - awards
25‑3.5‑605
Improvement of county emergency medical and trauma services - eligibility for county funding - manner of distributing funds
25‑3.5‑606
Annual report
25‑3.5‑701
Short title
25‑3.5‑702
Legislative declaration
25‑3.5‑703
Definitions
25‑3.5‑704
Statewide emergency medical and trauma care system - development and implementation - duties of department - rules
25‑3.5‑705
Creation of fee - creation of trauma system cash fund
25‑3.5‑706
Immunity from liability
25‑3.5‑707
False representation as trauma facility - penalty
25‑3.5‑708
Financing for statewide trauma system
25‑3.5‑709
Annual report
25‑3.5‑801
Short title
25‑3.5‑802
Legislative declaration
25‑3.5‑803
Definitions
25‑3.5‑804
Tobacco education, prevention, and cessation programs - review committee - grants - reimbursement for expenses
25‑3.5‑805
Tobacco education, prevention, and cessation programs - requirements
25‑3.5‑806
Tobacco education, prevention, and cessation programs - reporting requirements
25‑3.5‑808
Administration - limitation
25‑3.5‑809
Tobacco education, prevention, and cessation programs - funding
25‑3.5‑810
Nicotine products education, prevention, and cessation programs
25‑3.5‑901
Short title
25‑3.5‑902
Legislative declaration
25‑3.5‑903
Definitions
25‑3.5‑904
Quality management programs - creation - assessments - confidentiality of information - exceptions - immunity for good faith participants
25‑3.5‑1001
Legislative declaration
25‑3.5‑1002
Definitions
25‑3.5‑1004
Ongoing prevention and education campaign - training - marijuana
25‑3.5‑1005
Website - primary state resource for information
25‑3.5‑1006
Align marijuana messaging - integration of information across state agencies
25‑3.5‑1007
Evaluation of marijuana campaigns
25‑3.5‑1101
Legislative declaration
25‑3.5‑1102
Definitions
25‑3.5‑1103
Registration - rules - funds
25‑3.5‑1104
Training programs - rules
25‑3.5‑1105
Investigation and discipline
25‑3.5‑1201
Short title
25‑3.5‑1202
Definitions
25‑3.5‑1203
Community assistance referral and education services programs - authorization - scope
25‑3.5‑1204
Reports
25‑3.5‑1301
Definitions
25‑3.5‑1302
Community integrated health- care service agency license required - rules - civil and criminal penalties - liability insurance
25‑3.5‑1303
Minimum standards for community integrated health-care service agencies - adult protective services data system check - rules
25‑3.5‑1304
Community integrated health care service agencies cash fund - created
25‑3.5‑1305
License - application - inspection - record check - issuance
25‑3.5‑1306
License denial - suspension - revocation
25‑3.5‑1307
Repeal of part - review of functions
25‑3.5‑1401
Stop the bleed school control kits - report - definitions - repeal
Green check means up to date. Up to date

Current through Fall 2024

§ 25-3.5-206’s source at colorado​.gov