Bill Text: IL HB3208 | 2013-2014 | 98th General Assembly | Introduced

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Bill Title: Amends the Illinois Police Training Act. Provides that the Illinois Law Enforcement Training Standards Board shall certify Tactical Medicine Providers. Provides that in order to be eligible for certification the person must be an Emergency Medical Technician, Advanced Emergency Medical Technician, paramedic, nurse, physician assistant, advanced practice nurse physician, dentist, or other medical provider designated by the Board. Establishes additional training requirements for Tactical Medicine Providers. Amends the Counties Code and the Illinois Municipal Code. Provides that Tactical Medicine Providers may assist the sheriff or police chief, including but not limited to, Special Weapons And Tactics (SWAT), special operations, search and rescue, and disaster response teams. Provides that Tactical Medicine Providers may be assigned to a Special Weapons And Tactics (SWAT) team designated by the sheriff or police chief. Provides that a Tactical Medicine Provider does not have the power of arrest and shall not be considered a conservator of the peace. Provides that immediately prior to, during, and immediately after an authorized deployment or mission, a sheriff or police chief may authorize and direct a Tactical Medicine Provider to carry a firearm for self-protection and protection of their patients and casualties, which may include wounded law enforcement officers. Prescribes the duties of Tactical Medicine Providers. Permits TMPs to live outside the county served by the local law enforcement agency that employs him or her.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Failed) 2014-12-03 - Session Sine Die [HB3208 Detail]

Download: Illinois-2013-HB3208-Introduced.html

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98TH GENERAL ASSEMBLY State of Illinois 2013 and 2014 HB3208 Introduced , by Rep. Michael Unes SYNOPSIS AS INTRODUCED:
50 ILCS 705/10.14 new
55 ILCS 5/3-6013 from Ch. 34, par. 3-6013
55 ILCS 5/3-6015.1 new
65 ILCS 5/3.1-30-20 from Ch. 24, par. 3.1-30-20
65 ILCS 5/11-1-1.05 new
30 ILCS 805/8.37 new
Amends the Illinois Police Training Act. Provides that the Illinois Law Enforcement Training Standards Board shall certify Tactical Medicine Providers. Provides that in order to be eligible for certification the person must be an Emergency Medical Technician, Advanced Emergency Medical Technician, paramedic, nurse, physician assistant, advanced practice nurse physician, dentist, or other medical provider designated by the Board. Establishes additional training requirements for Tactical Medicine Providers. Amends the Counties Code and the Illinois Municipal Code. Provides that Tactical Medicine Providers may assist the sheriff or police chief, including but not limited to, Special Weapons And Tactics (SWAT), special operations, search and rescue, and disaster response teams. Provides that Tactical Medicine Providers may be assigned to a Special Weapons And Tactics (SWAT) team designated by the sheriff or police chief. Provides that a Tactical Medicine Provider does not have the power of arrest and shall not be considered a conservator of the peace. Provides that immediately prior to, during, and immediately after an authorized deployment or mission, a sheriff or police chief may authorize and direct a Tactical Medicine Provider to carry a firearm for self-protection and protection of their patients and casualties, which may include wounded law enforcement officers. Prescribes the duties of Tactical Medicine Providers. Permits TMPs to live outside the county served by the local law enforcement agency that employs him or her.
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A BILL FOR
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AN ACT concerning Tactical Medicine Providers.
WHEREAS, Law enforcement agencies and their special teams
function in high-threat environments, such as encountering
active shooters in schools, malls, and religious institutions,
engaging domestic terrorists, neutralizing methamphetamine
labs, serving high-risk arrest and search warrants, addressing
barricaded suspects holding hostages, and facing a variety of
other life threatening situations; and
WHEREAS, Many law enforcement agencies must face these
extreme hazards without the emergency medical care that is
provided to citizens of Illinois through the Emergency Medical
Services system because EMTs and paramedics are not permitted
within the inner perimeter of the hot zone; therefore
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Illinois Police Training Act is amended by
adding Section 10.14 as follows:
(50 ILCS 705/10.14 new)
Sec. 10.14. Tactical Medicine Provider.
(a) The Board shall certify Tactical Medicine Providers. A
person is eligible for certification as a Tactical Medicine
Provider (TMP) if he or she is licensed as follows:

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(1) by the Department of Public Health as an Emergency
Medical Technician-Basic (EMT-B), an Emergency Medical
Technician-Intermediate (EMT-I), or an Emergency Medical
Technician-Paramedic (EMT-P) under the Emergency Medical
Services (EMS) Systems Act;
(2) by the Department of Financial and Professional
Regulation as a physician (whether licensed to practice
medicine in all of its branches or licensed as a
chiropractic physician) under the Medical Practice Act of
1987;
(3) by the Department of Financial and Professional
Regulation as a practical nurse, registered nurse, or
advanced practice nurse under the Nurse Practice Act;
(4) by the Department of Financial and Professional
Regulation as a physician assistant under the Physician
Assistant Practice Act of 1987; or
(5) by the Department of Financial and Professional
Regulation as a dentist under the Illinois Dental Practice
Act.
The Board may designate other medical providers as eligible
for certification as Tactical Medicine Providers.
(b) The Board shall require a person to receive the
following training in order to be eligible for certification as
a Tactical Medicine Provider:
(1) Completion of a standard 40 hour tactical emergency
medicine training course at a reputable school, such as the

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International School of Tactical Medicine (approved by the
Department of Homeland Security), Counter Narcotics and
Terrorism Operational Medical Support (CONTOMS), or other
reputable tactical emergency medical specialist (TEMS)
training program, as the Board may approve.
(2) Completion of a course of study in Tactical Law
Enforcement that develops proficiency in the area that the
TMP is assigned. This may include a 40-hour component that
shall enable the TMP to learn and become proficient in
Special Weapons And Tactics (SWAT). This may be completed
by routine training with the TMP's agency, or at a
certified course, such as a standard 40-hour SWAT course.
(3) A 40-hour firearms training course and additional
firearms training conducted with the TMP's tactical team on
an ongoing basis to maintain competency in safely handling
weapons and disarming downed officers and suspects.
(4) Routine on-going tactical and medical training
with the law enforcement agency that the TMP is supporting,
including training in topics such as officer-down
scenarios, familiarization with weapons and tactics, and
medical support during training and operations.
(5) Training in blood-borne pathogens, hazardous
materials, weapons of mass destruction, terrorism-related
topics, self defense tactics, environmental medicine, law
enforcement, and other advanced training.
(6) Such other education and training deemed

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appropriate by the Board.
(c) In determining what training under items (1), (4), and
(5) of subsection (b) of this Section is appropriate, the Board
shall consult with and receive the approval of the Director of
Public Health and the State Emergency Medical Services Advisory
Council before authorizing those particular courses of
training.
(d) A sheriff or municipal police chief may employ or may
receive volunteer service from one or more Tactical Medicine
Providers pursuant to Section 3-6015.1 of the Counties Code and
Section 11-1-1.05 of the Illinois Municipal Code.
(e) Any TMP serving a law enforcement agency may apply for
a Non-transport Provider license with the Department of Public
Health and shall comply with existing rules regarding such
licensure.
(f) A Tactical Medicine Provider certified under this Act
shall not, as a result of his or her acts or omissions in
performing his or her duties as a TMP, be subject to
disciplinary or other adverse action under the Emergency
Medical Services (EMS) Systems Act, the Medical Practice Act of
1987, the Nurse Practice Act, the Physician Assistant Practice
Act of 1987, the Illinois Dental Practice Act, or any other Act
that licenses professions that the Board deems eligible for
certification as Tactical Medicine Providers.
Section 10. The Counties Code is amended by changing

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Section 3-6013 and adding Section 3-6015.1 as follows:
(55 ILCS 5/3-6013) (from Ch. 34, par. 3-6013)
Sec. 3-6013. Duties, training and compensation of
auxiliary deputies. Auxiliary deputies shall not supplement
members of the regular county police department or regular
deputies in the performance of their assigned and normal
duties, except as provided herein. Auxiliary deputies may be
assigned and directed by the sheriff to perform the following
duties in the county:
To aid or direct traffic within the county, to aid in
control of natural or human made disasters, to aid in case of
civil disorder as assigned and directed by the sheriff,
provided, that in emergency cases which render it impractical
for members of the regular county police department or regular
deputies to perform their assigned and normal duties, the
sheriff is hereby authorized to assign and direct auxiliary
deputies to perform such regular and normal duties.
Identification symbols worn by such auxiliary deputies shall be
different and distinct from those used by members of the
regular county police department or regular deputies. Such
auxiliary deputies shall at all times during the performance of
their duties be subject to the direction and control of the
sheriff of the county. Such auxiliary deputies shall not carry
firearms, except with the permission of the sheriff, and only
while in uniform and in the performance of their assigned

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duties.
Auxiliary deputies, prior to entering upon any of their
duties, shall receive a course of training in the use of
weapons and other police procedures as shall be appropriate in
the exercise of the powers conferred upon them under this
Division, which training and course of study shall be
determined and provided by the sheriff of each county utilizing
auxiliary deputies, provided that, before being permitted to
carry a firearm an auxiliary deputy must have the same course
of training as required of peace officers in Section 2 of the
Peace Officer Firearm Training Act. The county authorities
shall require that all auxiliary deputies be residents of the
county served by them. Prior to the appointment of any
auxiliary deputy his or her fingerprints shall be taken and no
person shall be appointed as such auxiliary deputy if he or she
has been convicted of a felony or other crime involving moral
turpitude.
Auxiliary deputies may receive such compensation as is set
by the County Board, with the advice and consent of the
Sheriff, not to exceed the lowest hourly pay of a full-time
sworn member of the regular county police or sheriff's
department and not be paid a salary, except as provided in
Section 3-6036, but may be reimbursed for actual expenses
incurred in performing their assigned duty. The County Board
must approve such actual expenses and arrange for payment.
Auxiliary deputies who have been certified by the Illinois

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Law Enforcement Training Standards Board as Tactical Medicine
Providers shall perform the duties prescribed to them in
Section 3-6015.1.
Nothing in this Division shall preclude an auxiliary deputy
from holding a simultaneous appointment as an auxiliary police
officer pursuant to Section 3-6-5 of the Illinois Municipal
Code.
(Source: P.A. 97-379, eff. 8-15-11.)
(55 ILCS 5/3-6015.1 new)
Sec. 3-6015.1. Law enforcement agency support; Tactical
Medicine Providers.
(a) A sheriff may employ or may receive volunteer service
from one or more Tactical Medicine Providers. The sheriff may
designate persons as auxiliary deputies who are certified by
the Illinois Law Enforcement Training Standards Board as
Tactical Medicine Providers.
(b) A Tactical Medicine Provider may be assigned to a law
enforcement agency, including special teams such as component
of the sheriff's department including, but not limited to,
SWAT, special operations, search and rescue, and disaster
response. One or more Tactical Medicine Providers assigned to a
SWAT team shall be considered a Tactical Emergency Medical
Support Unit and pre-hospital emergency care providers. Before
the sheriff deploys a Tactical Emergency Medical Support Unit
assigned to a SWAT team, the sheriff must receive the approval

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of the Unit by the Department of Public Health.
(c) A Tactical Medicine Provider does not have the power of
arrest and shall not be considered a conservator of the peace.
(d) The sheriff may authorize a Tactical Medicine Provider
to carry a firearm during deployment, including a SWAT team
mission, and at times immediately prior to and after the
mission, as designated by the sheriff.
(e) The Tactical Medicine Provider shall have the following
duties:
(1) Prior to a law enforcement agency team deployment
or SWAT team mission to:
(A) attend tactical team training sessions;
(B) provide preventive medicine, health
maintenance, and injury control measures;
(C) provide medical care to team members who become
injured or ill at training;
(D) provide education in first aid and combat
casualty care to team members, including providing
instruction in CPR, combat first aid, ballistics,
field medicine, and other medically-related topics
that pertain to the tactical environment, practicing
"officer down" immediate action drills, extractions,
and other scenarios;
(E) prepare the tactical medicine team to deal with
pertinent medical threats and hazards expected at
training event and call-outs;

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(F) identify and prepare for any pre-existing
medical condition of team members;
(G) make recommendations to optimize internal
policies related to Tactical Emergency Medical
Services (TEMS) and general law enforcement health
issues; and
(H) serve as a resource for any medical concerns
that affect the sheriff's office.
(2) During a mission "call-out", a Tactical Medicine
Provider shall:
(A) remain available to provide emergency medical
care for those in need;
(B) participate in mission planning, preparing an
assessment of medical threats, and providing
appropriate advice while keeping missions
appropriately confidential to avoid any information
leaks that would jeopardize the mission;
(C) pre-plan and arrange emergency medical
evacuation and transportation pertinent to the
mission, including methods of transport, appropriate
hospitals, and route planning;
(D) provide appropriate preventive and immediate
medical care to tactical team members, other law
enforcement officers, and public safety personnel;
(E) provide secondary emergency care to
bystanders, suspects, or others on site at the

HB3208 - 10 - LRB098 11172 OMW 41883 b
discretion of the team leader or commander;
(F) provide "assessment and clearing" of suspects
prior to incarceration as directed by the team leader
or commander;
(G) advise the command staff of developing medical
concerns, and remaining available for medical
consultation to the team leader or commander;
(H) perform remote assessment or "medicine across
the barricade" of any downed victims in exposed areas
and then advising the commander about the likely
viability of the victim or victims and injuries;
(I) improve team performance and morale by the
presence of immediate medical support; and
(J) function as a liaison with the local Emergency
Medical Services (EMS) System, hospitals, and
officials from other public safety and law enforcement
agencies.
(3) After a mission, a Tactical Medicine Provider may
be involved in the following post-incident support
activities:
(A) participating in post-incident debriefing and
review, assisting command staff with analysis of the
operation or training event, or both, and any medical
care delivered, and making improvements to the
tactical medicine unit, policies, and procedures as
needed;

HB3208 - 11 - LRB098 11172 OMW 41883 b
(B) reviewing and documenting all medical
treatment and records relevant to operational or
training missions;
(C) appropriately optimizing treatment,
rehabilitation, and mental health for injured officers
through "ombudsman" involvement with hospitals,
physicians, family, and sheriff's office officials,
while maintaining HIPAA and patient confidentiality
regulations; and
(D) Incorporating "lessons learned" into future
unit training and preparedness, assisting with
preventive medicine efforts, and improving care.
(f) A Tactical Medicine Provider may reside outside the
limits of the county served by the law enforcement agency of
his or her employment.
(g) The sheriff may authorize Tactical Medicine Providers
that are assigned to a law enforcement agency or a SWAT team,
or both, to deploy with that team to any location in the State
of Illinois or other state to which the responding team is
ordered. If the location is in a different EMS system, then the
TMP (if a non-physician) shall report to his or her regular EMS
Medical Director for the duration of the deployment and shall
continue to abide by his or her normal EMS medical and tactical
medicine protocols. Liability coverage for officers and TMPs
during deployment across county or state lines including, but
not limited to, health insurance, disability insurance,

HB3208 - 12 - LRB098 11172 OMW 41883 b
worker's compensation, and other insurance coverage, shall not
be altered by the deployment.
(h) If a Tactical Medicine Provider is serving as a
volunteer and engaged in one or more of the duties described in
subsection (e) of this Section, or an act ancillary thereto:
(1) he or she shall be treated as if the TMP is a
"public employee" under the Local Governmental and
Governmental Employees Tort Immunity Act; and
(2) the acts, or omissions to act, of the TMP shall be
deemed to have been for public and governmental purposes
and subject to immunity from liability to the same extent
as an employee of a governmental entity of this State for
whom the TMP is a volunteer.
Section 15. The Illinois Municipal Code is amended by
changing Section 3.1-30-20 and adding Section 11-1-1.05 as
follows:
(65 ILCS 5/3.1-30-20) (from Ch. 24, par. 3.1-30-20)
Sec. 3.1-30-20. Auxiliary police officers.
(a) Auxiliary police officers shall not be members of the
regular police department of the municipality. Auxiliary
police officers shall not supplement members of the regular
police department of any municipality in the performance of
their assigned and normal duties, except as otherwise provided
in this Code. Auxiliary police officers shall only be assigned

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to perform the following duties in a municipality: (i) to aid
or direct traffic within the municipality, (ii) to aid in
control of natural or man made disasters, and (iii) to aid in
case of civil disorder as directed by the chief of police. When
it is impractical for members of the regular police department
to perform those normal and regular police duties, however, the
chief of police of the regular police department may assign
auxiliary police officers to perform those normal and regular
police duties. Identification symbols worn by auxiliary police
officers shall be different and distinct from those used by
members of the regular police department. Auxiliary police
officers shall at all times during the performance of their
duties be subject to the direction and control of the chief of
police of the municipality. Auxiliary police officers shall not
carry firearms, except with the permission of the chief of
police and while in uniform and in the performance of their
duties. Auxiliary police officers, when on duty, shall also be
conservators of the peace and shall have the powers specified
in Section 3.1-15-25.
(b) Auxiliary police officers, before entering upon any of
their duties, shall receive a course of training in the use of
weapons and other police procedures appropriate for the
exercise of the powers conferred upon them under this Code. The
training and course of study shall be determined and provided
by the corporate authorities of each municipality employing
auxiliary police officers. Before being permitted to carry a

HB3208 - 14 - LRB098 11172 OMW 41883 b
firearm, however, an auxiliary police officer must have the
same course of training as required of peace officers under
Section 2 of the Peace Officer Firearm Training Act. The
municipal authorities may require that all auxiliary police
officers be residents of the municipality served by them.
Before the appointment of an auxiliary police officer, the
person's fingerprints shall be taken, and no person shall be
appointed as an auxiliary police officer if that person has
been convicted of a felony or other crime involving moral
turpitude.
(b-5) Auxiliary police officers who have been certified by
the Illinois Law Enforcement Training Standards Board as
Tactical Medicine Providers shall perform the duties
prescribed to them in Section 11-1-1.05.
(c) The Line of Duty Compensation Act shall be applicable
to auxiliary police officers upon their death in the line of
duty described in this Code.
(Source: P.A. 94-984, eff. 6-30-06.)
(65 ILCS 5/11-1-1.05 new)
Sec. 11-1-1.05. Law enforcement agency support; Tactical
Medicine Providers.
(a) A municipal police chief may employ or may receive
volunteer service from one or more Tactical Medicine Providers.
The municipal police chief may designate persons as auxiliary
police officers who are certified by the Illinois Law

HB3208 - 15 - LRB098 11172 OMW 41883 b
Enforcement Training Standards Board as Tactical Medicine
Providers.
(b) A Tactical Medicine Provider may be assigned to a Law
Enforcement Agency, including special teams such as a Special
Weapons And Tactics (SWAT) team, designated by the municipal
police chief. One or more Tactical Medicine Providers assigned
to a SWAT team shall be considered a Tactical Emergency Medical
Support Unit and pre-hospital emergency care providers. Before
the municipal police chief deploys a Tactical Emergency Medical
Support Unit assigned to a SWAT team, the municipal police
chief must receive the approval of the Unit by the Department
of Public Health.
(c) A Tactical Medicine Provider does not have the power of
arrest and shall not be considered a conservator of the peace.
(d) The municipal police chief may authorize a Tactical
Medicine Provider to carry a firearm during a law enforcement
agency deployment, such as a SWAT team mission, and at times
immediately prior to and after the mission as designated by the
municipal police chief.
(e) The Tactical Medicine Provider shall have the following
duties:
(1) Prior to a SWAT team mission to:
(A) attend tactical team training sessions;
(B) provide preventive medicine, health
maintenance, and injury control measures;
(C) provide medical care to team members who become

HB3208 - 16 - LRB098 11172 OMW 41883 b
injured or ill at training;
(D) provide education in first aid and combat
casualty care to team members, including providing
instruction in CPR, combat first aid, ballistics,
field medicine, and other medically-related topics
that pertain to the tactical environment, practicing
"officer down" immediate action drills, extractions,
and other scenarios;
(E) prepare the tactical medicine team to deal with
pertinent medical threats and hazards expected at
training event and call-outs;
(F) identify and prepare for any pre-existing
medical condition of team members;
(G) make recommendations to optimize internal
policies related to Tactical Emergency Medical
Services (TEMS) and general law enforcement health
issues; and
(H) serve as a resource for any medical concerns
that affect the sheriff's office.
(2) During a mission "call-out", a Tactical Medicine
Provider shall:
(A) remain available to provide emergency medical
care for those in need;
(B) participate in mission planning, preparing an
assessment of medical threats, and providing
appropriate advice while keeping missions

HB3208 - 17 - LRB098 11172 OMW 41883 b
appropriately confidential to avoid any information
leaks that would jeopardize the mission;
(C) pre-plan and arrange emergency medical
evacuation and transportation pertinent to the
mission, including methods of transport, appropriate
hospitals, and route planning;
(D) provide appropriate preventive and immediate
medical care to tactical team members, other law
enforcement officers, and public safety personnel;
(E) provide secondary emergency care to
bystanders, suspects, or others on site at the
discretion of the team leader or commander;
(F) provide "assessment and clearing" of suspects
prior to incarceration as directed by the team leader
or commander;
(G) advise the command staff of developing medical
concerns, and remaining available for medical
consultation to the team leader or commander;
(H) perform remote assessment or "medicine across
the barricade" of any downed victims in exposed areas
and then advising the commander about the likely
viability of the victim or victims and injuries;
(I) improve team performance and morale by the
presence of immediate medical support; and
(J) function as a liaison with the local Emergency
Medical Services (EMS) System, hospitals, and

HB3208 - 18 - LRB098 11172 OMW 41883 b
officials from other public safety and law enforcement
agencies.
(3) After a mission, a Tactical Medicine Provider may
be involved in the following post-incident support
activities:
(A) participating in post-incident debriefing and
review, assisting command staff with analysis of the
operation or training event, or both, and any medical
care delivered, and making improvements to the
tactical medicine unit, policies, and procedures as
needed;
(B) reviewing and documenting all medical
treatment and records relevant to operational or
training missions;
(C) appropriately optimizing treatment,
rehabilitation, and mental health for injured officers
through "ombudsman" involvement with hospitals,
physicians, family, and sheriff's office officials,
while maintaining HIPAA and patient confidentiality
regulations; and
(D) Incorporating "lessons learned" into future
unit training and preparedness, assisting with
preventive medicine efforts, and improving care.
(f) A Tactical Medicine Provider may reside outside the
limits of the municipality served by the law enforcement agency
of his or her employment.

HB3208 - 19 - LRB098 11172 OMW 41883 b
(g) The municipal police chief may authorize Tactical
Medicine Providers that are assigned to a law enforcement
agency or a SWAT team, or both, to deploy with that team to any
location in the State of Illinois or other state to which the
responding team is ordered. If the location is in a different
EMS system, then the TMP (if a non-physician) shall report to
his or her regular EMS Medical Director for the duration of the
deployment and shall continue to abide by his or her normal EMS
medical and tactical medicine protocols. Liability coverage
for officers and TMPs during deployment across county or state
lines including, but not limited to, health insurance,
disability insurance, workmen's compensation, and other
insurance coverage, shall not be altered by the deployment.
(h) If a Tactical Medicine Provider is serving as a
volunteer and engaged in one or more of the duties described in
subsection (e) of this Section, or an act ancillary thereto:
(1) he or she shall be treated as if the TMP is a
"public employee" under the Local Governmental and
Governmental Employees Tort Immunity Act; and
(2) the acts, or omissions to act, of the TMP shall be
deemed to have been for public and governmental purposes
and subject to immunity from liability to the same extent
as an employee of a governmental entity of this State for
whom the TMP is a volunteer.
Section 90. The State Mandates Act is amended by adding

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Section 8.37 as follows:
(30 ILCS 805/8.37 new)
Sec. 8.37. Exempt mandate. Notwithstanding Sections 6 and 8
of this Act, no reimbursement by the State is required for the
implementation of any mandate created by this amendatory Act of
the 98th General Assembly.