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Mike,

One thing that is a fundamental difference between law enforcement

and EMS, at least in Texas, is a problem here. To be Licensed

as a Peace Officer in Texas, don't you HAVE to be affiliated

with an agency? Can I on my own go get licensed? I know when

I was first licensed (and it goes back to before there were licensed,

I was first certified by TCLEOSE, and was grandfathered a license

in 1981 or so when it came in), you had to have a sponsoring

agency to even attend police academy. In contrast, anyone can

take a class, take the test, and be licensed or certified in

EMS. So you have a lot of independent EMS licensees out there,

not affiliated with any provider. So whatever fee structure

they have really has to be at the individual level, since there

are a lot of unaffiliated individual licensees.

Now, as far as active/inactive, this is really very similar between

EMS and LE. In LE, when you leave a police agency, you are immediately

inactivated. To reactiviate, you have to come up under a LE

agency, who submits your license along with other paperwork (physical,

psych exam, and even written exam in some cases). So an inactive

LE officer has a lot of work to do to become re-activated (the

term was Commissioned when I was in the biz, you had a license

assigned to you, but you were Commissioned by the agency that

hired you). In EMS, it doesn't happen when you leave the agency,

but over time you may become inactive if you don't keep up your

CE, and you have to do a lot of work to become reactived. So

in LE again it's contingent on your employment whether you're

active or inactive, and in EMS it's just time and effort. But

similar.

Still doesn't explain the fees though. Active/inactive, EMS

folks still pay that fee.

=Steve=

Steve , LP

AlertCPR Emergency Training

2300 Highland Village Rd, Suite 340

Highland Village, TX 75077

>--- Original Message ---

>

>To:

>Date: 6/2/05 11:52:32 AM

>

Why is there a charge to renew your EMS certification/license

every

>two years? Has the transition from TDH to DSHS in any way altered

the

>finances of what was the BEM, such that licensure/certification

fees

>need to be re-examined? Wouldn't it seem that state agencies

should

>have to follow the same policies with regards to relicensure?

>

>TCLEOSE has no renewal - it's a lifetime license. Period.

There's

>only a charge for initial licensure, and for some additional

updates,

>etc. How does TCOFP work? What about Cosmetologists, etc?

My DL

>renews every 6 now, for a minimal fee, and I get a nicely made

plastic

>photo ID.

>

>I'm only curious. I know DSHS and BEM need the money, and I

know

>they're doing everything the think they can to keep the costs

down -

>especially for rural/volulnteer medics... but with the proliefration

>of providers out there (the number of competing companies, not

the

>number of medics), wouldn't it make sense to hold the companies

>responsible for the charges rather than the individual medics?

Maybe

>charge the companies for additions or removals from their " company

>rosters " so that there's more of a push to retain employees?

This

>would make life easier for the individual medic, and hold companies

>more responsible for keeping and updating provider's records...

>

>Mike :)

>

>

>

>

>

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Mike,

One thing that is a fundamental difference between law enforcement

and EMS, at least in Texas, is a problem here. To be Licensed

as a Peace Officer in Texas, don't you HAVE to be affiliated

with an agency? Can I on my own go get licensed? I know when

I was first licensed (and it goes back to before there were licensed,

I was first certified by TCLEOSE, and was grandfathered a license

in 1981 or so when it came in), you had to have a sponsoring

agency to even attend police academy. In contrast, anyone can

take a class, take the test, and be licensed or certified in

EMS. So you have a lot of independent EMS licensees out there,

not affiliated with any provider. So whatever fee structure

they have really has to be at the individual level, since there

are a lot of unaffiliated individual licensees.

Now, as far as active/inactive, this is really very similar between

EMS and LE. In LE, when you leave a police agency, you are immediately

inactivated. To reactiviate, you have to come up under a LE

agency, who submits your license along with other paperwork (physical,

psych exam, and even written exam in some cases). So an inactive

LE officer has a lot of work to do to become re-activated (the

term was Commissioned when I was in the biz, you had a license

assigned to you, but you were Commissioned by the agency that

hired you). In EMS, it doesn't happen when you leave the agency,

but over time you may become inactive if you don't keep up your

CE, and you have to do a lot of work to become reactived. So

in LE again it's contingent on your employment whether you're

active or inactive, and in EMS it's just time and effort. But

similar.

Still doesn't explain the fees though. Active/inactive, EMS

folks still pay that fee.

=Steve=

Steve , LP

AlertCPR Emergency Training

2300 Highland Village Rd, Suite 340

Highland Village, TX 75077

>--- Original Message ---

>

>To:

>Date: 6/2/05 11:52:32 AM

>

Why is there a charge to renew your EMS certification/license

every

>two years? Has the transition from TDH to DSHS in any way altered

the

>finances of what was the BEM, such that licensure/certification

fees

>need to be re-examined? Wouldn't it seem that state agencies

should

>have to follow the same policies with regards to relicensure?

>

>TCLEOSE has no renewal - it's a lifetime license. Period.

There's

>only a charge for initial licensure, and for some additional

updates,

>etc. How does TCOFP work? What about Cosmetologists, etc?

My DL

>renews every 6 now, for a minimal fee, and I get a nicely made

plastic

>photo ID.

>

>I'm only curious. I know DSHS and BEM need the money, and I

know

>they're doing everything the think they can to keep the costs

down -

>especially for rural/volulnteer medics... but with the proliefration

>of providers out there (the number of competing companies, not

the

>number of medics), wouldn't it make sense to hold the companies

>responsible for the charges rather than the individual medics?

Maybe

>charge the companies for additions or removals from their " company

>rosters " so that there's more of a push to retain employees?

This

>would make life easier for the individual medic, and hold companies

>more responsible for keeping and updating provider's records...

>

>Mike :)

>

>

>

>

>

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Mike,

One thing that is a fundamental difference between law enforcement

and EMS, at least in Texas, is a problem here. To be Licensed

as a Peace Officer in Texas, don't you HAVE to be affiliated

with an agency? Can I on my own go get licensed? I know when

I was first licensed (and it goes back to before there were licensed,

I was first certified by TCLEOSE, and was grandfathered a license

in 1981 or so when it came in), you had to have a sponsoring

agency to even attend police academy. In contrast, anyone can

take a class, take the test, and be licensed or certified in

EMS. So you have a lot of independent EMS licensees out there,

not affiliated with any provider. So whatever fee structure

they have really has to be at the individual level, since there

are a lot of unaffiliated individual licensees.

Now, as far as active/inactive, this is really very similar between

EMS and LE. In LE, when you leave a police agency, you are immediately

inactivated. To reactiviate, you have to come up under a LE

agency, who submits your license along with other paperwork (physical,

psych exam, and even written exam in some cases). So an inactive

LE officer has a lot of work to do to become re-activated (the

term was Commissioned when I was in the biz, you had a license

assigned to you, but you were Commissioned by the agency that

hired you). In EMS, it doesn't happen when you leave the agency,

but over time you may become inactive if you don't keep up your

CE, and you have to do a lot of work to become reactived. So

in LE again it's contingent on your employment whether you're

active or inactive, and in EMS it's just time and effort. But

similar.

Still doesn't explain the fees though. Active/inactive, EMS

folks still pay that fee.

=Steve=

Steve , LP

AlertCPR Emergency Training

2300 Highland Village Rd, Suite 340

Highland Village, TX 75077

>--- Original Message ---

>

>To:

>Date: 6/2/05 11:52:32 AM

>

Why is there a charge to renew your EMS certification/license

every

>two years? Has the transition from TDH to DSHS in any way altered

the

>finances of what was the BEM, such that licensure/certification

fees

>need to be re-examined? Wouldn't it seem that state agencies

should

>have to follow the same policies with regards to relicensure?

>

>TCLEOSE has no renewal - it's a lifetime license. Period.

There's

>only a charge for initial licensure, and for some additional

updates,

>etc. How does TCOFP work? What about Cosmetologists, etc?

My DL

>renews every 6 now, for a minimal fee, and I get a nicely made

plastic

>photo ID.

>

>I'm only curious. I know DSHS and BEM need the money, and I

know

>they're doing everything the think they can to keep the costs

down -

>especially for rural/volulnteer medics... but with the proliefration

>of providers out there (the number of competing companies, not

the

>number of medics), wouldn't it make sense to hold the companies

>responsible for the charges rather than the individual medics?

Maybe

>charge the companies for additions or removals from their " company

>rosters " so that there's more of a push to retain employees?

This

>would make life easier for the individual medic, and hold companies

>more responsible for keeping and updating provider's records...

>

>Mike :)

>

>

>

>

>

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Okay, I guess that was the obvious response... :D

But the question is - to what end? Comparaitvely, there can't be THAT

much money in charging 30,000 individual providers every two years.

That works out to 15,000 a year. Even at $100/provider, that's only

1.5 million dollars, which to an agency with their scope isn't a hell

of a lot of money. That's roughly 10 employees, facilities, etc...

and DSHS is obviously bigger than that. What I'm saying is, if the

rationale is cost recovery, why are other agencies able to do a LOT

more with a LOT less? Are those agencies getting more state funding?

Are they mandated to not charge these fees? What are EMS providers

" getting " for their money? No, I'm NOT slamming DSHS/BEM - I'm not

saying they're NOT doing things. I'm simply asking - comparatively

with other state licensing agencies (the Texas Racing Commission

charges $25/year, which includes a criminal background check performed

by an agency employed peace officer, for a license to work on a

TRC-licensed facility; etc.), should EMS personnel expect, and ask

for, more from the agency that charges us to be licensed by them,

especially with the state of affairs and wages in the EMS industry?

Mike :)

> This was a scheme to double the cost of your license by cutting the renewal

> period in half while charging the same fee.....worked great, huh?

> TD

>

>

>

>

>

>

>

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This change in fee structure is a direct result of the consolidation

legislation that reorganized TDH and MHMR into DSHS.

So the people to blame are your dear Senators and Representatives and

Governor. The people at DSHSs are just trying to hang in there and do their

best

with the crumbs given them by the Lege.

GG

> After reading the emails, I referred to the rules and policies.  We are

> required to reapply every four years.

>

>

>

> License Renewal Fee

>

>

> Why is there a charge to renew your EMS certification/license every

> two years?  Has the transition from TDH to DSHS in any way altered the

> finances of what was the BEM, such that licensure/certification fees

> need to be re-examined?  Wouldn't it seem that state agencies should

> have to follow the same policies with regards to relicensure?

>

> TCLEOSE has no renewal - it's a lifetime license.  Period.  There's

> only a charge for initial licensure, and for some additional updates,

> etc.  How does TCOFP work?  What about Cosmetologists, etc?  My DL

> renews every 6 now, for a minimal fee, and I get a nicely made plastic

> photo ID.

>

> I'm only curious.  I know DSHS and BEM need the money, and I know

> they're doing everything the think they can to keep the costs down -

> especially for rural/volulnteer medics... but with the proliefration

> of providers out there (the number of competing companies, not the

> number of medics), wouldn't it make sense to hold the companies

> responsible for the charges rather than the individual medics?  Maybe

> charge the companies for additions or removals from their " company

> rosters " so that there's more of a push to retain employees?  This

> would make life easier for the individual medic, and hold companies

> more responsible for keeping and updating provider's records...

>

> Mike :)

>

>

>

>

>

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Guest guest

This change in fee structure is a direct result of the consolidation

legislation that reorganized TDH and MHMR into DSHS.

So the people to blame are your dear Senators and Representatives and

Governor. The people at DSHSs are just trying to hang in there and do their

best

with the crumbs given them by the Lege.

GG

> After reading the emails, I referred to the rules and policies.  We are

> required to reapply every four years.

>

>

>

> License Renewal Fee

>

>

> Why is there a charge to renew your EMS certification/license every

> two years?  Has the transition from TDH to DSHS in any way altered the

> finances of what was the BEM, such that licensure/certification fees

> need to be re-examined?  Wouldn't it seem that state agencies should

> have to follow the same policies with regards to relicensure?

>

> TCLEOSE has no renewal - it's a lifetime license.  Period.  There's

> only a charge for initial licensure, and for some additional updates,

> etc.  How does TCOFP work?  What about Cosmetologists, etc?  My DL

> renews every 6 now, for a minimal fee, and I get a nicely made plastic

> photo ID.

>

> I'm only curious.  I know DSHS and BEM need the money, and I know

> they're doing everything the think they can to keep the costs down -

> especially for rural/volulnteer medics... but with the proliefration

> of providers out there (the number of competing companies, not the

> number of medics), wouldn't it make sense to hold the companies

> responsible for the charges rather than the individual medics?  Maybe

> charge the companies for additions or removals from their " company

> rosters " so that there's more of a push to retain employees?  This

> would make life easier for the individual medic, and hold companies

> more responsible for keeping and updating provider's records...

>

> Mike :)

>

>

>

>

>

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Comments inline...

>

> Mike,

>

> One thing that is a fundamental difference between law enforcement

> and EMS, at least in Texas, is a problem here. To be Licensed

> as a Peace Officer in Texas, don't you HAVE to be affiliated

> with an agency? Can I on my own go get licensed? I know when

Depends. Initially, when you pass your police academy, which may be

offered through a community college, you are eligible to take the

licensure exam. If you pass, you are licensed. That license is good

for life as long as you keep up with your required CE (40 hours every

two years including legislatively mandated courses). Now, at this

point, you ARE NOT a peace officer. You're LICENSED... but you're not

COMMISSIONED. Until an agency COMMISSIONS you, you have NO police

powers, duties or priviliges. But, you are licensed, and any agency

can pick you up and commission you at their leisure.

> I was first licensed (and it goes back to before there were licensed,

> I was first certified by TCLEOSE, and was grandfathered a license

> in 1981 or so when it came in), you had to have a sponsoring

> agency to even attend police academy. In contrast, anyone can

> take a class, take the test, and be licensed or certified in

> EMS. So you have a lot of independent EMS licensees out there,

> not affiliated with any provider. So whatever fee structure

> they have really has to be at the individual level, since there

> are a lot of unaffiliated individual licensees.

Which is how it is with TCLEOSE. Of course, they also license all

private security officers, security sales contractors, etc. It's more

than just police. And they license security agencies, etc. Much like

EMS. it's really a closer match than it used to be.

> Now, as far as active/inactive, this is really very similar between

> EMS and LE. In LE, when you leave a police agency, you are immediately

> inactivated. To reactiviate, you have to come up under a LE

> agency, who submits your license along with other paperwork (physical,

> psych exam, and even written exam in some cases). So an inactive

> LE officer has a lot of work to do to become re-activated (the

Only if the lapse is longer than 180 days. Within 180 days, and

depending on the hiring department's policy, all that's required is

the application be submitted. No additional medical or psych exam is

required. After a 180 day lapse, the APPLICANT must get re-examined

and have the proper paperwork filled out for medical and psych.

<snip>

> Still doesn't explain the fees though. Active/inactive, EMS

> folks still pay that fee.

And that's what I wanto to understand. I know there's a funding

problem, but where's the money going? If it's enforcement and

investigations, why should the individual provider pay for fixing the

problems that are typically seen at a provider agency level? Or, am I

off base? Are most investigations focused at individual providers,

not agencies? I guess there's a lot that goes on in the background

that I'm not aware of, and I guess that there's a need for it. I'd

just like to know what " it " is with regards to the ACTUAL cost of

licensing providers. Not of the other ancillary services DSHS

provides, but JUST on the licensing. What would it cost to JUST

perform the licensing functions... and how can those fees be balanced

between provider and agency; especially looking at how much less OTHER

state agencies charge?

Yes, I'm aware that others charge MORE. I know it could be a LOT

worse. But if we don't know why it costs what it costs now, how can

we fight it (or figure out if we SHOULD fight it) when the next

increase comes? How should we determine what more to ask for DSHS in

return for paying them to allow us to work, especially when other

folks actually DO get more for their money? What more can we get for

our money, and what would it take to get it done? If we can identify

that, I firmly believe that we've got the folks in Texas EMS that

would come together to make it happen. I'd just like to identify what

we need, what it costs to do what we need now, and what we'd need to

get 'more " for our money.

Mike :)

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Comments inline...

>

> Mike,

>

> One thing that is a fundamental difference between law enforcement

> and EMS, at least in Texas, is a problem here. To be Licensed

> as a Peace Officer in Texas, don't you HAVE to be affiliated

> with an agency? Can I on my own go get licensed? I know when

Depends. Initially, when you pass your police academy, which may be

offered through a community college, you are eligible to take the

licensure exam. If you pass, you are licensed. That license is good

for life as long as you keep up with your required CE (40 hours every

two years including legislatively mandated courses). Now, at this

point, you ARE NOT a peace officer. You're LICENSED... but you're not

COMMISSIONED. Until an agency COMMISSIONS you, you have NO police

powers, duties or priviliges. But, you are licensed, and any agency

can pick you up and commission you at their leisure.

> I was first licensed (and it goes back to before there were licensed,

> I was first certified by TCLEOSE, and was grandfathered a license

> in 1981 or so when it came in), you had to have a sponsoring

> agency to even attend police academy. In contrast, anyone can

> take a class, take the test, and be licensed or certified in

> EMS. So you have a lot of independent EMS licensees out there,

> not affiliated with any provider. So whatever fee structure

> they have really has to be at the individual level, since there

> are a lot of unaffiliated individual licensees.

Which is how it is with TCLEOSE. Of course, they also license all

private security officers, security sales contractors, etc. It's more

than just police. And they license security agencies, etc. Much like

EMS. it's really a closer match than it used to be.

> Now, as far as active/inactive, this is really very similar between

> EMS and LE. In LE, when you leave a police agency, you are immediately

> inactivated. To reactiviate, you have to come up under a LE

> agency, who submits your license along with other paperwork (physical,

> psych exam, and even written exam in some cases). So an inactive

> LE officer has a lot of work to do to become re-activated (the

Only if the lapse is longer than 180 days. Within 180 days, and

depending on the hiring department's policy, all that's required is

the application be submitted. No additional medical or psych exam is

required. After a 180 day lapse, the APPLICANT must get re-examined

and have the proper paperwork filled out for medical and psych.

<snip>

> Still doesn't explain the fees though. Active/inactive, EMS

> folks still pay that fee.

And that's what I wanto to understand. I know there's a funding

problem, but where's the money going? If it's enforcement and

investigations, why should the individual provider pay for fixing the

problems that are typically seen at a provider agency level? Or, am I

off base? Are most investigations focused at individual providers,

not agencies? I guess there's a lot that goes on in the background

that I'm not aware of, and I guess that there's a need for it. I'd

just like to know what " it " is with regards to the ACTUAL cost of

licensing providers. Not of the other ancillary services DSHS

provides, but JUST on the licensing. What would it cost to JUST

perform the licensing functions... and how can those fees be balanced

between provider and agency; especially looking at how much less OTHER

state agencies charge?

Yes, I'm aware that others charge MORE. I know it could be a LOT

worse. But if we don't know why it costs what it costs now, how can

we fight it (or figure out if we SHOULD fight it) when the next

increase comes? How should we determine what more to ask for DSHS in

return for paying them to allow us to work, especially when other

folks actually DO get more for their money? What more can we get for

our money, and what would it take to get it done? If we can identify

that, I firmly believe that we've got the folks in Texas EMS that

would come together to make it happen. I'd just like to identify what

we need, what it costs to do what we need now, and what we'd need to

get 'more " for our money.

Mike :)

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I agree. And not to put too much emphasis on something that

seems trivial, but For all that money should we NOT get a nice

card and/or cert? My TCLEOSE license is a nice laminated color

card, and even back in the dark ages of EMS when I was first

certified (1982) we got a color card and cert. Now, what we

get is less than impressive.

=Steve=

Steve , LP

AlertCPR Emergency Training

2300 Highland Village Rd, Suite 340

Highland Village, TX 75077

>--- Original Message ---

>

>To:

>Date: 6/2/05 12:50:53 PM

>

Comments inline...

>

>

>>

>> Mike,

>>

>> One thing that is a fundamental difference between law enforcement

>> and EMS, at least in Texas, is a problem here. To be Licensed

>> as a Peace Officer in Texas, don't you HAVE to be affiliated

>> with an agency? Can I on my own go get licensed? I know

when

>

>Depends. Initially, when you pass your police academy, which

may be

>offered through a community college, you are eligible to take

the

>licensure exam. If you pass, you are licensed. That license

is good

>for life as long as you keep up with your required CE (40 hours

every

>two years including legislatively mandated courses). Now, at

this

>point, you ARE NOT a peace officer. You're LICENSED... but

you're not

>COMMISSIONED. Until an agency COMMISSIONS you, you have NO

police

>powers, duties or priviliges. But, you are licensed, and any

agency

>can pick you up and commission you at their leisure.

>

>> I was first licensed (and it goes back to before there were

licensed,

>> I was first certified by TCLEOSE, and was grandfathered a

license

>> in 1981 or so when it came in), you had to have a sponsoring

>> agency to even attend police academy. In contrast, anyone

can

>> take a class, take the test, and be licensed or certified

in

>> EMS. So you have a lot of independent EMS licensees out there,

>> not affiliated with any provider. So whatever fee structure

>> they have really has to be at the individual level, since

there

>> are a lot of unaffiliated individual licensees.

>

>Which is how it is with TCLEOSE. Of course, they also license

all

>private security officers, security sales contractors, etc.

It's more

>than just police. And they license security agencies, etc.

Much like

>EMS. it's really a closer match than it used to be.

>

>> Now, as far as active/inactive, this is really very similar

between

>> EMS and LE. In LE, when you leave a police agency, you are

immediately

>> inactivated. To reactiviate, you have to come up under a

LE

>> agency, who submits your license along with other paperwork

(physical,

>> psych exam, and even written exam in some cases). So an inactive

>> LE officer has a lot of work to do to become re-activated

(the

>

>Only if the lapse is longer than 180 days. Within 180 days,

and

>depending on the hiring department's policy, all that's required

is

>the application be submitted. No additional medical or psych

exam is

>required. After a 180 day lapse, the APPLICANT must get re-examined

>and have the proper paperwork filled out for medical and psych.

>

><snip>

>

>> Still doesn't explain the fees though. Active/inactive, EMS

>> folks still pay that fee.

>

>And that's what I wanto to understand. I know there's a funding

>problem, but where's the money going? If it's enforcement and

>investigations, why should the individual provider pay for fixing

the

>problems that are typically seen at a provider agency level?

Or, am I

>off base? Are most investigations focused at individual providers,

>not agencies? I guess there's a lot that goes on in the background

>that I'm not aware of, and I guess that there's a need for it.

I'd

>just like to know what " it " is with regards to the ACTUAL cost

of

>licensing providers. Not of the other ancillary services DSHS

>provides, but JUST on the licensing. What would it cost to

JUST

>perform the licensing functions... and how can those fees be

balanced

>between provider and agency; especially looking at how much

less OTHER

>state agencies charge?

>

>Yes, I'm aware that others charge MORE. I know it could be

a LOT

>worse. But if we don't know why it costs what it costs now,

how can

>we fight it (or figure out if we SHOULD fight it) when the next

>increase comes? How should we determine what more to ask for

DSHS in

>return for paying them to allow us to work, especially when

other

>folks actually DO get more for their money? What more can we

get for

>our money, and what would it take to get it done? If we can

identify

>that, I firmly believe that we've got the folks in Texas EMS

that

>would come together to make it happen. I'd just like to identify

what

>we need, what it costs to do what we need now, and what we'd

need to

>get 'more " for our money.

>

>Mike :)

>

>

>

>

>

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After reading the emails, I referred to the rules and policies. We are

required to reapply every four years.

License Renewal Fee

Why is there a charge to renew your EMS certification/license every

two years? Has the transition from TDH to DSHS in any way altered the

finances of what was the BEM, such that licensure/certification fees

need to be re-examined? Wouldn't it seem that state agencies should

have to follow the same policies with regards to relicensure?

TCLEOSE has no renewal - it's a lifetime license. Period. There's

only a charge for initial licensure, and for some additional updates,

etc. How does TCOFP work? What about Cosmetologists, etc? My DL

renews every 6 now, for a minimal fee, and I get a nicely made plastic

photo ID.

I'm only curious. I know DSHS and BEM need the money, and I know

they're doing everything the think they can to keep the costs down -

especially for rural/volulnteer medics... but with the proliefration

of providers out there (the number of competing companies, not the

number of medics), wouldn't it make sense to hold the companies

responsible for the charges rather than the individual medics? Maybe

charge the companies for additions or removals from their " company

rosters " so that there's more of a push to retain employees? This

would make life easier for the individual medic, and hold companies

more responsible for keeping and updating provider's records...

Mike :)

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Guest guest

I thought that was changing to meet the requirement that we re-license

every two to be part of the " Texas Online " system... there was some

legislative requirement.

Mike :)

> After reading the emails, I referred to the rules and policies. We are

> required to reapply every four years.

>

>

>

> License Renewal Fee

>

>

> Why is there a charge to renew your EMS certification/license every

> two years? Has the transition from TDH to DSHS in any way altered the

> finances of what was the BEM, such that licensure/certification fees

> need to be re-examined? Wouldn't it seem that state agencies should

> have to follow the same policies with regards to relicensure?

>

> TCLEOSE has no renewal - it's a lifetime license. Period. There's

> only a charge for initial licensure, and for some additional updates,

> etc. How does TCOFP work? What about Cosmetologists, etc? My DL

> renews every 6 now, for a minimal fee, and I get a nicely made plastic

> photo ID.

>

> I'm only curious. I know DSHS and BEM need the money, and I know

> they're doing everything the think they can to keep the costs down -

> especially for rural/volulnteer medics... but with the proliefration

> of providers out there (the number of competing companies, not the

> number of medics), wouldn't it make sense to hold the companies

> responsible for the charges rather than the individual medics? Maybe

> charge the companies for additions or removals from their " company

> rosters " so that there's more of a push to retain employees? This

> would make life easier for the individual medic, and hold companies

> more responsible for keeping and updating provider's records...

>

> Mike :)

>

>

>

>

>

Link to comment
Share on other sites

Guest guest

I thought that was changing to meet the requirement that we re-license

every two to be part of the " Texas Online " system... there was some

legislative requirement.

Mike :)

> After reading the emails, I referred to the rules and policies. We are

> required to reapply every four years.

>

>

>

> License Renewal Fee

>

>

> Why is there a charge to renew your EMS certification/license every

> two years? Has the transition from TDH to DSHS in any way altered the

> finances of what was the BEM, such that licensure/certification fees

> need to be re-examined? Wouldn't it seem that state agencies should

> have to follow the same policies with regards to relicensure?

>

> TCLEOSE has no renewal - it's a lifetime license. Period. There's

> only a charge for initial licensure, and for some additional updates,

> etc. How does TCOFP work? What about Cosmetologists, etc? My DL

> renews every 6 now, for a minimal fee, and I get a nicely made plastic

> photo ID.

>

> I'm only curious. I know DSHS and BEM need the money, and I know

> they're doing everything the think they can to keep the costs down -

> especially for rural/volulnteer medics... but with the proliefration

> of providers out there (the number of competing companies, not the

> number of medics), wouldn't it make sense to hold the companies

> responsible for the charges rather than the individual medics? Maybe

> charge the companies for additions or removals from their " company

> rosters " so that there's more of a push to retain employees? This

> would make life easier for the individual medic, and hold companies

> more responsible for keeping and updating provider's records...

>

> Mike :)

>

>

>

>

>

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Share on other sites

Guest guest

I thought that was changing to meet the requirement that we re-license

every two to be part of the " Texas Online " system... there was some

legislative requirement.

Mike :)

> After reading the emails, I referred to the rules and policies. We are

> required to reapply every four years.

>

>

>

> License Renewal Fee

>

>

> Why is there a charge to renew your EMS certification/license every

> two years? Has the transition from TDH to DSHS in any way altered the

> finances of what was the BEM, such that licensure/certification fees

> need to be re-examined? Wouldn't it seem that state agencies should

> have to follow the same policies with regards to relicensure?

>

> TCLEOSE has no renewal - it's a lifetime license. Period. There's

> only a charge for initial licensure, and for some additional updates,

> etc. How does TCOFP work? What about Cosmetologists, etc? My DL

> renews every 6 now, for a minimal fee, and I get a nicely made plastic

> photo ID.

>

> I'm only curious. I know DSHS and BEM need the money, and I know

> they're doing everything the think they can to keep the costs down -

> especially for rural/volulnteer medics... but with the proliefration

> of providers out there (the number of competing companies, not the

> number of medics), wouldn't it make sense to hold the companies

> responsible for the charges rather than the individual medics? Maybe

> charge the companies for additions or removals from their " company

> rosters " so that there's more of a push to retain employees? This

> would make life easier for the individual medic, and hold companies

> more responsible for keeping and updating provider's records...

>

> Mike :)

>

>

>

>

>

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Share on other sites

Guest guest

Agreed, absolutely! I want to reiterate that... I'm not mad at DSHS.

I'm trying to get the right data to figure out if I should be asking

to pay less, or thankful that I'm not paying more. Honestly, I don't

know where the money I pay for recertification every four years is

going - DSHS may not even be getting the lion's share of it.

Mike :)

> This change in fee structure is a direct result of the consolidation

> legislation that reorganized TDH and MHMR into DSHS.

>

> So the people to blame are your dear Senators and Representatives and

> Governor. The people at DSHSs are just trying to hang in there and do their

best

> with the crumbs given them by the Lege.

>

> GG

>

>

>

> > After reading the emails, I referred to the rules and policies. We are

> > required to reapply every four years.

> >

> >

> >

> > License Renewal Fee

> >

> >

> > Why is there a charge to renew your EMS certification/license every

> > two years? Has the transition from TDH to DSHS in any way altered the

> > finances of what was the BEM, such that licensure/certification fees

> > need to be re-examined? Wouldn't it seem that state agencies should

> > have to follow the same policies with regards to relicensure?

> >

> > TCLEOSE has no renewal - it's a lifetime license. Period. There's

> > only a charge for initial licensure, and for some additional updates,

> > etc. How does TCOFP work? What about Cosmetologists, etc? My DL

> > renews every 6 now, for a minimal fee, and I get a nicely made plastic

> > photo ID.

> >

> > I'm only curious. I know DSHS and BEM need the money, and I know

> > they're doing everything the think they can to keep the costs down -

> > especially for rural/volulnteer medics... but with the proliefration

> > of providers out there (the number of competing companies, not the

> > number of medics), wouldn't it make sense to hold the companies

> > responsible for the charges rather than the individual medics? Maybe

> > charge the companies for additions or removals from their " company

> > rosters " so that there's more of a push to retain employees? This

> > would make life easier for the individual medic, and hold companies

> > more responsible for keeping and updating provider's records...

> >

> > Mike :)

> >

> >

> >

> >

> >

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Share on other sites

Guest guest

Agreed, absolutely! I want to reiterate that... I'm not mad at DSHS.

I'm trying to get the right data to figure out if I should be asking

to pay less, or thankful that I'm not paying more. Honestly, I don't

know where the money I pay for recertification every four years is

going - DSHS may not even be getting the lion's share of it.

Mike :)

> This change in fee structure is a direct result of the consolidation

> legislation that reorganized TDH and MHMR into DSHS.

>

> So the people to blame are your dear Senators and Representatives and

> Governor. The people at DSHSs are just trying to hang in there and do their

best

> with the crumbs given them by the Lege.

>

> GG

>

>

>

> > After reading the emails, I referred to the rules and policies. We are

> > required to reapply every four years.

> >

> >

> >

> > License Renewal Fee

> >

> >

> > Why is there a charge to renew your EMS certification/license every

> > two years? Has the transition from TDH to DSHS in any way altered the

> > finances of what was the BEM, such that licensure/certification fees

> > need to be re-examined? Wouldn't it seem that state agencies should

> > have to follow the same policies with regards to relicensure?

> >

> > TCLEOSE has no renewal - it's a lifetime license. Period. There's

> > only a charge for initial licensure, and for some additional updates,

> > etc. How does TCOFP work? What about Cosmetologists, etc? My DL

> > renews every 6 now, for a minimal fee, and I get a nicely made plastic

> > photo ID.

> >

> > I'm only curious. I know DSHS and BEM need the money, and I know

> > they're doing everything the think they can to keep the costs down -

> > especially for rural/volulnteer medics... but with the proliefration

> > of providers out there (the number of competing companies, not the

> > number of medics), wouldn't it make sense to hold the companies

> > responsible for the charges rather than the individual medics? Maybe

> > charge the companies for additions or removals from their " company

> > rosters " so that there's more of a push to retain employees? This

> > would make life easier for the individual medic, and hold companies

> > more responsible for keeping and updating provider's records...

> >

> > Mike :)

> >

> >

> >

> >

> >

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Share on other sites

Guest guest

Agreed, absolutely! I want to reiterate that... I'm not mad at DSHS.

I'm trying to get the right data to figure out if I should be asking

to pay less, or thankful that I'm not paying more. Honestly, I don't

know where the money I pay for recertification every four years is

going - DSHS may not even be getting the lion's share of it.

Mike :)

> This change in fee structure is a direct result of the consolidation

> legislation that reorganized TDH and MHMR into DSHS.

>

> So the people to blame are your dear Senators and Representatives and

> Governor. The people at DSHSs are just trying to hang in there and do their

best

> with the crumbs given them by the Lege.

>

> GG

>

>

>

> > After reading the emails, I referred to the rules and policies. We are

> > required to reapply every four years.

> >

> >

> >

> > License Renewal Fee

> >

> >

> > Why is there a charge to renew your EMS certification/license every

> > two years? Has the transition from TDH to DSHS in any way altered the

> > finances of what was the BEM, such that licensure/certification fees

> > need to be re-examined? Wouldn't it seem that state agencies should

> > have to follow the same policies with regards to relicensure?

> >

> > TCLEOSE has no renewal - it's a lifetime license. Period. There's

> > only a charge for initial licensure, and for some additional updates,

> > etc. How does TCOFP work? What about Cosmetologists, etc? My DL

> > renews every 6 now, for a minimal fee, and I get a nicely made plastic

> > photo ID.

> >

> > I'm only curious. I know DSHS and BEM need the money, and I know

> > they're doing everything the think they can to keep the costs down -

> > especially for rural/volulnteer medics... but with the proliefration

> > of providers out there (the number of competing companies, not the

> > number of medics), wouldn't it make sense to hold the companies

> > responsible for the charges rather than the individual medics? Maybe

> > charge the companies for additions or removals from their " company

> > rosters " so that there's more of a push to retain employees? This

> > would make life easier for the individual medic, and hold companies

> > more responsible for keeping and updating provider's records...

> >

> > Mike :)

> >

> >

> >

> >

> >

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Guest guest

I apologize. I must have missed something here. Where do I find the new

requirements?

Thanks,

License Renewal Fee

>

>

> Why is there a charge to renew your EMS certification/license every

> two years? Has the transition from TDH to DSHS in any way altered the

> finances of what was the BEM, such that licensure/certification fees

> need to be re-examined? Wouldn't it seem that state agencies should

> have to follow the same policies with regards to relicensure?

>

> TCLEOSE has no renewal - it's a lifetime license. Period. There's

> only a charge for initial licensure, and for some additional updates,

> etc. How does TCOFP work? What about Cosmetologists, etc? My DL

> renews every 6 now, for a minimal fee, and I get a nicely made plastic

> photo ID.

>

> I'm only curious. I know DSHS and BEM need the money, and I know

> they're doing everything the think they can to keep the costs down -

> especially for rural/volulnteer medics... but with the proliefration

> of providers out there (the number of competing companies, not the

> number of medics), wouldn't it make sense to hold the companies

> responsible for the charges rather than the individual medics? Maybe

> charge the companies for additions or removals from their " company

> rosters " so that there's more of a push to retain employees? This

> would make life easier for the individual medic, and hold companies

> more responsible for keeping and updating provider's records...

>

> Mike :)

>

>

>

>

>

Link to comment
Share on other sites

Guest guest

I apologize. I must have missed something here. Where do I find the new

requirements?

Thanks,

License Renewal Fee

>

>

> Why is there a charge to renew your EMS certification/license every

> two years? Has the transition from TDH to DSHS in any way altered the

> finances of what was the BEM, such that licensure/certification fees

> need to be re-examined? Wouldn't it seem that state agencies should

> have to follow the same policies with regards to relicensure?

>

> TCLEOSE has no renewal - it's a lifetime license. Period. There's

> only a charge for initial licensure, and for some additional updates,

> etc. How does TCOFP work? What about Cosmetologists, etc? My DL

> renews every 6 now, for a minimal fee, and I get a nicely made plastic

> photo ID.

>

> I'm only curious. I know DSHS and BEM need the money, and I know

> they're doing everything the think they can to keep the costs down -

> especially for rural/volulnteer medics... but with the proliefration

> of providers out there (the number of competing companies, not the

> number of medics), wouldn't it make sense to hold the companies

> responsible for the charges rather than the individual medics? Maybe

> charge the companies for additions or removals from their " company

> rosters " so that there's more of a push to retain employees? This

> would make life easier for the individual medic, and hold companies

> more responsible for keeping and updating provider's records...

>

> Mike :)

>

>

>

>

>

Link to comment
Share on other sites

Guest guest

I apologize. I must have missed something here. Where do I find the new

requirements?

Thanks,

License Renewal Fee

>

>

> Why is there a charge to renew your EMS certification/license every

> two years? Has the transition from TDH to DSHS in any way altered the

> finances of what was the BEM, such that licensure/certification fees

> need to be re-examined? Wouldn't it seem that state agencies should

> have to follow the same policies with regards to relicensure?

>

> TCLEOSE has no renewal - it's a lifetime license. Period. There's

> only a charge for initial licensure, and for some additional updates,

> etc. How does TCOFP work? What about Cosmetologists, etc? My DL

> renews every 6 now, for a minimal fee, and I get a nicely made plastic

> photo ID.

>

> I'm only curious. I know DSHS and BEM need the money, and I know

> they're doing everything the think they can to keep the costs down -

> especially for rural/volulnteer medics... but with the proliefration

> of providers out there (the number of competing companies, not the

> number of medics), wouldn't it make sense to hold the companies

> responsible for the charges rather than the individual medics? Maybe

> charge the companies for additions or removals from their " company

> rosters " so that there's more of a push to retain employees? This

> would make life easier for the individual medic, and hold companies

> more responsible for keeping and updating provider's records...

>

> Mike :)

>

>

>

>

>

Link to comment
Share on other sites

Guest guest

I went looking through the archives, but Yahoo!'s search function is

rather lacking. I seem to remember something, possibly sent out by

Kelley Harrell (if not, I apologize!), that with the legislative

requirement to go to Texas Online, we were moving towards 2 year

licensure periods. I know that wasn't the case as of 04, but I don't

know when that was required to start. If I'm wrong, it's because I've

got it mixed up with something else...

Mike :)

> I apologize. I must have missed something here. Where do I find the new

> requirements?

>

> Thanks,

>

>

> License Renewal Fee

> >

> >

> > Why is there a charge to renew your EMS certification/license every

> > two years? Has the transition from TDH to DSHS in any way altered the

> > finances of what was the BEM, such that licensure/certification fees

> > need to be re-examined? Wouldn't it seem that state agencies should

> > have to follow the same policies with regards to relicensure?

> >

> > TCLEOSE has no renewal - it's a lifetime license. Period. There's

> > only a charge for initial licensure, and for some additional updates,

> > etc. How does TCOFP work? What about Cosmetologists, etc? My DL

> > renews every 6 now, for a minimal fee, and I get a nicely made plastic

> > photo ID.

> >

> > I'm only curious. I know DSHS and BEM need the money, and I know

> > they're doing everything the think they can to keep the costs down -

> > especially for rural/volulnteer medics... but with the proliefration

> > of providers out there (the number of competing companies, not the

> > number of medics), wouldn't it make sense to hold the companies

> > responsible for the charges rather than the individual medics? Maybe

> > charge the companies for additions or removals from their " company

> > rosters " so that there's more of a push to retain employees? This

> > would make life easier for the individual medic, and hold companies

> > more responsible for keeping and updating provider's records...

> >

> > Mike :)

> >

> >

> >

> >

> >

Link to comment
Share on other sites

Guest guest

I went looking through the archives, but Yahoo!'s search function is

rather lacking. I seem to remember something, possibly sent out by

Kelley Harrell (if not, I apologize!), that with the legislative

requirement to go to Texas Online, we were moving towards 2 year

licensure periods. I know that wasn't the case as of 04, but I don't

know when that was required to start. If I'm wrong, it's because I've

got it mixed up with something else...

Mike :)

> I apologize. I must have missed something here. Where do I find the new

> requirements?

>

> Thanks,

>

>

> License Renewal Fee

> >

> >

> > Why is there a charge to renew your EMS certification/license every

> > two years? Has the transition from TDH to DSHS in any way altered the

> > finances of what was the BEM, such that licensure/certification fees

> > need to be re-examined? Wouldn't it seem that state agencies should

> > have to follow the same policies with regards to relicensure?

> >

> > TCLEOSE has no renewal - it's a lifetime license. Period. There's

> > only a charge for initial licensure, and for some additional updates,

> > etc. How does TCOFP work? What about Cosmetologists, etc? My DL

> > renews every 6 now, for a minimal fee, and I get a nicely made plastic

> > photo ID.

> >

> > I'm only curious. I know DSHS and BEM need the money, and I know

> > they're doing everything the think they can to keep the costs down -

> > especially for rural/volulnteer medics... but with the proliefration

> > of providers out there (the number of competing companies, not the

> > number of medics), wouldn't it make sense to hold the companies

> > responsible for the charges rather than the individual medics? Maybe

> > charge the companies for additions or removals from their " company

> > rosters " so that there's more of a push to retain employees? This

> > would make life easier for the individual medic, and hold companies

> > more responsible for keeping and updating provider's records...

> >

> > Mike :)

> >

> >

> >

> >

> >

Link to comment
Share on other sites

Guest guest

I went looking through the archives, but Yahoo!'s search function is

rather lacking. I seem to remember something, possibly sent out by

Kelley Harrell (if not, I apologize!), that with the legislative

requirement to go to Texas Online, we were moving towards 2 year

licensure periods. I know that wasn't the case as of 04, but I don't

know when that was required to start. If I'm wrong, it's because I've

got it mixed up with something else...

Mike :)

> I apologize. I must have missed something here. Where do I find the new

> requirements?

>

> Thanks,

>

>

> License Renewal Fee

> >

> >

> > Why is there a charge to renew your EMS certification/license every

> > two years? Has the transition from TDH to DSHS in any way altered the

> > finances of what was the BEM, such that licensure/certification fees

> > need to be re-examined? Wouldn't it seem that state agencies should

> > have to follow the same policies with regards to relicensure?

> >

> > TCLEOSE has no renewal - it's a lifetime license. Period. There's

> > only a charge for initial licensure, and for some additional updates,

> > etc. How does TCOFP work? What about Cosmetologists, etc? My DL

> > renews every 6 now, for a minimal fee, and I get a nicely made plastic

> > photo ID.

> >

> > I'm only curious. I know DSHS and BEM need the money, and I know

> > they're doing everything the think they can to keep the costs down -

> > especially for rural/volulnteer medics... but with the proliefration

> > of providers out there (the number of competing companies, not the

> > number of medics), wouldn't it make sense to hold the companies

> > responsible for the charges rather than the individual medics? Maybe

> > charge the companies for additions or removals from their " company

> > rosters " so that there's more of a push to retain employees? This

> > would make life easier for the individual medic, and hold companies

> > more responsible for keeping and updating provider's records...

> >

> > Mike :)

> >

> >

> >

> >

> >

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Guest guest

Mike,

I don't want to confuse things, but here it goes. In the State Merger Bill

last session (HB 2292) it required all re-certification/Licenses be renewed

every two years. At the same time it let the 4 year recert for EMS in the

Statue. Hence you have one part of the bill conflicting with the other. EMSAT

got a letter of Intent from the Rep. that carried HB 2292 that her " Legislative

Intent " was that EMS be left alone at the 4 year time period to recert/license.

I submitted this to BEM at the time. They informed us they got letters of

'intent' all the time and it meant nothing. Something change I guess because

they left it at 4 years. The last I heard was when they left it at the every 4

year period that they were hoping the language would be cleaned up this session.

As far as I know no one attempted to do so, since they are happy with the

current 4 year rule. I also believe there maybe a Texas Online fee that is

included when you recert on line.

So what we still have is HB 2292 that has two sections that are in direct

conflict. I have not heard of anything as to the State changing to a two year

recert period.

Thanks

Ron

License Renewal Fee

> >

> >

> > Why is there a charge to renew your EMS certification/license every

> > two years? Has the transition from TDH to DSHS in any way altered the

> > finances of what was the BEM, such that licensure/certification fees

> > need to be re-examined? Wouldn't it seem that state agencies should

> > have to follow the same policies with regards to relicensure?

> >

> > TCLEOSE has no renewal - it's a lifetime license. Period. There's

> > only a charge for initial licensure, and for some additional updates,

> > etc. How does TCOFP work? What about Cosmetologists, etc? My DL

> > renews every 6 now, for a minimal fee, and I get a nicely made plastic

> > photo ID.

> >

> > I'm only curious. I know DSHS and BEM need the money, and I know

> > they're doing everything the think they can to keep the costs down -

> > especially for rural/volulnteer medics... but with the proliefration

> > of providers out there (the number of competing companies, not the

> > number of medics), wouldn't it make sense to hold the companies

> > responsible for the charges rather than the individual medics? Maybe

> > charge the companies for additions or removals from their " company

> > rosters " so that there's more of a push to retain employees? This

> > would make life easier for the individual medic, and hold companies

> > more responsible for keeping and updating provider's records...

> >

> > Mike :)

> >

> >

> >

> >

> >

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Guest guest

Thanks, Ron - that was it exactly. So it's still 4 years for now, but

just because nobody's forced DSHS to two years yet, not because it's

properly codified in statute.

I appreciate the help!

Mike :)

> Mike,

> I don't want to confuse things, but here it goes. In the State Merger Bill

last session (HB 2292) it required all re-certification/Licenses be renewed

every two years. At the same time it let the 4 year recert for EMS in the

Statue. Hence you have one part of the bill conflicting with the other. EMSAT

got a letter of Intent from the Rep. that carried HB 2292 that her " Legislative

Intent " was that EMS be left alone at the 4 year time period to recert/license.

I submitted this to BEM at the time. They informed us they got letters of

'intent' all the time and it meant nothing. Something change I guess because

they left it at 4 years. The last I heard was when they left it at the every 4

year period that they were hoping the language would be cleaned up this session.

As far as I know no one attempted to do so, since they are happy with the

current 4 year rule. I also believe there maybe a Texas Online fee that is

included when you recert on line.

> So what we still have is HB 2292 that has two sections that are in direct

conflict. I have not heard of anything as to the State changing to a two year

recert period.

> Thanks

> Ron

> License Renewal Fee

> > >

> > >

> > > Why is there a charge to renew your EMS certification/license every

> > > two years? Has the transition from TDH to DSHS in any way altered the

> > > finances of what was the BEM, such that licensure/certification fees

> > > need to be re-examined? Wouldn't it seem that state agencies should

> > > have to follow the same policies with regards to relicensure?

> > >

> > > TCLEOSE has no renewal - it's a lifetime license. Period. There's

> > > only a charge for initial licensure, and for some additional updates,

> > > etc. How does TCOFP work? What about Cosmetologists, etc? My DL

> > > renews every 6 now, for a minimal fee, and I get a nicely made plastic

> > > photo ID.

> > >

> > > I'm only curious. I know DSHS and BEM need the money, and I know

> > > they're doing everything the think they can to keep the costs down -

> > > especially for rural/volulnteer medics... but with the proliefration

> > > of providers out there (the number of competing companies, not the

> > > number of medics), wouldn't it make sense to hold the companies

> > > responsible for the charges rather than the individual medics? Maybe

> > > charge the companies for additions or removals from their " company

> > > rosters " so that there's more of a push to retain employees? This

> > > would make life easier for the individual medic, and hold companies

> > > more responsible for keeping and updating provider's records...

> > >

> > > Mike :)

> > >

> > >

> > >

> > >

> > >

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Thanks, Ron - that was it exactly. So it's still 4 years for now, but

just because nobody's forced DSHS to two years yet, not because it's

properly codified in statute.

I appreciate the help!

Mike :)

> Mike,

> I don't want to confuse things, but here it goes. In the State Merger Bill

last session (HB 2292) it required all re-certification/Licenses be renewed

every two years. At the same time it let the 4 year recert for EMS in the

Statue. Hence you have one part of the bill conflicting with the other. EMSAT

got a letter of Intent from the Rep. that carried HB 2292 that her " Legislative

Intent " was that EMS be left alone at the 4 year time period to recert/license.

I submitted this to BEM at the time. They informed us they got letters of

'intent' all the time and it meant nothing. Something change I guess because

they left it at 4 years. The last I heard was when they left it at the every 4

year period that they were hoping the language would be cleaned up this session.

As far as I know no one attempted to do so, since they are happy with the

current 4 year rule. I also believe there maybe a Texas Online fee that is

included when you recert on line.

> So what we still have is HB 2292 that has two sections that are in direct

conflict. I have not heard of anything as to the State changing to a two year

recert period.

> Thanks

> Ron

> License Renewal Fee

> > >

> > >

> > > Why is there a charge to renew your EMS certification/license every

> > > two years? Has the transition from TDH to DSHS in any way altered the

> > > finances of what was the BEM, such that licensure/certification fees

> > > need to be re-examined? Wouldn't it seem that state agencies should

> > > have to follow the same policies with regards to relicensure?

> > >

> > > TCLEOSE has no renewal - it's a lifetime license. Period. There's

> > > only a charge for initial licensure, and for some additional updates,

> > > etc. How does TCOFP work? What about Cosmetologists, etc? My DL

> > > renews every 6 now, for a minimal fee, and I get a nicely made plastic

> > > photo ID.

> > >

> > > I'm only curious. I know DSHS and BEM need the money, and I know

> > > they're doing everything the think they can to keep the costs down -

> > > especially for rural/volulnteer medics... but with the proliefration

> > > of providers out there (the number of competing companies, not the

> > > number of medics), wouldn't it make sense to hold the companies

> > > responsible for the charges rather than the individual medics? Maybe

> > > charge the companies for additions or removals from their " company

> > > rosters " so that there's more of a push to retain employees? This

> > > would make life easier for the individual medic, and hold companies

> > > more responsible for keeping and updating provider's records...

> > >

> > > Mike :)

> > >

> > >

> > >

> > >

> > >

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