Skip to main content

Oregon State Flag An official website of the State of Oregon »

Oregon.gov Homepage

Rulemaking Activity

EMS and Trauma Systems Rulemaking Advisory Committees

Rulemaking Advisory Committees, also known as RACs, are an important process that allow members of the public and communities to provide input and suggestions during the development of new rules or amending current rules. Information relating to EMS and Trauma Systems rulemaking advisory committees are noted below. Additional information is also available about how a person or community affected by EMS and trauma system regulatory functions may apply to serve on a Rule Advisory Committee (RAC).

​There are no temporary rules in place at this time.


​Notices of Proposed Rulemakings on this page: 

Notice of Proposed Rulemaking for OAR 333-200 - Updated Field Triage Guidelines and Trauma Team Activation

The Oregon Health Authority, Public Health Division, EMS & Trauma Systems (EMS & TS) program is proposing to permanently amend Exhibit 2 (National Guideline for the Field Triage of Injured Patients) and Exhibit 3 (Oregon Hospital Trauma Team Activation Criteria) in Oregon Administrative Rules chapter 333, division 200. These exhibits have been updated to align with the revised, 2021 National Guideline for Field Triage of Injured Patients and the 2022 Resources for Optimal Care of the Injured Patient

Pursuant to ORS 431A.050 and 431A.060, the EMS & TS program is responsible for the development of a comprehensive statewide trauma system which includes the development of state trauma objectives and standards, hospital designation, and the criteria and procedures utilized in designating hospitals. The EMS & TS program is also responsible for identifying the standards that must be addressed in ambulance service area plans which includes triage and transportation protocols. 

The 2021 National Guideline for Field Triage of Injured Patients was developed by a national expert panel led by the American College of Surgeons with support from the National Highway Traffic Safety Administration, the Health Resources and Services Administration's Maternal and Child Health Bureau, and the EMS for Children Program. The national expert panel included EMS clinicians, EMS physicians, emergency physicians, EMS medical directors, experts in EMS training and education, EMS and trauma system administrators, researchers, and others.

In addition, the EMS & TS program is responsible for the development and amendment of Hospital Trauma Team Activation Criteria. The 2022 Resources for Optimal Care of the Injured Patient detail the principles regarding resources, performance improvement patient safety processes, data collection, protocols, research, and education for trauma centers. Standard 5.3 Levels of Trauma Activation was the primary reference for amendments to the current Exhibit 3.

Please see the Notice of Proposed Rulemaking for further details.

Persons are being invited to review these proposed rules and to comment on them.  If persons wish to present oral testimony, a public hearing will be held via video/teleconference on January 17, 2024 at 2:00 p.m. To provide oral testimony during the hearing, please contact publichealth.rules@odhsoha.oregon.gov to sign-up and receive the link for the Microsoft Team video conference. Alternatively, you may dial 971-277-2343, Phone Conference ID 800 860 970# for audio only.

Persons may also file written comments before 5:00 p.m. on January 22, 2024, 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 be emailed to:  publichealth.rules@odhsoha.oregon.gov or sent by fax to: (971) 673-1299.

Final rules will be filed after consideration of all comments. 

For more details, please see the following link for the Notice of Proposed Rulemaking, including the Statement of Need and Fiscal and Racial Equity Impact, and the full text of these proposed rules:
Persons may contact Mellony Bernal at mellony.c.bernal@oha.oregon.gov for questions or to receive a hardcopy. 

Accessibility Statement: For individuals with disabilities or individuals who speak a language other than English, OHA can provide information in alternate formats such as translations, large print, or braille. Contact the Public Health Division at 971-673-1222, 711 TTY or publichealth.rules@odhsoha.oregon.gov. 


Notice of Proposed Rulemaking for OAR 333-270-0030 - "Adding Reference to Portable Order to the Definition of POLST"

​The Oregon Health Authority (Authority), Public Health Division, Health Care Regulation and Quality Improvement section is proposing to permanently amend Oregon Administrative Rules in chapter 333, division 270 by updating the definition of POLST in its administrative rule to reflect references to both "physician order" and "portable order." The POLST Registry was adopted in 2009 under ORS 127.666 and requires the collection and dissemination of information relating to life-sustaining treatment orders to help ensure that an individual's medical treatment preferences when close to end-of-life are followed. The Oregon Health Authority (OHA) has contracted with the Oregon Health and Science University (OHSU) to maintain the POLST registry. The OHSU, Oregon POLST Program updated the term "Physician Order for Life Sustaining Treatment" in 2018 to "Portable Orders for Life Sustaining Treatment." The purpose of this update was to recognize that orders for life-sustaining treatment may be authorized not only by physicians, but nurse practitioners and physician assistants as well. 
 
Persons are invited to review and comment on the proposed rules. Persons may file written comments before 5:00 p.m. Pacific Time on January 22, 2024 by submitting them 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 be emailed to: PublicHealth.Rules@odhsoha.oregon.gov or sent by by fax to (971) 673-1299.

Final rules will be filed after consideration of all comments. 

For more details, please see the following link for the Notice of Proposed Rulemaking, including the Statement of Need, Fiscal and Racial Equity Impact and the full text of the proposed rules.
​If you have any questions or would prefer to receive a hardcopy, please contact Mellony Bernal at mellony.c.bernal@oha.oregon.gov​.

Accessibility Statement: For individuals with disabilities or individuals who speak a language other than English, OHA can provide information in alternate formats such as translations, large print, or braille. Contact the Public Health Division at 971-673-1222, 711 TTY or publichealth.rules@odhsoha.oregon.gov. 

The following rule advisory committees (RACs) are in progress. RAC meetings are not subject to the public meetings law. Members of the public may attend in person or virtually to listen to the dialogue but may not participate or offer public comment during the meeting (see agenda for location & meeting link). Members of the public may submit comments or questions at the conclusion of the RAC meeting to mellony.c.bernal@oha.oregon.gov​ and information will be shared with appropriate staff. After the RAC process has concluded, information will be posted under "Proposed Rules Out for Public Comment" including time and location of public hearing and deadline for providing oral or written comments.  

OAR 333-200-0080 - Guidelines for Field Triage of Injured Patients (Exhibit 2) and Trauma Team Activation (Exhibit 3) RAC

The purpose of this RAC is to review proposed amendments to OAR 333-265-0080 and Exhibit 2 and the adoption of the 2021, National Guideline for Field Triage of Injured Patients. This RAC will also consider amendments to the Trauma Team Activation Criteria in Exhibit 3 which includes changes to align with Exhibit 2 and the addition of findings-based criteria to activate a trauma team. (The RAC process is complete and proposed rules​ out for public comment.)

Meeting date(s), agendas and meeting notes:


​OAR 333-250 & 255 - Ambulance Service and Ambulance Vehicle Licensing Requirements

The purpose of this RAC is to discuss licensing requirement updates for an ambulance service and an ambulance vehicle. RAC meetings will be convened in the Spring of 2024. (The RAC application process closed on December 15, 2023.

  • Meeting dates - To be determined

OAR 333-265 - Paramedic​ Licensure and Military Spouse/Domestic Partner Provision RAC

The purpose of this RAC is to consider the associate degree requirement for a Paramedic as well as requirements and documentation necessary for a spouse/domestic partner of a member of the armed forces who is licensed as an EMS provider in another state to seek temporary licensure in Oregon. (RAC process is complete and permanent rules adopted​.) 

Meeting date(s), agendas and meeting notes:




The EMS and Trauma Systems Program is seeking persons and communities who would be affected by administrative rules relating to any of EMS and Trauma System's regulatory functions and who would be interested in serving on a RAC.

RACs are an important process​ that allow members of the public and communities to provide input and suggestions during the development of new administrative rules, amending or repealing existing rules, and identifying the potential fiscal impact on small business as well as the effect on racial equity in Oregon. Diverse opinions and viewpoints are an important part of the rulemaking process.

The following is a list of administrative rules pertaining to the regulatory and licensing functions of the EMS and Trauma System Program. Persons interested in serving on future RACs relating to any of these topics are encouraged to send the completed RAC Interest Application form to mellony.c.​bernal@oha.oregon.gov​ 

Applications will be saved and applicants contacted when future RACs are convened. 

Regulatory Functions

  • Ambulance Service Licensing (OAR 333-250)
  • Ambulance Vehicle Licensing (OAR 333-255)
  • County Ambulance Service Area Plans (OAR 333-260)
  • Emergency Medical Services and Systems/Trauma Hospital Designation (OAR 333-200)
  • Emergency Medical Services Providers (OAR 333-265)
  • Oregon POLST (Physician Orders for Life-Sustaining Treatment) Registry (OAR 333-270)
  • Training on Lifesaving Treatments (OAR 333-055)
  • Trauma System Hospital Designation in Trauma Area #1 (OAR 333-205)