Texas Register

TITLE 25 HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 157EMERGENCY MEDICAL CARE
SUBCHAPTER CEMERGENCY MEDICAL SERVICES TRAINING AND COURSE APPROVAL
RULE §157.33Certification
ISSUE 08/12/2016
ACTION Proposed
Preamble Texas Admin Code Rule

(a)Certification requirements. A candidate for emergency medical services (EMS) certification shall:

  (1)(No change.)

  (2)have a high school diploma or GED certificate:

    (A)the high school diploma must be from a school accredited by the Texas Education Agency (TEA) or a corresponding agency from another state. Candidates who received a high school education in another country must have their transcript evaluated by a foreign credentials evaluation service that attests to its equivalency. A home school diploma is acceptable [if it is accompanied by a letter of acceptance into a regionally accredited college];

    (B)(No change.)

  (3)(No change.)

   (4)The candidate has completed a state approved jurisprudence examination to determine the knowledge on state EMS laws, rules, and policies.

  (5)[(4)] submit an application, meeting the requirements in §157.3 of this title (relating to Processing EMS Provider Licenses and Applications for EMS Personnel Certification and Licensing), and the following nonrefundable fees as applicable:

    (A)$60 for emergency care attendant (ECA) or emergency medical technician (EMT);

    (B)$90 for AEMT [EMT-intermediate (EMT-I)] or EMT-paramedic (EMT-P); and

    (C)EMS volunteer--no fee. However, if such an individual receives compensation during the certification period, the exemption ceases and the individual shall pay a prorated fee to the department based on the number of years remaining in the certification period when employment begins. The nonrefundable fee for ECA or EMT certification shall be $15 per each year remaining in the certification. The nonrefundable fee for AEMT [EMT-I] or EMT-P shall be $22.50 per each year remaining in the certification. Any portion of a year will count as a full year; [and]

  (6)[(5)] provide evidence of current active or inactive National Registry certification at the appropriate level. National Registry First Responder certification is considered the appropriate corresponding certification level for an ECA; and[.]

   (7)submit fingerprints through the state approved fingerprinting service to undergo an FBI fingerprint criminal history check.

(b)Length of certification. A candidate who meets the requirements of subsection (a) of this section shall be certified for four years beginning on the date of issuance of a certificate and wallet-size certificate. A candidate must verify current certification before staffing an EMS vehicle. Certification may be verified by the applicant's receipt of the official department identification card, by using the department's certification website[, or by contacting the department directly].

(c)Scheduling authority for certification examinations.

   [(1)The department has final authority for scheduling all certification examination sessions.]

  (1)[(2)] Examinations shall be administered at regularly scheduled times in various locations across the state.

  (2)[(3)] The candidate shall be responsible for making appropriate arrangements for the examination.

  (3)[(4)] The department is not required to set special examination schedules for a single candidate or for a specific group of candidates.

(d) - (g)(No change.)

(h)Inactive certification. A certified EMT, AEMT [ EMT-I], or EMT-P may make application to the department for inactive certification at any time during the certification period or within one year after the certificate expiration date.

  (1) - (4)(No change.)

(i)Reciprocity.

  (1)A person who is currently certified by the National Registry but did not complete a department-approved course may apply for the equal or lower level Texas certification by submitting a reciprocity application and a nonrefundable fee of $120.

    (A)Applicants holding National Registry AEMT [ EMT-intermediate] certification may be required to [ must] submit written verification of proficiency of AEMT [ EMT-intermediate] skills from an approved education program.

    (B) - (D)(No change.)

     (E)The candidate has completed a state approved jurisprudence examination to determine the knowledge on state EMS laws, rules, and policies.

  (2)A person currently certified by another state may apply for equal or lower level Texas certification by submitting a reciprocity application and a nonrefundable fee of $120.

    (A)(No change.)

    (B)Applicants holding AEMT [EMT-intermediate ] out-of-state certification must submit written proof of proficiency on all of the AEMT [EMT-intermediate] skills signed by a Texas certified EMS coordinator or instructor.

     (C)All applicants shall submit fingerprints through the state approved fingerprinting service to undergo an FBI fingerprint criminal history check.

     (D)The applicant has completed a state approved jurisprudence examination to determine the knowledge on state EMS laws, rules, and policies.

    (E)[(C)] Reciprocity is not allowed for the ECA level.

    (F)[(D)] A candidate will not be eligible for reciprocity if the out-of-state certification expires prior to the completion of all requirements for certification as listed in this section.

    (G)[(E)] A candidate who meets the requirements of this section shall be certified for four years beginning on the date of issuance of a certificate and wallet-size certificate.

  (3)(No change.)

(j)Equivalency.

  (1)(No change.)

  (2)A candidate applying for certification by equivalency shall:

    (A)(No change.)

    (B)obtain a course completion document that verifies that the program is satisfied that all curriculum requirements have been met. Evaluations of curricula conducted by post secondary educational institutions under this subsection shall be consistent with the institution's established policies and procedures for awarding credit by transfer or advanced placement; [and]

    (C)the candidate may then apply for initial certification with the department as described in subsection (a) of this section; and[.]

     (D)The applicant has completed a state approved jurisprudence examination to determine the knowledge on state EMS laws, rules, and policies.

(k)(No change.)

(l)Responsibilities of the EMS personnel. During the license period, the EMS Personnel responsibilities shall include:

  (1)making accurate, complete and/or clearly written patient care reports documenting a patient's condition upon arrival at the scene and patient's status during transport, including signs, symptoms, and responses during duration of transport as per EMS provider's approved policy;

  (2)reporting to the employer, appropriate legal authority or the department, of abuse or injury to a patient or the public within 24 hours or the next business day after the event;

  (3)following the approved medical director's protocol and policies;

  (4)taking precautions to prevent the misappropriation of medications, supplies, equipment, personal items, or money belonging to the patient, employer or any person or entity;

  (5)maintaining skill and knowledge to perform the duties or meet the responsibilities required of current level of EMS certification; and

  (6)notifying the department of a current and/or valid mailing address within 30 days of any changes.

The agency certifies that legal counsel has reviewed the proposal and found it to be within the state agency's legal authority to adopt.

Filed with the Office of the Secretary of State on August 1, 2016

TRD-201603832

Lisa Hernandez

General Counsel

Department of State Health Services

Earliest possible date of adoption: September 11, 2016

For further information, please call: (512) 776-6972



Next Page Previous Page

Link to Texas Secretary of State Home Page | link to Texas Register home page | link to Texas Administrative Code home page | link to Open Meetings home page