DE SB223

Authorizes emergency medical services provider agencies to establish mobile-integrated healthcare and community paramedicine programs through the Office of Emergency Medical Services with approval from the Director of the Division of Public Health.

Requires the Office to establish standards for these programs, approved by the Board of Medical Licensure and Discipline, and to review applications with recommendations to the Director.

Defines mobile-integrated healthcare and community paramedicine as patient-centered care models using paramedics and other providers in expanded roles to deliver care in out-of-hospital settings, coordinated with healthcare facilities.

Requires mobile-integrated healthcare or community paramedicine programs to have a medical director and program coordinator, structured education programs, and protocols specific to community healthcare needs, with scope of practice subject to Office and Director approval.

Clarifies that patients in written mobile-integrated healthcare or community paramedicine programs are not considered emergencies, and excludes such care from traditional pre-hospital care regulations while maintaining appropriate liability protections.