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 California Emergency Medical Services Authority (EMSA) 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 13. Emergency Medical Services System Regulations

45-Day Public Comment Period: March 6, 2020, through July 23, 2020

Public Hearing: July 23, 2020

May 18, 2020: Given the continuing emergency situation facing California and that it is directly impacting many of our stakeholders, the Emergency Medical Services Authority (EMSA) will again be extending the comment period and rescheduling the public hearing for the Chapter 13 regulations which were Noticed on March 6, 2020. The comment period was originally scheduled to close April 20, 2020, and was extended until June 8, 2020. EMSA is now extending the public comment period through July 23, 2020. Likewise, the public hearing originally scheduled for April 21, 2020 and was rescheduled for June 9, 2020, will likewise be rescheduled for July 23, 2020. EMSA will provide updated information regarding the manner in which the public hearing will take place given restrictions on gatherings and current distancing guidelines to ensure public health.

March 16, 2020: Given the emergency facing California, EMSA has extended the comment period and rescheduled the public hearing for the proposed Chapter 13 regulations, which were Noticed on March 6, 2020. The initially scheduled comment period was set to conclude on April 20, 2020. EMSA will accept public comments through June 8, 2020. Likewise, the public hearing initially scheduled for April 21, 2020, will be rescheduled for June 9, 2020, and will take place at the same time and at the same location stated in the Notice of Proposed Rulemaking.

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.