justicedao/ipfs_state_laws huggingface dataset:
333-250-0410 Civil Penalties A person that violates licensed ambulance service rules or laws, an administrative order, or settlement agreement is subject to the imposition of a civil penalty not to exceed $5,000 per violation. Statutory/Other Authority: ORS 682.017 Statutes/Other Implemented: ORS 682.224 History: PH 7-2017, f. & cert. ef. 3-21-17
333-255-0015 Review of Ambulance Vehicle License Application (1) In reviewing a complete application for an ambulance vehicle license, the Oregon Health Authority (Authority): (a) Shall verify compliance with ORS chapter 682; ORS 820.300 through 820.380; OAR chapter 333, division 250; OAR 847-035-0020 through 0030 and these rules; and (b) May conduct an on-site licensing survey in accordance with OAR 333-255-0110. (2) The Authority may deny an application for an ambulance vehicle license for failure to comply with section (1)(a) of this rule. Statutory/Other Authority: ORS 682.017 Statutes/Other Implemented: ORS 682.017 - 682.117 & 682.991 History: PH 19-2025, amend filed 09/24/2025, effective 01/01/2026 PH 230-2018, adopt filed 06/13/2018, effective 06/15/2018
333-255-0020 Approval of Ambulance Vehicle License (1) The Oregon Health Authority (Authority) shall issue an ambulance vehicle license to a licensed ambulance service that: (a) Submits a completed application as described in OAR 333-255-0010; (b) Submits the nonrefundable ambulance vehicle license fee as specified in ORS 682.047; (c) Successfully completes the survey requirements as described in OAR 333-255-0110; and (d) Is found by the Authority to be in compliance with ORS chapter 682; ORS 820.300 through 820.380; OAR chapter 333, division 250; and these rules. (2) The Authority shall issue an ambulance vehicle license for the specified ambulance within 10 business days and shall notify the applicant in writing and make the license available. (3) An ambulance vehicle license must be conspicuously displayed in the operator or patient compartment of the ambulance vehicle, or as otherwise directed by the Authority. (4) An ambulance vehicle license shall be issued only to the ambulance service licensee and shall not be transferrable to any other person, governmental unit, ambulance service, or ambulance vehicle. (5) Except when specifically exempted by ORS 682.035 and OAR 333-250-0220(4), an out-of-state licensed ambulance vehicle that operates in Oregon must be licensed by the Authority: (a) An ambulance vehicle license shall be granted when the vehicle is currently licensed in another state, the standards of which meet or exceed those of Oregon; and (b) The ambulance service licensee applying for an ambulance vehicle license submits to the Authority: (A) A completed Oregon ambulance vehicle license application; (B) A non-refundable ambulance vehicle licensing fee as specified in ORS 682.047; and (C) A copy of the current home-state ambulance vehicle license. (6) An ambulance vehicle license shall be issued to the ambulance service licensee for a vehicle used as a reserve, so long as the vehicle meets all construction and mechanical requirements at the time of manufacture. A reserve ambulance must meet the requirements under OAR 333-255-0065. (7) When an ambulance vehicle is found to be in non-compliance with ORS chapter 682; ORS 820.300 through 820.380; OAR chapter 333, division 250; or these rules, the Authority may deny, suspend or revoke the ambulance vehicle license in accordance with OAR 333-255-0120 or OAR 333-255-0125. Statutory/Other Authority: ORS 682.017 Statutes/Other Implemented: ORS 682.017 - 682.117 & 682.991 History: PH 19-2025, amend filed 09/24/2025, effective 01/01/2026 PH 230-2018, amend filed 06/13/2018, effective 06/15/2018 PH 1-2013, f. & cert. ef. 1-25-13 HD 63, f. 6-6-74, ef. 6-25-74; HD 1-1981, f. & ef. 1-14-81; Renumbered from 333-023-0605; HD 19-1984, f. & ef. 9-10-84; HD 16-1986, f. & ef. 9-9-86; HD 19-1991, f. & cert. ef. 10-18-91; HD 18-1994, f. 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0005; OHD 5-2001, f. & cert. ef. 4-24-01; PH 2-2007, f. & cert. ef. 2-1-07
333-255-0021 Denial of Ambulance Vehicle License Application (1) If the Oregon Health Authority intends to deny an ambulance vehicle license application, it shall issue a Notice of Proposed Denial of License Application in accordance with ORS chapter 183. (2) The Authority shall deny an application for licensing of an ambulance vehicle that does not meet the standards in these rules except as permitted by OAR 333-255-0060(2) or (8). Statutory/Other Authority: ORS 682.017 Statutes/Other Implemented: ORS 682.017 - 682.117 & 682.991 History: PH 19-2025, amend filed 09/24/2025, effective 01/01/2026 PH 230-2018, adopt filed 06/13/2018, effective 06/15/2018
333-255-0022 Expiration and Renewal of Ambulance Vehicle License (1) Each license to operate an ambulance vehicle: (a) Shall be valid until June 30 of each year, unless sooner revoked or suspended. The initial licensing period may not exceed 15 months; and (b) Shall expire on June 30 of the following year, if a license is applied for and issued between April 1 and June 30. (2) If a vehicle license renewal is desired, the licensed ambulance service shall make application in accordance with OAR 333-255-0010 and pay the appropriate fee at least 30 days prior to the expiration date. (3) An ambulance service that fails to timely renew in accordance with section (2) of this rule is no longer eligible for license renewal. (a) The ambulance service must submit an initial application in accordance with OAR 333-255-0010. (b) The ambulance vehicle will be subject to the construction criteria under OAR 333-255-0060 and is not eligible for the legacy exception under OAR 333-255-0060(2). Statutory/Other Authority: ORS 682.017 Statutes/Other Implemented: ORS 682.017 - 682.117 & 682.991 History: PH 19-2025, amend filed 09/24/2025, effective 01/01/2026 PH 230-2018, adopt filed 06/13/2018, effective 06/15/2018
333-255-0023 Return of Ambulance Vehicle License If an ambulance vehicle license is suspended, revoked, or expires, the ambulance service administrator shall submit a statement to the Oregon Health Authority acknowledging that the license certificate and any applicable license decals have been removed and destroyed. Statutory/Other Authority: ORS 682.017 Statutes/Other Implemented: ORS 682.017 - 682.117 & 682.991 History: PH 19-2025, amend filed 09/24/2025, effective 01/01/2026 PH 230-2018, adopt filed 06/13/2018, effective 06/15/2018
333-255-0040 Surrender of License for Ambulance Vehicle (1) An ambulance vehicle license is non-transferable. (2) When an ambulance service licensee sells, trades, or donates an ambulance vehicle, the licensed ambulance service must, within 10 calendar days: (a) Notify the Oregon Health Authority (Authority) of the transaction by providing the date that the sale was completed and the full name and address of the purchaser of the ambulance vehicle; and (b) Submit a statement signed by the ambulance service administrator acknowledging that all applicable ambulance vehicle licenses have been removed and destroyed. (3) An ambulance service licensee that sells or closes the ambulance service must comply with OAR 333-250-0240. Within 10 calendar days of final closing of the ambulance service, the ambulance service licensee shall submit a statement in accordance with subsection (2)(b) of this rule. (4) When an ambulance vehicle is decommissioned and not sold to another licensed ambulance service, the ambulance service licensee shall: (a) Remove and destroy any ambulance license decals and emblems or markings defined in OAR 333-255-0060 identifying the vehicle as an ambulance; and (b) Submit to the Authority within 30 calendar days from the date the vehicle was decommissioned, a statement signed by the ambulance service administrator acknowledging that all decals, emblems and markings identified in subsection (4)(a) of this rule have been removed and destroyed. Statutory/Other Authority: ORS 682.017 Statutes/Other Implemented: ORS 682.017 - 682.117 & 682.991 History: PH 19-2025, amend filed 09/24/2025, effective 01/01/2026 PH 230-2018, amend filed 06/13/2018, effective 06/15/2018 PH 1-2013, f. & cert. ef. 1-25-13 HD 63, f. 6-6-74, ef. 6-25-74; HD 1-1981, f. & ef. 1-14-81; Renumbered from 333-023-0610; HD 19-1984, f. & ef. 9-10-84; HD 16-1986, f. & ef. 9-9-86; HD 19-1991, f. & cert. ef. 10-18-91; HD 18-1994, f. 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0010; OHD 5-2001, f. & cert. ef. 4-24-01; PH 2-2007, f. & cert. ef. 2-1-07
333-255-0065 Ambulance Reserve Vehicles and Ambulance Vehicles for Loan (1) A licensed ambulance vehicle may be placed in reserve by a licensed ambulance service. A licensed ambulance vehicle placed in reserve must meet and continue to meet while licensed the requirements of Oregon Administrative Rules, chapter 333, division 255 except OAR 333-255-0072. (2) Prior to placing a reserve ambulance into service, the reserve ambulance must be inspected by appropriate agency personnel, authorized by the ambulance service licensee or ambulance service administrator, to ensure compliance with these rules and verify that the equipment requirements specified in OAR 333-255-0072 are met. (3) A licensed ambulance service may temporarily use a licensed ambulance vehicle of another licensed ambulance service through a loan. Ambulance vehicle loans may occur if mechanical problems, or other hardships, prevent a licensed ambulance service from deploying its existing licensed ambulance vehicle. (4) The receiving and loaning ambulance service agencies shall enter into a written agreement on the terms of the loan. The written agreement shall include, but is not limited to, the following information: (a) Name of contact person for each licensed ambulance service along with address, phone number, electronic mail address, and ambulance service license number; (b) Ambulance vehicle identification including make, model, year, VIN and plate number; (c) What level of ambulance transport service will be provided by the receiving ambulance service; (d) Responsibility of each licensed ambulance service for providing, replacing or repairing equipment, if applicable; and (e) Requirements for and proof of insurance coverage. (5) The licensed ambulance service receiving the loaned vehicle shall: (a) Notify the Oregon Health Authority within three business days of receipt of the loaned vehicle; and (b) Ensure the ambulance vehicle complies with these rules. Statutory/Other Authority: ORS 682.017 & 682.068 Statutes/Other Implemented: ORS 682.017 - 682.117 & 682.991 History: PH 19-2025, amend filed 09/24/2025, effective 01/01/2026 PH 12-2021, adopt filed 03/11/2021, effective 03/11/2021
333-255-0073 Specialty Care Ground Ambulance Vehicle Requirements (1) A ground ambulance vehicle in operation and providing only specialty care transport during inter-facility transfers must be staffed by a minimum of two qualified persons or additional staff, the number and type, specified by the transferring physician: (a) A qualified driver who meets the requirements specified in OAR 333-250-0270; and (b) A person who is a Paramedic with additional specialty care training, an ambulance-based clinician or other qualified person who has additional specialty care training and who must be in the patient compartment when a patient is receiving specialty level care. (2) A Paramedic, ambulance-based clinician or other qualified person described in subsection (1)(b) of this rule must have the: (a) Training to properly operate all patient care equipment carried on a ground ambulance vehicle, including specialty care equipment necessary to care for the patient during the transfer; (b) Training to do titration of intravenous medications necessary to care for the patient during transfer; and (c) Ability to properly assist in lifting and moving a patient. (3) A ground ambulance vehicle in operation and providing only specialty level care transport must have the necessary patient care equipment, medications or supplies anticipated or required for patient care including at a minimum: (a) The equipment requirements specified in OAR 333-255-0072 section (5); (b) Device to provide continuous waveform capnography; (c) Device to provide pressure infusion of intravenous (IV) fluids; and (d) Equipment suitable for administering a fluid bolus to pediatric patients that limits risk for inadvertent over-administration of fluid. Statutory/Other Authority: ORS 682.017 & 682.068 Statutes/Other Implemented: ORS 682.017 - 682.117 & 682.991 History: PH 19-2025, amend filed 09/24/2025, effective 01/01/2026 PH 1-2022, minor correction filed 01/03/2022, effective 01/03/2022 PH 87-2021, amend filed 12/09/2021, effective 01/01/2022 PH 63-2021, minor correction filed 10/05/2021, effective 10/05/2021 PH 230-2018, amend filed 06/13/2018, effective 06/15/2018 PH 1-2013, f. & cert. ef. 1-25-13 PH 1-2011, f. & cert. ef. 1-6-11 PH 12-2010, f. 6-30-10, cert. ef. 7-1-10 PH 2-2007, f. & cert. ef. 2-1-07 OHD 5-2001, f. & cert. ef. 4-24-01
333-255-0095 Ambulance Infection Control (1) A licensed ambulance vehicle, including the patient compartment, gurney, and patient care equipment, must be cleaned and decontaminated by the licensed ambulance service after each patient transport. Cleaning and decontamination must occur at the receiving facility before the ambulance is placed back in service. (2) Regardless of contamination, a licensed ambulance service must: (a) Clean and decontaminate at least once every 24 hours if the ambulance vehicle is used for patient transport daily. (b) Clean and decontaminate after each patient transport if the ambulance vehicle is not used for patient transport daily. (3) Cleaning and decontamination include but are not limited to: (a) Wiping off all visible debris and soil with towels; (b) Properly disposing towels at the receiving facility or storing in a sealed container or bag for washing at the ambulance service facility; (c) Ensuring all personal protective equipment (PPE) and cleaning supplies used for cleaning and decontaminating the ambulance and patient care equipment are properly disposed of in a red biohazard bag if soaked in blood or bodily fluids; and (d) Ensuring all needles and sharps are disposed of in a sharps container. (4) The licensed ambulance service shall take out of service any patient care equipment contaminated with blood or bodily fluids that requires extensive cleaning or decontamination. Equipment must be bagged in a red biohazard bag and transported back to the ambulance service facility for decontamination before being placed back in service. Equipment that may require extensive cleaning and decontamination includes, but is not limited to: (a) Patient restraint straps (spine board or gurney); (b) Equipment bags made of a permeable material; or (c) Patient care equipment with permeable surfaces. (5) A licensed ambulance vehicle, including the patient compartment, gurney, and patient care equipment, must be cleaned, decontaminated and disinfected when exposed to possible respiratory or bloodborne pathogens, or biohazards using an US Environmental Protection Agency (EPA)-registered hospital disinfectant rated to disinfect the contaminant or known pathogen per the manufacturer recommendations. (6) The ambulance patient compartment, gurney and patient care equipment surfaces shall be regularly inspected by the licensed ambulance service for breaks in integrity that would impair cleaning or disinfecting. These items shall be discarded or taken out of service and repaired prior to being placed back in service. (7) PPE and cleaning or disinfecting materials must be provided by the licensed ambulance service to employees, volunteers, qualified drivers and ambulance-based clinicians when cleaning an ambulance. Statutory/Other Authority: ORS 682.017 & ORS 682.068 Statutes/Other Implemented: ORS 682.017 - 682.117 & ORS 682.991 History: PH 19-2025, adopt filed 09/24/2025, effective 01/01/2026
333-255-0100 Complaints (1) Any person may make a complaint verbally or in writing to the Oregon Health Authority (Authority) regarding an allegation that a licensed ambulance vehicle is in violation of any licensing law. (2) The identity of a person making a complaint will be kept confidential as permitted by law. (3) An investigation will be carried out as soon as practicable after the receipt of the complaint in accordance with OAR 333-255-0105. (4) If the complaint involves an allegation of criminal conduct or an allegation that is within the jurisdiction of another local, state or federal agency, the Authority will refer the matter to that agency. (5) The Authority does not have jurisdiction over and shall not take action on complaints that relate solely to rates charged to a patient transported by a licensed ambulance service in an ambulance. Statutory/Other Authority: ORS 682.017 Statutes/Other Implemented: ORS 682.017 - 682.117 & 682.991 History: PH 19-2025, amend filed 09/24/2025, effective 01/01/2026 PH 230-2018, adopt filed 06/13/2018, effective 06/15/2018
333-255-0105 Investigations (1) As soon as practicable after receiving a complaint, taking into consideration the nature of the complaint, Oregon Health Authority (Authority) staff will begin an investigation. (2) An ambulance service shall permit Authority staff access to the service agency and ambulance vehicles during an investigation. For purposes of an investigation, giving advanced notice to the licensed ambulance service is not required. (3) An investigation may include but is not limited to: (a) Interviews of the complainant, patients of the ambulance service, patient family members, witnesses, ambulance service management and staff; (b) On-site observations of staff performance and the physical environment of the ambulance service or ambulance vehicle; and (c) Review of documents and records. (4) The Authority may make photographic, video-graphic or audio recording documentation as part of an investigation of non-compliance with ORS chapter 682; OAR chapter 333, division 250; and these rules. (5) Information obtained by the Authority during an investigation of a complaint or reported violation under this section is confidential and not subject to public disclosure under ORS 676.175. Upon the conclusion of the investigation, the Authority may publicly release a report of its findings but may not include information in the report that could be used to identify the complainant or any patient of the ambulance service. The Authority may use any information obtained during an investigation in an administrative or judicial proceeding concerning the licensing of an ambulance service, and may report information obtained during an investigation to a health professional regulatory board as defined in ORS 676.160 as that information pertains to a licensee of the board. Statutory/Other Authority: ORS 682.017 Statutes/Other Implemented: ORS 682.017 - 682.117 & 682.991 History: PH 19-2025, amend filed 09/24/2025, effective 01/01/2026 PH 230-2018, adopt filed 06/13/2018, effective 06/15/2018
333-255-0115 Violations In addition to non-compliance with any rules or laws that govern an ambulance service or ambulance service vehicle, it is a violation: (1) To make a material omission or misrepresentation of facts on an application for a license or waiver, or in response to an inquiry or investigation. This includes the intentional misrepresentation or misstatement of a material fact, concealment of or failure to make known any material fact or any other means by which misinformation or false impression is knowingly given or deceit in obtaining or attempting to obtain a license or waiver or in any other transaction with the Oregon Health Authority (Authority); (2) To fail to have the appropriate personnel, medical equipment and supplies required for operation at the highest level of service provided when the ambulance vehicle is in operation as prescribed by these rules; (3) Upon inspection by the Authority, for an ambulance to manifest evidence of a mechanical or equipment deficiency that poses a significant threat to the health or safety of patients or crew; (4) To fail to produce records for inspection or to permit examination of an ambulance or patient care equipment; (5) To deface, alter, remove or obliterate any portion of any official entry upon a license, licensing decal, or waiver issued by the Authority; and (6) For other reasons determined by the Authority to pose a significant threat to the health, safety and well-being of ambulance patients. Statutory/Other Authority: ORS 682.017 Statutes/Other Implemented: ORS 682.017 - 682.117 & 682.991 History: PH 19-2025, amend filed 09/24/2025, effective 01/01/2026 PH 230-2018, adopt filed 06/13/2018, effective 06/15/2018
333-255-0125 Formal Enforcement (1) The Oregon Health Authority (Authority) may suspend, deny, revoke, or issue a civil penalty against an ambulance service licensee for failure to comply with these rules. (2) If during an investigation or survey, Authority staff document a substantial failure to comply with these rules; OAR chapter 333, division 250; ORS chapter 682; or ORS 820.300 through 820.380, or if an agency fails to pay a civil penalty imposed under ORS 682.224 and these rules, the Authority may issue a Notice of Proposed Suspension or Notice of Proposed Revocation in accordance with ORS 183.411 through 183.470. (3) If during an investigation or survey, Authority staff document that an ambulance vehicle manifests evidence of a mechanical or equipment deficiency which poses a significant threat to the health or safety of patients or crew, the Authority shall immediately suspend that vehicle from operation. (4) No ambulance vehicle that has been suspended from operation may be operated until the licensed ambulance service has certified and the Authority has confirmed that all the violations have been corrected. (5) The Authority must provide appropriate public notification of the suspension or revocation of an ambulance vehicle license. (6) The Authority shall immediately notify the county governing body, the ambulance service emergency medical services (EMS) medical director and the county ambulance service plan administrator of any ambulance vehicle license suspension. Statutory/Other Authority: ORS 682.017 Statutes/Other Implemented: ORS 682.017 - 682.117 & 682.991 History: PH 19-2025, amend filed 09/24/2025, effective 01/01/2026 PH 230-2018, amend filed 06/13/2018, effective 06/15/2018 PH 100-2018, renumbered from 333-255-0030, filed 03/20/2018, effective 03/20/2018 PH 1-2013, f. & cert. ef. 1-25-13 PH 12-2010, f. 6-30-10, cert. ef. 7-1-10 PH 2-2007, f. & cert. ef. 2-1-07 OHD 5-2001, f. & cert. ef. 4-24-01 HD 18-1994, f. 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0006 HD 19-1991, f. & cert. ef. 10-18-91
333-260-0000 County and State Relationship The following rules reflect the Division’s interpretation of 1989 Oregon Laws Chapter 722. The adoption and amendment of ambulance service plans and the establishment of ambulance service areas are a matter for regulation by county government within the parameters of relevant statutes and these rules. Statutory/Other Authority: ORS 682.205, 682.215, 682.275, 682.315, 682.325, 682.335 & 682.345 Statutes/Other Implemented: ORS 682.205, 682.215, 682.275, 682.315, 682.325, 682.335 & 682.345 History: HD 18-1994, f. 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0095 HD 11-1990, f. & cert. ef. 5-7-90