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

On this page:

New and Amended Rules

Ambulance Service and Vehicle Licensing Requirements

Permanent amendments were made to OAR chapter 333, divisions 250 and 255 relating to ambulance service and vehicle licensing requirements. Changes were made to:  
  • Clarify the reporting requirements for changes to staffing; 
  • Update the certification requirements for dispatchers to align with the Department of Public Safety Standards & Training; 
  • Clarify and make permanent, temporary rules for ambulance construction requirements; and 
  • Update essential equipment for basic life support and advanced life support for ground, specialty and air ambulance vehicles based on the joint statement issued by the National Association of EMS Physicians along with the American Academy of Pediatrics, American College of Surgeons Committee on Trauma, EMS for Children Innovation and Improvement Center, Emergency Nurses Association, National Association of State EMS Officials, and National Association of Emergency Medical Technicians. 
Rules become effective January 1, 2022 with the exception of new equipment requirements which become effective on July 1, 2022.
  • Permanent rules - OAR 333-250-0270 and 0290; 333-255-0000, 0060,  0072, 0073, 0081 and 0082
  • Fact Sheet - Ambulance Service and Vehicle Licensing Requirements

Compliance with Governor's Executive Orders

The Oregon Health Authority has permanently amended Oregon Administrative Rules in chapter 333, divisions 250 and 265 relating to compliance with Governor's executive orders. A fact sheet along with the final changes are available below:

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. 

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 

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