reglab/statecodes huggingface dataset:
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 3 - State Administration › ARTICLE 5 - Personnel › Section 1797.187.

1797.187. A peace officer as described in Section 830.1, subdivision (a) of Section 830.2, or subdivision (g) of Section 830.3 of the Penal Code, while in the service of the agency or local agency which employs him or her, shall be notified by the agency or local agency if the peace officer is exposed to a known carcinogen, as defined by the International Agency for Research on Cancer, or as defined by its director, during the investigation of any place where any controlled substance, as defined in Section 11007 is suspected of being manufactured, stored, transferred, or sold, or any toxic waste spills, accidents, leaks, explosions, or fires.
The Commission on Peace Officers Standards and Training basic training course, and other training courses as the commission determines appropriate, shall include, on or before January 1, 1990, instruction on, but not limited to, the identification and handling of possible carcinogenic materials and the potential health hazards associated with these materials, protective equipment, and clothing available to minimize contamination, handling, and disposing of materials and measures and procedures that can be adopted to minimize exposure to possible hazardous materials.
(Amended by Stats. 1998, Ch. 606, Sec. 4. Effective January 1, 1999.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 3 - State Administration › ARTICLE 5 - Personnel › Section 1797.190.

1797.190. The authority may establish minimum standards for the training and use of automatic external defibrillators.
(Amended by Stats. 2002, Ch. 718, Sec. 2. Effective January 1, 2003.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 3 - State Administration › ARTICLE 5 - Personnel › Section 1797.192.

1797.192. On or before July 1, 1991, the authority shall adopt standards for a standard statewide scope of practice which shall be utilized for the training and certification testing of EMT-P personnel for certification as EMT-P's. Local EMS systems shall not be required to utilize the entire standard scope of practice. Testing of EMT-P personnel for local accreditation to practice shall only include local operational policies and procedures, and drug, device, or treatment procedures being utilized within that local EMS system pursuant to Sections 1797.172 and 1797.221.
(Added by Stats. 1989, Ch. 1362, Sec. 8. Effective October 2, 1989.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 3 - State Administration › ARTICLE 5 - Personnel › Section 1797.193.

1797.193. (a)  By July 1, 1992, existing firefighters in this state shall complete a course on the nature of sudden infant death syndrome taught by experts in the field of sudden infant death syndrome. All persons who become firefighters after January 1, 1990, shall complete a course on this topic as part of their basic training as firefighters. The course shall include information on the community resources available to assist families who have lost children to sudden infant death syndrome.
(b)  For purposes of this section, the term “firefighter” has the same meaning as that specified in Section 1797.182.
(c)  When the instruction and training are provided by a local agency, a fee shall be charged sufficient to defray the entire cost of the instruction and training.
(Added by renumbering Section 1797.192 (as added by Stats. 1989, Ch. 1111) by Stats. 1990, Ch. 216, Sec. 61.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 3 - State Administration › ARTICLE 5 - Personnel › Section 1797.194.

1797.194. The purpose of this section is to provide for the state licensure of EMT-P personnel. Notwithstanding any provision of law, including, but not limited to, Sections 1797.208 and 1797.214, all of the following applies to EMT-P personnel:
(a) Any reference to EMT-P certification pursuant to this division shall be equivalent to EMT-P licensure pursuant to this division, including a provision in this division relating to the assessment of fees.
(b) The statewide examination designated by the authority for licensure of EMT-P personnel and the licensure issued by the authority shall be the single sufficient examination and licensure required for practice as an EMT-P.
(c) EMT-P licenses shall be renewed every two years upon submission to the authority of proof of satisfactory completion of continuing education or other educational requirements established by regulations of the authority, upon approval by the commission. If the evaluation and recommendations of the authority required pursuant to Section 8 of Chapter 997 of the Statutes of 1993, so concludes, the renewal of EMT-P licenses shall, in addition to continuing education requirements, be contingent upon reexamination at 10-year intervals to ensure competency.
(d) An EMT-P licensee may be disciplined by the authority for violations of this division. The proceedings under this subdivision shall be conducted in accordance with Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code, and the authority shall have all the powers granted therein for this purpose. On and after January 1, 2023, the Paramedic Disciplinary Review Board may act on appeals of licensure discipline and denial, pursuant to Article 2.5 (commencing with Section 1797.125).
(e) This section does not extend the scope of practice of an EMT-P beyond prehospital settings, as defined by regulations of the authority.
(f) This section does not alter or interfere with the local EMS agency’s ability to locally accredit licensed EMT-Ps.
(g) This section does not hinder the ability of the medical director of the local EMS agency to maintain medical control within the local EMS system in accordance with this division, including, but not limited to, Chapter 5 (commencing with Section 1798).
(Amended by Stats. 2021, Ch. 463, Sec. 5. (AB 450) Effective January 1, 2022.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 3 - State Administration › ARTICLE 5 - Personnel › Section 1797.197.

1797.197. (a) The authority shall establish training and standards for all prehospital emergency medical care personnel, as defined in paragraph (2) of subdivision (a) of Section 1797.189, regarding the characteristics and method of assessment and treatment of anaphylactic reactions and the use of epinephrine. The authority shall promulgate regulations regarding these matters for use by all prehospital emergency medical care personnel.
(b) (1) The authority shall develop and, after approval by the commission pursuant to Section 1799.50, adopt training and standards for all prehospital emergency medical care personnel, as defined in paragraph (2) of subdivision (a) of Section 1797.189, regarding the use and administration of naloxone hydrochloride and other opioid antagonists. The authority shall promulgate regulations regarding these matters for use by all prehospital emergency medical care personnel. The authority may adopt existing training and standards for prehospital emergency medical care personnel regarding the statewide use and administration of naloxone hydrochloride or another opioid antagonist to satisfy the requirements of this section.
(2) The medical director of a local EMS agency may, pursuant to Section 1797.221, approve or conduct a trial study of the use and administration of naloxone hydrochloride or other opioid antagonists by any level of prehospital emergency medical care personnel. Training received by prehospital emergency medical care personnel specific to the use and administration of naloxone hydrochloride or another opioid antagonist during this trial study may be used towards satisfying the training requirements established pursuant to paragraph (1) regarding the use and administration of naloxone hydrochloride and other opioid antagonists by prehospital emergency medical care personnel.
(3) The training described in paragraphs (1) and (2) shall satisfy the requirements of paragraph (1) of subdivision (d) of Section 1714.22 of the Civil Code.
(Amended by Stats. 2014, Ch. 491, Sec. 2. (SB 1438) Effective January 1, 2015.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 3.75 - Trauma Care Fund › Section 1797.198.

1797.198. The Legislature finds and declares all of the following:
(a) Trauma care is an essential public service. It is as vital to the safety of the public as the services provided by law enforcement and fire departments. In communities with access to trauma centers, mortality and morbidity rates from traumatic injuries are significantly reduced. For the same reasons that each community in California needs timely access to the services of skilled police, paramedics, and fire personnel, each community needs access to the services provided by certified trauma centers.
(b) Trauma centers save lives by providing immediate coordination of highly specialized care for the most life-threatening injuries.
(c) Trauma centers save lives, and also save money, because access to trauma care can mean the difference between full recovery from a traumatic injury, and serious disability necessitating expensive long-term care.
(d) Trauma centers do their job most effectively as part of a system that includes a local plan with a means of immediately identifying trauma cases and transporting those patients to the nearest trauma center.
(e) It is essential for persons in need of trauma care to receive that care within the 60-minute period immediately following injury. It is during this period, referred to as the “golden hour,” when the potential for survival is greatest, and the need for treatment for shock or injury is most critical.
(f) It is the intent of the Legislature in enacting this act to promote access to trauma care by ensuring the availability of services through EMS agency-designated trauma centers.
(Amended by Stats. 2005, Ch. 80, Sec. 1.1. Effective July 19, 2005.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.200.

1797.200. Each county may develop an emergency medical services program. Each county developing such a program shall designate a local EMS agency which shall be the county health department, an agency established and operated by the county, an entity with which the county contracts for the purposes of local emergency medical services administration, or a joint powers agency created for the administration of emergency medical services by agreement between counties or cities and counties pursuant to the provisions of Chapter 5 (commencing with Section 6500) of Division 7 of Title 1 of the Government Code.
(Added by Stats. 1980, Ch. 1260.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.201.

1797.201. Upon the request of a city or fire district that contracted for or provided, as of June 1, 1980, prehospital emergency medical services, a county shall enter into a written agreement with the city or fire district regarding the provision of prehospital emergency medical services for that city or fire district. Until such time that an agreement is reached, prehospital emergency medical services shall be continued at not less than the existing level, and the administration of prehospital EMS by cities and fire districts presently providing such services shall be retained by those cities and fire districts, except the level of prehospital EMS may be reduced where the city council, or the governing body of a fire district, pursuant to a public hearing, determines that the reduction is necessary.
Notwithstanding any provision of this section the provisions of Chapter 5 (commencing with Section 1798) shall apply.
(Added by Stats. 1980, Ch. 1260.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.202.

1797.202. (a)  Every local EMS agency shall have a full- or part-time licensed physician and surgeon as medical director, who has substantial experience in the practice of emergency medicine, as designated by the county or by the joint powers agreement, to provide medical control and to assure medical accountability throughout the planning, implementation and evaluation of the EMS system. The authority director may waive the requirement that the medical director have substantial experience in the practice of emergency medicine if the requirement places an undue hardship on the county or counties.
(b)  The medical director of the local EMS agency may appoint one or more physicians and surgeons as assistant medical directors to assist the medical director with the discharge of the duties of medical director or to assume those duties during any time that the medical director is unable to carry out those duties as the medical director deems necessary.
(c)  The medical director may assign to administrative staff of the local EMS agency for completion under the supervision of the medical director, any administrative functions of his or her duties which do not require his or her professional judgment as medical director.
(Amended by Stats. 1989, Ch. 1362, Sec. 9. Effective October 2, 1989.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.204.

1797.204. The local EMS agency shall plan, implement, and evaluate an emergency medical services system, in accordance with the provisions of this part, consisting of an organized pattern of readiness and response services based on public and private agreements and operational procedures.
(Added by Stats. 1980, Ch. 1260.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.206.

1797.206. The local EMS agency shall be responsible for implementation of advanced life support systems and limited advanced life support systems and for the monitoring of training programs.
(Amended by Stats. 1983, Ch. 1246, Sec. 27.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.208.

1797.208. The local EMS agency shall be responsible for determining that the operation of training programs at the EMT-I, EMT-II, and EMT-P levels are in compliance with this division, and shall approve the training programs if they are found to be in compliance with this division. The training program at the California Highway Patrol Academy shall be exempt from the provisions of this section.
(Amended by Stats. 1986, Ch. 248, Sec. 131.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.210.

1797.210. (a)  The medical director of the local EMS agency shall issue a certificate, except an EMT-P certificate, to an individual upon proof of satisfactory completion of an approved training program, passage of the certifying examination designated by the authority, completion of any other requirements for certification established by the authority, and a determination that the individual is not precluded from certification for any of the reasons listed in Section 1798.200. The certificate shall be proof of the individual’s initial competence to perform at the designated level.
(b)  The medical director of the local EMS agency shall, at the interval specified by the authority, recertify an EMT-I or EMT-II upon proof of the individual’s satisfactory passage of the examination for recertification designated by the authority, completion of any continuing education or other requirements for recertification established by the authority, and a determination that the individual is not precluded from recertification because of any of the reasons listed in Section 1798.200.
(Amended by Stats. 1993, Ch. 64, Sec. 5. Effective June 30, 1993.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.211.

1797.211. Each local EMS agency shall submit certificate status updates to the authority within three working days after a final determination is made regarding a certification disciplinary action taken by the medical director that results in a change to an EMT-I or EMT-II certificate status.
(Added by Stats. 2008, Ch. 274, Sec. 11. Effective January 1, 2009.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.212.

1797.212. The local EMS agency may establish a schedule of fees for certification in an amount sufficient to cover the reasonable cost of administering the certification provisions of this division. However, a local EMS agency shall not collect fees for the certification or recertification of an EMT-P.
(Amended by Stats. 1993, Ch. 64, Sec. 6. Effective June 30, 1993.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.213.

1797.213. (a)  Any local EMS agency conducting a program pursuant to this article may provide courses of instruction and training leading to certification as an EMT-I, EMT-II, EMT-P, or authorized registered nurse. When such instruction and training are provided, a fee may be charged sufficient to defray the cost of such instruction and training.
(b)  Effective July 1, 1990, any courses of instruction and training leading to certification as an EMT-I, EMT-II, EMT-P, or authorized registered nurse shall include a course of training on the nature of sudden infant death syndrome which is developed by the California SIDS program in the State Department of Health Services in consultation with experts in the field of sudden infant death syndrome, and effective January 1, 1990, any individual certified as an EMT-I, EMT-II, EMT-P, or authorized registered nurse shall complete that course of training. The course shall include information on the community resources available to assist families who have lost a child to sudden infant death syndrome. An individual who was certified as an EMT-I, EMT-II, EMT-P, or authorized registered nurse prior to January 1, 1990, shall complete supplementary training on this topic on or before January 1, 1992.
(Amended by Stats. 1989, Ch. 1111, Sec. 6.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.214.

1797.214. A local EMS agency may require additional training or qualifications, for the use of drugs, devices, or skills in either the standard scope of practice or a local EMS agency optional scope of practice, which are greater than those provided in this chapter as a condition precedent for practice within such EMS area in an advanced life support or limited advanced life support prehospital care system consistent with standards adopted pursuant to this division.
(Amended by Stats. 1989, Ch. 1362, Sec. 11. Effective October 2, 1989.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.215.

1797.215. Notwithstanding any other provision of law, EMT-I's, EMT-II's, and EMT-P’s shall be required to renew their cardiopulmonary resuscitation certificate no more than once every two years.
(Added by Stats. 1983, Ch. 774, Sec. 1.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.216.

1797.216. Public safety agencies that are certifying entities may certify and recertify public safety personnel as EMT-I. The state fire marshal, subject to policy guidance and advice from the State Board of Fire Services, may certify and recertify fire safety personnel as EMT-I. All persons certified shall have completed a program of training approved by the local EMS agency or the authority and have passed a competency-based examination.
(Amended by Stats. 2008, Ch. 274, Sec. 12. Effective January 1, 2009.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.218.

1797.218. Any local EMS agency may authorize an advanced life support or limited advanced life support program which provides services utilizing EMT-II or EMT-P, or both, for the delivery of emergency medical care to the sick and injured at the scene of an emergency, during transport to a general acute care hospital, during interfacility transfer, while in the emergency department of a general acute care hospital until care responsibility is assumed by the regular staff of that hospital, and during training within the facilities of a participating general acute care hospital.
(Amended by Stats. 1983, Ch. 1246, Sec. 34.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.219.

1797.219. All investigatory and disciplinary processes for EMT-I and EMT-II certificate holders shall be, subject to Chapter 9.6 (commencing with Section 3250) of Division 4 of Title 1 of the Government Code, with respect to certificate holders who are firefighters otherwise subject to these provisions, and Chapter 9.7 (commencing with Section 3300) of Division 4 of Title 1 of the Government Code, with respect to certificate holders who are peace officers otherwise subject to these provisions.
(Added by Stats. 2008, Ch. 274, Sec. 14. Effective January 1, 2009.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.220.

1797.220. The local EMS agency, using state minimum standards, shall establish policies and procedures approved by the medical director of the local EMS agency to assure medical control of the EMS system. The policies and procedures approved by the medical director may require basic life support emergency medical transportation services to meet any medical control requirements including dispatch, patient destination policies, patient care guidelines, and quality assurance requirements.
(Amended by Stats. 1988, Ch. 1390, Sec. 5.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.221.

1797.221. The medical director of the local EMS agency may approve or conduct any scientific or trial study of the efficacy of the prehospital emergency use of any drug, device, or treatment procedure within the local EMS system, utilizing any level of prehospital emergency medical care personnel. The study shall be consistent with any requirements established by the authority for scientific or trial studies conducted within the prehospital emergency medical care system, and, where applicable, with Article 5 (commencing with Section 111550) of Chapter 6 of Part 5 of Division 104. No drug, device, or treatment procedure which has been specifically excluded by the authority from usage in the EMS system shall be included in such a study.
(Amended by Stats. 1996, Ch. 1023, Sec. 174. Effective September 29, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.222.

1797.222. A county, upon the recommendation of its local EMS agency, may adopt ordinances governing the transport of a patient who is receiving care in the field from prehospital emergency medical personnel, when the patient meets specific criteria for trauma, burn, or pediatric centers adopted by the local EMS agency.
The ordinances shall, to the extent possible, ensure that individual patients receive appropriate medical care while protecting the interests of the community at large by making maximum use of available emergency medical care resources. These ordinances shall be consistent with Sections 1797.106, 1798.100, and 1798.102, and shall not conflict with any state regulations or any guidelines adopted by the Emergency Medical Service Authority.
This section shall not be construed as prohibiting the helicopter program of the Department of the California Highway Patrol from a role in providing emergency medical services when the best medically qualified person at the scene of an accident determines it is in the best interests of any injured party.
(Added by Stats. 1983, Ch. 1237, Sec. 2.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.224.

1797.224. A local EMS agency may create one or more exclusive operating areas in the development of a local plan, if a competitive process is utilized to select the provider or providers of the services pursuant to the plan. No competitive process is required if the local EMS agency develops or implements a local plan that continues the use of existing providers operating within a local EMS area in the manner and scope in which the services have been provided without interruption since January 1, 1981. A local EMS agency which elects to create one or more exclusive operating areas in the development of a local plan shall develop and submit for approval to the authority, as part of the local EMS plan, its competitive process for selecting providers and determining the scope of their operations. This plan shall include provisions for a competitive process held at periodic intervals. Nothing in this section supersedes Section 1797.201.
(Added by Stats. 1984, Ch. 1349, Sec. 3.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.225.

1797.225. (a) A local EMS agency may adopt policies and procedures for calculating and reporting ambulance patient offload time, as defined in subdivision (b) of Section 1797.120.
(b) A local EMS agency that adopts policies and procedures for calculating and reporting ambulance patient offload time pursuant to subdivision (a) shall do all of the following:
(1) Use the statewide standard methodology for calculating and reporting ambulance patient offload time developed by the authority pursuant to Section 1797.120.
(2) Establish criteria for the reporting of, and quality assurance followup for, a nonstandard patient offload time, as defined in subdivision (c).
(c) (1) For the purposes of this section, a “nonstandard patient offload time” means that the ambulance patient offload time for a patient exceeds a period of time designated in the criteria established by the local EMS agency pursuant to paragraph (2) of subdivision (b).
(2) “Nonstandard patient offload time” does not include instances in which the ambulance patient offload time exceeds the period set by the local EMS agency due to acts of God, natural disasters, or manmade disasters.
(Added by Stats. 2015, Ch. 379, Sec. 2. (AB 1223) Effective January 1, 2016.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.226.

1797.226. Without altering or otherwise affecting the meaning of any portion of this division as to any other county, as to San Bernardino County only, it shall be competent for any local EMS agency which establishes exclusive operating areas pursuant to Section 1797.224 to determine the following:
(a)  That a minor alteration in the level of life support personnel or equipment, which does not significantly reduce the level of care available, shall not constitute a change in the manner and scope of providing services.
(b)  That a successor to a previously existing emergency services provider shall qualify as an existing provider if the successor has continued uninterrupted the emergency transportation previously supplied by the prior provider.
(Added by Stats. 1986, Ch. 965, Sec. 1.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.227.

1797.227. (a) An emergency medical care provider shall do both of the following when collecting and submitting data to a local EMS agency:
(1) Use an electronic health record system that exports data in a format that is compliant with the current versions of the California Emergency Medical Services Information System (CEMSIS) and the National Emergency Medical Services Information System (NEMSIS) standards and includes those data elements that are required by the local EMS agency.
(2) Ensure that the electronic health record system can be integrated with the local EMS agency’s data system, so that the local EMS agency may collect data from the provider.
(b) A local EMS agency shall not mandate that a provider use a specific electronic health record system to collect and share data with the local EMS agency.
(c) This section does not modify or affect a written contract or agreement executed before January 1, 2016, between a local EMS agency and an emergency medical care provider.
(Added by Stats. 2015, Ch. 377, Sec. 1. (AB 1129) Effective January 1, 2016.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.228.

1797.228. (a) (1) On or before July 1, 2019, a local EMS agency shall transmit ambulance patient offload time data quarterly to the authority, consistent with the policies and procedures developed pursuant to Section 1797.225.
(2) The data must be sufficient for the authority to calculate ambulance patient offload time, as defined in subdivision (b) of Section 1797.120, by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction.
(b) Notwithstanding Section 1797.122, the local EMS agency shall ensure that personally identifying patient data is not included in the submission of data to calculate patient offload time.
(Added by Stats. 2018, Ch. 656, Sec. 3. (AB 2961) Effective January 1, 2019.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.229.

1797.229. (a) Each local EMS agency and other certifying entities shall annually submit to the authority, by July 1 of each year, data on the approval or denial of EMT-I or EMT-II applicants. The data submitted to the authority shall include, at a minimum, all of the following information with respect to the preceding calendar year:
(1) The total number of applicants who applied for initial certification.
(2) The total number of applicants with a prior criminal conviction who applied for initial certification.
(3) The number of applicants who were denied, the number of applicants who were approved, and the number of applicants who were approved with restrictions.
(4) The number of applicants with a prior criminal conviction who were denied, the number of applicants with a prior criminal conviction who were approved, and the number of applicants with a prior criminal conviction who were approved with restrictions.
(5) The reason or reasons stated for denying an applicant with a prior criminal conviction, or the reason or reasons stated for approving with restrictions an applicant with a prior criminal conviction.
(6) The restrictions imposed on approved applicants with a prior criminal conviction, and the duration of those imposed restrictions.
(7) Race, ethnicity, gender, and age demographic data for all applicants who were denied, approved, or approved with restrictions.
(b) The authority shall annually report to the commission on the extent to which prior criminal history may be an obstacle to certification as an EMT-I or EMT-II. The authority shall annually submit the same report to the Legislature, in compliance with Section 9795 of the Government Code, and shall make the report easily accessible on the authority’s Internet Web site.
(c) Data submitted to the authority pursuant to subdivision (a) and the reports described in subdivision (b) shall not contain any personal identifying information of the EMT-I or EMT-II applicants.
(d) This section shall become inoperative on July 1, 2024, and, as of January 1, 2025, is repealed.
(Added by Stats. 2018, Ch. 342, Sec. 1. (AB 2293) Effective January 1, 2019. Section inoperative July 1, 2024. Repealed as of January 1, 2025, by its own provisions.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.230.

1797.230. (a) (1) A county may contract for emergency ambulance services with a fire agency that will provide those services, in whole or in part, through a written subcontract with a private ambulance service.
(2) This subdivision is declaratory of existing law regarding a county’s powers and authority to contract for emergency ambulance services.
(b) For purposes of this section, “fire agency” means a fire protection district, including a fire protection district that is governed by the county’s board of supervisors, a joint powers agency created for the provision of fire protection services, a city, a special district that provides fire protection services, or a local agency authorized by statute to provide fire protection services.
(c) On and after January 1, 2022, a county shall not enter into or renew a contract for emergency ambulance services unless the county board of supervisors has adopted, by ordinance or resolution, a written policy setting forth issues to be considered for inclusion in the county contract for emergency ambulance services, which may include, but are not limited to, all of the following:
(1) Employment retention requirements for the employees of the incumbent ambulance service.
(2) Demonstrated experience serving similar populations and geographic areas.
(3) Diversity and equity efforts addressing the unique needs of vulnerable and underserved populations of the service area.
(4) Financial requirements, including requiring a private ambulance service provider to show proof of insurance and bonding.
(5) A description of the ambulance service provider’s public information and education activities and community involvement.
(d) If a county contracts for emergency ambulance services as described in this section, the county contract shall demonstrate how the county contract will provide for the payment of comparable wages and benefits to all ambulance service employees that are generally consistent with those provided to ambulance service employees in the same geographic region. The county contract shall also demonstrate that the staffing levels for ambulance service employees will be comparable to the staffing levels under the county’s previous contract.
(e) The requirements of this section are within the exclusive jurisdiction of the county’s board of supervisors.
(f) This section shall not supersede Section 1797.201 and shall not alter, modify, abridge, diminish, or enlarge the requirements for creating, establishing, or maintaining an exclusive operating area under Section 1797.224.
(Added by Stats. 2021, Ch. 460, Sec. 1. (AB 389) Effective January 1, 2022.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 1 - Local EMS Agency › Section 1797.233.

1797.233. (a) A ground ambulance provider shall not require an uninsured patient or self-pay patient to pay an amount more than the established payment by Medi-Cal or Medicare fee-for-service amount, whichever is greater.
(b) (1) A ground ambulance provider shall only advance to collections the Medicare or Medi-Cal payment amount, as determined pursuant to subdivision (a), that the uninsured or self-pay patient failed to pay.
(2) The ground ambulance provider, or an entity acting on its behalf, including a debt buyer or assignee of the debt, shall not report adverse information to a consumer credit reporting agency or commence civil action against the individual for a minimum of 12 months after the initial billing regarding amounts owed by the individual pursuant to subdivision (a).
(3) With respect to an uninsured patient or self-pay patient, the ground ambulance provider, or an entity acting on its behalf, including an assignee of the debt, shall not use wage garnishments or liens on primary residences as a means of collecting unpaid bills pursuant to this section.
(c) Ground ambulance service providers remain subject to balance billing protections for Medi-Cal beneficiaries under Section 14019.4 of the Welfare and Institutions Code.
(Added by Stats. 2023, Ch. 454, Sec. 4. (AB 716) Effective January 1, 2024.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 2 - Local Emergency Medical Services Planning › Section 1797.250.

1797.250. In each designated EMS area, the local EMS agency may develop and submit a plan to the authority for an emergency medical services system according to the guidelines prescribed pursuant to Section 1797.103.
(Added by Stats. 1980, Ch. 1260.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 2 - Local Emergency Medical Services Planning › Section 1797.252.

1797.252. The local EMS agency shall, consistent with such plan, coordinate and otherwise facilitate arrangements necessary to develop the emergency medical services system.
(Added by Stats. 1980, Ch. 1260.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 2 - Local Emergency Medical Services Planning › Section 1797.254.

1797.254. Local EMS agencies shall annually submit an emergency medical services plan for the EMS area to the authority, according to EMS Systems, Standards, and Guidelines established by the authority.
(Amended by Stats. 1996, Ch. 197, Sec. 2. Effective July 22, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 2 - Local Emergency Medical Services Planning › Section 1797.256.

1797.256. A local EMS agency may review applications for grants and contracts for federal, state, or private funds concerning emergency medical services or related activities in its EMS area.
(Added by Stats. 1980, Ch. 1260.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 2 - Local Emergency Medical Services Planning › Section 1797.257.

1797.257. A local EMS agency which elects to implement a trauma care system on or after the effective date of the regulations adopted pursuant to Section 1798.161 shall develop and submit a plan for that trauma care system to the authority according to the requirements of the regulations prior to the implementation of that system.
(Added by Stats. 1984, Ch. 1735, Sec. 3. Effective September 30, 1984.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 2 - Local Emergency Medical Services Planning › Section 1797.258.

1797.258. After the submission of an initial trauma care system plan, a local EMS agency which has implemented a trauma care system shall annually submit to the authority an updated plan which identifies all changes, if any, to be made in the trauma care system.
(Added by Stats. 1984, Ch. 1735, Sec. 4. Effective September 30, 1984.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 2 - Local Emergency Medical Services Planning › Section 1797.259.

1797.259. A local EMS agency that elects to implement a community paramedicine or triage to alternate destination program pursuant to Section 1840 shall develop and, prior to implementation, submit a plan for that program to the authority according to the requirements of Chapter 13 (commencing with Section 1800).
(Added by Stats. 2020, Ch. 138, Sec. 1. (AB 1544) Effective January 1, 2021.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 3 - Emergency Medical Care Committee › Section 1797.270.

1797.270. An emergency medical care committee may be established in each county in this state. Nothing in this division should be construed to prevent two or more adjacent counties from establishing a single committee for review of emergency medical care in these counties.
(Amended by Stats. 1993, Ch. 64, Sec. 7. Effective June 30, 1993.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 3 - Emergency Medical Care Committee › Section 1797.272.

1797.272. The county board of supervisors shall prescribe the membership, and appoint the members, of the emergency medical care committee. If two or more adjacent counties establish a single committee, the county boards of supervisors shall jointly prescribe the membership, and appoint the members of the committee.
(Added by Stats. 1983, Ch. 1246, Sec. 35.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 3 - Emergency Medical Care Committee › Section 1797.273.

1797.273. (a) Notwithstanding Sections 1797.270 and 1797.272, if a local EMS agency within the county elects to develop a community paramedicine or triage to alternate destination program pursuant to Section 1840, the county board of supervisors, or in the case of a city and county, the mayor, shall establish an emergency medical care committee to advise the local EMS agency on the development of the program and other matters relating to emergency medical services. Where a committee is already established for the purposes described in this article, the county board of supervisors or the mayor, as appropriate, shall ensure that the membership meets or exceeds the requirements of subdivision (b).
(b) The board of supervisors or the mayor shall ensure that the membership of the committee includes all of the following members to advise the local EMS agency on the development of the community paramedicine or triage to alternate destination program:
(1) One emergency medicine physician and surgeon who is board certified or board eligible practicing at an emergency department within the jurisdiction of the local EMS agency.
(2) One registered nurse practicing within the jurisdiction of the local EMS agency.
(3) One licensed paramedic practicing within the jurisdiction of the local EMS agency. Whenever possible, the paramedic shall be employed by a public agency.
(4) One acute care hospital representative with an emergency department that operates within the jurisdiction of the local EMS agency.
(5) Additional advisory members in the fields of public health, social work, hospice, substance use disorder detoxification and recovery, or mental health practicing within the jurisdiction of the local EMS agency with expertise commensurate with the program specialty or specialties described in Sections 1815 and 1819 that the local EMS agency proposes to adopt.
(c) The requirements of this section shall apply to any emergency medical care committee established pursuant to this section or Section 1797.270.
(d) This section shall remain in effect only until January 1, 2031, and as of that date is repealed.
(Amended by Stats. 2023, Ch. 270, Sec. 1. (AB 767) Effective January 1, 2024. Repealed as of January 1, 2031, by its own provisions.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 3 - Emergency Medical Care Committee › Section 1797.274.

1797.274. The emergency medical care committee shall, at least annually, review the operations of each of the following:
(a)  Ambulance services operating within the county.
(b)  Emergency medical care offered within the county, including programs for training large numbers of people in cardiopulmonary resuscitation and lifesaving first aid techniques.
(c)  First aid practices in the county.
(Added by Stats. 1983, Ch. 1246, Sec. 35.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 4 - Local Administration › ARTICLE 3 - Emergency Medical Care Committee › Section 1797.276.

1797.276. Every emergency medical care committee shall, at least annually, report to the authority, and the local EMS agency its observations and recommendations relative to its review of the ambulance services, emergency medical care, and first aid practices, and programs for training people in cardiopulmonary resuscitation and lifesaving first aid techniques, and public participation in such programs in that county. The emergency medical care committee shall submit its observations and recommendations to the county board or boards of supervisors which it serves and shall act in an advisory capacity to the county board or boards of supervisors which it serves, and to the local EMS agency, on all matters relating to emergency medical services as directed by the board or boards of supervisors.
(Amended by Stats. 1988, Ch. 260, Sec. 5.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 5 - Medical Control › Section 1798.

1798. (a)  The medical direction and management of an emergency medical services system shall be under the medical control of the medical director of the local EMS agency. This medical control shall be maintained in accordance with standards for medical control established by the authority.
(b)  Medical control shall be within an EMS system which complies with the minimum standards adopted by the authority, and which is established and implemented by the local EMS agency.
(c)  In the event a medical director of a base station questions the medical effect of a policy of a local EMS agency, the medical director of the base station shall submit a written statement to the medical director of the local EMS agency requesting a review by a panel of medical directors of other base stations. Upon receipt of the request, the medical director of a local EMS agency shall promptly convene a panel of medical directors of base stations to evaluate the written statement. The panel shall be composed of all the medical directors of the base stations in the region, except that the local EMS medical director may limit the panel to five members.
This subdivision shall remain in effect only until the authority adopts more comprehensive regulations that supersede this subdivision.
(Amended by Stats. 1988, Ch. 1390, Sec. 6.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 5 - Medical Control › Section 1798.2.

1798.2. The base hospital shall implement the policies and procedures established by the local EMS agency and approved by the medical director of the local EMS agency for medical direction of prehospital emergency medical care personnel.
(Amended by Stats. 1988, Ch. 1390, Sec. 7.)