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 regulations@emsa.ca.gov.

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 regulations@emsa.ca.gov.

Chapter 13. Emergency Medical Services System Regulations

45-Day Public Comment Period: March 6, 2020 through June 8, 2020

Public Hearing: June 9, 2020

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.

• Notice of Proposed Rulemaking
• Proposed Text
• Initial Statement of Reasons (ISOR)
• Public Comment Form
• Documents Incorporated by Reference:
  • Table 1: System Organization and Management (09-2019)
  • Table 2: Manpower and Training (09-2019)
  • Table 3: Communications (09-2019)
  • Table 4: Response and Transportation (09-2019)
  • Table 5: Assessment of Hospitals and Critical Care Centers (09-2019)
  • Table 6: Public Information and Education (09-2019)
  • Table 7: Disaster Medical Response (09-2019)
  • Form 1: EMS Plan System Assessment Summary (09-2019)
  • Form 2: EMS Plan System Assessment of Standard (09-2019)
  • Form 3: Ambulance Operating Zone Summary Form (09-2019)

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. 

• STD. 400 AND OAL NOTICE OF APPROVAL OF REGULATORY ACTION
• ADOPTED REGULATION TEXT
• FINAL STATEMENT OF REASONS

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

• Notice of Fourth 15-Day Public Comment Period
• Modified Text
• Public Comment Form

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

• Notice of Third 15-Day Public Comment Period
• Modified Text
• Public Comment Form

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

• Notice of Second 15-Day Public Comment Period
• Modified Text
• Public Comment Form
• Documents Incorporated by Reference:
  • CAAHEP Standards and Guidelines for the Accreditation of Educational Programs in the Emergency Medical Services Professions (2015)

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

• Notice of 15-Day Public Comment Period
• Modified Text
• Public Comment Form

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

• Notice of Proposed Rulemaking
• Proposed Text
• Initial Statement of Reasons (ISOR)
• Public Comment Form
• Documents Relied Upon
  • EMSAAC and EMDAC Joint Position Paper: “Medical Control and Alternate Destination Release from Scene” (August 7, 2018)
• Documents Incorporated by Reference:
  • January 2009 US DOT National Emergency Medical Services Education Standards
  • Initial In-State Paramedic License Application (Form L-01, revised 03/2019)
  • Out-of-State Paramedic License Application (Form L-01A, revised 03/2019)
  • Initial Challenge Paramedic License Application (Form CL-01A revised 03/2019)
  • Renewal Paramedic License (Form RL-01, revised 03/2019)
  • Audit Renewal Paramedic License Application (Form AR-01, revised 03/2019)
  • Reinstatement Paramedic License Application Lapsed Less than One Year (Form RLL-01A, revised 03/2019)
  • Reinstatement Paramedic License Application Lapse of One Year or More (Form RLL-01B, revised 03/2019)
  • Request for Licensure Certification Verification (Form VL-01, revised 03/2019)
  • Request for Approval of Undefined Scope of Practice (Form #EMSA-0391, revised 01/17)
• Documents Previously Incorporated by Reference (repealed/replaced by this proposal)