147A.4 - RULEMAKING AUTHORITY.

        147A.4  RULEMAKING AUTHORITY.
         1. a.  The department shall adopt rules required or authorized
      by this subchapter pertaining to the operation of ambulance, rescue,
      and first response services which have received authorization under
      section 147A.5 to utilize the services of certified emergency medical
      care providers.  These rules shall include but need not be limited to
      requirements concerning physician supervision, necessary equipment
      and staffing, and reporting by ambulance, rescue, and first response
      services which have received the authorization pursuant to section
      147A.5.
         b.  The director, pursuant to rule, may grant exceptions and
      variances from the requirements of rules adopted under this
      subchapter for any ambulance, rescue, or first response service.
      Exceptions or variations shall be reasonably related to undue
      hardships which existing services experience in complying with this
      subchapter or the rules adopted pursuant to this subchapter.
      However, no exception or variance may be granted unless the service
      adopted a plan approved by the department prior to July 1, 1996, to
      achieve compliance during a period not to exceed seven years with
      this subchapter and rules adopted pursuant to this subchapter.
      Services requesting exceptions and variances shall be subject to
      other applicable rules adopted pursuant to this subchapter.
         2.  The department shall adopt rules required or authorized by
      this subchapter pertaining to the examination and certification of
      emergency medical care providers.  These rules shall include, but
      need not be limited to, requirements concerning prerequisites,
      training, and experience for emergency medical care providers and
      procedures for determining when individuals have met these
      requirements.  The department shall adopt rules to recognize the
      previous EMS training and experience of first responders and
      emergency medical technicians to provide for an equitable transition
      to the EMT-basic certification.  The department may require
      additional training and examinations as necessary and appropriate to
      ensure that individuals seeking certification have met the EMT-basic
      knowledge and skill requirements.
         3.  The department shall establish the fee for the examination of
      the emergency medical care providers to cover the administrative
      costs of the examination program.  
         Section History: Early Form
         [C79, 81, § 147A.4; 82 Acts, ch 1005, § 1, 2] 
         Section History: Recent Form
         84 Acts, ch 1287, § 4; 86 Acts, ch 1245, § 1143; 89 Acts, ch 89,
      §7; 93 Acts, ch 58, § 3; 95 Acts, ch 41, §12, 28; 99 Acts, ch 141,
      §22; 2009 Acts, ch 133, §198
         Referred to in § 147A.6