CERTIFICATION OF ENROLLMENT

 

                   SUBSTITUTE HOUSE BILL 1992

 

 

                   Chapter 337, Laws of 1999

 

 

                        56th Legislature

                      1999 Regular Session

 

 

EPINEPHRINE ADMINISTRATION--KRISTINE KASTNER ACT

 

 

 

EFFECTIVE DATE:  5/14/99 - Except section 4 which becomes effective on 1/1/2000.

Passed by the House April 20, 1999

  Yeas 95   Nays 1

 

 

             CLYDE BALLARD

Speaker of the House of Representatives

     

 

 

              FRANK CHOPP

Speaker of the House of Representatives

 

 

 

Passed by the Senate April 13, 1999

  Yeas 46   Nays 0

             CERTIFICATE

 

We, Dean R. Foster and Timothy A. Martin, Co-Chief Clerks of the House of Representatives of the State of Washington, do hereby certify that the attached is SUBSTITUTE HOUSE BILL 1992  as passed by the House of Representatives and the Senate on the dates hereon set forth.

 

 

 

           DEAN R. FOSTER

                          Chief Clerk

 

 

          TIMOTHY A. MARTIN

                          Chief Clerk

               BRAD OWEN

President of the Senate

 

 

 

Approved May 14, 1999 Place Style On Codes above, and Style Off Codes below.           

                                FILED                

 

             May 14, 1999 - 6:47 p.m.

 

              GARY LOCKE

Governor of the State of Washington

                 Secretary of State

                 State of Washington


          _______________________________________________

 

                    SUBSTITUTE HOUSE BILL 1992

          _______________________________________________

 

                     AS AMENDED BY THE SENATE

 

             Passed Legislature - 1999 Regular Session

 

State of Washington      56th Legislature     1999 Regular Session

 

By House Committee on Health Care (originally sponsored by Representatives Ballasiotes, Schual‑Berke and Rockefeller)

 

Read first time 03/02/1999.

  Studying the need for emergency medical services personnel to be trained in the use of epinephrine.    


    AN ACT Relating to the emergency administration of epinephrine; adding a new section to chapter 18.73 RCW; creating new sections; providing an effective date; providing an expiration date; and declaring an emergency.

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:

 

    NEW SECTION.  Sec. 1.  The legislature finds that allergies are a serious medical disorder that affect more than one in five persons in the United States and are the sixth leading cause of chronic disease.  Anaphylaxis is the most severe form of allergic reaction.  Rapid and appropriate administration of the drug epinephrine to a patient suffering an anaphylaxis allergic reaction may make the difference between the life and death of that patient.  The legislature further finds that some situations may arise when the administration of epinephrine by an emergency medical technician is required to save a person's life and that it is paramount that these valuable emergency response personnel receive the appropriate training on the use of epinephrine to treat anaphylaxis.

    It is the purpose of this act to investigate the rate of anaphylaxis state-wide and the training and care standards needed to allow emergency medical technicians to administer life saving epinephrine.

 

    NEW SECTION.  Sec. 2.  Using existing data and resources, the department of health, in cooperation with the house of representatives health care committee and the senate committee on health and long-term care, shall review the use of epinephrine for anaphylaxis by emergency medical personnel and report to the appropriate committees of the legislature by December 12, 1999.  The report shall determine the following:

    (1) An estimate of the total number of expected incidents of anaphylaxis state-wide, grouped by age;

    (2) The approximate education and training costs associated with preparing emergency medical systems personnel to carry and administer a prefilled measured dose of 1:1000 epinephrine for anaphylaxis;

    (3) Any mitigating circumstances for the use of 1:1000 epinephrine by certified emergency medical systems personnel, including but not limited to, age factors, on-line versus off-line protocols, and specific signs and symptoms present before drug administration.

 

    NEW SECTION.  Sec. 3.  The department of health shall establish a pilot program to determine the effectiveness of training emergency medical technicians to carry and administer epinephrine to persons under age thirty who display symptoms of anaphylaxis.  When a pilot program is established, the department shall establish a voluntary technical advisory committee to advise the department in the development and review of the program.  The technical advisory committee shall include appropriate state-wide organizations that represent emergency care personnel, individuals that are trained in pediatric emergency medicine, and board-certified allergists.  The technical advisory committee shall assist the department of health in assessing the pilot project and reporting to the appropriate committees of the legislature by December 12, 1999.

 

    NEW SECTION.  Sec. 4.  A new section is added to chapter 18.73 RCW to read as follows:

    (1) All of the state's ambulance and aid services shall make epinephrine available to their emergency medical technicians in their emergency care supplies. The emergency medical technician may administer epinephrine to a patient of any age upon the presentation of evidence of a prescription for epinephrine or to a patient under eighteen years of age:

    (a) Upon the request of the patient or his or her parent or guardian; or

    (b) Upon the request of a person who presents written authorization from the patient or his or her parent or guardian making such a request.

    (2) Any emergency medical technician, emergency medical service, or medical program director acting in good faith and in compliance with the provisions of this section shall not be liable for any civil damages arising out of the furnishing or administration of epinephrine.

    (3) Nothing in this section authorizes the administration of epinephrine by a first responder.

    (4) This section shall expire December 31, 2001.

 

    NEW SECTION.  Sec. 5.  This act is necessary for the immediate preservation of the public peace, health, or safety, or support of the state government and its existing public institutions, and takes effect immediately, except for section 4 of this act which takes effect January 1, 2000.

 

    NEW SECTION.  Sec. 6.  This act may be known and cited as the Kristine Kastner Act.


    Passed the House April 20, 1999.

    Passed the Senate April 13, 1999.

Approved by the Governor May 14, 1999.

    Filed in Office of Secretary of State May 14, 1999.