Public Comment

The following proposed rulemaking documents and information are being made available to the public pursuant to Government Code §11340.85. To obtain a copy of any of the documents on this page, please contact the contact person listed in the respective “Notice of Proposed Rulemaking” or “Notice of Modified Text” document, or submit a request via email to

Participating in the Regulatory Process

Public comments must be submitted on or by the last day of the public comment period as shown below. Written comments may be submitted by mail, email, or fax, or in-person by attending a public hearing. For more information, please see the instructions in the respective “Notice of Proposed Rulemaking” or “Notice of Modified Text” document. Please note: some documents are in (.pdf) format and require Adobe Acrobat Reader, which is available for free download from Adobe Systems.

Interested Parties Mailing List

If you would like to receive notification of all EMS Authority regulatory activities, please sign up for EMSA’s Interested Parties Mailing List. (A printable copy of the mailing list form is available here.) For questions related to the mailing list, EMSA’s regulations, proposed regulatory actions, or the rulemaking process, please contact


Chapter 4. Emergency Medical Technician-Paramedic Regulations

The proposed rulemaking action making modifications to Chapter 4 of Division 9, Title 22, of the California Code of Regulations was approved by the Office of Administrative Law on Friday, January 24, 2020, and shall be effective on April 1, 2020. 

Fourth 15-Day Public Comment Period: September 13, 2019, through September 28, 2019

Third 15-Day Public Comment Period: August 19, 2019, through September 3, 2019

Second 15-Day Public Comment Period: July 30, 2019, through August 14, 2019

15-Day Public Comment Period: June 11, 2019, through June 26, 2019

45-Day Public Comment Period: April 5, 2019, through May 20, 2019