Coronavirus Disease 2019 (COVID-19)

California is responding to the spread of a respiratory illness caused by a novel coronavirus (COVID-19) first identified in Wuhan, Hubei Province, China. Cases of COVID-19 are also being reported internationally and in the United States. California is actively working with the White House, Centers for Disease Control and Prevention (CDC), local governments, health facilities, and health care providers across the state to prepare and protect Californians from COVID-19. 

For daily California COVID-19 updates, please visit the California Department of Public Health website.

EMS Guidance for COVID-19

Interim Emergency Medical Services Guidelines for COVID-19

  • EMSA Director Dr. Dave Duncan has released a comprehensive EMS guidance for all first responders who anticipate close contact with persons with possible or confirmed COVID-19.

Healthcare Personnel with Potential Exposure to Patients with COVID-19

  • Centers for Disease Control and Prevention (CDC) interim guidance intended to assist with assessment of risk, monitoring, and work restrictions for healthcare personnel with potential exposure to patients with COVID-19.

Home Care Instructions for Patients With Mild Respiratory Infection

  • EMSA has released instructions for persons experiencing mild respiratory infections, including when and when not to go to the hospital, with tips for treatment and steps to follow to help prevent illnesses from spreading to people in your home and community.

Workforce Maintenance Policy

  • Policy to implement the Emergency Proclamation of the Governor to maintain medical workforce.

Hotel Rooms for California Healthcare Workers

  • California has created a program to provide hotel rooms to healthcare workers who give critical care to COVID-19 patients so they don’t bring home the virus to their household. Once they leave their shift, they can stay near their healthcare facility at a participating hotel for free or at a discount. For more information, call 1-877-454-8785 or go to

Authorization of Out-Of-State Medical Personnel

EMSA has adopted policies and procedures governing the use of out-of-state medical personnel to respond to the COVID-19 outbreak pursuant to the Governor’s Emergency Proclamation on March 4, 2020.

Authorization Policy and Procedures

  • Policy and procedures for the authorization of out-of-state medical personnel to work within California in response to the COVID-19 outbreak.

Authorization Request Form

  • Medical facilities, healthcare providers, and staffing agencies must submit this form to EMSA for the authorization of out-of-state medical personnel to work at the facility in response to the COVID-19 outbreak.

Placement Notification Form

  • Staffing Agencies are required once it has placed an approved healthcare professional, notify the EMS Authority of the placement, the facility name, and the expected duration of the placement. This form has been created to assist with this requirement.

Incident Report Form

  • This form is for medical facilities to report any incidents involving out of state medical professionals.

Providers Seeking to Treat Pre-existing Patients who relocated to California

  • Out-of-state licensed health care practitioners with a pre-existing patient who is moving to California may seek to obtain a 30-day waiver to temporarily continue to provide care to that patient remotely via telehealth. 

Healthcare Facilities Urgent Staffing Needs

Requests for Urgent Staffing Resources for COVID-19

  • The California Department of Public Health has issued an All Facilities Letter (AFL) to clarify the process for requesting staffing resources for healthcare facilities and alternate care sites during COVID-19.

EMS Licensing, Certification, and Training Requirements

Governor Newsom’s Executive Order dated March 30, 2020 allows EMSA to suspend statutory and regulatory requirements for EMS Personnel to ensure the continued operation of emergency medical systems during the COVID-19 outbreak.

Policy to Ensure the Continued Operation of the EMS System

  • EMSA Director Dr. Dave Duncan has adopted a policy regarding EMS licensure, certification, and training to implement Executive Order N-39-20.

COVID-19 Paramedic Licensure Fact Sheet

  • The EMSA Paramedic Licensure Unit has issued a fact sheet with common Q&A’s for paramedics who are licensed in California, or seeking licensure or reinstatement in California.

Use of Alternate Destination Facilities

Alternate Destination Policy and Procedure

Local Optional Scope of Practice

EMSA is accepting local optional scope of practice requests from local emergency medical services agency (LEMSA) medical directors, pertaining to COVID-19.  The Governor’s Emergency Proclamation dated March 4, 2020, provides the Director of EMSA the authority to approve the expansion of local optional scope of practice for Emergency Medical Technicians (EMT), Advanced EMTs (AEMT), and paramedics to aid in the prevention of the spread of the virus. Below are standardized template material that medical directors may use when applying for local optional scope of practice requests pursuant to this proclamation.

Influenza Vaccination – Application

Influenza Vaccination Administration: Local Optional Scope of Practice Application

  • Application for use for paramedic administration of intramuscular influenza vaccination and/or COVID-19 vaccination when available. 

Influenza Vaccination Administration: Training Materials

  • Training material for intramuscular influenza vaccination.

Influenza Vaccination Fact Sheet

  • Fact sheet for influenza vaccination.

Influenza Vaccination Administration: Policy and Procedure

  • Template policy and procedures for intramuscular influenza and COVID-19 vaccination

Influenza Vaccination Administration: Checklist

  • Screening checklist for contraindications to influenza vaccination.

Influenza Vaccination Refrigerator Temperature Log

  • Refrigeration temperature log for influenza vaccination storage.


Static Site – Application

Static site Paramedic and EMT Assisted Medical Administration: Local Optional Scope of Practice Application

  • Application for use for EMTs and paramedics assigned to static sites as related to COVID-19 response.


Nasopharyngeal Specimen Collection for COVID-19 – Application

Nasopharyngeal Specimen Collection for COVID-19: Local Optional Scope of Practice Application

  • Application for use for EMT and paramedic administration of nasopharyngeal specimen collection for COVID-19.

Nasopharyngeal Specimen Collection for COVID-19: Training Material

  • Training material for nasopharyngeal specimen collection, storage, and transport.

Administration of Nasopharyngeal Specimen Collection for COVID-19: Training Sign-in Sheet

  • Sign-in sheet for use when conducting nasopharyngeal specimen collection.

Administration of Nasopharyngeal Specimen Collection for COVID-19: Competency Checklist

  • Skill verification sheet to be used for administration of nasopharyngeal specimen collection.


Approved Local Optional Scope of Practice Requests

Approved COVID-19 Local Optional Scopes of Practice

  • Verified September 22, 2020.


If you have any questions, please send an e-mail to





California Medical Assistance Team (CAL-MAT)

Join the California Medical Assistance Team (CAL-MAT) Program to Support COVID-19 Outbreak response!

EMSA is currently soliciting for new members to provide immediate support for the Coronavirus (COVID-19) Medical Response. CAL-MATs are healthcare professionals and logisticians activated by the EMS Authority to provide medical care during disasters. The teams are rapidly deployable and capable of treating patients within hours at field treatment sites, shelters, existing medical facilities, alternate care sites, and other designated locations. The program is organized and coordinated by the California EMS Authority.

Sign up at

If you are interested in deploying for the COVID-19 response, do not mail your application. Please send an email to with your application. A copy of your driver’s license, and social security card is required at time of hire. Applications may also be accepted in person.

California Department of Public Health

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The California Department of Public Health is issuing daily updates on Coronavirus Disease 2019 (COVID-19).

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Office of Governor Gavin Newsom

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Governor Gavin Newsom has declared a State of Emergency as part of the state’s response to address the global COVID-19 outbreak.

Coronavirus Response resources for the public can be found at

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Centers for Disease Control and Prevention

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The Centers for Disease Control and Prevention (CDC) will provide updated COVID-19 information as it becomes available, in addition to updated guidance.

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World Health Organization

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The World Health Organization directs international health within the United Nations’ system and to lead partners in global health responses. 

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California Emergency Medical Services Authority
10901 Gold Center Drive, Ste. 400
Rancho Cordova, CA. 95670-6073

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(916) 431-3656

(916) 431-3700