Substitute Bill No. 5488 Summary

• Clinical medical assistants may administer vaccines under physician, physician assistant, or advanced practice registered nurse supervision after completing 24 hours classroom and 8 hours clinical training, effective immediately.

• Hospitals and health systems must report adverse events within 7 days and submit corrective action plans within 30 days to the Department of Public Health, with compliance failures subject to disciplinary action, effective October 1, 2024.

• Emergency medical services personnel must be trained and equipped to administer epinephrine and glucagon nasal powder for emergency treatment starting July 1, 2024; all licensed ambulances must carry these medications.

• Marital and family therapist licensure requirements increased from 12 to 24 months of postgraduate experience with 1,000 hours direct client contact, effective July 1, 2024.

• Hospital facility fees are prohibited for certain outpatient services effective July 1, 2024, including evaluation and management codes provided on hospital campuses, with exceptions for emergency departments and specified clinical services; hospitals must provide written patient notice of potential facility fees before treatment.