1.1.................... moves to amend H.F. No. 262 as follows:
1.2Delete everything after the enacting clause and insert:

1.3    "Section 1. Minnesota Statutes 2010, section 144E.001, is amended by adding a
1.4subdivision to read:
1.5    Subd. 5f. Emergency medical technician-community paramedic or EMT-CP.
1.6"Emergency medical technician-community paramedic" or "EMT-CP" means a person
1.7who is employed by a licensed ambulance service, is currently certified in Minnesota as
1.8an EMT-P, and who meets the additional requirements for certification as an EMT-CP
1.9specified in section 144E.28, subdivision 9.
1.10EFFECTIVE DATE.This section is effective July 1, 2011.

1.11    Sec. 2. Minnesota Statutes 2010, section 144E.28, is amended by adding a subdivision
1.12to read:
1.13    Subd. 9. Community paramedics. (a) To be eligible for certification by the board
1.14as an EMT-CP, an individual shall:
1.15(1) be currently certified as a Minnesota EMT-P, and have two years of full-time
1.16service as an EMT-P, or its part-time equivalent; and
1.17(2) successfully complete a community paramedic training program from a
1.18Minnesota accredited college or university. The clinical experience provided to students
1.19in the program must be under the supervision of an ambulance medical director, advanced
1.20practice nurse, physician assistant, or public health nurse operating under the direct
1.21authority of a local unit of government.
1.22(b) A community paramedic must practice in accordance with protocols and
1.23supervisory standards established by the ambulance service medical director as provided
1.24under section 144E.265.
2.1(c) A community paramedic is subject to all certification, disciplinary, complaint,
2.2and other regulatory requirements that apply to an EMT-P under this chapter.
2.3(d) To prevent duplication of services, community paramedics must be included in
2.4the patient care plan, which must be developed in coordination with other local providers,
2.5including hospitals and clinics and other entities such as health care homes and local
2.6public health agencies.
2.7EFFECTIVE DATE.This section is effective July 1, 2011.

2.8    Sec. 3. Minnesota Statutes 2010, section 256B.0625, is amended by adding a
2.9subdivision to read:
2.10    Subd. 55. Community paramedic services. (a) Medical assistance covers the
2.11following services, when provided by a community paramedic certified under section
2.12144E.28, subdivision 9: chronic disease monitoring and treatment, performance of minor
2.13medical procedures intended to prevent avoidable ambulance transportation or avoidable
2.14hospital emergency department use, provision of patient information and care referral
2.15options for meeting physical and mental health care needs, and other services approved by
2.16the commissioner.
2.17(b) The commissioner, in consultation with representatives of emergency medical
2.18service providers and local public health agencies, shall establish a payment rate for
2.19services performed by community paramedics. All payments for community paramedic
2.20services must be provided to the medical assistance enrolled provider, which may only be
2.21an ambulance service licensed under chapter 144E.
2.22EFFECTIVE DATE.This section is effective July 1, 2011.

2.23    Sec. 4. EVALUATION OF COMMUNITY PARAMEDIC SERVICES.
2.24The commissioner of human services, in cooperation with the Office of Rural Health
2.25& Primary Care, shall evaluate the effect of medical assistance and MinnesotaCare
2.26coverage of community paramedic services on the cost and quality of care under those
2.27programs, and shall present findings to the legislature by December 1, 2014."
2.28Amend the title accordingly