reglab/statecodes huggingface dataset:
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.510 - Elements of the Service Zone Plan

Current through Register 1525, July 5, 2024
Local jurisdictions shall ensure that each service zone plan
				contains, at a minimum, the following elements:
(A) A current inventory of EMS and public
			 safety providers and resources including, but not limited to:
(1) the designated primary ambulance
			 service;
(2) ambulance services
			 that have service zone agreements with the designated primary ambulance service
			 for primary ambulance response in the service zone, in accordance with
			 105
			 CMR 170.249;
(3) all other ambulance services whose
			 regular operating area includes in whole or in part any local jurisdiction in
			 the service zone;
(4) designated
			 EFR service(s), if any;
(5) health
			 care facilities, including nursing homes;
(6) first response agencies and locations of
			 trained first responders;
(7)
			 others in the community trained to provide emergency response, such as ski
			 patrols, and EMTs at schools or senior citizens' centers;
(8) emergency medical dispatch and public
			 safety answering point (PSAP); and
(9) automatic/semi-automatic defibrillators
			 and their locations.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.520 - The Regional Service Zone Plan

Current through Register 1525, July 5, 2024
Each Regional EMS Council shall adopt a regional service zone
				plan, subject to the approval of the Department, which shall consist of a
				compilation of the service zone plans covering all the local jurisdictions in
				the region.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.530 - Review and Approval of Service Zone Plans

Current through Register 1525, July 5, 2024
(A)
Regional EMS Council
			 Review
. Local jurisdictions shall submit service zone plans to
			 their Regional EMS Council. Each local jurisdiction must be covered by a
			 service zone plan approved in accordance with
			 105
			 CMR 170.530.
(1) The Regional EMS Council shall review
			 each service zone plan. The Council shall verify that all elements of
			 105
			 CMR 170.510 are addressed, and all local EMS
			 and public safety resources are identified and optimally used in the
			 operational plans. If the service zone plan meets these criteria, the Regional
			 EMS Council shall recommend approval of the plan to the Department.
(2) If the Regional EMS Council finds that a
			 service zone plan has not adequately addressed all elements of
			 105
			 CMR 170.510, it shall return the plan to the
			 local jurisdiction(s) with a letter identifying the deficiencies and notify the
			 Department. The Council shall provide technical assistance to the local
			 jurisdiction(s), as needed. After the plan's revision, if the Regional EMS
			 Council finds that the service zone plan continues to be deficient, the Council
			 shall recommend to the Department that the plan be denied.
(3) Within six months of the submission of a
			 service zone plan to a Regional EMS Council, the Council shall forward its
			 recommendation regarding that plan to the Department.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.540 - Grounds for Denial of Approval of a Service Zone Plan

Current through Register 1525, July 5, 2024
(A) The Department may deny approval of a
			 service zone plan if:
(1) the applicant fails
			 to meet each of the elements of
			 105
			 CMR 170.510; or
(2) the applicant submits inaccurate or
			 incomplete information to obtain service zone plan approval or designation of a
			 service zone provider.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.550 - Update of Service Zone Plans and Redesignation of Providers

Current through Register 1525, July 5, 2024
(A)
(1)
			 Each local jurisdiction shall promptly report to its Regional EMS Council any
			 changes to its approved service zone plan.
(2) Regional EMS Councils shall ensure that
			 local service zone plans are updated, so that regional service zone plans are
			 updated accordingly.
(3) Regional
			 EMS Councils shall regularly report updates in local and regional service zone
			 plans to the Department.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.560 - Grounds for Revocation of Service Zone Approval

Current through Register 1525, July 5, 2024
(A) The Department may revoke the approval
			 for a local jurisdiction(s)'s service zone plan for:
(1) Failure to adhere to the approved service
			 zone plan;
(2) Failure to carry out
			 its selection process for EMS service delivery and service zone provider
			 designation changes, pursuant to
			 105
			 CMR 170.550;
(3) Knowingly making an omission of a
			 material fact or false statement orally or in any application or document filed
			 with or obtained by the Department or Regional EMS Council;
(4) Violation of a correction order;
			 or
(5) Failure to comply with a
			 plan of correction.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.705 - Deficiencies

Current through Register 1525, July 5, 2024
(A) A deficiency means noncompliance with
			 105 CMR
			 170.000 for any person certified, licensed, designated
			 or otherwise approved by the Department pursuant to M.G.L. c. 111C. The
			 Department may find that a deficiency exists upon inspection or other
			 information, such as information that may come through the complaint procedure,
			 as set forth in
			 105
			 CMR 170.795.
(B) A deficiency may result in the following:
(1) an advisory letter, a letter of clinical
			 deficiency, a notice of serious deficiency, a cease and desist order, letter of
			 censure;
(2) a correction order as
			 set forth in
			 105
			 CMR 170.720;
(3) an assessment as provided in
			 105
			 CMR 170.730; or
(4) a denial, suspension, revocation or
			 refusal to renew a license, certification, certificate of inspection,
			 designation or other form of approval.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.710 - Plan of Correction

Current through Register 1525, July 5, 2024
(A) The Department
			 may require any person certified, licensed, designated or otherwise approved by
			 the Department pursuant to M.G.L. c. 111C to submit a written plan of
			 correction for each existing deficiency.
(B) The person shall specify in the plan of
			 correction the manner in which the correction shall be made and the date by
			 which the deficiency shall be corrected.
(C) The plan of correction must be submitted
			 to the Department no later than ten calendar days after written notice of
			 deficiencies and request by the Department for submission of a plan. The person
			 or his or her agent may be required to submit a plan of correction immediately
			 at the completion of the inspection if deficiencies are found upon inspection
			 which threaten health and safety.
(D) The Department shall attempt to approve
			 or deny the plan of correction within ten calendar days of receipt of the plan.
			 Failure to respond to a submitted plan of correction shall not be deemed to be
			 an acceptance of the plan of correction.
(E) Failure to submit an acceptable and
			 timely plan of correction or failure to correct in accordance with the plan are
			 grounds for enforcement action including suspension or revocation of a license,
			 certification, certificate of inspection, designation or other form of
			 approval.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.720 - Correction Orders

Current through Register 1525, July 5, 2024
The Department may order any person certified, licensed,
				designated or otherwise approved by the Department pursuant to M.G.L. c. 111C,
				to correct a deficiency by issuing a correction order. Pursuant to M.G.L. c.
				111C, § 15, each correction order shall contain the following:
(A) A description of the deficiency or
			 deficiencies;
(B) The period within
			 which the deficiency must be corrected, which shall be reasonable under the
			 circumstances. In the case of a deficiency that endangers the public health or
			 safety, which is identified in the course of an inspection or investigation,
			 the Department or its agent may suspend a certificate, license, designation or
			 other form of approval effective immediately, provided that the person affected
			 shall be promptly afforded an opportunity for a hearing pursuant to M.G.L. c.
			 111C, § 16;
(C) The provisions
			 of the law and regulations relied on in citing the deficiency.
(1) With respect to orders other than
			 immediate suspensions, within seven calendar days of receipt of the correction
			 order, the affected person may file a written request with the Department for
			 administrative reconsideration of the order or any portion thereof. Such
			 request shall contain sufficient information to allow the Department to
			 adequately reconsider the issuance of the order. Failure of the Department to
			 act upon the written request within seven days of the filing of the request
			 shall be deemed a denial of the request.
(2) If the Department makes a finding in
			 writing that the person has made a good faith effort to correct the deficiency
			 within the period prescribed for correction and that the correction cannot be
			 completed by the prescribed date, the Department may permit the person to file
			 a plan of correction on a form provided by the Department.
(3) In the event that a plan of correction is
			 not approved by the Department, the Department shall set another date by which
			 the correction shall be made. If the correction is not made by that date, then
			 the Department may follow the procedure for assessment of a deficiency set
			 forth in
			 105
			 CMR 170.730.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.730 - Assessment for a Deficiency

Current through Register 1525, July 5, 2024
Pursuant to M.G.L. c. 111C, § 15, the Department may
				assess a person ordered to correct deficiencies, $500.00 per deficiency for
				each day the deficiency continues to exist beyond the date prescribed for
				correction in the correction order, as set forth in
				105
				CMR 170.720 or in such further extension as
				may be granted, as provided in
				105
				CMR 170.720(C)(2).
(A)
Notice and Opportunity for a
			 Hearing
. Pursuant to M.G.L. c. 111C, § 15(b), before making
			 an assessment, the Department shall give the affected person notice of the
			 assessment. The notice shall contain a description of the deficiency, the
			 period for correction, and provision of the law and regulations relied upon.
			 The affected person may file with the Department within 14 calendar days of
			 receipt of notice a written request for an adjudicatory hearing.
(B)
Payment of the
			 Assessment.
If after hearing, or waiver thereof, the Department
			 determines that it is appropriate to make an assessment, then, in accordance
			 with M.G.L. c 111C, § 15(c), the assessment shall be due and payable to
			 the Commonwealth on the 30th day after notification to the affected
			 person.
(C)
Further
			 Enforcement Procedures
. By levying an assessment, the Department
			 does not waive its right to invoke other enforcement procedures, such as
			 modification of a license, as provided in
			 105
			 CMR 170.240, suspension of a license,
			 certification or certificate of inspection, as provided in
			 105
			 CMR 170.750, or revocation or refusal to
			 renew a license, certification or certificate of inspection, as provided in
			 105
			 CMR 170.760.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.740 - Denial

Current through Register 1525, July 5, 2024
(A) If a license, certification, certificate
			 of inspection, designation or other form of approval is denied on the basis of
			 disputed facts, then the denied applicant may request in writing an
			 adjudicatory hearing within 14 calendar days of notice of denial, provided that
			 the applicant submits written evidence which the applicant would offer at a
			 hearing sufficient to support the applicant's factual allegations.
(B) If a license, certification, certificate
			 of inspection, designation or other form of approval is denied by the
			 Department on the basis of facts over which there is no material dispute, then
			 the applicant shall be notified in writing of the reasons for the denial. Any
			 applicant aggrieved by a denial on the basis of undisputed facts is not
			 entitled to an adjudicatory hearing but may seek judicial review under M.G.L.
			 c. 30A, § 14.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.750 - Suspension

Current through Register 1525, July 5, 2024
(A) Pursuant to M.G.L. c. 111C, § 16,
			 the Commissioner may, without a hearing, if the Commissioner finds that public
			 health or safety is endangered, suspend a license, certification, certificate
			 of inspection, designation or other form of approval. Written notice of the
			 reasons for the suspension shall promptly be issued by the Department. The
			 affected person shall also be notified in writing of the right to an
			 adjudicatory hearing and shall be promptly afforded an opportunity for a
			 hearing provided that written request for a hearing is submitted within 14
			 calendar days after notification of suspension.
(B) After hearing or waiver thereof, the
			 Department may modify a license, certification, certificate of inspection,
			 designation or other form of approval, or suspend, revoke or refuse to renew a
			 license, certification, certificate of inspection, designation or other form of
			 approval.
(C) Upon receipt of
			 notice of the Department's final decision, the affected person must immediately
			 return for the term of the suspension any license, certification, certificate
			 of inspection, designation or other form of approval previously
			 issued.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.760 - Revocation or Refusal to Renew

Current through Register 1525, July 5, 2024
(A) If the
			 Department initiates action to revoke or refuse to renew a license,
			 certification, certificate of inspection, designation or other form of
			 approval, the affected person shall be notified in writing of the reasons for
			 the Department's action and of his/her right to an adjudicatory
			 proceeding.
(B) Written request for
			 a hearing must be submitted within 14 calendar days of receipt of notification
			 of Department action.
(C) After
			 hearing or waiver thereof, the Department may modify a license, certification,
			 certificate of inspection, designation or other form of approval, revoke or
			 refuse to renew a license, certification, certificate of inspection or other
			 form of approval.
(D) Upon receipt
			 of notice of the Department's final decision, the affected person must
			 immediately return to the Department any license, certification, certificate of
			 inspection, designation or other form of approval previously issued.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.770 - Adjudicatory Proceedings

Current through Register 1525, July 5, 2024
(A) All adjudicatory
			 proceedings will be conducted in accordance with M.G.L. c. 30A and
			 801 CMR
			 1.00:
Standard Rules of Practice and
			 Procedure
.
(B) The
			 Commissioner shall designate a Presiding Officer to conduct a hearing and
			 render a tentative decision, containing findings of fact and rulings of law. If
			 the Presiding Officer finds any single ground for denial, revocation,
			 suspension, or refusal to renew any license, certification, certificate of
			 inspection, designation or other form of approval, the Presiding Officer shall
			 render a decision affirming the action initiated by the Department.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.780 - Nonexclusivity of Enforcement Procedures

Current through Register 1525, July 5, 2024
None of the enforcement procedures contained in
				105 CMR
				170.000 are mutually exclusive. With the exception of
				an assessment, as provided in
				105
				CMR 170.730, which shall be preceded by a
				correction order, as provided in
				105
				CMR 170.720, any enforcement procedures may
				be invoked simultaneously if the situation so requires.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.790 - Criminal Enforcement Provisions

Current through Register 1525, July 5, 2024
The Department may elect to enforce any section of
				105 CMR
				170.000 or provisions of M.G.L. c. 111C by seeking to
				have criminal sanctions imposed. M.G.L. c. 111C, § 19 provides that no
				person shall:
(A) Establish, maintain
			 or hold itself out as a service without a valid license or in violation of the
			 terms of a valid license;
(B)
			 Operate, maintain, otherwise use, or hold out any aircraft, boat, motor
			 vehicle, or other means of transportation as an EMS vehicle without a valid
			 certificate of inspection;
(C)
			 Provide EMS or hold oneself out as, or use the title of emergency medical
			 technician, paramedic or the acronym EMT, or EMS first responder, or any other
			 title or acronym used by the Department in the certification of EMS personnel
			 in violation of M.G.L. c. 111C, § 9;
(D) Establish or maintain a trauma center, a
			 service zone provider or any other entity, service or operation requiring
			 designation or approval of the Department pursuant to M.G.L. c. 111C and
			 105 CMR
			 170.000, or hold itself out as such, without such
			 valid designation or approval;
(E)
			 Obstruct, bar, or otherwise interfere with an inspection or investigation
			 undertaken under authority of M.G.L. c. 111C or
			 105 CMR
			 170.000;
(F) Knowingly make an omission of a material
			 fact or a false statement, orally or in any application or other document filed
			 with or obtained by the Department or any other entity in the EMS system;
			 or
(G) Violate or fail to observe
			 any requirements of
			 105 CMR
			 170.000, or of any rule, regulation, administrative
			 requirement, protocol or order under M.G.L. c. 111C or
			 105 CMR
			 170.000;
(H) Whoever engages in, aids, abets, causes,
			 or permits any act prohibited under M.G.L. c. 111C, § 19 and
			 105
			 CMR 170.790 shall be punished by a fine of
			 not less than $100.00 and not more than $1,000.00 for each offense. A separate
			 and distinct offense shall be deemed to have been committed on each day during
			 which any prohibited act continues after written notice by the Department to
			 the offender. The Commissioner shall report each suspected offense to the
			 Attorney General for investigation and, if appropriate, prosecution in the
			 courts of the Commonwealth.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.795 - Complaints

Current through Register 1525, July 5, 2024
As interest requires, the Department shall investigate every
				complaint received including, but not limited to, reports received pursuant to
				105
				CMR 130.1503(A)(3)  or
				105
				CMR 170.350, about practices or acts which
				may violate M.G.L. c. 111C or any provision of
				105 CMR
				170.000.
(A)
			 If the Department finds that an investigation is not required because the
			 alleged act or practice is not in violation of M.G.L. c. 111C or
			 105 CMR
			 170.000 or any administrative requirement, protocol or
			 order of the Department pursuant thereto, the Department shall notify the
			 complainant of this finding and the reasons on which it is based.
(B) If the Department finds that an
			 investigation is required, because the alleged act or practice may be in
			 violation of M.G.L. c. 111C or
			 105 CMR
			 170.000 or any administrative requirements, protocol
			 or order of the Department pursuant thereto, the Department shall investigate.
			 If a finding is made that the act or practice does constitute such a violation,
			 the Department shall apply whichever enforcement procedure(s), as provided in
			 105
			 CMR 170.705 through
			 170.795, is appropriate to
			 remedy the situation and the Department shall notify the complainant of its
			 action in this matter.
(C)
			 Investigation of complaints may lead to enforcement actions, including an
			 advisory letter, a letter of clinical deficiency a letter of censure; a cease
			 and desist order; a correction order, as set forth in
			 105
			 CMR 170.720; an assessment, as provided in
			 105
			 CMR 170.730; or a revocation, suspension or
			 refusal to renew a license, certification, certificate of inspection,
			 designation or other form of approval, or a modification of a license by the
			 Department. The Department may specify in any such enforcement action taken
			 against an EMT or EFR a requirement to undergo and successfully complete
			 remedial training, in accordance with terms set out in the enforcement
			 action.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.800 - EMS Personnel: General Provisions

Current through Register 1525, July 5, 2024
(A) There shall
			 be four levels of function and training for EMS personnel: EFR, EMT-Basic,
			 Advanced EMT and Paramedic.
(B) No
			 certified EMT or EFR may perform functions for which the individual is not
			 properly trained and certified, except:
(1)
			 pursuant to and in accordance with the requirements of a waiver for a special
			 project as set forth in
			 105
			 CMR 170.405; or
(2) an EMT-Paramedic serving on a critical
			 care medical crew of a service licensed at the critical care level, operating
			 in compliance with the service's clinical practice protocols and standing
			 orders that meet CAMTS or Department-approved substantially equivalent
			 accreditation standards. However, when working with an EMS service that is not
			 licensed at the critical care level, the EMT-Paramedic shall perform and
			 function in accordance with
			 105
			 CMR 170.800(C).
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.805 - EMS First Responder

Current through Register 1525, July 5, 2024
(A) The functions of
			 an EFR shall include:
(1) first aid;
(2) cardiopulmonary resuscitation including
			 use of automatic/semi-automatic defibrillation;
(3) operation of EFR vehicles; and
(4) other intervention(s) approved by the
			 Department.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.810 - Emergency Medical Technician - Basic

Current through Register 1525, July 5, 2024
(A)
			 The functions of an EMT-Basic include:
(1)
			 Provision of basic emergency medical care for patients at the scene and/or
			 while in transit in an ambulance;
(2) Operation of Class I, II, and V
			 ambulances; and
(3) Other duties as
			 consistent with level of training and certification.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.820 - Advanced Emergency Medical Technician

Current through Register 1525, July 5, 2024
(A)
			 The functions of an Advanced EMT include:
(1)
			 The functions of an EMT-Basic as set forth in
			 105
			 CMR 170.810; and
(2) The provision of limited advanced life
			 support related to airway and circulatory maintenance in accordance with the
			 Statewide Treatment Protocols.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.840 - Paramedic

Current through Register 1525, July 5, 2024
(A) The functions of a Paramedic include:
(1) The functions of an Advanced EMT as set
			 forth in
			 105
			 CMR 170.820; and
(2) The provision of advanced life support
			 related to treatment of cardiac or respiratory arrest, poisoning, overdose, or
			 other major trauma or illness, in accordance with the Statewide Treatment
			 Protocols.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.850 - Student Emergency Medical Technician

Current through Register 1525, July 5, 2024
A person, duly enrolled in a Department-approved Emergency
				Medical Technician training program, may function as an EMT at the level for
				which he or she is being trained under the following restrictions:
(A) Any and all patient contact by the
			 student is directly supervised and evaluated by an on-site health care
			 professional authorized to do so by the Department-accredited training
			 institution offering the initial training program, and is in compliance with
			 105 CMR
			 170.000 and the Department's administrative
			 requirements.
(B) The student shall
			 have successfully completed any and all non-clinical training requirements
			 prior to patient contact for the type(s) of treatment or care being
			 provided.
(C) The student complies
			 with all policies and procedures of the training program sponsor, the health
			 care facility responsible for the patient's care and the Department.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.880 - Emergency Medical Technicians Trained and/or Certified/Licensed in Other States

Current through Register 1525, July 5, 2024
(A) A person trained
			 as an emergency medical technician in another state, but who is not certified,
			 licensed or otherwise authorized as an emergency medical technician by another
			 state who applies for Massachusetts certification as an EMT at any level, must
			 document that he or she holds current NREMT certification for the level of EMT
			 certification for which the person is applying for initial certification. The
			 applicant shall be required to meet all other certification requirements of
			 105
			 CMR 170.910.
(B) A person currently certified, licensed or
			 otherwise authorized as an emergency medical technician by another state who
			 applies for Massachusetts certification as an EMT based on these out-of-state
			 EMT credentials must
(1) document that he or
			 she holds current NREMT certification at their level of certification,
			 licensure or authorization by the other state
(2) provide documentation from the other
			 state regarding their EMT certification or license being in good standing and
			 disciplinary history; and
(3) meet
			 all the requirements of
			 105
			 CMR 170.910.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.900 - Certification of EMS Personnel Required

Current through Register 1525, July 5, 2024
No person shall use the title Emergency Medical Technician,
				EMT, EMS first responder or EFR or serve as an EMT or EFR unless the person is
				currently certified by the Department as an EMT or EFR, respectively; provided,
				however, that persons may serve as additional personnel who meet the
				requirements of
				105
				CMR 170.310.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.910 - Initial Certification

Current through Register 1525, July 5, 2024
(A) In order to be
			 eligible to be certified as an EMT, a person must:
(1) Be 18 years of age or older;
(2) Be free of any physical or mental
			 disability or disease which could reasonably be expected to impair the ability
			 to be an EMT, or which could reasonably be expected to jeopardize the health
			 and safety of the patient;
(3) Meet
			 the training requirements applicable to the level of certification for which
			 the person is applying, as specified in
			 105
			 CMR 170.800; and
(4) Successfully complete a
			 Department-approved psychomotor examination, meeting the requirements of the
			 NREMT; the NREMT cognitive computer- based examination; and obtain NREMT
			 certification.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.920 - Grounds for Denial of Certification

Current through Register 1525, July 5, 2024
(A) The
			 Department may deny certification on any of the following grounds:
(1) Failure to meet Department-approved
			 training requirements for a particular level of certification;
(2) Failure to conform to the requirements of
			 105
			 CMR 170.910;
(3) Any actions or omissions which would
			 indicate that the health or safety of the public would be at risk should
			 certification be granted;
(4) Any
			 failure to exercise reasonable care or commission of gross misconduct
			 including, but not limited to, committing an act of violence, a violation of
			 professional boundaries with a patient, or a drug-related offense;
(5) Any previous violation of M.G.L. c. 111C
			 or 105 CMR
			 170.000;
(6) Any attempt to serve as an EMT or to
			 obtain certification through fraud, deceit or knowing submission of inaccurate
			 data or omission of a material fact;
(7) Any action(s) while working as any type
			 of health care professional other than an EMT which would constitute a
			 violation of
			 105 CMR
			 170.000 or M.G.L. c. 111C; and
(8) Any disciplinary violations in
			 Massachusetts or another jurisdiction (state, United States or foreign) by a
			 governmental licensing or certification authority, or by the NREMT, against an
			 EMT or other health care license or certification held by the applicant, for
			 acts or conduct substantially similar to that which would constitute grounds
			 for discipline by the Department.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.930 - Renewal of EMS Personnel Certification

Current through Register 1525, July 5, 2024
(A)
Renewal of EMT Certification
.
(1) All EMTs must renew certification every
			 two years upon expiration of original certification. To be eligible for
			 recertification, all EMTs must:
(a) Meet the
			 requirements of
			 105
			 CMR 170.810(C),
			 170.820(C) 
			 and 170.840(C),
			 as applicable, with respect to continuing education and completion and
			 submission of documentation through the Department-designated web-based
			 continuing education tracking platform, or through alternative means for those
			 granted military extensions or hardship waivers by the Department, within the
			 time period specified by the Department in administrative
			 requirements;
(b) Apply for a
			 renewal of certification on a form provided by the Department, or as otherwise
			 in accordance with Department procedural requirements within the time period
			 specified by the Department in administrative requirements; and
(c) Submit a nonrefundable fee of $125.00
			 with a completed application form, or as otherwise in accordance with
			 Department procedural requirements, for certification.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.931 - Emergency Medical Technicians Engaged in or Recently Discharged from Active Military Service, or Spouses Who Accompanied Personnel Who Are Engaged in or Recently Discharged from Active Military Service

Current through Register 1525, July 5, 2024
(A) An EMT who is engaged in, or recently
			 discharged from, active military service in the armed forces of the United
			 States including the reserve or national guard or who accompanied his or her
			 spouse who is engaged in, or recently discharged from such active military
			 service, may apply for extension of his or her Massachusetts certification, as
			 specified in administrative requirements of the Department.
(B) An applicant for EMT certification who is
			 engaged in, or recently discharged from, active military service in the armed
			 forces of the United States including the reserve or national guard, or who
			 accompanied his or her spouse who is engaged in, or recently discharged from,
			 such active military service, may apply to the NREMT for extension of
			 eligibility to take the certification exams.
(C) An EMT who is a member of the reserves or
			 national guard and engages in regularly scheduled annual training for
			 reservists or the spouse of such an EMT, is not eligible for the extensions
			 permitted under
			 105
			 CMR 170.931 for such training.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.935 - Reinstatement of Certification

Current through Register 1525, July 5, 2024
A person whose certification has expired by more than two
				years, and who is not eligible for recertification as required by
				105
				CMR 170.930 or who has been refused
				recertification under the provisions of
				105
				CMR 170.940(A), may apply to
				the Department for reinstatement of certification in accordance with
				105
				CMR 170.935(A).
(A) To apply for reinstatement at the
			 EMT-Basic level, a person must:
(1)
			 Successfully complete all NREMT education and certification
			 requirements;
(2) Submit a
			 completed application form provided by the Department;
(3) Submit a nonrefundable fee established by
			 the Department with the completed application form for reinstatement of
			 certification;
(4) Successfully
			 complete a Department-approved psychomotor examination, meeting the
			 requirements of the NREMT within one year of the date of the Department's
			 approval of the application to proceed to the psychomotor examination;
			 and
(5) Meet the requirements of
			 105
			 CMR 170.910(A)(1) through
			 (5).
(6) If a person seeking reinstatement as an
			 EMT-Basic holds current NREMT certification, they must submit a completed
			 initial application form provided by the Department and submit a nonrefundable
			 fee established by the Department with the completed application
			 form.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.937 - Reporting Obligations of EMS Personnel

Current through Register 1525, July 5, 2024
(A)
			 Each EMT or EFR shall file a written report with the service in conjunction
			 with which he or she provides EMS, and with the Department within five calendar
			 days of the following:
(1) The EMT's or EFR's
			 conviction of a misdemeanor or felony in Massachusetts or any other state, the
			 United States, or a foreign country (including a guilty plea,
nolo
			 contendre
or admission to sufficient facts, even if the plea or
			 admission results in a continuation without finding), other than a minor
			 traffic violation for which less than $1000 was assessed. The following traffic
			 violations are not minor and must be reported: conviction for driving under the
			 influence, reckless driving, driving to endanger, and motor vehicle
			 homicide;
(2) Loss or suspension of
			 the EMT's or EFR's driver's license;
(3) Disciplinary action taken by another
			 governmental licensing jurisdiction (state, United States or foreign) or the
			 NREMT, against an EMT or other health care certification or license held by an
			 EMT or EFR; or
(4) Suspension or
			 revocation of authorization to practice by the EMT's or EFR's affiliate
			 hospital medical director.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.941 - Written Examination for EMT

Current through Register 1525, July 5, 2024
The Department shall approve a written examination to be
				administered to persons who have applied for certification as an EMT. The
				written examination shall test a person's competence in the cognitive knowledge
				related to the level of certification for which application is
				made.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.942 - Examiners and Chief Examiners: Duties and Requirements for Approval

Current through Register 1525, July 5, 2024
The Department shall approve personnel as Chief Examiners and
				Examiners, who shall be the sole persons authorized to oversee and administer,
				respectively, the practical skills examination required pursuant to
				105
				CMR 170.910(A)(5).
(A)
Duties of a Chief
			 Examiner
. The duties and responsibilities of a Chief Examiner
			 include, but are not limited to, the following:
(1) Overseeing the administration of the
			 psychomotor examination as the Department's and NREMT's representative, to
			 ensure that exam administration conforms to Department's and NREMT's standards
			 including use of current Department or NREMT skill sheets at all EMT
			 levels;
(2) Complying with conflict
			 of interest requirements set out in the Department's Examiner's
			 Manual;
(3) Monitoring Examiners
			 and regularly evaluating in writing their competency and effectiveness;
			 and
(4) Functioning in accordance
			 with the procedures set forth in the Department's Examiner's Manual.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.943 - Renewal of Approval as a Chief Examiner and Examiner

Current through Register 1525, July 5, 2024
The Department may renew approval of a Chief Examiner or
				Examiner for an additional term to run concurrently with his or her EMT
				certification. A Chief Examiner or Examiner must apply for renewal or approval
				on a form provided by the Department, no later than 60 calendar days prior to
				the expiration of the current approval. A person with an expired approval as a
				Chief Examiner or Examiner may not oversee or administer, as applicable, the
				Department's psychomotor examination.
(A) To be eligible for renewal of approval, a
			 Chief Examiner or Examiner must:
(1) Continue
			 to meet the requirements of
			 105
			 CMR 170.942 applicable to his or her level of
			 approval, except that Chief Examiners or Examiners approved by the Department
			 prior to January 6, 2023, may continue to have at least two years of experience
			 in providing prehospital emergency medical care as an EMT at a level equal to
			 or greater than the EMT level for which the test is administered; and
(2) During the term of the immediate past
			 approval period, have received a favorable evaluation from the Department as a
			 Chief Examiner or an Examiner, as applicable. The Department's evaluation of an
			 Examiner will be based, at a minimum, on evaluations by Chief
			 Examiners.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.944 - Grounds for Denial, Suspension, and Revocation of Examiner and Chief Examiner Approval or Reapproval

Current through Register 1525, July 5, 2024
Approval or reapproval as an Examiner and/or Chief Examiner may
				be denied, suspended or revoked by the Department on the following
				grounds:
(A) Failure to meet the
			 requirements of
			 105
			 CMR 170.942 or
			 170.943;
(B) Failure to function during an examination
			 for EMT in accordance with Department standards and procedures established
			 separately as administrative requirements and set forth in the Examiner's
			 Manual;
(C) Interfering with or
			 deviating from the Department examination process for EMT certification so as
			 to improperly influence or attempt to influence the outcome of an
			 examination;
(D) Failure to
			 exercise reasonable care, judgment, knowledge, or ability in the performance of
			 duties as an EMT, as an Examiner, Chief Examiner and/or in conducting any
			 program regulated by the Department, or to perform those duties within the
			 scope of his or her training and certification and/or approval;
(E) Gross misconduct in the exercise of
			 duties as an EMT, an Examiner, a Chief Examiner, and/or in conducting any
			 program regulated by the Department including, but not limited to, committing
			 an act of violence, a violation of professional boundaries with a patient,
			 student, or candidate, or a drug-related offense;
(F) Commission of any criminal offense
			 relating to the performance of duties as an EMT, an Examiner, or a Chief
			 Examiner including, but not limited to, any conviction relating to drug-related
			 offense, or any crime that endangers the public health and safety;
(G) Any condition or action that endangers
			 the health or safety of the public; or
(H) Any violation of M.G.L. c. 111C or
			 105 CMR
			 170.000.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.945 - Department-approved EMT Training

Current through Register 1525, July 5, 2024
(A) All initial
			 training programs must be provided by training institutions accredited by the
			 Department pursuant to
			 105
			 CMR 170.946.
(B) All initial paramedic training programs
			 shall have received accreditation from CAAHEP, or, have initiated the process
			 to obtain such accreditation, as documented by a Letter of Review. Paramedic
			 training programs that have received a Letter of Review must maintain their
			 Letter of Review and achieve CAAHEP accreditation in accordance with CAAHEP
			 Letter of Review process.
(C) All
			 continuing education must either:
(1) Be
			 provided by training institutions accredited by the Department pursuant to
			 105
			 CMR 170.946, or
(2) Have received individual program
			 approvals by the Department pursuant to
			 105
			 CMR 170.960.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.946 - Accreditation of Training Institutions: General Provisions

Current through Register 1525, July 5, 2024
(A)
Eligibility
. A
			 training institution seeking Department accreditation shall be an organization
			 capable of providing programmatic and fiscal oversight of, and assuming
			 accountability for, the instruction, operation, performance and evaluation of
			 the training of EMTs and EMT-candidates. To be eligible to apply for
			 accreditation, the training institution must provide, either directly or
			 through contractual arrangements with a Department-accredited training
			 institution or postsecondary educational institution, a basic infrastructure
			 that:
(1) Employs quality assurance/quality
			 improvement procedures for assessing the institution's performance;
(2) Adequately assesses the performance of
			 instructors and assumes clear accountability for its instructors;
(3) Adequately assesses the performance of
			 its students;
(4) Provides its
			 students with adequate access to research and learning tools and materials
			 including, but not limited to, library facilities, computers, audio-visual
			 educational aids and other technology determined to be necessary by the
			 Department;
(5) Provides adequate
			 classroom facilities and practical skills training areas;
(6) Provides adequate opportunities for
			 students to complete clinical and field internships in a timely
			 manner;
(7) Provides adequate
			 administrative support; and
(8)
			 Institutions providing paramedic training programs must have current CAAHEP
			 accreditation of the paramedic training program, or a Letter of Review. Those
			 that have a Letter of Review must maintain such Letter in accordance with
			 CAAHEP Letter of Review process.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.947 - Provisional Accreditation

Current through Register 1525, July 5, 2024
(A) The Department
			 may issue provisional accreditation to an applicant for either accreditation or
			 renewal of accreditation when the applicant does not meet the requirements of
			 105
			 CMR 170.946 through
			 170.950, provided that the
			 applicant has demonstrated to the Department's satisfaction a good faith
			 intention to meet all such requirements and provided that the Department finds
			 the applicant has provided adequate EMT training and evidences a potential for
			 full accreditation within a reasonable period not to exceed one year.
(B) In order to be provisionally accredited,
			 the applicant training institution shall document in writing a plan for meeting
			 all the requirements for full accreditation, and the Department must have
			 approved the plan.
(C) Provisional
			 accreditation shall expire one year after the date on which it was issued, and
			 may be renewed for one additional year, subject to Department review and
			 approval. The Department shall in no case issue provisional accreditation more
			 than two consecutive times to the same training institution.
(D) During the period of its provisional
			 accreditation, the training institution shall timely submit to the Department
			 documentation and other information as may be required, in accordance with
			 administrative requirements of the Department.