Bill > HB1979

This bill modifies the legal framework for community paramedic services in Missouri by establishing clear definitions and regulations. Specifically, the bill defines "community paramedic services" as nonemergent healthcare services provided by licensed paramedics who are certified by the state department, operating outside of the traditional 911 emergency response system. To become a certified community paramedic, an individual must be currently licensed as a paramedic, complete an approved certification program, and submit an application. The bill requires community paramedics to work under protocols established by a medical director in collaboration with an ambulance service administrator, and to implement patient care plans developed by physicians or advanced practice healthcare professionals. The legislation also outlines detailed requirements for ambulance services and emergency medical response agencies seeking to provide community paramedic services, including the need for memorandums of understanding when operating in another service's territory, notification requirements, and coordination protocols. Additionally, the bill mandates that the state department establish regulations for recognizing community paramedic service entities, including standards for physician oversight, training, record-keeping, and quality improvement policies, with endorsements valid for five years.

https://house.mo.gov/Bill.aspx?bill=HB1979&year=2026&code=R