June 12, 2019

WEEKLY NOTICES OF STATE RULEMAKING
Public Input for Proposed and Adopted Rules

Notices are published each Wednesday to alert the public regarding state agency rulemaking. You may obtain a copy of any rule by notifying the agency contact person. You may also comment on the rule, and/or attend the public hearing. If no hearing is scheduled, you may request one -- the agency may then schedule a hearing, and must do so if 5 or more persons request it. If you are disabled or need special services to attend a hearing, please notify the agency contact person at least 7 days prior to it. Petitions: you can petition an agency to adopt, amend, or repeal any rule; the agency must provide you with petition forms, and must respond to your petition within 60 days. The agency must enter rulemaking if the petition is signed by 150 or more registered voters, and may begin rulemaking if there are fewer. You can also petition the Legislature to review a rule; the Executive Director of the Legislative Council (115 State House Station, Augusta, ME 04333, phone (207) 287-1615) will provide you with the necessary petition forms. The appropriate legislative committee will review a rule upon receipt of a petition from 100 or more registered voters, or from "...any person who may be directly, substantially and adversely affected by the application of a rule..." (Title 5 Section 11112). World-Wide Web: Copies of the weekly notices and the full texts of adopted rule chapters may be found on the internet at: http://www.maine.gov/sos/cec/rules. There is also a list of rulemaking liaisons, who are single points of contact for each agency.

PROPOSALS

AGENCY: 14-118 - Department of Health and Human Services (DHHS), Office of Substance Abuse and Mental Health Services (SAMHS)
CHAPTER NUMBER AND TITLE: Ch. 19, Rules Governing Community-Based Drug Overdose Prevention Programs
PROPOSED RULE NUMBER: 2019-P091
BRIEF SUMMARY: Pursuant to 22 MRS §2353(4), the Department of Health and Human Services is adopting Rules Governing Community-Based Drug Overdose Prevention Program to establish policies and procedures related to the storage, dispensing, and distribution of Naloxone Hydrochloride in Community-based Agency Settings.
PUBLIC HEARING: July 1, 2019 – 1:00 p.m., “Cohen on the Meadow”, Maxwell Room, Cohen Community Center, 22 Town Farm Road, Hallowell, ME 04347
COMMENT DEADLINE: July 11, 2019
CONTACT PERSON FOR THIS FILING / SMALL BUSINESS IMPACT INFORMATION / SAMHS RULEMAKING LIAISON: Amy Heino, Senior Policy Advisor, Office of Substance Abuse and Mental Health Services, 41 Anthony Avenue - 11 State House Station, Augusta, ME 04333-0011. Telephone: (207) 287-2535. Email: Amy.M.Heino@Maine.gov .
FINANCIAL IMPACT ON MUNICIPALITIES OR COUNTIES (if any): 
STATUTORY AUTHORITY FOR THIS RULE: 22 MRS §2353(4)
SUBSTANTIVE STATE OR FEDERAL LAW BEING IMPLEMENTED (if different):
SAMHS WEBSITE: http://www.maine.gov/dhhs/samhs .

ADOPTIONS

AGENCY: 16-163 - Department of Public Safety (DPS), Maine Emergency Medical Services (Maine EMS)
CHAPTER NUMBER AND TITLE: Ch. 19 (New), Community Paramedicine
ADOPTED RULE NUMBER: 2019-096 (Emergency)
CONCISE SUMMARY: This rule is intended to establish guidelines under which the Emergency Medical Services Board may issue a Community Paramedicine designation to an entity that is applying for such a designation under 32 MRS ch. 2-B §84(4):
Establishment of community paramedicine services. The board may establish community paramedicine services. As used in this subsection, "community paramedicine" means the practice by an emergency medical services provider primarily in an out-of-hospital setting of providing episodic patient evaluation, advice and treatment directed at preventing or improving a particular medical condition, within the scope of practice of the emergency medical services provider as specifically requested or directed by a physician.
The board shall establish by rule the requirements and application and approval process of community paramedicine services established pursuant to this subsection. At a minimum, an emergency medical services provider, including, but not limited to, an ambulance service or nontransporting emergency medical service, that conducts community paramedicine services shall work with an identified primary care medical director, have an emergency medical services medical director and collect and submit data and written reports to the board, in accordance with requirements established by the board. Rules adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2-A.
Finding of Emergency (per MRS Title 5 ch. 375 §8054(2))
Promulgation of this rule through emergency rulemaking is necessary to ensure for the continued wellbeing of the current patients enrolled with the original community paramedicine pilot programs. By allowing these EMS agencies to keep providing this service, we can prevent unnecessary visits to the emergency room and provide a service that may otherwise go unmet in terms of these patients’ healthcare. Adding this rule will allow these EMS agencies to continue as was the intent of the legislature when the establishment of Community Paramedicine services was added to the statute in 2017. This rule will allow the Board of Emergency Medical Services to establish the requirements and application and approval process of community paramedicine services.
EFFECTIVE DATE: June 7, 2019
MAINE EMS CONTACT PERSON / RULEMAKING LIAISON: Jason A. Oko, Maine Emergency Medical Services, 152 State House Station, Augusta, ME 04333-0152. Telephone: (207) 626-3863. Email: James.A.Oko@Maine.gov .
MAINE EMS WEBSITE: http://www.maine.gov/ems/ .