Kentucky Statutes 311A.055 – Complaint of violation of chapter — Investigation — Transfer of ambulance service complaints and investigations — Notification — Preliminary inquiry board — Hearing — Order — Appeal — Discipline — Sexual contact …
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(1) In accordance with the provisions of KRS Chapter 13B, all discipline for which the board is authorized to conduct investigations, hold hearings, and impose punishments is delegated to the executive director, state medical advisor, board attorney, and hearing panels as provided herein, except that investigations and hearings for ambulance services licensed under KRS § 311A.030 shall be conducted by the Cabinet for Health and Family Services in accordance with KRS § 216B.106. The board shall immediately transfer all complaints submitted regarding ambulance services licensed under KRS § 311A.030 to the cabinet and the cabinet shall submit findings and recommendations to the board for all complaints submitted by the board.
(2) Any person may make a complaint to the executive director that an entity licensed or certified by the board, emergency medical services personnel, or any other person licensed or certified by the board has violated a provision of this chapter, an administrative regulation promulgated pursuant to this chapter, protocol, practice standard, or order of the board.
(3) Each complaint shall:
(a) Be made by telephone or in writing and may be submitted electronically, by facsimile, or by mail;
(b) Identify specifically the person or organization against whom the complaint is made;
(c) Set forth the facts relating to the violation alleged and any other supporting information that may have a bearing on the matter; and
(d) Contain the name, address and zip code, day and work telephone numbers, facsimile number if appropriate, e-mail address, if available, and the nature of the complainant’s relationship to the licensee.
(4) The executive director of the board may, on behalf of the board, based on knowledge available to the office of the board, make a complaint against any person or organization regulated by the board in the same manner as provided in subsection (3) of this section.
(5) (a) Except as provided by paragraph (b) of this subsection, upon receipt of a complaint, the executive director shall assign the complaint to a staff investigator who shall investigate the complaint and shall make findings of fact and recommendations to the executive director who shall then convene a preliminary inquiry board.
(b) If the complaint is pertaining to ambulance services licensed under KRS
311A.030, the executive director shall transfer the complaint to the Cabinet for Health and Family Services, in accordance with KRS § 216B.106.
(6) When the executive director assigns a complaint to a staff investigator, he or she shall notify the person or organization against whom the complaint has been filed,
the employer of the emergency services personnel against whom the complaint has been filed, the emergency medical services medical director or mobile integrated healthcare program medical director for the organization against whom the complaint has been filed or that employs the emergency medical services personnel against whom the complaint has been filed, and any other person or organization specified in this chapter.
(7) The notification shall name the person or organization complained against, the violations alleged, and the facts presented in the complaint and shall notify the person or organization complained against, the employer, and the emergency medical services or the mobile integrated healthcare program medical director of:
(a) The fact that the complaint shall be answered, the steps for answering the complaint, and the action to be taken if the complaint is not answered;
(b) The time frame and steps in the proceedings of a complaint; (c) The rights of the parties, including the right to counsel; and (d) The right to testify at any hearing.
(8) Upon the failure of a license or certificate holder to respond to a written accusation or to request a hearing within twenty (20) days after the sending of the accusation, the accused shall be considered to have admitted the truth of the facts and the circumstances in the allegation and appropriate discipline may be imposed.
(9) The preliminary inquiry board shall consist of one (1) member of the board selected by the chair, and two (2) persons representing the same category of certification or licensure as the defendant who are not members of the board appointed by the chairman of the board.
(10) After reviewing the complaint and results of any investigation conducted on behalf of the board, the preliminary inquiry board shall consider whether the accusation is sufficient to remand the matter for a hearing as provided in this section and KRS Chapter 13B. A majority vote of the members of the preliminary inquiry board shall be necessary for action to either remand the matter for hearing or dismiss the complaint without hearing.
(11) If the preliminary inquiry board dismisses the complaint, all parties notified previously shall be notified of the action. If the preliminary inquiry board remands the matter for a hearing, all parties notified previously shall be notified of the action.
(12) Each proceeding to consider the imposition of a penalty that the board is authorized to impose pursuant to this chapter shall be conducted in accordance with KRS Chapter 13B.
(13) A hearing panel for purposes of making a decision in any disciplinary matter shall consist of one (1) physician who may be a member of the board or who meets the qualifications of an emergency medical services medical director; one (1) person from the category of persons or organizations of the same class as the defendant; and the hearing officer, who shall not be involved in emergency medical services.
(14) The hearing officer may issue subpoenas to compel the attendance of witnesses and the production of documents in the conduct of an investigation. The subpoenas may
be enforced by any Circuit Court for contempt. Any order or subpoena of the court requiring the attendance and testimony of witnesses and the production of documentary evidence may be enforced and shall be valid anywhere in this state.
(15) At all hearings the board attorney or, on request of the board, the Attorney General of this state or one (1) of the assistant attorneys general designated shall appear and represent the board.
(16) The emergency medical services provider or related employer of a person licensed or certified by the board and the emergency medical services medical director of such a person who is the defendant in a hearing shall be parties to the action and may appear and testify in the matter at any deposition or hearing on the matter and may propose conclusions of law, findings of fact, and penalties to the hearing panel.
(17) To make a finding or recommend discipline, the two (2) members of the hearing panel who are not the hearing officer shall agree on the finding or discipline. In the event of a tie vote, the hearing officer shall cast the deciding vote.
(18) The final order in any disciplinary proceeding shall be prepared by the executive director and sent to all parties in the manner prescribed by law.
(19) Any person or entity aggrieved by a final order of the board may appeal to the
Franklin Circuit Court in accordance with the provisions of KRS Chapter 13B.
(20) The only discipline that the board may impose against an emergency medical services medical director is denial, suspension or withdrawal of the board’s approval for that person to serve as an emergency medical services medical director.
(21) If the executive director substantiates that sexual contact occurred between a licensee or certificate holder and a patient while the patient was under the care of or in a professional relationship with the licensee or certificate holder, the license or certification may be revoked or suspended with mandatory treatment of the person as prescribed by the executive director. The executive director may require the licensee or certificate holder to pay a specified amount for mental health services for the patient which are needed as a result of the sexual contact.
(22) Except as specified in this section, all board proceedings, including the complaint, answer, and other records relating to a disciplinary proceeding, shall be confidential until a final determination is made by the board, except:
(a) The board may turn over to the Attorney General, the United States Attorney, Commonwealth’s attorney, or county attorney of the jurisdiction in which the offense allegedly occurred, evidence that may be used in criminal proceedings; and
(b) If the complainant or alleged violator publicly discloses the existence of a preliminary inquiry, the board may publicly confirm the existence of the inquiry and, in its discretion, make public any documents that were issued to either party.
Effective: July 14, 2022
History: Amended 2022 Ky. Acts ch. 126, sec. 6, effective July 14, 2022. — Amended
2019 Ky. Acts ch. 100, sec. 8, effective June 27, 2019. — Amended 2006 Ky. Acts ch. 243, sec. 4, effective July 12, 2006. — Created 2002 Ky. Acts ch. 211, sec. 10,
effective July 15, 2002.
Legislative Research Commission Note (7/12/2006). In codifying 2006 Ky. Acts ch.
243, sec. 4, the Reviser of Statutes has corrected a manifest clerical or typographical error in subsection (10) of this statute under the authority of KRS § 7.136.
(2) Any person may make a complaint to the executive director that an entity licensed or certified by the board, emergency medical services personnel, or any other person licensed or certified by the board has violated a provision of this chapter, an administrative regulation promulgated pursuant to this chapter, protocol, practice standard, or order of the board.
Terms Used In Kentucky Statutes 311A.055
- Action: includes all proceedings in any court of this state. See Kentucky Statutes 446.010
- Allegation: something that someone says happened.
- Ambulance: means a vehicle which has been inspected and approved by the board, including a helicopter or fixed-wing aircraft, except vehicles or aircraft operated by the United States government, that are specially designed, constructed, or have been modified or equipped with the intent of using the same, for the purpose of transporting any individual who is sick, injured, or otherwise incapacitated who may require immediate stabilization or continued medical response and intervention during transit or upon arrival at the patient's destination to safeguard the patient's life or physical well-being. See Kentucky Statutes 311A.010
- Answer: The formal written statement by a defendant responding to a civil complaint and setting forth the grounds for defense.
- Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
- Attorney: means attorney-at-law. See Kentucky Statutes 446.010
- Board: means the Kentucky Board of Emergency Medical Services. See Kentucky Statutes 311A.010
- Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
- Defendant: In a civil suit, the person complained against; in a criminal case, the person accused of the crime.
- Deposition: An oral statement made before an officer authorized by law to administer oaths. Such statements are often taken to examine potential witnesses, to obtain discovery, or to be used later in trial.
- Emergency medical services medical director: means a physician licensed in Kentucky and certified by the board under this chapter who is employed by, under contract to, or has volunteered to provide supervision for a paramedic or an ambulance service, or both. See Kentucky Statutes 311A.010
- Emergency medical services personnel: means :
(a) Persons trained to provide emergency medical services and certified or licensed by the board under this chapter as an AEMT, APP, EMR, EMR instructor, EMT, EMT instructor, paramedic, or paramedic instructor. See Kentucky Statutes 311A.010 - Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
- Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
- Remand: When an appellate court sends a case back to a lower court for further proceedings.
- State: when applied to a part of the United States, includes territories, outlying possessions, and the District of Columbia. See Kentucky Statutes 446.010
- Statute: A law passed by a legislature.
- Subpoena: A command to a witness to appear and give testimony.
- Testify: Answer questions in court.
- Testimony: Evidence presented orally by witnesses during trials or before grand juries.
- Treatment: when used in a criminal justice context, means targeted interventions
that focus on criminal risk factors in order to reduce the likelihood of criminal behavior. See Kentucky Statutes 446.010
(3) Each complaint shall:
(a) Be made by telephone or in writing and may be submitted electronically, by facsimile, or by mail;
(b) Identify specifically the person or organization against whom the complaint is made;
(c) Set forth the facts relating to the violation alleged and any other supporting information that may have a bearing on the matter; and
(d) Contain the name, address and zip code, day and work telephone numbers, facsimile number if appropriate, e-mail address, if available, and the nature of the complainant’s relationship to the licensee.
(4) The executive director of the board may, on behalf of the board, based on knowledge available to the office of the board, make a complaint against any person or organization regulated by the board in the same manner as provided in subsection (3) of this section.
(5) (a) Except as provided by paragraph (b) of this subsection, upon receipt of a complaint, the executive director shall assign the complaint to a staff investigator who shall investigate the complaint and shall make findings of fact and recommendations to the executive director who shall then convene a preliminary inquiry board.
(b) If the complaint is pertaining to ambulance services licensed under KRS
311A.030, the executive director shall transfer the complaint to the Cabinet for Health and Family Services, in accordance with KRS § 216B.106.
(6) When the executive director assigns a complaint to a staff investigator, he or she shall notify the person or organization against whom the complaint has been filed,
the employer of the emergency services personnel against whom the complaint has been filed, the emergency medical services medical director or mobile integrated healthcare program medical director for the organization against whom the complaint has been filed or that employs the emergency medical services personnel against whom the complaint has been filed, and any other person or organization specified in this chapter.
(7) The notification shall name the person or organization complained against, the violations alleged, and the facts presented in the complaint and shall notify the person or organization complained against, the employer, and the emergency medical services or the mobile integrated healthcare program medical director of:
(a) The fact that the complaint shall be answered, the steps for answering the complaint, and the action to be taken if the complaint is not answered;
(b) The time frame and steps in the proceedings of a complaint; (c) The rights of the parties, including the right to counsel; and (d) The right to testify at any hearing.
(8) Upon the failure of a license or certificate holder to respond to a written accusation or to request a hearing within twenty (20) days after the sending of the accusation, the accused shall be considered to have admitted the truth of the facts and the circumstances in the allegation and appropriate discipline may be imposed.
(9) The preliminary inquiry board shall consist of one (1) member of the board selected by the chair, and two (2) persons representing the same category of certification or licensure as the defendant who are not members of the board appointed by the chairman of the board.
(10) After reviewing the complaint and results of any investigation conducted on behalf of the board, the preliminary inquiry board shall consider whether the accusation is sufficient to remand the matter for a hearing as provided in this section and KRS Chapter 13B. A majority vote of the members of the preliminary inquiry board shall be necessary for action to either remand the matter for hearing or dismiss the complaint without hearing.
(11) If the preliminary inquiry board dismisses the complaint, all parties notified previously shall be notified of the action. If the preliminary inquiry board remands the matter for a hearing, all parties notified previously shall be notified of the action.
(12) Each proceeding to consider the imposition of a penalty that the board is authorized to impose pursuant to this chapter shall be conducted in accordance with KRS Chapter 13B.
(13) A hearing panel for purposes of making a decision in any disciplinary matter shall consist of one (1) physician who may be a member of the board or who meets the qualifications of an emergency medical services medical director; one (1) person from the category of persons or organizations of the same class as the defendant; and the hearing officer, who shall not be involved in emergency medical services.
(14) The hearing officer may issue subpoenas to compel the attendance of witnesses and the production of documents in the conduct of an investigation. The subpoenas may
be enforced by any Circuit Court for contempt. Any order or subpoena of the court requiring the attendance and testimony of witnesses and the production of documentary evidence may be enforced and shall be valid anywhere in this state.
(15) At all hearings the board attorney or, on request of the board, the Attorney General of this state or one (1) of the assistant attorneys general designated shall appear and represent the board.
(16) The emergency medical services provider or related employer of a person licensed or certified by the board and the emergency medical services medical director of such a person who is the defendant in a hearing shall be parties to the action and may appear and testify in the matter at any deposition or hearing on the matter and may propose conclusions of law, findings of fact, and penalties to the hearing panel.
(17) To make a finding or recommend discipline, the two (2) members of the hearing panel who are not the hearing officer shall agree on the finding or discipline. In the event of a tie vote, the hearing officer shall cast the deciding vote.
(18) The final order in any disciplinary proceeding shall be prepared by the executive director and sent to all parties in the manner prescribed by law.
(19) Any person or entity aggrieved by a final order of the board may appeal to the
Franklin Circuit Court in accordance with the provisions of KRS Chapter 13B.
(20) The only discipline that the board may impose against an emergency medical services medical director is denial, suspension or withdrawal of the board’s approval for that person to serve as an emergency medical services medical director.
(21) If the executive director substantiates that sexual contact occurred between a licensee or certificate holder and a patient while the patient was under the care of or in a professional relationship with the licensee or certificate holder, the license or certification may be revoked or suspended with mandatory treatment of the person as prescribed by the executive director. The executive director may require the licensee or certificate holder to pay a specified amount for mental health services for the patient which are needed as a result of the sexual contact.
(22) Except as specified in this section, all board proceedings, including the complaint, answer, and other records relating to a disciplinary proceeding, shall be confidential until a final determination is made by the board, except:
(a) The board may turn over to the Attorney General, the United States Attorney, Commonwealth’s attorney, or county attorney of the jurisdiction in which the offense allegedly occurred, evidence that may be used in criminal proceedings; and
(b) If the complainant or alleged violator publicly discloses the existence of a preliminary inquiry, the board may publicly confirm the existence of the inquiry and, in its discretion, make public any documents that were issued to either party.
Effective: July 14, 2022
History: Amended 2022 Ky. Acts ch. 126, sec. 6, effective July 14, 2022. — Amended
2019 Ky. Acts ch. 100, sec. 8, effective June 27, 2019. — Amended 2006 Ky. Acts ch. 243, sec. 4, effective July 12, 2006. — Created 2002 Ky. Acts ch. 211, sec. 10,
effective July 15, 2002.
Legislative Research Commission Note (7/12/2006). In codifying 2006 Ky. Acts ch.
243, sec. 4, the Reviser of Statutes has corrected a manifest clerical or typographical error in subsection (10) of this statute under the authority of KRS § 7.136.