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Rules and Statutes

OARs and ORS

Browse this listing of links to Oregon Administrative Rules (OARs) and Statute (ORS) and resources related to the legal authority of the EMS & Trauma Program. Resources listed here include recent changes to continuing education requirements and exhibits referenced in OAR 333-200 and OAR 333-205.

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Proposed Rules

The Oregon Health Authority, Public Health Division is proposing to permanently amend and repeal rules in chapter 333, division 270 pertaining to the Oregon POLST (Physician Orders for Life-Sustaining Treatment) Registry.  In response to passage of HB 2301 (Oregon Laws 2017, chapter 101) and SB 856 (Oregon Laws 2017, chapter 356) and a petition from the Oregon POLST Coalition, the Oregon POLST Registry administrative rules are being amended. Proposed amendments address the needs of hospice programs that may have a pressing need to put a POLST form in place for patients being served and will also help other types of long term care programs such as nursing facilities. The proposed changes will allow an authorized POLST signer to issue a phone order for a patient newly enrolled in hospice eliminating the need to obtain an immediate written signature which can take several days. Additionally, the amendments remove the POLST Registry Advisory Committee (PRAC) given passage of HB 2301 and allow a naturopathic physician to sign and submit POLST orders given passage of SB 856.
Persons wishing to comment on these rules may provide oral testimony at the public hearing being held in Portland, Oregon at 800 NE Oregon St, Room 221, on September 21, 2017 at 1:00 p.m. Written comments may also be submitted before 5:00 p.m. on September 22, 2017 to the Public Health Division Rules Coordinator at the following address:
OHA, Public Health Division
Brittany Hall, Administrative Rules Coordinator
800 NE Oregon Street, Suite 930
Portland, Oregon 97232
Comments may also be e-mailed to: or sent by fax to (971) 673-1299.
Final rules will be filed after consideration of all comments.
Questions or requests for hard copies can be sent to Mellony Bernal at

New and Amended Rules

EMS Course and EMS Provider Licensure Requirements

The Oregon Health Authority (OHA), Public Health Division has permanently amended and adopted Oregon Administrative Rules in chapter 333, division 265 relating to EMS course requirements and requirements for EMS provider licensure. Amendments were made in order to remove outdated fees and continuing education references; update and align language with the National Registry; provide additional options for rural communities to provide EMS courses; clarify reinstatement requirements after reverting to a lower level; and updates to ensure consistent use of terminology, clarify current practice and processes, and correct references to statutes and rules. The revised rules are effective March 30, 2017.

Permanent rule text: 333-265-0000 through 0170

Ambulance Service Agency Licensing

The Oregon Health Authority (OHA), Public Health Division has permanently amended and adopted Oregon Administrative Rules in chapter 333, division 250 relating to the licensing requirements for ambulance service agencies. Amendments were made in order to update language and terms to reflect current terminology, technology and statutory references; align rules with other facility licensing types including streamlining the organization of the rules; clarify licensing requirements and actions necessary; require criminal background checks on qualified drivers; recommend minimum requirements for a quality assessment and performance improvement program; and clarify both ambulance service agency and OHA responsibilities. The revised rules are effective March 21, 2017. 

Permanent rule text: 333-250-0200 through 0410

Ambulance Service Agency Providing Secure Transport

Approval of secure transport providers is addressed in OAR 309-033-0432 through 0437. Ambulance service agencies wishing to provide secure transport or have questions about the approval process should contact Sam Dickson at
OAR chapter 309, division 033 (Reference OARs 309-033-0432 through 0437)
OAR chapter 333, division 250 [Reference OAR 333-250-0265(1)(j) and OAR 333-250-0270(3)(b)]

Temporary Rules

There are no temporary rules in effect at this time.

Oregon Administrative Rules

OAR 333-200

Oregon Trauma System Rules and Exhibits

PDF iconExhibit 1 - Oregon Trauma System Area Map
PDF iconExhibit 2 - Guidelines for Field Triage of Injured Patients
PDF iconExhibit 3 - Oregon Hospital Trauma Team Activation Criteria
PDF iconExhibit 4 - Oregon Trauma Hospital Resource Standards
PDF iconExhibit 5 - Oregon Criteria for Consideration of Transfer to a Level I or Level II Trauma Center
OAR 333-205 Oregon Trauma System Hospital Identification in Trauma Area #1 
OAR 333-250 Ambulance Service Licensing
OAR 333-255 Ambulance Licensing
OAR 333-260 Ambulance Service Areas
OAR 333-265

EMS Providers

OAR 847-035 EMS Providers and EMS Supervising Physicians Scope of Practice 
(Oregon Medical Board)
OAR 333-055

Programs to Treat Allergic Response, Adrenal Insufficiency, Hypoglycemia and Opiate Overdose


Oregon Revised Statutes

ORS 431A Emergency Medical Services and Trauma Systems
ORS 431A.105 Emergency Medical Services for Children Program
ORS 433.800-830 Programs to Treat Allergic Response, Adrenal Insufficiency or Hypoglycemia
ORS 682 Regulation of Ambulance Services and Emergency Medical Services Providers
ORS 030 "Good Samaritan Law" - see ORS 030.800
ORS 041 Confidentiality of patient records in general - see ORS 041.675 - 041.685
ORS 431A Confidentiality under the Oregon Trauma System - see ORS 431A.090(4)(a)
ORS 431A.455 Automated External Defibrillator (AED) required at places of public assembly
ORS 676 Health Professionals Reporting and Complaints - see ORS 676.150 - 676.180
ORS 183 Administrative Procedure Act
ORS 820 Exemptions from traffic laws: Ambulance and Emergency Vehicles - see ORS 820.300 - 820.380

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