Organization Title


Epinephrine Auto-Injector Training and Certification

Epinephrine Auto-injector Training and Certification for Lay Rescuers and Off-duty EMS Personnel


On October 10, 2013, SB 669 (Huff - R) Emergency medical care: epinephrine auto injectors was signed by the Governor and Chaptered by the Secretary of State. 

SB 669 authorizes an off-duty pre-hospital emergency medical care person or lay rescuer to use an epinephrine auto-injector to render emergency care to another person, as specified. The bill requires the California Emergency Medical Services Authority (EMSA) to approve authorized training providers and to establish and approve minimum standards for training and the use and administration of epinephrine auto-injectors. The bill also specifies components to be included in the minimum training and requirements. This bill contains other related provisions and other existing laws.  Read the full text of the signed bill here.


Milestones to Implement SB 669

A taskforce of EMS stakeholders and Subject Matter Experts will be convened to assist the EMS Authority in developing the training standards required by SB 669.  The taskforce will also assist in creating an initial draft of regulations to outline the training and certification process and requirements for a layperson or off duty EMS personnel obtain an epinephrine auto-injector.

Once regulations have been drafted, the EMS Authority will follow the Administrative Procedure Act and open a rulemaking file with the Office of Administrative Law.  A public comment period will allow members of the public to provide comment and suggestions about the regulations before they are adopted.  The rulemaking process must be completed within one year.

With regulations in place, the EMS Authority will review and approve training programs that will provide training for the administration of epinephrine auto-injectors.  Certification of approved training will allow a layperson or off duty EMS personnel to obtain a prescription and administer an epinephrine auto-injector to a person experiencing anaphylaxis, with civil liability protection, when acting in good faith and not for compensation. 


Estimated Implementation Timeline


October 2014

Taskforce drafts regulations to outline training standards and certification

December 2014

Rulemaking file opened with Office of Administrative law; Regulations must be approved within one year

December 2014

Draft regulations released for public comment

September 2015

Draft regulations submitted to Commission on EMS for approval

October 2015

Office of Administrative Law reviews and approves regulations

January  2016

Epinephrine Auto-injector Regulations go into effect



Contact Us

For questions regarding Epinephrine auto-injectors and SB 669, or to be added to our list to receive updates on this topic, please contact:

Corrine Fishman
Phone: (916) 431-3727

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