reglab/statecodes huggingface dataset:
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 9 - Liability Limitation › Section 1799.102.

1799.102. (a) No person who in good faith, and not for compensation, renders emergency medical or nonmedical care at the scene of an emergency shall be liable for any civil damages resulting from any act or omission. The scene of an emergency shall not include emergency departments and other places where medical care is usually offered. This subdivision applies only to the medical, law enforcement, and emergency personnel specified in this chapter.
(b) (1) It is the intent of the Legislature to encourage other individuals to volunteer, without compensation, to assist others in need during an emergency, while ensuring that those volunteers who provide care or assistance act responsibly.
(2) Except for those persons specified in subdivision (a), no person who in good faith, and not for compensation, renders emergency medical or nonmedical care or assistance at the scene of an emergency shall be liable for civil damages resulting from any act or omission other than an act or omission constituting gross negligence or willful or wanton misconduct. The scene of an emergency shall not include emergency departments and other places where medical care is usually offered. This subdivision shall not be construed to alter existing protections from liability for licensed medical or other personnel specified in subdivision (a) or any other law.
(c) Nothing in this section shall be construed to change any existing legal duties or obligations, nor does anything in this section in any way affect the provisions in Section 1714.5 of the Civil Code, as proposed to be amended by Senate Bill 39 of the 2009–10 Regular Session of the Legislature.
(d) The amendments to this section made by the act adding subdivisions (b) and (c) shall apply exclusively to any legal action filed on or after the effective date of that act.
(Amended by Stats. 2009, Ch. 77, Sec. 1. Effective August 6, 2009. Note: As referenced in subd. (d), subds. (b) and (c) were added in the amendment by Stats. 2009, Ch. 77.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 9 - Liability Limitation › Section 1799.103.

1799.103. (a) An employer shall not adopt or enforce a policy prohibiting an employee from voluntarily providing emergency medical services, including, but not limited to, cardiopulmonary resuscitation, in response to a medical emergency, except as provided in subdivisions (b) and (c).
(b) Notwithstanding subdivision (a), an employer may adopt and enforce a policy authorizing employees trained in emergency services to provide those services. However, in the event of an emergency, any available employee may voluntarily provide emergency medical services if a trained and authorized employee is not immediately available or is otherwise unable or unwilling to provide emergency medical services.
(c) Notwithstanding subdivision (a), an employer may adopt and enforce a policy prohibiting an employee from performing emergency medical services, including, but not limited to, cardiopulmonary resuscitation, on a person who has expressed the desire to forgo resuscitation or other medical interventions through any legally recognized means, including, but not limited to, a do-not-resuscitate order, a Physician Orders for Life Sustaining Treatment form, an advance health care directive, or a legally recognized health care decisionmaker.
(d) This section does not impose any express or implied duty on an employer to train its employees regarding emergency medical services or cardiopulmonary resuscitation.
(Added by Stats. 2013, Ch. 591, Sec. 1. (AB 633) Effective January 1, 2014.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 9 - Liability Limitation › Section 1799.104.

1799.104. (a)  No physician or nurse, who in good faith gives emergency instructions to an EMT-II or mobile intensive care paramedic at the scene of an emergency, shall be liable for any civil damages as a result of issuing the instructions.
(b)  No EMT-II or mobile intensive care paramedic rendering care within the scope of his duties who, in good faith and in a nonnegligent manner, follows the instructions of a physician or nurse shall be liable for any civil damages as a result of following such instructions.
(Added by Stats. 1980, Ch. 1260.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 9 - Liability Limitation › Section 1799.105.

1799.105. (a)  A poison control center which (1) meets the minimum standards for designation and operation established by the authority pursuant to Section 1798.180, (2) has been designated a regional poison control center by the authority, and (3) provides information and advice for no charge on the management of exposures to poisonous or toxic substances, shall be immune from liability in civil damages with respect to the emergency provision of that information or advice, for acts or omissions by its medical director, poison information specialist, or poison information provider as provided in subdivisions (b) and (c).
(b)  Any poison information specialist or poison information provider who provides emergency information and advice on the management of exposures to poisonous or toxic substances, through, and in accordance with, protocols approved by the medical director of a poison control center specified in subdivision (a), shall only be liable in civil damages, with respect to the emergency provision of that information or advice, for acts or omissions performed in a grossly negligent manner or acts or omissions not performed in good faith. This subdivision shall not be construed to immunize the negligent adoption of a protocol.
(c)  The medical director of a poison control center specified in subdivision (a) who provides emergency information and advice on the management of exposures to poisonous or toxic substances, where the exposure is not covered by an approved protocol, shall be liable only in civil damages, with respect to the emergency provision of that information or advice, for acts or omissions performed in a grossly negligent manner or acts or omissions not performed in good faith. This subdivision shall neither be construed to immunize the negligent failure to adopt adequate approved protocols nor to confer liability upon the medical director for failing to develop or approve a protocol when the development of a protocol for a specific situation is not practical or the situation could not have been reasonably foreseen.
(Added by Stats. 1988, Ch. 1192, Sec. 1.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 9 - Liability Limitation › Section 1799.106.

1799.106. (a) In addition to the provisions of Section 1799.104 of this code, Section 2727.5 of the Business and Professions Code, and Section 1714.2 of the Civil Code, and in order to encourage the provision of emergency medical services by firefighters, police officers or other law enforcement officers, EMT-I, EMT-II, EMT-P, or registered nurses, a firefighter, police officer or other law enforcement officer, EMT-I, EMT-II, EMT-P, or registered nurse who renders emergency medical services at the scene of an emergency or during an emergency air or ground ambulance transport shall only be liable in civil damages for acts or omissions performed in a grossly negligent manner or acts or omissions not performed in good faith. A public agency employing such a firefighter, police officer or other law enforcement officer, EMT-I, EMT-II, EMT-P, or registered nurse shall not be liable for civil damages if the firefighter, police officer or other law enforcement officer, EMT-I, EMT-II, EMT-P, or registered nurse is not liable.
(b) For purposes of this section, “registered nurse” means a registered nurse trained in emergency medical services and licensed pursuant to Chapter 6 (commencing with Section 2700) of Division 2 of the Business and Professions Code.
(Amended by Stats. 2012, Ch. 69, Sec. 2. (SB 1365) Effective January 1, 2013.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 9 - Liability Limitation › Section 1799.107.

1799.107. (a)  The Legislature finds and declares that a threat to the public health and safety exists whenever there is a need for emergency services and that public entities and emergency rescue personnel should be encouraged to provide emergency services. To that end, a qualified immunity from liability shall be provided for public entities and emergency rescue personnel providing emergency services.
(b)  Except as provided in Article 1 (commencing with Section 17000) of Chapter 1 of Division 9 of the Vehicle Code, neither a public entity nor emergency rescue personnel shall be liable for any injury caused by an action taken by the emergency rescue personnel acting within the scope of their employment to provide emergency services, unless the action taken was performed in bad faith or in a grossly negligent manner.
(c)  For purposes of this section, it shall be presumed that the action taken when providing emergency services was performed in good faith and without gross negligence. This presumption shall be one affecting the burden of proof.
(d)  For purposes of this section, “emergency rescue personnel” means any person who is an officer, employee, or member of a fire department or fire protection or firefighting agency of the federal government, the State of California, a city, county, city and county, district, or other public or municipal corporation or political subdivision of this state, or of a private fire department, whether that person is a volunteer or partly paid or fully paid, while he or she is actually engaged in providing emergency services as defined by subdivision (e).
(e)  For purposes of this section, “emergency services” includes, but is not limited to, first aid and medical services, rescue procedures and transportation, or other related activities necessary to insure the health or safety of a person in imminent peril.
(Amended by Stats. 1998, Ch. 617, Sec. 1. Effective January 1, 1999.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 9 - Liability Limitation › Section 1799.108.

1799.108. Any person who has a certificate issued pursuant to this division from a certifying agency to provide prehospital emergency field care treatment at the scene of an emergency, as defined in Section 1799.102, shall be liable for civil damages only for acts or omissions performed in a grossly negligent manner or acts or omissions not performed in good faith.
(Amended by Stats. 1986, Ch. 248, Sec. 139.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 9 - Liability Limitation › Section 1799.110.

1799.110. (a)  In any action for damages involving a claim of negligence against a physician and surgeon arising out of emergency medical services provided in a general acute care hospital emergency department, the trier of fact shall consider, together with all other relevant matters, the circumstances constituting the emergency, as defined herein, and the degree of care and skill ordinarily exercised by reputable members of the physician and surgeon’s profession in the same or similar locality, in like cases, and under similar emergency circumstances.
(b)  For the purposes of this section, “emergency medical services” and “emergency medical care” means those medical services required for the immediate diagnosis and treatment of medical conditions which, if not immediately diagnosed and treated, could lead to serious physical or mental disability or death.
(c)  In any action for damages involving a claim of negligence against a physician and surgeon providing emergency medical coverage for a general acute care hospital emergency department, the court shall admit expert medical testimony only from physicians and surgeons who have had substantial professional experience within the last five years while assigned to provide emergency medical coverage in a general acute care hospital emergency department. For purposes of this section, “substantial professional experience” shall be determined by the custom and practice of the manner in which emergency medical coverage is provided in general acute care hospital emergency departments in the same or similar localities where the alleged negligence occured.
(Added by Stats. 1983, Ch. 1246, Sec. 41.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 9 - Liability Limitation › Section 1799.112.

1799.112. (a) EMT-P employers shall report in writing to the local EMS agency medical director and the authority and provide all supporting documentation within 30 days of whenever any of the following actions are taken:
(1) An EMT-P is terminated or suspended for disciplinary cause or reason.
(2) An EMT-P resigns following notice of an impending investigation based upon evidence indicating disciplinary cause or reason.
(3) An EMT-P is removed from paramedic duties for disciplinary cause or reason following the completion of an internal investigation.
(b) The reporting requirements of subdivision (a) do not require or authorize the release of information or records of an EMT-P who is also a peace officer protected by Section 832.7 of the Penal Code.
(c) For purposes of this section, “disciplinary cause or reason” means only an action that is substantially related to the qualifications, functions, and duties of a paramedic and is considered evidence of a threat to the public health and safety as identified in subdivision (c) of Section 1798.200.
(d) Pursuant to subdivision (i) of Section 1798.24 of the Civil Code, upon notification to the paramedic, the authority may share the results of its investigation into a paramedic’s misconduct with the paramedic’s employer, prospective employer when requested in writing as part of a preemployment background check, and the local EMS agency.
(e) The information reported or disclosed in this section shall be deemed in the nature of an investigative communication and is exempt from disclosure as a public record by Article 1 (commencing with Section 7923.600) of Chapter 1 of Part 5 of Division 10 of Title 1 of the Government Code.
(f) A paramedic applicant or licensee to whom the information pertains may view the contents, as set forth in subdivision (a) of Section 1798.24 of the Civil Code, of a closed investigation file upon request during the regular business hours of the authority.
(Amended by Stats. 2021, Ch. 615, Sec. 239. (AB 474) Effective January 1, 2022. Operative January 1, 2023, pursuant to Sec. 463 of Stats. 2021, Ch. 615.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 9 - Liability Limitation › Section 1799.113.

1799.113. (a) (1) A person who, in good faith and not for compensation, renders emergency treatment at the scene of an opioid overdose or suspected opioid overdose by administering an opioid antagonist shall not be liable for civil damages resulting from an act or omission related to the rendering of the emergency treatment.
(2) A person who, in good faith and not for compensation, furnishes an opioid antagonist to a person for use at the scene of an opioid overdose or suspected opioid overdose shall not be liable for civil damages resulting from an act or omission related to the furnishing of the opioid antagonist.
(b) This section does not apply to an act or omission related to the rendering of emergency treatment at the scene of an opioid overdose or suspected opioid overdose by means of an opioid antagonist that constitutes gross negligence or willful or wanton misconduct.
(c) For purposes of this section, both of the following apply:
(1) A person who renders emergency treatment by means of an opioid antagonist, or who furnishes an opioid antagonist at the scene of an opioid overdose or suspected opioid overdose, and who is not compensated for doing so, but receives compensation for other actions as a result of their unrelated employment, is not “rendering emergency medical care or furnishing opioid antagonist for compensation.”
(2) “Opioid antagonist” means naloxone hydrochloride or any other opioid antagonist that is approved by the United States Food and Drug Administration for the treatment of an opioid overdose.
(Added by Stats. 2023, Ch. 97, Sec. 1. (AB 1166) Effective January 1, 2024.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 9 - Liability Limitation › Section 1799.115.

1799.115. (a) A private provider of ambulance services licensed by the California Highway Patrol and any employees of that provider, when operating in accordance with the standards, regulations, policies, and protocols of local emergency medical services agencies, shall not be criminally or civilly liable for the continued detainment of a person when that detainment is requested by a peace officer, facility staff, or other professionals authorized to detain persons in any of the following circumstances:
(1) Transportation, and continuing the detainment, of a person properly detained in accordance with Section 5150, 5250, or 5260 of the Welfare and Institutions Code to a facility designated by the county for evaluation and treatment.
(2) Transportation, and continuing the detainment, of a person who is detained for evaluation and treatment in a hospital or other facility to a designated facility for psychiatric treatment in accordance with Section 5150, 5250, or 5260 of the Welfare and Institutions Code.
(3) Transportation, and continuing the detainment, of a person who is in an acute care hospital, medical clinic, or other psychiatric evaluation facility to a designated facility for psychiatric treatment, if so ordered by the attending physician, a professional staff person in charge of a facility designated by the county for evaluation and treatment, a member of the attending staff, or a professional staff person designated by the county, in accordance with Section 5250 or 5260 of the Welfare and Institutions Code.
(b) A private provider of ambulance services requested to provide transportation of persons consistent with this section shall provide care according to the policies and procedures established by the local emergency medical services agency in the county that the provider operates and the policies of the California Emergency Medical Services Authority.
(c) This section does not relieve the provider of ambulance services, or any of its employees, from liability for injuries caused by negligence, gross negligence, recklessness, or willful misconduct on the part of the provider or its employees while transporting a person to a designated facility.
(d) A private provider of ambulance services that provides transportation to a designated facility, as defined in Section 5008 of the Welfare and Institutions Code, shall not require a person who is voluntarily agreeing to transport to be placed on an involuntary hold as a precondition to that transport.
(Added by Stats. 2023, Ch. 474, Sec. 1. (AB 1376) Effective January 1, 2024.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 11 - Emergency and Critical Care Services for Children › Section 1799.200.

1799.200. (a)  The State Department of Health Services shall contract with an organization with expertise in program evaluation, pediatric emergency medical services, and critical care, for the purposes specified in subdivision (b).
(b)  The contractor, in consultation with a professional pediatric association, a professional emergency physicians association, a professional emergency medical services medical directors association, the Emergency Medical Services Authority, and the State Department of Health Services, shall perform a study that will identify the outcome criteria which can be used to evaluate pediatric critical care systems. This study shall include, but not be limited to, all of the following:
(1)  Development of criteria to identify how changes in pediatric critical care systems affect the treatment of critically ill and injured children.
(2)  Development of criteria to compare the systems in place in various areas of the state.
(3)  Determination of whether the necessary data is currently available.
(4)  Estimate of the cost to providers, such as emergency medical service agencies and hospitals, of collecting this data.
(5)  Recommendations concerning the most reliable and cost-effective monitoring plan for use by agencies and facilities at the state, regional, and local levels.
(Added by renumbering Section 1199.200 by Stats. 1991, Ch. 1091, Sec. 68.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 11 - Emergency and Critical Care Services for Children › Section 1799.201.

1799.201. The contractor shall submit the results of the study to the Legislature and the Governor not later than January 1, 1991.
(Added by renumbering Section 1199.201 by Stats. 1991, Ch. 1091, Sec. 69.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 12 - Emergency Medical Services System for Children › Section 1799.202.

1799.202. This chapter shall be known and may be cited as the California Emergency Medical Services for Children Act of 1996.
(Added by Stats. 1996, Ch. 197, Sec. 3. Effective July 22, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 12 - Emergency Medical Services System for Children › Section 1799.204.

1799.204. (a)  For purposes of this chapter, the following definitions apply:
(1)  “EMSC Program” means the Emergency Medical Services For Children Program administered by the authority.
(2)  “Technical advisory committee” means a multidisciplinary committee with pediatric emergency medical services, pediatric critical care, or other related expertise.
(3)  “EMSC component” means the part of the local agency’s EMS plan that outlines the training, transportation, basic and advanced life support care requirements, and emergency department and hospital pediatric capabilities within a local jurisdiction.
(b)  Contingent upon available funding, an Emergency Medical Services For Children Program is hereby established within the authority.
(c)  The authority shall do the following to implement the EMSC Program:
(1)  Employ or contract with professional, technical, research, and clerical staff as necessary to implement this chapter.
(2)  Provide advice and technical assistance to local EMS agencies on the integration of an EMSC Program into their EMS system.
(3)  Oversee implementation of the EMSC Program by local EMS agencies.
(4)  Establish an EMSC technical advisory committee.
(5)  Facilitate cooperative interstate relationships to provide appropriate care for pediatric patients who must cross state borders to receive emergency and critical care services.
(6)  Work cooperatively and in a coordinated manner with the State Department of Health Services and other public and private agencies in the development of standards and policies for the delivery of emergency and critical care services to children.
(7)  On or before March 1, 2000, produce a report for the Legislature describing any progress on implementation of this chapter. The report shall contain, but not be limited to, a description of the status of emergency medical services for children at both the state and local levels, the recommendation for training, protocols, and special medical equipment for emergency services for children, an estimate of the costs and benefits of the services and programs authorized by this chapter, and a calculation of the number of children served by the EMSC system.
(Amended by Stats. 2001, Ch. 171, Sec. 3. Effective August 10, 2001.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 12 - Emergency Medical Services System for Children › Section 1799.205.

1799.205. A local EMS agency may develop an EMSC Program in its jurisdiction, contingent upon available funding. If a local EMS agency develops an EMSC Program in its jurisdiction, the local EMS agency shall develop and incorporate in its EMS plan an EMSC component that complies with EMS plan requirements. The EMSC component shall include, but need not be limited to, the following:
(a)  EMSC system planning, implementation, and management.
(b)  Injury and illness prevention planning, that includes, among other things, coordination, education, and data collection.
(c)  Care rendered to patients outside the hospital.
(d)  Emergency department care.
(e)  Interfacility consultation, transfer, and transport.
(f)  Pediatric critical care and pediatric trauma services.
(g)  General trauma centers with pediatric considerations.
(h)  Pediatric rehabilitation plans that include, among other things, data collection and evaluation, education on early detection of need for referral, and proper referral of pediatric patients.
(i)  Children with special EMS needs outside the hospital.
(j)  Information management and system evaluation.
(Added by Stats. 1996, Ch. 197, Sec. 3. Effective July 22, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 12 - Emergency Medical Services System for Children › Section 1799.207.

1799.207. The authority may solicit and accept grant funding from public and private sources to supplement state funds.
(Added by Stats. 1996, Ch. 197, Sec. 3. Effective July 22, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 13 - Community Paramedicine or Triage to Alternate Destination › ARTICLE 1 - General Provisions › Section 1800.

1800. This chapter shall be known, and may be cited, as the Community Paramedicine or Triage to Alternate Destination Act of 2020.
(Added by Stats. 2020, Ch. 138, Sec. 4. (AB 1544) Effective January 1, 2021. Repealed as of January 1, 2031, pursuant to Section 1857.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 13 - Community Paramedicine or Triage to Alternate Destination › ARTICLE 2 - Definitions › Section 1810.

1810. Unless otherwise indicated in this chapter, the definitions contained in this article govern the provisions of this chapter.
(Added by Stats. 2020, Ch. 138, Sec. 4. (AB 1544) Effective January 1, 2021. Repealed as of January 1, 2031, pursuant to Section 1857.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 13 - Community Paramedicine or Triage to Alternate Destination › ARTICLE 2 - Definitions › Section 1811.

1811. “Alternate destination facility” means a treatment location that is an authorized mental health facility, as defined in Section 1812 or an authorized sobering center as defined in Section 1813.
(Added by Stats. 2020, Ch. 138, Sec. 4. (AB 1544) Effective January 1, 2021. Repealed as of January 1, 2031, pursuant to Section 1857.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 13 - Community Paramedicine or Triage to Alternate Destination › ARTICLE 2 - Definitions › Section 1812.

1812. “Authorized mental health facility” means a facility that is licensed or certified as a mental health treatment facility or a hospital, as defined in subdivision (a) or (b) of Section 1250, by the State Department of Public Health, and may include, but is not limited to, a licensed psychiatric hospital, a licensed psychiatric health facility, or a certified crisis stabilization unit. An authorized mental health facility may also be a psychiatric health facility licensed by the State Department of Health Care Services. The facility shall be staffed at all times with at least one registered nurse.
(Added by Stats. 2020, Ch. 138, Sec. 4. (AB 1544) Effective January 1, 2021. Repealed as of January 1, 2031, pursuant to Section 1857.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 13 - Community Paramedicine or Triage to Alternate Destination › ARTICLE 2 - Definitions › Section 1813.

1813. (a) “Authorized sobering center” means a noncorrectional facility that is staffed at all times with at least one registered nurse, that provides a safe, supportive environment for intoxicated individuals to become sober, that is identified as an alternate destination in a plan developed pursuant to Section 1843, and that meets any of the following requirements:
(1) The facility is a federally qualified health center, including a clinic described in subdivision (b) of Section 1206.
(2) The facility is certified by the State Department of Health Care Services, Substance Use Disorder Compliance Division to provide outpatient, nonresidential detoxification services.
(3) The facility has been accredited as a sobering center under the standards developed by the National Sobering Collaborative. Facilities granted approval for operation by OSHPD before November 28, 2017, under the Health Workforce Pilot Project No. 173, may continue operation until one year after the National Sobering Collaborative accreditation becomes available.
(b) Paragraphs (1) and (2) of subdivision (a) do not impose any new or additional licensure or oversight responsibilities on the State Department of Health Care Services or the State Department of Public Health with regard to authorized sobering centers.
(c) Paragraphs (1) and (2) of subdivision (a) do not make an authorized sobering center eligible for reimbursement under the Medicaid program.
(Added by Stats. 2020, Ch. 138, Sec. 4. (AB 1544) Effective January 1, 2021. Repealed as of January 1, 2031, pursuant to Section 1857.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 13 - Community Paramedicine or Triage to Alternate Destination › ARTICLE 2 - Definitions › Section 1814.

1814. “Community paramedic” means a paramedic licensed under this division who has completed the curriculum for community paramedic training adopted pursuant to paragraph (1) of subdivision (d) of Section 1830, has received certification in one or more of the community paramedicine program specialties described in Section 1815, and is accredited to provide community paramedic services by a local EMS agency as part of an approved community paramedicine program.
(Added by Stats. 2020, Ch. 138, Sec. 4. (AB 1544) Effective January 1, 2021. Repealed as of January 1, 2031, pursuant to Section 1857.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 13 - Community Paramedicine or Triage to Alternate Destination › ARTICLE 2 - Definitions › Section 1815.

1815. (a) “Community paramedicine program” means a program developed by a local EMS agency and approved by the Emergency Medical Services Authority to provide community paramedicine services consisting of one or more of the program specialties described in this section under the direction of medical protocols developed by the local EMS agency that are consistent with the minimum medical protocols established by the authority. Community paramedicine services may consist of the following program specialties:
(1) Providing directly observed therapy (DOT) to persons with tuberculosis in collaboration with a public health agency to ensure effective treatment of the tuberculosis and to prevent spread of the disease.
(2) Providing case management services to frequent emergency medical services users in collaboration with, and by providing referral to, existing appropriate community resources.
(3) Providing short-term, postdischarge followup for persons recently discharged from a hospital due to a serious health condition, including collaboration with, and by providing referral to, home health services when eligible.
(b) On or before January 1, 2025, the authority shall amend regulations adopted pursuant to this chapter to include sufficient state-level program oversight that would allow for local EMS agencies to develop community paramedicine programs, as defined in subdivision (a), when a local EMS agency includes a community paramedicine program in their local EMS agency EMS plan.
(Amended by Stats. 2023, Ch. 270, Sec. 2. (AB 767) Effective January 1, 2024. Repealed as of January 1, 2031, pursuant to Section 1857.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 13 - Community Paramedicine or Triage to Alternate Destination › ARTICLE 2 - Definitions › Section 1816.

1816. “Community paramedicine provider” means an advanced life support provider authorized by a local EMS agency to provide advanced life support who has entered into a contract to deliver community paramedicine services as described in Section 1815 as part of an approved community paramedicine program developed by a local EMS agency and approved by the Emergency Medical Services Authority.
(Added by Stats. 2020, Ch. 138, Sec. 4. (AB 1544) Effective January 1, 2021. Repealed as of January 1, 2031, pursuant to Section 1857.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 13 - Community Paramedicine or Triage to Alternate Destination › ARTICLE 2 - Definitions › Section 1817.

1817. “Public agency” means a city, county, city and county, special district, or other political subdivision of the state that provides first response services, including emergency medical care.
(Added by Stats. 2020, Ch. 138, Sec. 4. (AB 1544) Effective January 1, 2021. Repealed as of January 1, 2031, pursuant to Section 1857.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 13 - Community Paramedicine or Triage to Alternate Destination › ARTICLE 2 - Definitions › Section 1818.

1818. “Triage paramedic” means a paramedic licensed under this division who has completed the curriculum for triage paramedic services adopted pursuant to paragraph (2) of subdivision (d) of Section 1830 and has been accredited by a local EMS agency in one or more of the triage paramedic specialties described in Section 1819 as part of an approved triage to alternate destination program.
(Added by Stats. 2020, Ch. 138, Sec. 4. (AB 1544) Effective January 1, 2021. Repealed as of January 1, 2031, pursuant to Section 1857.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 13 - Community Paramedicine or Triage to Alternate Destination › ARTICLE 2 - Definitions › Section 1819.

1819. (a) “Triage to alternate destination program” means a program developed by a local EMS agency and approved by the Emergency Medical Services Authority to provide triage paramedic assessments consisting of one or more specialties described in this section operating under triage and assessment protocols developed by the local EMS agency that are consistent with the minimum triage and assessment protocols established by the authority. Triage paramedic assessments may consist of the following program specialties:
(1) Providing care and comfort services to hospice patients in their homes in response to 911 calls by providing for the patient’s and the family’s immediate care needs, including grief support in collaboration with the patient’s hospice agency until the hospice nurse arrives to treat the patient. This paragraph does not impact or alter existing authorities applicable to a licensed paramedic operating under the medical control policies adopted by a local EMS agency medical director to treat and keep a hospice patient in the patient’s current residence, or otherwise require transport to an acute care hospital in the absence of an approved triage to alternate destination hospice program.
(2) Providing patients with advanced life support triage and assessment by a triage paramedic and transportation to an alternate destination facility, as defined in Section 1811.
(3) Providing transport services for patients who identify as veterans and desire transport to a local veterans administration emergency department for treatment, when appropriate.
(b) This section does not prevent or eliminate any authority to provide continuous transport of a patient to a participating hospital for priority evaluation by a physician, nurse practitioner, or physician assistant before transport to an alternate destination facility.
(c) This section does not impair or otherwise interfere with an emergency medical services provider’s ability to deliver emergency medical transport services as authorized pursuant to Section 1797.224 or a city or fire district to operate pursuant to Section 1797.201.
(Added by Stats. 2020, Ch. 138, Sec. 4. (AB 1544) Effective January 1, 2021. Repealed as of January 1, 2031, pursuant to Section 1857.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 13 - Community Paramedicine or Triage to Alternate Destination › ARTICLE 2 - Definitions › Section 1820.

1820. “Triage to alternate destination provider” means an advanced life support provider authorized by a local EMS agency to provide advanced life support triage paramedic assessments as part of an approved triage to alternate destination program specialty, as described in Section 1819.
(Added by Stats. 2020, Ch. 138, Sec. 4. (AB 1544) Effective January 1, 2021. Repealed as of January 1, 2031, pursuant to Section 1857.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 13 - Community Paramedicine or Triage to Alternate Destination › ARTICLE 3 - State Administration › Section 1825.

1825. On or before March 1, 2021, the director of the Emergency Medical Services Authority shall establish a community paramedicine and triage to alternate destination oversight advisory committee pursuant to Section 1797.133, to advise the authority on the development and oversight of community paramedicine program and triage to alternate destination program specialties described in Sections 1815 and 1819, respectively. Committee membership shall include representatives from entities within the emergency medical response system, including, but not limited to, all of the following:
(a) Local emergency medical services agency administrators.
(b) Local emergency medical services agency medical directors.
(c) Public safety agency medical directors.
(d) Physicians and surgeons, including emergency room physicians.
(e) Nurses, including nurses that specialize in treatment of substance use disorders who treat patients in authorized sobering centers.
(f) Hospital administrators.
(g) Public first responder paramedics.
(h) Private first responder paramedics.
(i) Medical professionals specializing in all of the following:
(1) Home health care.
(2) Hospice care.
(3) Mental health.
(4) Substance abuse disorder treatment who treat patients in authorized sobering centers.
(j) Physicians and surgeons specializing in the comprehensive care of individuals with cooccurring mental health or psychosocial and substance use disorders who treat patients in authorized mental health facilities.
(k) Licensed clinical social workers, including social workers who have experience providing services described in subdivision (b) of Section 1815.
(Added by Stats. 2020, Ch. 138, Sec. 4. (AB 1544) Effective January 1, 2021. Repealed as of January 1, 2031, pursuant to Section 1857.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 13 - Community Paramedicine or Triage to Alternate Destination › ARTICLE 3 - State Administration › Section 1832.

1832. (a) The Emergency Medical Services Authority shall develop and periodically review and update the minimum medical protocols applicable to each community paramedicine program specialty described in Section 1815 and the minimum triage and assessment protocols for triage to alternate destination program specialties described in Section 1819.
(b) In complying with the requirements of this section, the authority shall establish and consult with an advisory committee comprised of the following members:
(1) Individuals in the fields of public health, social work, hospice, substance use, or mental health with expertise commensurate with the program specialty or specialties described in Section 1815 or 1819.
(2) Physicians and surgeons whose primary practice is emergency medicine.
(3) Two local EMS medical directors selected by the EMS Medical Directors Association of California.
(4) Two local EMS directors selected by the California Chapter of the American College of Emergency Physicians.
(c) The protocols developed pursuant to this section shall be based upon, and informed by, the Community Paramedicine Pilot Program under the Office of Statewide Health Planning and Development’s Health Workforce Pilot Project No. 173, and further refinements provided by local EMS agencies during the course and operation of the pilot projects.
(Added by Stats. 2020, Ch. 138, Sec. 4. (AB 1544) Effective January 1, 2021. Repealed as of January 1, 2031, pursuant to Section 1857.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 13 - Community Paramedicine or Triage to Alternate Destination › ARTICLE 3 - State Administration › Section 1833.

1833. (a) Notwithstanding Section 10231.5 of the Government Code, the Emergency Medical Services Authority shall submit an annual report on the community paramedicine or triage to alternate destination programs operating in California to the relevant policy committees of the Legislature in accordance with Section 9795 of the Government Code and shall post the annual report on its internet website. The authority shall submit and post its first report one year after the authority adopts the regulations described in Section 1830. Thereafter, the authority shall submit and post its report annually on or before January 1 of each year.
(b) The report required by this section shall include all of the following:
(1) An assessment of each program specialty, including an assessment of patient outcomes in the aggregate and an assessment of any adverse patient events resulting from services provided under plans approved pursuant to this chapter.
(2) An assessment of the impact that the program specialties have had on the emergency medical system.
(3) An update on the implementation of program specialties operating in local EMS agency jurisdictions.
(4) Policy recommendations for improving the administration of local plans and patient outcomes.
(c) All data collected by the authority shall be posted on its internet website in a downloadable format and in a manner that protects the confidentiality of individually identifiable patient information.
(Added by Stats. 2020, Ch. 138, Sec. 4. (AB 1544) Effective January 1, 2021. Repealed as of January 1, 2031, pursuant to Section 1857.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 13 - Community Paramedicine or Triage to Alternate Destination › ARTICLE 3 - State Administration › Section 1834.

1834. (a) Notwithstanding Section 10231.5 of the Government Code, on or before April 1, 2028, the Emergency Medical Services Authority shall submit a final report on the results of the community paramedicine or triage to alternate destination programs operating in California to the relevant policy committees of the Legislature, in accordance with Section 9795 of the Government Code, and shall post the report on its internet website.
(b) The authority shall develop the report required by this section.
(c) The report shall include all of the following:
(1) A detailed assessment of each community paramedicine or triage to alternate destination program operating in local EMS agency jurisdictions.
(2) An assessment of patient outcomes in the aggregate resulting from services provided under approved plans under the program.
(3) An assessment of workforce impact due to implementation of the program.
(4) An assessment of the impact of the program on the emergency medical services system.
(5) An assessment of how the currently operating program specialties achieve the legislative intent stated in Section 1801.
(6) An assessment of community paramedic and triage training.
(d) The report may include recommendations for changes to, or the elimination of, community paramedicine or triage to alternate destination program specialties that do not achieve the community health and patient goals described in Section 1801.
(Amended by Stats. 2023, Ch. 270, Sec. 3. (AB 767) Effective January 1, 2024. Repealed as of January 1, 2031, pursuant to Section 1857.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 13 - Community Paramedicine or Triage to Alternate Destination › ARTICLE 3 - State Administration › Section 1835.

1835. (a) The Emergency Medical Services Authority shall review a local EMS agency’s proposed community paramedicine or triage to alternate destination program using procedures consistent with Section 1797.105 and review the local EMS agency’s program protocols in order to ensure compliance with the statewide minimum protocols developed under Section 1832.
(b) The authority may impose conditions as part of the approval of a community paramedicine or triage to alternate destination program that the local EMS agency is required to incorporate into its program to achieve consistency with the authority’s regulations and the provisions of this chapter.
(c) The authority shall approve or deny the proposed community paramedicine or triage to alternate destination program no later than six months after it is submitted by the local EMS agency.
(Added by Stats. 2020, Ch. 138, Sec. 4. (AB 1544) Effective January 1, 2021. Repealed as of January 1, 2031, pursuant to Section 1857.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 13 - Community Paramedicine or Triage to Alternate Destination › ARTICLE 3 - State Administration › Section 1836.

1836. (a) A community paramedicine pilot program approved under the Office of Statewide Health Planning and Development’s Health Workforce Pilot Project No. 173 before January 1, 2020, is authorized to operate until one year after the regulations described in Section 1830 become effective.
(b) Notwithstanding subdivision (a), a community paramedicine short-term, postdischarge followup pilot program that was approved on or before January 1, 2019, under the Office of Statewide Health Planning and Development’s Health Workforce Pilot Project No. 173, and was continuing to enroll patients as of January 1, 2019, may continue operation until one year after the regulations described in subdivision (b) of Section 1815 become effective.
(Amended by Stats. 2023, Ch. 270, Sec. 4. (AB 767) Effective January 1, 2024. Repealed as of January 1, 2031, pursuant to Section 1857.)
2023 California Code › Health and Safety Code - HSC › DIVISION 2.5 - EMERGENCY MEDICAL SERVICES › CHAPTER 13 - Community Paramedicine or Triage to Alternate Destination › ARTICLE 4 - Local Administration › Section 1840.

1840. A local EMS agency may develop a community paramedicine or triage to alternate destination program that is consistent with the Emergency Medical Services Authority’s regulations and the provisions of this chapter and submit evidence of compliance with the requirements of Section 1841 and Sections 1842 and 1843, as applicable, to the authority for approval pursuant to Section 1835.
(Added by Stats. 2020, Ch. 138, Sec. 4. (AB 1544) Effective January 1, 2021. Repealed as of January 1, 2031, pursuant to Section 1857.)