House Bill 387 Summary

• Establishes certification requirements for community paramedics, including current paramedic certification and completion of an approved community paramedic certification program, with practice subject to medical director protocols and supervisory standards.

• Adds "community paramedic" or "EMT-CP" as a defined emergency medical services classification in Missouri law, numbering it as definition (17) in the emergency medical services statute.

• Modifies physician assistant supervision requirements by changing language from "sixty-six percent on-site time" to requiring the supervising physician to work within the same facility as the physician assistant for at least four hours within one calendar day for every fourteen days the physician assistant provides patient care.

• Increases maximum distance between supervising physician and physician assistant from thirty miles to fifty miles by road using the most direct route available for supervision agreements.

• Adds detailed written agreement requirements for physician assistant supervision agreements, including attestation that the physician will provide appropriate supervision and the physician assistant will not practice beyond their training.