‘‘(A) IN
GENERAL.—A registered emer-
gency medical services agency shall maintain 
records in accordance with subsections (a) and 
(b) of section 307 of all controlled substances 
that are received, administered, or otherwise 
disposed of pursuant to the agency’s registra-
tion, without regard to subsection 307(c)(1)(B). 
‘‘(B) REQUIREMENTS.—Such records— 
‘‘(i) shall include records of deliveries 
of controlled substances between all loca-
tions of the agency; and 
‘‘(ii) shall be maintained, whether 
electronically or otherwise, at each reg-
istered and designated location of the 
agency where the controlled substances in-
volved are received, administered, or other-
wise disposed of. 
‘‘(10) OTHER
REQUIREMENTS.—A registered 
emergency medical services agency, under the super-
vision of a medical director, shall be responsible for 
ensuring that— 
‘‘(A) all emergency medical services profes-
sionals who administer controlled substances 
using the agency’s registration act in accord-
ance with the requirements of this subsection;
‘‘(B) the recordkeeping requirements of 
paragraph (9) are met with respect to a reg-
istered location and each designated location of 
the agency; 
‘‘(C) the applicable physical security re-
quirements established by regulation of the At-
torney General are complied with wherever con-
trolled substances are stored by the agency in 
accordance with paragraph (6); and 
‘‘(D) the agency maintains, at a registered 
location of the agency, a record of the standing 
orders issued or adopted in accordance with 
paragraph (9). 
‘‘(11) REGULATIONS.—The Attorney General 
may issue regulations— 
‘‘(A) specifying, with regard to delivery of 
controlled substances under paragraph (5)— 
‘‘(i) the types of locations that may be 
designated under such paragraph; and 
‘‘(ii) the manner in which a notifica-
tion under paragraph (5)(B) must be 
made; 
‘‘(B) specifying, with regard to the storage 
of controlled substances under paragraph (6), 
the manner in which such substances must be
stored at registered and designated locations, 
including in emergency medical service vehicles; 
and 
‘‘(C) addressing the ability of hospitals, 
registered locations, and designated locations to 
deliver controlled substances to each other in 
the event of— 
‘‘(i) shortages of such substances; 
‘‘(ii) a public health emergency; or 
‘‘(iii) a mass casualty event. 
‘‘(12) RULE
OF
CONSTRUCTION.—Nothing in 
this subsection shall be construed— 
‘‘(A) to limit the authority vested in the 
Attorney General by other provisions of this 
title to take measures to prevent diversion of 
controlled substances; or 
‘‘(B) to override the authority of any State 
to regulate the provision of emergency medical 
services. 
‘‘(13) DEFINITIONS.—In this section: 
‘‘(A) The term ‘designated location’ means 
a location designated by an emergency medical 
services agency under paragraph (5). 
‘‘(B) The term ‘emergency medical serv-
ices’ means emergency medical response and
emergency mobile medical services provided out-
side of a fixed medical facility. 
‘‘(C) The term ‘emergency medical services 
agency’ means an organization providing emer-
gency medical services, including such an orga-
nization that— 
‘‘(i) is governmental (including fire- 
based and hospital-based agencies), non-
governmental 
(including 
hospital-based 
agencies), private, or volunteer-based; 
‘‘(ii) provides emergency medical serv-
ices by ground, air, or otherwise; and 
‘‘(iii) is authorized by the State in 
which the organization is providing such 
services to provide emergency medical care, 
including the administering of controlled 
substances, to members of the general pub-
lic on an emergency basis. 
‘‘(D) The term ‘emergency medical services 
professional’ means a health care professional 
(including a nurse, paramedic, or emergency 
medical technician) licensed or certified by the 
State in which the professional practices and 
credentialed by a medical director of the respec-
tive emergency medical services agency to pro-