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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:

Proposed Rules

The Oregon Health Authority (Authority), Public Health Division, EMS and Trauma Systems program is proposing to permanently repeal Oregon Administrative Rule 333-265-0056 abolishing the temporary licensure requirement for an EMS provider licensed in another state for the purpose of providing care to individuals responding to a wildland fire in Oregon. This repeal is necessary given passage of SB 29 (2019 OL Ch. 456 §52) and the amendments made to ORS 682.035. Statutory changes were made due to recognition that under previous statutory language, only EMS providers with ambulance vehicles were eligible for licensure exemption during a wildland fire response. The revised statute clarifies that both ambulance vehicles and EMS providers operating under the control of the U.S. Government, for example the Department of Forestry, are exempt from ambulance service and EMS provider licensure requirements.

The public is invited to review these proposed rules and to comment on them. Written comments must be received before 5:00 p.m. on July 21, 2020 by submitting them to the Public Health Division Rules Coordinator at the following address:

OHA, Public Health Division
Heather Owens, Administrative Rules Coordinator
800 NE Oregon Street, Suite 930
Portland, OR 97232

Comments may also be submitted by e-mail to: or by fax to (971) 673-1299. 

Final rules will be filed after consideration of all comments.

Please see the following Notice of Proposed Rulemaking, Statement of Need and Fiscal Impact and the full text of these proposed rules:

OAR 333-265-0058 - Repeal of Temporary Licensure for Wildland Fire Response

Please contact Mellony Bernal at with questions or would prefer a hardcopy be sent.   


New and Amended Rules

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 (pdf)
Prehospital Patient Care Reporting Frequently Asked Questions (pdf)

Temporary Rules

Emergency Temporary EMS Provider License

The Oregon Health Authority (Authority) is responding to an outbreak of the emerging disease called “COVID-19” caused by a novel strain of coronavirus named “SARS-CoV-2” which was detected in China in December 2019 and in the United States January 20, 2020.  As of April 6, 2020, there were 1,132 cases in Oregon, with the number of cases growing daily. The Authority expects a surge of patients in the coming days and months who will need EMS treatment and/or transport. It is predicted that due to this surge of patients, Oregon’s currently licensed EMS workforce may not be sufficient to meet the demand. 

A temporary rule has been put into effect which will allow available EMS providers licensed or certified by another state or providers with current certification or 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. This temporary rule will both encourage additional applicants for licensure and allow the Authority to more quickly and efficiently process the applications.

This rule is effective April 6, 2020 through October 2, 2020.

For more details, please see the Temporary Administrative Order including the Statement of Need and Justification and the full text of the temporary rule below:

EMS Providers in the Event of an Emergency

The Oregon Medical Board has adopted a temporary rule to provide flexibility in scope of practice for EMS providers during the period of the COVID-19 declared emergency. EMS providers are uniquely situated to provide medical assistance in the community and as such this rule provides needed flexibility under the standing orders of the supervising physician and protocols established by the State EMS Medical Director during the declared emergency. 

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 333-205 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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