The Montana Legislature's House Business and Labor Committee convened on March 26, 2025, to discuss significant changes regarding the oversight of emergency medical services (EMS) in the state. The primary focus of the meeting was the proposal to transition the regulation of EMS from the Board of Medical Examiners to the Department of Labor and Industry (DLI).

During the meeting, paramedics expressed concerns about their representation on the Board of Medical Examiners, which includes members from various medical fields that do not directly relate to emergency care. One paramedic highlighted the need for better representation, stating that the current board lacks members who understand the complexities of street medicine. The paramedic argued that moving oversight to the DLI would enhance communication and allow for more effective medical practices in the field.

Committee members discussed the potential benefits of this transition, emphasizing that it could lead to improved training and the adoption of new technologies in EMS. A representative noted that having local medical directors who are familiar with the latest advancements could significantly enhance the quality of care provided to patients.

Mr. O'Connor, a key figure in the discussion, supported the move to the DLI, stating that it would allow for more nimble decision-making and better communication with stakeholders. He pointed out that the current board does not adequately represent emergency care providers, as only one out of twelve members has experience in emergency medicine.

The committee also addressed concerns about how state protocols would be established under the new system. It was clarified that while local medical directors would still have a role in approving specific procedures, the state would provide a broader framework from which local practices could draw.

Overall, the meeting underscored a significant shift in how emergency medical services are regulated in Montana, with the potential for improved outcomes for both providers and patients. The committee's discussions will likely lead to further developments in the state's EMS framework, aiming to enhance the effectiveness and responsiveness of emergency care across Montana.