Third

Session, 48th General Assembly

Elizabeth II, 2018

BILL 43

AN ACT RESPECTING THE PROVISION OF

EMERGENCY HEALTH AND PARAMEDICINE SERVICES

Received

and Read the First Time ................................................................

Second

Reading ............................................................................................

Committee .....................................................................................................

Third

Reading ...............................................................................................

Royal

Assent .................................................................................................

HONOURABLE JOHN

HAGGIE

Minister of Health

and Community Services

Ordered to be printed by

the Honourable House of Assembly

EXPLANATORY NOTES

This Bill would enact the Emergency Health and Paramedicine Services Act . The Bill would regulate emergency and paramedicine

services in the province.

A BILL

AN ACT RESPECTING THE PROVISION OF

EMERGENCY HEALTH AND PARAMEDICINE SERVICES

Analysis

Short title

Definitions

Non-application of Act

Labrador Inuit rights

Powers of minister

Provincial medical director

Operator licences

Agreement

Emergency and paramedicine services

Duties of operator

Renewal of operator licence

Variation, suspension or cancellation of

operator licence

Transfer

Suspension or discontinuance of service

by operator

Paramedicine provider

Review of decisions

Inspectors

Inspections

Warrants

Telewarrant

Report by inspector

Disclosure of personal health

information

Prohibiton

False or misleading information

Protection from liability

Liability of operator

Advance health care directive

Offences

Statutory review

Lieutenant-Governor in Council

regulations

Ministerial regulations

Fees and forms

Transitional

SNL1995 cP-37.1 Amdt.

RSNL1990 cH-3

Amdt.

RSNL1990 cM-19 Amdt.

Commencement

Be it enacted by the Lieutenant-Governor and

House of Assembly in Legislative Session convened, as follows:

Short title

1. This

Act may be cited as the Emergency Health and

Paramedicine Services Act.

Definitions

2. In

this Act

(a) "adverse health event" means an

occurrence that results in an unintended outcome which negatively affects a

patient's health or quality of life;

(b) "agreement" means an agreement made under

section 8;

(c) "ambulance" means a vehicle that is

designed, constructed or equipped to transport patients and provide other emergency

health services;

(d) "community paramedicine services"

means health services provided by a paramedicine provider to a person who does

not require emergency health services;

(e) "dispatch" means to direct a paramedicine

provider or an emergency medical vehicle to respond to a request for emergency

and paramedicine services;

(f) "emergency and paramedicine

services" includes

(

i) emergency health services,

(ii) the routine transportation of patients, and

(iii) community paramedicine services;

(g) "emergency health services" means

the assessment, stabilization, treatment or transportation of a patient that is

required to preserve the patient's life or to prevent or alleviate serious harm

to the patient but does not include the assessment, stabilization or treatment

of a patient provided in a health care facility;

(h) "emergency medical vehicle" means

(

i) an ambulance, and

(ii) another category of vehicle that is equipped

to provide emergency health services and is prescribed in the regulations;

(i) "health care facility" means a

facility operated by a regional health authority;

(j) "inspector" means a person appointed

under

section 17;

(k) "minister" means the minister

appointed under the Executive Council Act

to administer this Act;

(l) "occurrence" means an undesired or

unplanned event that does not appear to be consistent with the safe provision

of health services;

(m) "operator" means a person who holds

a valid operator licence issued under

section 7 and who

(

i) is a regional health authority or another

crown agent, or

(ii) has entered into an agreement;

(n) "paramedicine provider" means a

person who holds a valid licence issued under

section 15;

(o) "patient" means a person requiring

medical attention or who is under medical care;

(p) "personal health information" means

personal health information as defined in the Personal Health Information Act ;

(q) "provincial medical director" means

a person appointed under

section 6; and

(r) "regional health authority" means a

regional health authority established under the Regional Health Authorities Act .

Non-application

of Act

3. This

Act does not apply to

(

a) a person providing emergency medical services

or first aid assistance in circumstances to which the Emergency Medical Aid Act applies;

(

b) a person based outside the province providing a

service for the interprovincial transportation of patients;

(

c) police, firefighters, lifeguards and other

persons prescribed in the regulations who are not paramedicine providers;

(

d) a person providing an emergency service during

(

i) an emergency declared under the Emergency Services Act , or

(ii) a public health emergency declared under the Public Health Protection and Promotion Act ;

(

e) a person practising or studying a health

profession acting under the authority of

an Act of the province; and

(

f) a student enrolled in a paramedicine provider

education program at a post-secondary educational institution who is participating

in practical training under the direct supervision of a paramedicine provider.

Labrador Inuit

rights

4. This

Act and regulations made under this Act shall be read and applied in

conjunction with the Labrador Inuit Land

Claims Agreement Act and, where a provision of this Act or regulations made

under this Act is inconsistent or conflicts with a provision, term or condition

of the Labrador Inuit Land Claims

Agreement Act , the provision, term or condition of the Labrador Inuit Land Claims Agreement Act shall have precedence over

the provision of this Act or a regulation made under this Act.

Powers of

minister

(1) The minister may

(

a) establish standards for the management,

operation and use of emergency medical vehicles in the provision of emergency

and paramedicine services, including standards relating to

(

i) the services to be provided and the procedures

to be followed by paramedicine providers, and

(ii) the number and category of paramedicine

providers required to be present in an emergency medical vehicle;

(

b) establish standards for the management and provision

of emergency and paramedicine services;

(

c) establish one or more communication centres

for the dispatch of paramedicine providers and emergency medical vehicles

throughout the province;

(

d) prescribe the technical specifications of emergency

medical vehicles; and

(

e) set the rates that operators are required to charge

for the provision of emergency and paramedicine services.

(2) The minister shall monitor compliance with

this Act, the regulations, an agreement and the standards, protocols and

guidelines established under the authority of this Act.

(3) The minister may delegate, in writing, the

following powers and duties conferred on him or her under this Act:

(

a) licensing operators and paramedicine providers;

and

(

b) monitoring compliance with this Act, the

regulations, an agreement and the standards, protocols and guidelines established

under the authority of this Act.

Provincial

medical director

(1) The

minister shall appoint a medical practitioner to be the provincial medical

director who shall have the qualifications prescribed in the regulations.

(2) The provincial medical director shall

(

a) act as a medical advisor to the minister on

matters respecting emergency and paramedicine services;

(

b) establish or adopt, in whole or in part, protocols

and guidelines for the provision of emergency and paramedicine services by paramedicine

providers;

(

c) provide a copy of the protocols and guidelines

to each regional health authority;

(

d) develop a quality assurance program relating

to emergency and paramedicine services;

(

e) direct and authorize paramedicine providers to

provide emergency and paramedicine services in accordance with

(

i) his or her verbal direction, or

(ii) the standards, protocols and guidelines

established under the authority of this Act; and

(

f) perform other duties and functions as prescribed

in the regulations.

(3) The provincial medical director may delegate,

in writing, his or her power under paragraph (2)(e).

(4) Protocols and guidelines established or

adopted by the provincial medical director under paragraph (2)(

b) shall not

conflict with

(

a) any standards established by the minister; and

(

b) generally accepted professional standards.

Operator licences

(1) An

applicant shall apply in writing to the minister for an operator licence in the

form prescribed by the minister.

(2) The minister may issue an operator licence to

an applicant where the minister is satisfied that

(

a) the emergency and paramedicine services proposed

by the applicant will be provided in accordance with this Act, the regulations and

any standards, protocols and guidelines established under the authority of this

Act;

(

b) the vehicles proposed by the applicant to be

used in the provision of emergency and paramedicine services are in compliance

with the requirements of this Act, the regulations and any other Act or

regulations of the province or of Canada;

(

c) the

emergency and paramedicine services proposed by the applicant will, based on

the safety record of the applicant where the applicant was previously licensed

as an operator under this Act or the Motor

Carrier Act , be provided in a

safe manner; and

(

d) the applicant satisfies the other requirements

prescribed in the regulations.

(

a) the geographic location in which an operator

may provide emergency and paramedicine services; and

(

b) the number of emergency medical vehicles an

operator may operate.

(4) An operator licence shall expire in accordance

with the regulations.

(5) The minister may prescribe by regulation

different categories of operator licences.

Agreement

8. The

minister may enter into an agreement for the provision of emergency and

paramedicine services with a person who holds a valid operator licence.

Emergency and

paramedicine services

(1) A person, other than a regional health authority or another crown agent, shall

not provide emergency and paramedicine services unless the person

(

a) holds a valid operator licence issued under

this Act; and

(

b) has entered into an agreement.

(2) A regional health authority or another crown

agent shall not provide emergency and paramedicine services unless the regional

health authority or crown agent holds a valid operator licence issued under

this Act.

Duties of operator

10. An operator shall

(

a) provide emergency and paramedicine services in

compliance with this Act, the regulations, any other Act or regulations of the

province or of Canada, an agreement and the standards, protocols and guidelines

established under the authority of this Act;

operator licence issued under this Act;

(

c) manage human and material resources in conformity

with an agreement;

(

d) carry out any quality improvement measures

required by the provincial medical director;

(

e) maintain insurance coverage in accordance with

the regulations;

(

f) report and disclose an adverse health event in

accordance with the regulations;

(

g) provide emergency and paramedicine services in

emergency medical vehicles that meet the specifications prescribed in the regulations;

(

h) only employ paramedicine providers to provide

emergency and paramedicine services; and

(

i) only use or permit an emergency medical

vehicle to be used for the purposes stated in the operator licence.

Renewal of operator

licence

11. The

minister may renew an operator licence in accordance with the regulations.

Variation, suspension

or cancellation of operator licence

(1) The

minister may vary, suspend or cancel an operator licence where

(

a) the operator contravenes this Act, the

regulations, any other Act or regulations of the province or of Canada, an agreement

or the standards, protocols or guidelines established under the authority of this

Act;

(

b) the minister is satisfied that the operator is

unable to provide emergency and paramedicine services in accordance with this

Act, the regulations, an agreement or the standards, protocols or guidelines

established under the authority of this Act;

(

c) the minister is satisfied that the operator is

(

d) the operator obtained the operator licence based

on false representations;

(

e) the operator modified the emergency and

paramedicine services required under the licence or an agreement without the

approval of the minister;

(

f) the operator provided emergency and

paramedicine services negligently or in a manner prejudicial to the health or

safety of individuals requiring emergency and paramedicine services; or

(

g) the minister is satisfied that it is in the

public interest to vary, suspend or cancel the operator licence.

(2) The minister shall give an operator at least

60 days notice before varying, suspending or cancelling an operator licence.

(3) A notice under subsection (2) shall state

(

a) the reasons for varying, suspending or cancelling

the operator licence; and

(

b) the corrective action required to prevent the minister

from varying, suspending or cancelling the operator licence.

(4) Where the operator takes the corrective action

required under the notice referred to in subsection (2) to the satisfaction of

the minister within 60 days of receiving the notice, the minister shall not

vary, suspend or cancel the operator licence.

(5) Where the operator does not take the

corrective action required under the notice referred to in subsection (2), the

minister may, in addition to varying, suspending or cancelling the licence,

provide the emergency and paramedicine services that the operator was providing

or authorize a crown agent to provide those services.

(6) Notwithstanding subsections (2) and (4), where

the minister is of the opinion that a shorter time period is necessary to

protect the public, the minister may give an operator less notice than prescribed

in subsections (2) and (4).

Transfer

(1) An operator licence shall not be transferred.

(2) Where an operator transfers the ownership of

shares carrying 50% or more of the voting rights to one or more persons, the

operator licence shall be cancelled unless the minister is satisfied that the

person to whom the shares are being transferred will provide emergency and

paramedicine services in accordance with this Act, the regulations, any other

Act or regulations of the province or of Canada, an agreement and any

standards, protocols and guidelines established under the authority of this

Act.

Suspension or

discontinuance of service by operator

14. An

operator shall not suspend or discontinue an emergency and paramedicine service

unless the operator obtains the prior approval of the minister in accordance

with the regulations.

Paramedicine

provider

(1) An

applicant shall apply in writing to the minister for a paramedicine provider

licence in the form prescribed by the minister.

(2) The minister may issue a paramedicine provider

licence to an applicant where the applicant satisfies the requirements

prescribed in the regulations.

on a paramedicine provider licence.

(4) A paramedicine provider shall comply with

(

a) this Act and the regulations;

(

b) standards established by the minister; and

(

c) protocols and guidelines established by the

provincial medical director.

(5) A paramedicine provider licence shall expire

in accordance with the regulations.

(6) The minister may vary, suspend, cancel or renew

a paramedicine provider licence in accordance with the regulations.

(7) The minister may prescribe by regulation

different categories of paramedicine provider licences.

(8) A paramedicine provider shall act in accordance

with his or her scope of practice unless otherwise authorized by the provincial

medical director.

(9) Where a paramedicine provider is dispatched to

a premises in response to a request for emergency health services, the paramedicine

provider may enter the premises, including a dwelling-house, without a warrant

where he or she reasonably believes that a person in the premises requires

emergency health services immediately.

(10) A paramedicine provider referred to in subsection

(9) may use reasonable force to enter the premises where necessary.

Review of

decisions

(1) A

person may request a review of a decision of the minister under this Act or the

regulations.

(2) A request for review under subsection

(1) shall be in writing and made to the minister within 30 days of the date the

person received notice of the decision.

(3) A request for review under this

section does not

stay the decision being reviewed.

(4) The minister shall allow the person requesting

the review to make submissions in accordance with the regulations.

(5) The minister may confirm, reverse or vary a

decision reviewed under this section.

(6) The minister's decision under subsection (5) is

final and binding.

Inspectors

17. The

minister may appoint a person or a category of persons to act as inspectors for

the purposes of this Act and the regulations.

Inspections

(1) An

inspector, may, without a warrant, at all reasonable times, inspect or examine

the premises, emergency medical vehicles, processes, books and records of a

person that the inspector considers relevant for

(

a) the purpose of determining compliance with

this Act, the regulations, an agreement or the standards, protocols or

guidelines established under the authority of this Act, including all records

related to staff schedules, payroll, inventory, maintenance and cleaning of emergency

medical vehicles, patient fee collections, dispatch and insurance;

(

b) the purpose of evaluating the emergency and

paramedicine services being provided by an operator;

(

c) the purpose of assessing the registration,

inspection and maintenance of an emergency medical vehicle; and

(

d) other purposes related to the administration,

compliance or enforcement of this Act, the regulations, an agreement or the standards,

protocols or guidelines established under the authority of this Act.

(2) An inspector may, without a warrant,

(

a) enter any premises

(

i) where an emergency medical vehicle is located,

(ii) where any property, books or records relating

to the provision of emergency and paramedicine services are or may be kept, or

(iii) where anything is done or is suspected by the

inspector of being done in connection with a requirement of this Act, the

regulations, an agreement or any standards, protocols or guidelines established

under the authority of this Act;

(

b) make copies, extracts, photographs or videos

the inspector considers necessary;

(

c) require the operator or the owner or person in

charge of a premises to give the inspector all reasonable assistance, including

the production of books and records as requested by the inspector, and to

answer all questions relating to the administration, compliance or enforcement

of this Act, the regulations, an agreement or the standards, protocols or guidelines

established under the authority of this Act and, for that purpose, require the operator

or owner or person in charge to attend at the premises with the inspector; and

(

d) require the operator or the owner or person in

charge to make available the means to generate and manipulate books and records

that are in machine readable or electronic form and any other means or

information necessary for the inspector to assess the books and records.

(3) Notwithstanding subsections (1) and (2), an

inspector shall not enter a dwelling-house without the consent of the occupant

except under the authority of a warrant.

Warrants

(1) Where

an inspector under this Act

(

a) is denied entry to a premises, emergency

medical vehicle or dwelling-house to carry out an inspection; or

(

b) believes on reasonable and probable grounds

that there has been a contravention of this Act or the regulations,

the inspector may file an application with

the Provincial Court

for a warrant.

(2) Where a Provincial Court judge is satisfied on

the basis of an inspector's sworn information that there are reasonable grounds

to believe that the inspector has been denied entry to a premises, emergency

medical vehicle or dwelling-house to carry out an inspection or there has been

a contravention of this Act or the regulations, the judge may issue a warrant

authorizing the inspector to do one or both of the following:

(

a) enter the premises, emergency medical vehicle

or dwelling-house and carry out an inspection under this Act; or

(

b) seize or remove any of the books or records

that may be required as evidence of contravention and may retain those

documents until the time they are required in a court proceeding.

(3) A

Provincial Court judge may receive and consider an

application for a warrant or extension of a warrant without notice to the operator or the owner or person in charge of

the premises, emergency medical vehicle or dwelling-house.

(4) An operator or an owner or a person in charge

of a premises or an emergency medical vehicle and their employees, or an

occupant of a dwelling-house shall not obstruct an inspector while the

inspector is exercising the powers and performing the duties and functions as authorized

by the warrant.

(5) At the request of an inspector, a peace officer

shall assist in enforcing a warrant.

Telewarrant

(1) Where,

in the opinion of an inspector it would not be practical to appear before a

Provincial Court judge to apply for a warrant, the inspector may make the

application by telephone or other means of telecommunication.

(2) Where the information

on which an application for a warrant is submitted by telephone or other means

of telecommunication, the information shall be given under oath or affirmation,

and the oath or affirmation may be administered by telephone or other means of

telecommunication.

(3) The information

submitted by telephone or other means of telecommunication shall include

(

a) a statement of the circumstances that make it

impracticable for the inspector to appear personally before a Provincial Court

judge; and

(

b) a statement of the inspector's grounds for

believing that a person has contravened this Act or the regulations or that entry

onto public or private premises where a contravention of this Act or the

regulations is believed to occur has been denied.

(4) The sworn or affirmed

information submitted by telephone or other means of telecommunication by an

inspector shall specify the name of the person giving evidence, the facts

ascertained and the manner and location in which evidence was received, and a

record of that information shall be filed by the Provincial Court judge with

the clerk of the court over which the judge presides.

(5) Where an inspector

acts under the authority of a warrant obtained under this section, he or she

shall provide a facsimile of the warrant to the operator or the owner or

employee of the premises at the time the warrant is carried out.

(6) In subsection (5),

"facsimile" includes a record produced by electronic means or a

written record of a telephone conversation made by both parties to the

conversation while it is in progress and which the parties have confirmed as to

its accuracy by reading their record of the conversation to one another at the

end of the conversation.

Report by inspector

(1) An

inspector shall prepare a report which sets out the findings and results of the

inspection.

(2) An inspector shall provide a copy of the

report to the minister, operator and those other persons prescribed in the

regulations.

Disclosure of personal

health information

22. An

operator shall, at the request of the minister and without the consent of the

person who is the subject of the information, disclose to the minister personal

health information for the purposes of

(

a) determining or providing payment to the operator

for the provision of emergency and paramedicine services or for processing,

monitoring, verifying or reimbursing claims for payment for the provision of emergency

health and paramedicine services;

(

b) delivering, evaluating or monitoring a program

of the minister that relates to the provision of emergency health and paramedicine

services; and

(

c) review and planning that relates to the

provision of emergency health and paramedicine services.

Prohibiton

23. A

person shall not discipline, suspend, demote, dismiss, discharge, harass,

interfere with or otherwise disadvantage another person or threaten to do any

of those things to another person where that person, in good faith, complies

with this Act, the regulations or the standards, protocols or guidelines

established under the authority of this Act.

False or

misleading information

24. A

person shall not knowingly provide false or misleading information, either

orally or in writing, to the minister or his or her delegate, the provincial

medical director or his or her delegate or an inspector while he or she is

exercising powers or carrying out duties or functions under this Act, the

regulations or the standards, protocols or guidelines established under the

authority of this Act.

Protection from

liability

(1) An

action does not lie against a person who, in good faith, complies with this Act,

the regulations or the standards, protocols or guidelines established under the

authority of this Act.

(2) An action does not lie against the minister or

his or her delegate, a regional health authority, a crown agent, the provincial

medical director or his or her delegate, an inspector, an operator, a paramedicine

provider or any other person acting under the authority of this Act, the

regulations or the standards, protocols or guidelines established under the

authority of this Act for anything done or omitted to be done in good faith

(

a) in the performance or intended performance of

a duty imposed under this Act or the regulations; or

(

b) in the exercise or intended exercise of a

power conferred under this Act or the regulations.

Liability of

operator

26. Where

a person employed or engaged by an operator acts within the scope of his or her

practice,

an act, omission or failure to act of that person shall be considered

to be the act, omission or failure of the operator.

Advance health

care directive

27. Where

a paramedicine provider is aware that the patient has an advance health care

directive under the Advance Health Care Directives

Act , the paramedicine provider shall comply with the advance health care

directive.

Offences

(1) A

person who contravenes this Act or the regulations is guilty of an offence and

is liable on

summary conviction

(

a) in the case of an individual, to a fine of not

more than $10,000 or to imprisonment for a term of not more than 12 months, or

to both; and

(

b) in the case of a corporation, to a fine of not

more than $50,000.

(2) A prosecution for an offence under this Act

shall be commenced within 2 years of the date of discovery of the offence.

Statutory review

29. The

minister shall, every 5 years, conduct a review of this Act and the regulations

and consider the areas which may be improved.

Lieutenant-Governor

in Council regulations

30. The

Lieutenant-Governor in Council may make regulations

(

a) prescribing other categories of vehicles for

the purposes of subparagraph 2(h)(ii) and establishing different requirements and

conditions for each category;

(

b) respecting the variation, suspension and cancellation

of paramedicine provider licences;

(

c) respecting submissions under subsection 16(4);

(

d) exempting certain categories of emergency

medical vehicles, emergency and paramedicine services, operators and paramedicine

providers from this Act or sections of this Act;

(

e) respecting the provision of emergency and

paramedicine services by emergency medical vehicles where transportation by the

emergency medical vehicle is not for compensation;

(

f) incorporating by reference, in whole or in

part, a written standard, rule or guideline, as it reads on a prescribed day or

as it is amended from time to time;

(

g) defining a word or phrase used but not defined

in this Act; and

(

h) generally, to give effect to this Act.

Ministerial regulations

31. The

minister may make regulations

(

a) respecting the reporting and disclosure of an

adverse health event;

(

b) prescribing the qualifications of the

provincial medical director;

(

c) respecting other duties and functions of the

provincial medical director;

(

d) prescribing the qualifications of paramedicine

providers;

(

e) respecting applications for licences;

(

f) establishing different categories of licences

and establishing different requirements, standards and conditions for each category;

(

g) respecting the expiration and renewal of

licences;

(

h) prescribing persons for the purpose of

paragraph 3(c);

(

i) respecting the specifications of emergency

medical vehicles;

(

j) respecting the purpose for which an emergency

medical vehicle may be used;

(

k) respecting the insurance coverage that shall

be carried by an operator;

(

l) prescribing persons to whom a copy of an

inspector's report shall be provided;

(

m) prescribing the emergency and paramedicine services

that a paramedicine provider may provide;

(

n) respecting the process for obtaining approval

under

section 14;

(

o) prescribing time periods for notices and

decisions under this Act;

(

p) incorporating by reference, in whole or in

part, a written standard, rule or guideline, as it reads on a prescribed day or

as it is amended from time to time;

(

q) defining a word or phrase used but not defined

in this Act; and

(

r) generally, to give effect to this Act.

Fees and forms

32. The

minister may set fees and establish forms for the purpose and administration of

this Act and the regulations.

Transitional

(1) On the coming into force of this

Act, a valid motor carrier certificate relating to the operation of a vehicle

designed or used for the transportation of ill or injured persons on a highway

issued under the Motor Carrier Act

shall continue to be valid as if it were an operator licence issued under this

Act until whichever of the following occurs first:

(

a) the

certificate expires; or

(b) 3

months after the coming into force of this Act.

(2) On

the coming into force of this Act, the registration of a paramedicine provider in

accordance with the Provincial Medical Oversight Policies and Procedures Manual

shall continue to be valid as if it were a paramedicine provider licence issued

under this Act until it expires.

SNL1995 cP-37.1

Amdt.

34. (1) Paragraphs 11(1)(jj) and (kk) of

the Health and Community Services Act

are repealed.

(2) Subsection

11(6) of the Act is repealed.

RSNL1990 cH-3

Amdt.

(1) Paragraph 2(a.2) of the Highway Traffic

Act is repealed.

(2) Subparagraph

2(v)(iii) of the Act is repealed and the following substituted:

(iii) an emergency medical vehicle responding to a

call or transporting a patient where there is an emergency justifying a rate of

speed in excess of a maximum rate of speed provided for in this Act;

(3) Section

2 of the Act is amended by adding immediately after paragraph (

u) the

following:

(u.1) "emergency medical vehicle" means

emergency medical vehicle as defined in the Emergency

Health and Paramedicine Services Act ;

(4) Section

77 of the Act is repealed and the following substituted:

Insuring

emergency medical vehicles, etc.

77. The

minister may make regulations respecting

(

a) the coverage of emergency medical vehicles,

buses, school buses, taxis and commercial motor vehicles by insurance;

(a.1) the coverage by insurance of motor vehicles

which are contracted to school boards in the province for the transportation of

students to and from school and school related activities;

(

b) the form and kind of an insurance policy

respecting a vehicle referred to in paragraphs (

a) and (a.1);

(

c) the amount of insurance;

(

d) other matters or things in connection with

that insurance; and

(

e) the imposition of penalties for a violation of

those regulations.

(5) Subsection

123(4) of the Act is repealed and the following substituted:

(4) A driver of an emergency medical vehicle is

considered to be responding to an emergency call from the time the driver

receives the call until he or she arrives at the destination of the passenger.

(6) Paragraph

176.1(3)(

a) of the Act is repealed and the following substituted:

(

a) the driver of an emergency medical vehicle,

fire department vehicle or police vehicle;

(7) Paragraph

176.1(4)(

a) of the Act is repealed and the following substituted:

(

a) a device to contact emergency medical vehicle,

police or fire department emergency services; or

RSNL1990 cM-19

Amdt.

(1) Paragraph 2(

a) of the Motor Carrier Act is repealed.

(2) Paragraph

3(1)(

f) of the Act is repealed and the following substituted:

(

f) a vehicle while being operated under the

management and control or in accordance with a franchise or licence granted by

or on behalf of

(

i) the City of St. John's, other than a vehicle

operating outside the limits of that city under subsection 216(3) of the City of St. John's Act ,

(ii) the City of Corner Brook ,

(iii) the City of Mount Pearl ,

(iv) a town, community or region established or

continued under the Municipalities Act ,

for the purpose of a municipal undertaking;

(3) Paragraph

4(1)(

a) of the Act is repealed.

(4) Paragraph

6(1)(

a) of the Act is repealed.

(5) Paragraph

28(1)(hh) of the Act is repealed.

(6) Subsection

28(2) of the Act is repealed.

Commencement

37. This

Act, or a section, subsection, paragraph or subparagraph of this Act, comes

into force on a day or days to be proclaimed by the Lieutenant-Governor in

Council.

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