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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 continuing education requirements and exhibits referenced in OAR 333-200 and OAR 333-205.

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Proposed Rules

Notice of Proposed Rulemaking Hearing - OARs 333-250, 255 and 265

The Oregon Health Authority, Public Health Division, EMS and Trauma Systems program is proposing to permanently amend Oregon Administrative Rules in chapters 333, divisions 250, 255 and 265 relating to compliance with Governor's Executive Orders, ambulance construction criteria, and requirements for ambulance vehicles on reserve or loan.

In response to revised construction standards adopted by the Commission on Accreditation of Ambulance Services (CAAS) and the National Fire Protection Association, the Authority is revising its ambulance construction criteria to align with these national standards. Additionally, the Authority is adopting by reference, the standards adopted by CAAS for remounting an ambulance vehicle for purposes of patient and EMS provider safety. Terms have been updated and a definition for 'previously operated ambulance' has been added for clarity. Based on inquiries from the industry, rules have also been added to clarify requirements for reserve ambulance vehicles and whether a licensed ambulance vehicle can be loaned to another licensed ambulance service agency.  

The Authority is also adopting rules in response to the COVID-19 pandemic that clarify it is a violation for a licensed ambulance service agency to not comply with a Governor's Executive Order and any guidance issued by the Authority as a result of an Executive Order. The Authority may investigate such actions and potentially take licensing action. Additionally, it is expected that licensed EMS providers also comply with Governor's Executive Orders and any subsequent guidance. Failure to comply with such orders could be considered conduct or practice contrary to recognized standards of ethics and as such an EMS provider could be subject to an investigation and possible disciplinary action.

Please see the Notice of Proposed Rulemaking for further details below.

Interested persons are being invited to review these proposed rules and to comment on them.  Oral testimony may be presented during a public hearing that will be held via teleconference on November 20, 2020 at 10:30 a.m. If you wish to present oral testimony during the hearing, please call 1-877-848-7030 Access Code: 2030826#.

Persons may also file written comments before 5:00 p.m. on November 23, 2020 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

Written comments may be E-mailed to: publichealth.rules@state.or.us or sent by fax to: (971) 673-1299.

Final rules will be filed after consideration of all comments.  

For more details, including the Notice of Proposed Rulemaking, Statement of Need and Fiscal Impact, and the full text of the proposed rules, please select the following link: 

Please contact Mellony Bernal at mellony.c.bernal@state.or.us with questions. 


Notice of Proposed Rulemaking Hearing - OAR 333-200

The Oregon Health Authority, Public Health Division, EMS and Trauma Systems program is proposing to permanently amend Oregon Administrative Rules in  chapter 333, division 200 relating to conducting electronic trauma hospital surveys.

Due to the COVID-19 pandemic and as a result of the Governor's Executive Order to slow the spread of COVID-19 and mitigate the public health impacts of the pandemic, the Authority is proposing to allow trauma hospital surveys to be conducted using electronic and telecommunication technologies in specific circumstances as opposed to requiring an on-site survey. 

Please see the Notice of Proposed Rulemaking for further details below.

Interested persons are being invited to review these proposed rules and to comment on them.  Oral testimony may be presented during a public hearing that will be held via teleconference on December 18, 2020 at 11:00 a.m. If you wish to present oral testimony during the hearing, please call 1-877-848-7030 Access Code: 2030826#.

Persons may also file written comments before 5:00 p.m. on December 21, 2020 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

Written comments may be E-mailed to: publichealth.rules@state.or.us or sent by fax to: (971) 673-1299.

Final rules will be filed after consideration of all comments.  

For more details, including the Notice of Proposed Rulemaking, Statement of Need and Fiscal Impact, and the full text of the proposed rules, please select the following link: 

Please contact Mellony Bernal at mellony.c.bernal@state.or.us with questions. 


Notice of Proposed Rulemaking Hearing - OAR 333-265

The Oregon Health Authority, Public Health Division, EMS and Trauma Systems program is proposing to permanently amend Oregon Administrative Rules in  chapter 333, division 265 relating to continuing education requirements for EMS providers.

In response to passage of HB 2011 (Oregon Laws 2019, chapter 186), the EMS and Trauma Systems program is amending the continuing education requirements in Appendix 1 to include one hour of cultural competency education for Emergency Medical (EMR) and two hours of cultural competency education for Emergency Medical Technicians (EMTs), Advanced EMTs, EMT Intermediates (EMT-I) and Paramedics.

Additional changes include requiring an EMR to have two hours of education on pediatric and obstetric emergencies instead of one hour and eliminating the 'Education Topics Approved by the Medical Director' which was creating confusion for an unaffiliated EMS provider. The 'Miscellaneous EMS Topics' section has increased hours due to removal of the topics approved by an EMS Medical Director, but the overall hours required to renew an EMS provider's license remains the same. Appendix 2, which applies a more equitable distribution of continuing education credit requirements for EMRs and EMT-Is when their initial licensee has less than 24 months before the license expires, has also been amended to align with the changes in Appendix 1.  

Please see the Notice of Proposed Rulemaking for further details below.

Interested persons are being invited to review these proposed rules and to comment on them.  Oral testimony may be presented during a public hearing that will be held via teleconference on December 18, 2020 at 11:30 a.m. If you wish to present oral testimony during the hearing, please call 1-877-848-7030 Access Code: 2030826#.

Persons may also file written comments before 5:00 p.m. on December 21, 2020 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

Written comments may be E-mailed to: publichealth.rules@state.or.us or sent by fax to: (971) 673-1299.

Final rules will be filed after consideration of all comments.  

For more details, including the Notice of Proposed Rulemaking, Statement of Need and Fiscal Impact, and the full text of the proposed rules, please select the following link: 

Please contact Mellony Bernal at mellony.c.bernal@state.or.us with questions. 

New and Amended Rules

Emergency Short Term Provisional License

The Oregon Health Authority (Authority) has made permanent the temporary rule allowing available EMS providers licensed or certified in another state or who have provisional certification by the National Registry of EMTs (NREMT) to obtain a short-term provisional license to practice as an EMS provider in Oregon with a licensed ambulance service or a registered EMS non-transporting agency, in a paid or volunteer status. 


EMS Providers in the Event of an Emergency

The Oregon Medical Board permanently adopted the temporary rule that provides flexibility in the scope of practice for EMS providers during periods of a declared emergency. The rule provides needed flexibility only under the standing orders of the supervising physician and protocols established by the State EMS Medical Director or designee. 
 


Prehospital Patient Care Reporting

In response to passage of SB 52 (OL 2017, chapter 229), the Oregon Health Authority (Authority), Public Health Division has permanently amended and adopted rules in chapter 333, division 250 related to prehospital patient care reporting. These rules  establish mandatory, electronic prehospital patient care data reporting for licensed ambulance service agencies. Ambulance service agencies are required to report a standardized set of patient encounter data to the Oregon Health Authority's, Oregon Emergency Medical Services Information System (OR-EMSIS) and rules identify requirements necessary for the use and disclosure of patient encounter and outcome data. Non-transporting EMS agencies that choose to voluntarily report patient encounter data and wish to receive hospital outcome data will be required to comply with the rules promulgated. Ambulance service agencies that have difficulty in obtaining necessary reporting software may request a temporary waiver from the Authority. The rules are effective January 1, 2018 and ambulance service agencies will have until January 1, 2019 to come into compliance.

Prehospital Patient Care Reporting Rule Changes 
Prehospital Patient Care Reporting Frequently Asked Questions 


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 (Revised 9/25/2018)
PDF iconExhibit 5 - Oregon Criteria for Consideration of Transfer to a Level I or Level II Trauma Center
OAR 333-205Oregon Trauma System Hospital Identification in Trauma Area #1 
OAR 333-250Ambulance Service Licensing
OAR 333-255Ambulance Licensing
OAR 333-260Ambulance Service Areas
OAR 333-265

EMS Providers

OAR 847-035EMS 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 431AEmergency Medical Services and Trauma Systems
ORS 431A.105Emergency Medical Services for Children Program
ORS 433.800-830Programs to Treat Allergic Response, Adrenal Insufficiency or Hypoglycemia
ORS 682Regulation of Ambulance Services and Emergency Medical Services Providers
ORS 030"Good Samaritan Law" - see ORS 030.800
ORS 041Confidentiality of patient records in general - see ORS 041.675 - 041.685
ORS 431AConfidentiality under the Oregon Trauma System - see ORS 431A.090(4)(a)
ORS 431A.455Automated External Defibrillator (AED) required at places of public assembly
ORS 676Health Professionals Reporting and Complaints - see ORS 676.150 - 676.180
ORS 183Administrative Procedure Act
ORS 820Exemptions from traffic laws: Ambulance and Emergency Vehicles - see ORS 820.300 - 820.380

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