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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.

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Proposed Rules

Notice of Proposed Rulemaking for OAR chapter 333, divisions 250 and 255 - "Ambulance Service and Vehicle Licensure Requirements" 

The Oregon Health Authority, Public Health Division, EMS and Trauma Systems Program is proposing to permanently amend Oregon Administrative Rules in chapter 333, divisions 250 and 255 relating to the licensing requirements for ambulance service agencies and ambulance vehicles. 

The following amendments were considered by the State EMS Committee on October 8, 2021 and were approved to move forward for public comment:

  • Removing the requirement that an ambulance service complete a service reportable action form for the hiring of new staff within 14 business days and instead requires the ambulance service to enter staffing changes into the electronic licensing management system within 30 calendar days. 
  • Updating the certification requirements for dispatchers to align with the Department of Public Safety Standards and Training revised administrative rules, OAR chapter 259, division 008. 
  • Amending temporary rules for ground ambulance construction requirements and making them permanent to ensure construction standards remain in place prior to the revised standards being implemented in July 2022. 
  • Updating required essential equipment for basic life support and advanced life support for ground, specialty and air ambulance vehicles based on a 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. The Authority is recommending adoption of these standards for Oregon licensed ground and air vehicles which promotes the provision of pediatric and adult emergency medical and trauma care, with the ultimate goal of all EMS providers and agencies being "Everyday Ready" to treat patients of all ages.
Please see the Notice of Proposed Rulemaking for further details. 

Persons are being invited to review these proposed rules and to comment on them.  For persons wishing to present oral testimony, a public hearing will be held via video/teleconference on November 18, 2021 at 9:00 a.m. To provide oral testimony during this hearing, please contact to sign-up and receive the link for the Microsoft Teams video conference. Alternatively, you may dial 971-277-2343, phone conference ID 603 191 590# for audio only. 

Persons may also file written comments before 5:00 p.m. on November 22, 2021 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 E-mailed to: 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:

OAR 333-250 and 255_Notice of Proposed Rulemaking including Statement of Need and Fiscal Impact, and the full text of proposed rules 

Please contact Mellony Bernal at for questions or to request a hardcopy of the material. 

New and Amended Rules

Compliance with Governor's Executive Orders; Ambulance Construction Criteria; and Ambulance Vehicles on Reserve or Loan

The Oregon Health Authority has permanently amended Oregon Administrative Rules in chapter 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. 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. 

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

Ambulance Vehicle Construction Criteria 

The Oregon Health Authority (Authority), Public Health Division, EMS and Trauma Systems program is temporarily amending OAR 333-255-0060 related to ambulance vehicle construction criteria. These temporary amendments are effective June 28, 2021 through December 24, 2021.

In March 2021, the Authority permanently amended administrative rules relating to the construction standards for ambulance vehicles. At the request of stakeholders, the Authority delayed implementation of the new vehicle construction standards as well as the adoption of new remount standards until July 1, 2022. In doing so, the agency inadvertently removed the existing standards leaving no standards in place until July 1, 2022. This change reinstates previous standards until revised standards are implemented in 2022.

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

If you have any questions or would prefer a hardcopy be sent, please contact Mellony Bernal at

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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