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					Appendix A                                                                        Public Comment Period 11-26-2007 through 1-11-2008
                                                                                                      Comments are due by 1-11-2008
   ASSESSMENT USING MEDICAL MODEL FOR DETERMINING IMPAIRMENT IN EMT-I OR EMT-II CERTIFICATE
     HOLDERS OR APPLICANTS WITH DRUG / ALCOHOL RELATED INVESTIGATIONS, ARRESTS, AND/OR
                       CONVICTIONS PURSUANT TO H&S 1798.200 (a) & (c) (9)


    Offenses:                                   Applicant                                                   Certificate holder

One Misdemeanor 1. Obtain a medical and psychiatric evaluation by a physician          1. Obtain a medical and psychiatric evaluation by a
Alcohol or Drug-   certified in addiction medicine by the American Society of             physician certified in addiction medicine by the American
Related            Addiction Medicine (ASAM) or the American Board of                     Society of Addiction Medicine (ASAM) or the American
Conviction Within  Psychiatry and Neurology (ABPN) at applicant’s expense.                Board of Psychiatry and Neurology (ABPN) at applicant’s
5 Years of         a. If no signs of impairment, offer a provisional license for 2        expense.
Applying for EMT-I      years with standard terms and conditions. No random               a. If no signs of impairment certification will be revoked,
or EMT-II               testing required.                                                     stayed, 3 years probation with standard terms and
Certification, or  b. If the individual is impaired, deny certification.                      conditions. Random testing may be waived.
Conviction for                                                                            b. If impaired, certification will be revoked.
Misdemeanor                                                                                     i. Reinstatement will require that certificate holder
Alcohol or Drug-                                                                                   go through re-application process and
Related offense                                                                                    demonstrate 2 years of sobriety
                                                                                               ii. Applicant will be required to obtain a medical and
                                                                                                   psychiatric evaluation by a physician certified by
                                                                                                   the American Society of Addiction Medicine
                                                                                                   (ASAM) at applicant’s expense within 30 days of
                                                                                                   re-applying for licensure.
                                                                                              iii. Random testing required. Workplace monitoring
                                                                                                   may be required.


Two Misdemeanor 1. Obtain a medical and psychiatric evaluation by a physician          1. TSO
Alcohol-Related    certified in addiction medicine by the American Society of          2. Obtain medical and psychiatric evaluation by a physician
Convictions        Addiction Medicine (ASAM) or the American Board of                     certified in addiction medicine by the American Society of
Within 5 Years of  Psychiatry and Neurology (ABPN) at applicant’s expense.                Addiction Medicine (ASAM) or the American Board of
Applying for EMT-I a. If no signs of impairment, offer provisional certification for      Psychiatry and Neurology (ABPN) at applicant’s
or EMT-II               2 years with standard terms and conditions. Random                expense.
Certification, or       testing required. Workplace monitoring may be required.           a. If no signs of impairment certificate holder will receive
Misdemeanor        b. If the individual is impaired, deny certification.                       30 to 90 days actual suspension time with additional
Alcohol-Related                                                                                terms and conditions and additional probation time.
Arrest/Conviction                                                                              Random testing required. Workplace monitoring may
While on                                                                                       be required.
Probation                                                                              3. If impaired, certification will be revoked.
                                                                                          a. Reinstatement will require that Certificate holder go
                                                                                               through re-application process and demonstrate 2
Appendix A                                            Public Comment Period 11-26-2007 through 1-11-2008
                                                                          Comments are due by 1-11-2008
   ASSESSMENT USING MEDICAL MODEL FOR DETERMINING IMPAIRMENT IN EMT-I OR EMT-II CERTIFICATE
     HOLDERS OR APPLICANTS WITH DRUG / ALCOHOL RELATED INVESTIGATIONS, ARRESTS, AND/OR
                       CONVICTIONS PURSUANT TO H&S 1798.200 (a) & (c) (9)

    Offenses:                             Applicant                             Certificate holder
                                                                  years of sobriety
                                                              b. Certificate holder will be required to obtain a medical
                                                                  and psychiatric evaluation by a physician certified in
                                                                  addiction medicine by the American Society of
                                                                  Addiction Medicine (ASAM) or the American Board of
                                                                  Psychiatry and Neurology (ABPN) at applicant’s
                                                                  expense within 30 days of re-applying for licensure.
                                                                  Random testing will be required. Workplace
                                                                  monitoring may be required.


Two Misdemeanor      Deny Certification                          Revoke Certification
Drug-Related
Convictions in the
past 5 years




Three                Deny Certification                   1. TSO and revocation
Misdemeanor                                               2. Reinstatement will require that certificate holder go
Alcohol-Related                                              through re-application process and demonstrate 2 years
Convictions                                                  of sobriety
Within 5 Years of                                         3. Certificate holder will be required to obtain a medical and
Applying for EMT-I                                           psychiatric evaluation by a physician certified in addiction
or EMT-II                                                    medicine by the American Society of Addiction Medicine
Certification, or                                            (ASAM) or the American Board of Psychiatry and
Third                                                        Neurology (ABPN) at applicant’s expense within 30 days
Misdemeanor                                                  of re-applying for licensure. Random testing will be
Alcohol-Related                                              required. Workplace monitoring may be required
Arrest/Convictions
While on
Probation
Appendix A                                                                            Public Comment Period 11-26-2007 through 1-11-2008
                                                                                                          Comments are due by 1-11-2008
   ASSESSMENT USING MEDICAL MODEL FOR DETERMINING IMPAIRMENT IN EMT-I OR EMT-II CERTIFICATE
     HOLDERS OR APPLICANTS WITH DRUG / ALCOHOL RELATED INVESTIGATIONS, ARRESTS, AND/OR
                       CONVICTIONS PURSUANT TO H&S 1798.200 (a) & (c) (9)


Conviction for any           Deny Certification                                                  Revoke Certification
Offense
Punishable as a
Felony Within the
Past 10 years, or
on Felony
Probation / Parole


Investigation,       1. Obtain medical and psychiatric evaluation by a physician          1. TSO and revocation
Arrest or               certified in addiction medicine by the American Society of        2. Reinstatement will require that certificate holder go
Conviction for          Addiction Medicine (ASAM) or the American Board of                   through re-application process and demonstrate 2 years
Drinking or Drug        Psychiatry and Neurology (ABPN) at applicant’s expense.              of sobriety
use on-Duty, or         a. If no signs of impairment, offer a provisional certification   3. Obtain medical and psychiatric evaluation by a physician
Theft or Diversion           for 2 years with standard terms and conditions. No              certified in addiction medicine by the American Society of
of Drugs Intended            random testing required.                                        Addiction Medicine (ASAM) or the American Board of
for Patient Care        b. If the individual is impaired, deny certification.                Psychiatry and Neurology (ABPN) at applicant’s expense
                                                                                             within 30 days of re-applying for licensure. Random
                                                                                             testing will be required. Workplace monitoring required

				
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