333-260-0020 Procedures for Adoption and Approval of Ambulance Service Plans (1) A county may obtain technical assistance from the Division as available in developing and amending an ambulance service plan. (2) A county that does not have a Division-approved plan on July 19, 1989, must adopt and submit a plan by December 31, 1990. A county that has a Division-approved plan that does not meet the requirements of these rules must adopt and submit an amended plan by June 30, 2003. This requirement may be met by a plan submitted in conjunction with another contiguous county or counties. A Division-approved plan which is currently in effect, remains in effect until one of the following occurs: (a) An amended plan is approved by the Division; (b) There is a failure to submit an amended plan pursuant to this subsection; or (c) Where an amended plan was required to be submitted pursuant to this subsection and such amended plan was disapproved by the Division, if 120 days have elapsed since such disapproval and no new amended plan has been adopted and submitted to the Division for approval. (3) After March 31, 2001, a county must submit a plan or amendment(s) to the Division using the following format: 1. CERTIFICATION BY GOVERNING BODY OF COUNTY AMBULANCE SERVICE PLAN 2. OVERVIEW OF COUNTY (DEMOGRAPHIC AND GEOGRAPHIC DESCRIPTION) 3. DEFINITIONS; 4. BOUNDARIES; (a) ASA Map(s) with Response Time Zones: (b) ASA Narrative Description: (c) Map(s) Depicting “9-1-1,” Fire Districts and Incorporated Cities: (d) Alternatives Considered to Reduce Response Times. 5. SYSTEM ELEMENTS: (a) 9-1-1 Dispatched Calls; (b) Pre-arranged Non-emergency Transfers and Inter-facility Transfers; (c) Notification and Response Times; (d) Level of Care; (e) Personnel; (f) Medical Supervision; (g) Patient Care Equipment; (h) Vehicles; (i) Training; (j) Quality Improvement; (A) Structure: (B) Process: (C) Sanctions for Non Compliant Personnel or Providers: 6. COORDINATION (a) The Entity That Shall Administer and Revise the ASA Plan; (b) Complaint Review Process; (c) Mutual Aid Agreements; (d) Disaster Response; (A) County Resources Other Than Ambulances; (B) Out of County Resources; (C) Mass-Casualty Incident Plan; (D) Response to Terrorism; (e) Personnel and Equipment Resources; (A) Non-transporting EMS Provider; (B) Hazardous Materials; (C) Search and Rescue; (D) Specialized Rescue; (E) Extrication; (f) Emergency Communication and System Access; (A) Telephone; (B) Dispatch Procedures; (C) Radio System; (D) Emergency Medical Services Dispatcher Training. 7. PROVIDER SELECTION: (a) Initial Assignment; (b) Reassignment; (c) Application for an ASA; (d) Notification of Vacating an ASA; (e) Maintenance of Level of Service; 8. COUNTY ORDINANCES AND RULES: (4) Procedures for the Division’s review of a plan submitted under section (3) of this rule are set forth in ORS 682.205(6). Except for the time frames, plans submitted prior to April 1, 2001, but not yet approved by the Division shall be processed in the same manner. (5) The Division's approval of a plan or amendments is limited to determining whether there has been compliance with these rules. (6) A county is required to amend their plan, if necessary, to comply with any amendments made in ORS Chapter 682 or OAR chapter 333, divisions 250, 255 or 260. The Division shall notify the county in writing each time an amendment is made in either the statute or administrative rules that may affect the plan. Anytime a county plan is amended, the county must submit a copy of the amended plan to the Division. (7) The Division shall review each county plan no less than once every five years to ensure compliance with the statutes and administrative rules pertaining to a county ambulance service area plan. The Division shall notify the county of the results of the review. (8) The Division may seek the advice of the State Emergency Medical Service Committee concerning plan compliance with 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: OHD 8-2001, f. & cert. ef. 4-24-01 HD 18-1994, f. 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0105 HD 11-1990, f. & cert. ef. 5-7-90 HD 9-1987, f. & ef. 7-21-87 HD 16-1986, f. & ef. 9-9-86