{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/32.1-111.4.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/32.1-111.4.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/32.1-111.4.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/32.1-111.4.html"}],"law_id":69056,"edition_id":1,"section_id":69056,"structure_id":13671,"section_number":"32.1-111.4","catch_line":"Regulations; emergency medical services personnel and vehicles; response times; enforcement provisions; civil penalties","history":"1996, c. 899; 1997, c. 248; 1998, cc. 803, 854; 2001, c. 466; 2003, c. 1020; 2005, c. 921; 2006, c. 194; 2015, cc. 502, 503; 2020, c. 930.","full_text":"A\n\nThe Board shall prescribe by regulation:1\n\nRequirements for recordkeeping, supplies, operating procedures, and other emergency medical services agency operations;2\n\nRequirements for the sanitation and maintenance of emergency medical services vehicles and their medical supplies and equipment;3\n\nProcedures, including the requirements for forms, to authorize qualified emergency medical services personnel to follow Do Not Resuscitate Orders pursuant to § 54.1-2987.1;4\n\nRequirements for the composition, administration, duties, and responsibilities of the Advisory Board;5\n\nRequirements, developed in consultation with the Advisory Board, governing the training, certification, and recertification of emergency medical services personnel;6\n\nRequirements for written notification to the Advisory Board, the Office of Emergency Medical Services, and the Financial Assistance and Review Committee of the Board’s action, and the reasons therefor, on requests and recommendations of the Advisory Board, the Office of Emergency Medical Services, or the Financial Assistance and Review Committee, no later than five business days after reaching its decision, specifying whether the Board has approved, denied, or not acted on such requests and recommendations;7\n\nAuthorization procedures, developed in consultation with the Advisory Board, that allow the possession and administration of epinephrine or a medically accepted equivalent for emergency cases of anaphylactic shock by certain levels of certified emergency medical services personnel as authorized by § 54.1-3408 and authorization procedures that allow the possession and administration of oxygen with the authority of the local operational medical director and an emergency medical services agency that holds a valid license issued by the Commissioner;8\n\nA uniform definition of “response time” and requirements, developed in consultation with the Advisory Board, for each emergency medical services agency to measure response times starting from the time a call for emergency medical services is received until the time (i) appropriate emergency medical services personnel are responding and (ii) appropriate emergency medical services personnel arrive on the scene, and requirements for emergency medical services agencies to collect and report such data to the Director of the Office of Emergency Medical Services, who shall compile such information and make it available to the public, upon request;9\n\nEnforcement provisions, including, but not limited to, civil penalties that the Commissioner may assess against any emergency medical services agency or other entity found to be in violation of any of the provisions of this article or any regulation promulgated under this article. All amounts paid as civil penalties for violations of this article or regulations promulgated pursuant thereto shall be paid into the state treasury and shall be deposited in the emergency medical services special fund established pursuant to § 46.2-694, to be used only for emergency medical services purposes; and10\n\nProcedures for when emergency medical services agencies in medically underserved areas as defined by the Board may transport patients to 24-hour urgent care facilities or appropriate medical care facilities other than hospitals. The regulations shall include provisions for what constitutes a medically underserved area, cases appropriate for transferring a patient to a medical facility other than a hospital, and other information deemed relevant by the Board.B\n\nThe Board shall classify emergency medical services agencies and emergency medical services vehicles by type of service rendered and shall specify the medical equipment, the supplies, the vehicle specifications, and the emergency medical services personnel required for each classification.C\n\nIn formulating its regulations, the Board shall consider the current Minimal Equipment List for Ambulances adopted by the Committee on Trauma of the American College of Surgeons.","order_by":null,"text":{"0":{"id":249976,"text":"The Board shall prescribe by regulation:","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"A1"},"1":{"id":249977,"text":"Requirements for recordkeeping, supplies, operating procedures, and other emergency medical services agency operations;","type":"section","prefixes":["A","1"],"prefix":"1","entire_prefix":"A1","prefix_anchor":"A1","level":2,"prior_prefix":"A","next_prefix":"A2"},"2":{"id":249978,"text":"Requirements for the sanitation and maintenance of emergency medical services vehicles and their medical supplies and equipment;","type":"section","prefixes":["A","2"],"prefix":"2","entire_prefix":"A2","prefix_anchor":"A2","level":2,"prior_prefix":"A1","next_prefix":"A3"},"3":{"id":249979,"text":"Procedures, including the requirements for forms, to authorize qualified emergency medical services personnel to follow Do Not Resuscitate Orders pursuant to § 54.1-2987.1;","type":"section","prefixes":["A","3"],"prefix":"3","entire_prefix":"A3","prefix_anchor":"A3","level":2,"prior_prefix":"A2","next_prefix":"A4"},"4":{"id":249980,"text":"Requirements for the composition, administration, duties, and responsibilities of the Advisory Board;","type":"section","prefixes":["A","4"],"prefix":"4","entire_prefix":"A4","prefix_anchor":"A4","level":2,"prior_prefix":"A3","next_prefix":"A5"},"5":{"id":249981,"text":"Requirements, developed in consultation with the Advisory Board, governing the training, certification, and recertification of emergency medical services personnel;","type":"section","prefixes":["A","5"],"prefix":"5","entire_prefix":"A5","prefix_anchor":"A5","level":2,"prior_prefix":"A4","next_prefix":"A6"},"6":{"id":249982,"text":"Requirements for written notification to the Advisory Board, the Office of Emergency Medical Services, and the Financial Assistance and Review Committee of the Board’s action, and the reasons therefor, on requests and recommendations of the Advisory Board, the Office of Emergency Medical Services, or the Financial Assistance and Review Committee, no later than five business days after reaching its decision, specifying whether the Board has approved, denied, or not acted on such requests and recommendations;","type":"section","prefixes":["A","6"],"prefix":"6","entire_prefix":"A6","prefix_anchor":"A6","level":2,"prior_prefix":"A5","next_prefix":"A7"},"7":{"id":249983,"text":"Authorization procedures, developed in consultation with the Advisory Board, that allow the possession and administration of epinephrine or a medically accepted equivalent for emergency cases of anaphylactic shock by certain levels of certified emergency medical services personnel as authorized by § 54.1-3408 and authorization procedures that allow the possession and administration of oxygen with the authority of the local operational medical director and an emergency medical services agency that holds a valid license issued by the Commissioner;","type":"section","prefixes":["A","7"],"prefix":"7","entire_prefix":"A7","prefix_anchor":"A7","level":2,"prior_prefix":"A6","next_prefix":"A8"},"8":{"id":249984,"text":"A uniform definition of “response time” and requirements, developed in consultation with the Advisory Board, for each emergency medical services agency to measure response times starting from the time a call for emergency medical services is received until the time (i) appropriate emergency medical services personnel are responding and (ii) appropriate emergency medical services personnel arrive on the scene, and requirements for emergency medical services agencies to collect and report such data to the Director of the Office of Emergency Medical Services, who shall compile such information and make it available to the public, upon request;","type":"section","prefixes":["A","8"],"prefix":"8","entire_prefix":"A8","prefix_anchor":"A8","level":2,"prior_prefix":"A7","next_prefix":"A9"},"9":{"id":249985,"text":"Enforcement provisions, including, but not limited to, civil penalties that the Commissioner may assess against any emergency medical services agency or other entity found to be in violation of any of the provisions of this article or any regulation promulgated under this article. All amounts paid as civil penalties for violations of this article or regulations promulgated pursuant thereto shall be paid into the state treasury and shall be deposited in the emergency medical services special fund established pursuant to § 46.2-694, to be used only for emergency medical services purposes; and","type":"section","prefixes":["A","9"],"prefix":"9","entire_prefix":"A9","prefix_anchor":"A9","level":2,"prior_prefix":"A8","next_prefix":"A10"},"10":{"id":249986,"text":"Procedures for when emergency medical services agencies in medically underserved areas as defined by the Board may transport patients to 24-hour urgent care facilities or appropriate medical care facilities other than hospitals. The regulations shall include provisions for what constitutes a medically underserved area, cases appropriate for transferring a patient to a medical facility other than a hospital, and other information deemed relevant by the Board.","type":"section","prefixes":["A","10"],"prefix":"10","entire_prefix":"A10","prefix_anchor":"A10","level":2,"prior_prefix":"A9","next_prefix":"B"},"11":{"id":249987,"text":"The Board shall classify emergency medical services agencies and emergency medical services vehicles by type of service rendered and shall specify the medical equipment, the supplies, the vehicle specifications, and the emergency medical services personnel required for each classification.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A10","next_prefix":"C"},"12":{"id":249988,"text":"In formulating its regulations, the Board shall consider the current Minimal Equipment List for Ambulances adopted by the Committee on Trauma of the American College of Surgeons.","type":"section","prefixes":["C"],"prefix":"C","entire_prefix":"C","prefix_anchor":"C","level":1,"prior_prefix":"B"}},"ancestry":[{"id":13671,"edition_id":1,"name":"Statewide Emergency Medical Services System and Services","identifier":"2.1","label":"article","depth":3,"order_by":1,"parent_id":13670,"metadata":{},"date_created":"2026-06-26 03:45:31","date_modified":"2026-06-26 03:45:31","permalink":{"id":202513,"object_type":"structure","relational_id":13671,"identifier":"2.1","token":"32.1\/4\/2.1","url":"\/32.1\/4\/2.1\/","edition_id":1,"permalink":0,"preferred":1}},{"id":13670,"edition_id":1,"name":"Health Care Planning","identifier":"4","label":"chapter","depth":2,"order_by":1,"parent_id":12727,"metadata":{},"date_created":"2026-06-26 03:45:31","date_modified":"2026-06-26 03:45:31","permalink":{"id":202389,"object_type":"structure","relational_id":13670,"identifier":"4","token":"32.1\/4","url":"\/32.1\/4\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12727,"edition_id":1,"name":"Health","identifier":"32.1","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:43:50","date_modified":"2026-06-26 03:43:50","permalink":{"id":201099,"object_type":"structure","relational_id":12727,"identifier":"32.1","token":"32.1","url":"\/32.1\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":74269,"structure_id":13671,"section_number":"32.1-111.1","catch_line":"Definitions","url":"\/32.1-111.1\/","token":"32.1\/4\/2.1\/32.1-111.1","metadata":false},{"id":85093,"structure_id":13671,"section_number":"32.1-111.10","catch_line":"Repealed","url":"\/32.1-111.10\/","token":"32.1\/4\/2.1\/32.1-111.10","metadata":false},{"id":59561,"structure_id":13671,"section_number":"32.1-111.12","catch_line":"Virginia Rescue Squads Assistance Fund; disbursements","url":"\/32.1-111.12\/","token":"32.1\/4\/2.1\/32.1-111.12","metadata":false},{"id":69432,"structure_id":13671,"section_number":"32.1-111.12:01","catch_line":"Financial Assistance and Review Committee; appointment; terms; duties","url":"\/32.1-111.12_01\/","token":"32.1\/4\/2.1\/32.1-111.12_01","metadata":false},{"id":54647,"structure_id":13671,"section_number":"32.1-111.13","catch_line":"Annual financial reports","url":"\/32.1-111.13\/","token":"32.1\/4\/2.1\/32.1-111.13","metadata":false},{"id":76464,"structure_id":13671,"section_number":"32.1-111.14","catch_line":"Powers of governing bodies of counties, cities, and towns","url":"\/32.1-111.14\/","token":"32.1\/4\/2.1\/32.1-111.14","metadata":false},{"id":61007,"structure_id":13671,"section_number":"32.1-111.14:1","catch_line":"Repealed","url":"\/32.1-111.14_1\/","token":"32.1\/4\/2.1\/32.1-111.14_1","metadata":false},{"id":80023,"structure_id":13671,"section_number":"32.1-111.14:2","catch_line":"Establishment of emergency medical services zones or districts; tax levies","url":"\/32.1-111.14_2\/","token":"32.1\/4\/2.1\/32.1-111.14_2","metadata":false},{"id":82044,"structure_id":13671,"section_number":"32.1-111.14:3","catch_line":"Exclusion of certain areas from emergency medical services zones or districts and exemption of such areas from certain levies","url":"\/32.1-111.14_3\/","token":"32.1\/4\/2.1\/32.1-111.14_3","metadata":false},{"id":80060,"structure_id":13671,"section_number":"32.1-111.14:4","catch_line":"Advances by county or city to emergency medical services zone or district; reimbursement; validation of prior advances","url":"\/32.1-111.14_4\/","token":"32.1\/4\/2.1\/32.1-111.14_4","metadata":false},{"id":58628,"structure_id":13671,"section_number":"32.1-111.14:5","catch_line":"Authority of emergency medical services agency incident commander when operating at an emergency incident; penalty for refusal to obey orders","url":"\/32.1-111.14_5\/","token":"32.1\/4\/2.1\/32.1-111.14_5","metadata":false},{"id":65685,"structure_id":13671,"section_number":"32.1-111.14:6","catch_line":"Supervision and control of joint services of emergency medical services agencies","url":"\/32.1-111.14_6\/","token":"32.1\/4\/2.1\/32.1-111.14_6","metadata":false},{"id":80052,"structure_id":13671,"section_number":"32.1-111.14:7","catch_line":"Penalty for disobeying emergency medical services agency chief or other officer in command","url":"\/32.1-111.14_7\/","token":"32.1\/4\/2.1\/32.1-111.14_7","metadata":false},{"id":65852,"structure_id":13671,"section_number":"32.1-111.14:8","catch_line":"Purchase, maintenance, etc., of equipment; donated equipment","url":"\/32.1-111.14_8\/","token":"32.1\/4\/2.1\/32.1-111.14_8","metadata":false},{"id":74869,"structure_id":13671,"section_number":"32.1-111.14:9","catch_line":"Entry of buildings and premises adjoining during a medical emergency","url":"\/32.1-111.14_9\/","token":"32.1\/4\/2.1\/32.1-111.14_9","metadata":false},{"id":84101,"structure_id":13671,"section_number":"32.1-111.15","catch_line":"Statewide poison control system established","url":"\/32.1-111.15\/","token":"32.1\/4\/2.1\/32.1-111.15","metadata":false},{"id":84930,"structure_id":13671,"section_number":"32.1-111.15:1","catch_line":"Department responsible for stroke care quality improvement; sharing of data and information","url":"\/32.1-111.15_1\/","token":"32.1\/4\/2.1\/32.1-111.15_1","metadata":false},{"id":65753,"structure_id":13671,"section_number":"32.1-111.2","catch_line":"Exemptions from provisions of this article","url":"\/32.1-111.2\/","token":"32.1\/4\/2.1\/32.1-111.2","metadata":false},{"id":73301,"structure_id":13671,"section_number":"32.1-111.3","catch_line":"Statewide Emergency Medical Services Plan; 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public liability insurance to cover claims arising out of mutual aid agreements","url":"\/32.1-111.4_5\/","token":"32.1\/4\/2.1\/32.1-111.4_5","metadata":false},{"id":87284,"structure_id":13671,"section_number":"32.1-111.4:6","catch_line":"Establishment of an emergency medical services agency as a department of local government","url":"\/32.1-111.4_6\/","token":"32.1\/4\/2.1\/32.1-111.4_6","metadata":false},{"id":61096,"structure_id":13671,"section_number":"32.1-111.4:7","catch_line":"Establishment of an emergency medical services agency as a nongovernmental entity; dissolution","url":"\/32.1-111.4_7\/","token":"32.1\/4\/2.1\/32.1-111.4_7","metadata":false},{"id":65073,"structure_id":13671,"section_number":"32.1-111.4:8","catch_line":"Ordinances as to emergency medical services agencies","url":"\/32.1-111.4_8\/","token":"32.1\/4\/2.1\/32.1-111.4_8","metadata":false},{"id":56481,"structure_id":13671,"section_number":"32.1-111.4:9","catch_line":"Emergency treatment of fire, police, and search and rescue dogs","url":"\/32.1-111.4_9\/","token":"32.1\/4\/2.1\/32.1-111.4_9","metadata":false},{"id":74243,"structure_id":13671,"section_number":"32.1-111.5","catch_line":"Certification and recertification of emergency medical services providers; 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Trauma Triage Plan; Stroke Triage Plan","url":"\/32.1-111.3\/","token":"32.1\/4\/2.1\/32.1-111.3","metadata":false},"next_section":{"id":54989,"structure_id":13671,"section_number":"32.1-111.4:1","catch_line":"State Emergency Medical Services Advisory Board; purpose; membership; duties; reimbursement of expenses; staff support","url":"\/32.1-111.4_1\/","token":"32.1\/4\/2.1\/32.1-111.4_1","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/32.1-111.4\/","history_text":"

This law was first created in 1996. The record of its establishment is cataloged in chapter 899<\/a> of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year. It has been modified 8 times. Those modifications are cataloged by \u201cThe Acts of Assembly,\u201d a state publication, by year and chapter. Those modifications that can be read on the General Assembly\u2019s website will be linked accordingly. Those modifications are as follows: in 1997, chapter 248<\/a>; in 1998, chapters 803<\/a> and 854<\/a>; in 2001, chapter 466<\/a>; in 2003, chapter 1020<\/a>; in 2005, chapter 921<\/a>; in 2006, chapter 194<\/a>; in 2015, chapters 502<\/a> and 503<\/a>; in 2020, chapter 930<\/a>.<\/p>","references":false,"refers_to":[{"id":76988,"section_number":"46.2-694","catch_line":"(Contingent effective date) Fees for vehicles designed and used for transportation of passengers; weights used for computing fees; burden of proof","order_by":null,"url":"\/46.2-694\/"},{"id":61456,"section_number":"54.1-2987.1","catch_line":"Durable Do Not Resuscitate Orders","order_by":null,"url":"\/54.1-2987.1\/"},{"id":77665,"section_number":"54.1-3408","catch_line":"Professional use by practitioners","order_by":null,"url":"\/54.1-3408\/"}],"permalink":{"id":202591,"object_type":"law","relational_id":69056,"identifier":"32.1-111.4","token":"32.1\/4\/2.1\/32.1-111.4","url":"\/32.1-111.4\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/32.1-111.4\/","token":"32.1\/4\/2.1\/32.1-111.4","dublin_core":{"Title":"Regulations; emergency medical services personnel and vehicles; response times; enforcement provisions; civil penalties","Type":"Text","Format":"text\/html","Identifier":"\u00a7 32.1-111.4","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

A.<\/span> The Board<\/span> shall prescribe by regulation: <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

1.<\/span> Requirements for recordkeeping, supplies, operating procedures, and other emergency medical services<\/span> agency<\/span> operations; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

2.<\/span> Requirements for the sanitation and maintenance of emergency medical services<\/span> vehicles<\/span> and their medical supplies and equipment; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

3.<\/span> Procedures, including the requirements for forms, to authorize qualified emergency medical services<\/span> personnel<\/span> to follow Do Not Resuscitate Orders<\/span> pursuant to § 54.1-2987.1<\/a>; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

4.<\/span> Requirements for the composition, administration, duties, and responsibilities of the Advisory Board<\/span>; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

5.<\/span> Requirements, developed in consultation with the Advisory Board<\/span>, governing the training, certification, and recertification of emergency medical services<\/span> personnel<\/span>; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

6.<\/span> Requirements for written notification to the Advisory Board<\/span>, the Office of Emergency Medical Services<\/span><\/span>, and the Financial Assistance and Review Committee of the Board’s action, and the reasons therefor, on requests and recommendations of the Advisory Board<\/span>, the Office of Emergency Medical Services<\/span><\/span>, or the Financial Assistance and Review Committee, no later than five business days after reaching its decision, specifying whether the Board has approved, denied, or not acted on such requests and recommendations; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

7.<\/span> Authorization procedures, developed in consultation with the Advisory Board<\/span>, that allow the possession<\/span> and administration of epinephrine or a medically accepted equivalent for emergency cases of anaphylactic shock by certain levels of certified emergency medical services<\/span> personnel<\/span> as authorized by § 54.1-3408<\/a> and authorization procedures that allow the possession<\/span> and administration of oxygen with the authority of the local operational medical director<\/span> and an emergency medical services<\/span> agency<\/span> that holds a valid license issued by the Commissioner<\/span>; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

8.<\/span> A uniform definition of “response time” and requirements, developed in consultation with the Advisory Board<\/span>, for each emergency medical services<\/span> agency<\/span> to measure response times starting from the time a call for emergency medical services<\/span> is received until the time (i) appropriate emergency medical services<\/span> personnel<\/span> are responding and (ii) appropriate emergency medical services<\/span> personnel<\/span> arrive on the scene, and requirements for emergency medical services<\/span> agencies to collect and report such data to the Director of the Office of Emergency Medical Services<\/span><\/span>, who shall compile such information and make it available to the public, upon request; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

9.<\/span> Enforcement provisions, including, but not limited to, civil penalties that the Commissioner<\/span> may assess against any emergency medical services<\/span> agency<\/span> or other entity found to be in violation of any of the provisions of this article or any regulation promulgated under this article. All amounts paid as civil penalties for violations of this article or regulations promulgated pursuant thereto shall be paid into the state treasury and shall be deposited in the emergency medical services<\/span> special fund established pursuant to § 46.2-694<\/a>, to be used only for emergency medical services<\/span> purposes; and <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

10.<\/span> Procedures for when emergency medical services<\/span> agencies in medically underserved areas as defined by the Board may transport patients to 24-hour urgent care facilities or appropriate medical care facilities other than hospitals. The regulations shall include provisions for what constitutes a medically underserved area, cases appropriate for transferring a patient to a medical facility other than a hospital, and other information deemed relevant by the Board. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

B.<\/span> The Board shall classify emergency medical services<\/span> agencies and emergency medical services<\/span> vehicles<\/span> by type of service rendered and shall specify the medical equipment, the supplies, the vehicle specifications, and the emergency medical services<\/span> personnel<\/span> required for each classification. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

C.<\/span> In formulating its regulations, the Board shall consider the current Minimal Equipment List for Ambulances adopted by the Committee on Trauma of the American College of Surgeons. <\/i><\/a><\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nREGULATIONS; EMERGENCY MEDICAL SERVICES PERSONNEL AND VEHICLES; RESPONSE TIMES;\nENFORCEMENT PROVISIONS; CIVIL PENALTIES (\u00a7 32.1-111.4)\n\nA. The Board shall prescribe by regulation:\n\n 1. Requirements for recordkeeping, supplies, operating procedures, and other\n emergency medical services agency operations;\n\n 2. Requirements for the sanitation and maintenance of emergency medical\n services vehicles and their medical supplies and equipment;\n\n 3. Procedures, including the requirements for forms, to authorize qualified\n emergency medical services personnel to follow Do Not Resuscitate Orders\n pursuant to § 54.1-2987.1;\n\n 4. Requirements for the composition, administration, duties, and\n responsibilities of the Advisory Board;\n\n 5. Requirements, developed in consultation with the Advisory Board, governing\n the training, certification, and recertification of emergency medical services\n personnel;\n\n 6. Requirements for written notification to the Advisory Board, the Office of\n Emergency Medical Services, and the Financial Assistance and Review Committee\n of the Board’s action, and the reasons therefor, on requests and\n recommendations of the Advisory Board, the Office of Emergency Medical\n Services, or the Financial Assistance and Review Committee, no later than five\n business days after reaching its decision, specifying whether the Board has\n approved, denied, or not acted on such requests and recommendations;\n\n 7. Authorization procedures, developed in consultation with the Advisory\n Board, that allow the possession and administration of epinephrine or a\n medically accepted equivalent for emergency cases of anaphylactic shock by\n certain levels of certified emergency medical services personnel as authorized\n by § 54.1-3408 and authorization procedures that allow the possession and\n administration of oxygen with the authority of the local operational medical\n director and an emergency medical services agency that holds a valid license\n issued by the Commissioner;\n\n 8. A uniform definition of “response time” and requirements,\n developed in consultation with the Advisory Board, for each emergency medical\n services agency to measure response times starting from the time a call for\n emergency medical services is received until the time (i) appropriate\n emergency medical services personnel are responding and (ii) appropriate\n emergency medical services personnel arrive on the scene, and requirements for\n emergency medical services agencies to collect and report such data to the\n Director of the Office of Emergency Medical Services, who shall compile such\n information and make it available to the public, upon request;\n\n 9. Enforcement provisions, including, but not limited to, civil penalties that\n the Commissioner may assess against any emergency medical services agency or\n other entity found to be in violation of any of the provisions of this article\n or any regulation promulgated under this article. All amounts paid as civil\n penalties for violations of this article or regulations promulgated pursuant\n thereto shall be paid into the state treasury and shall be deposited in the\n emergency medical services special fund established pursuant to §\n 46.2-694, to be used only for emergency medical services purposes; and\n\n 10. Procedures for when emergency medical services agencies in medically\n underserved areas as defined by the Board may transport patients to 24-hour\n urgent care facilities or appropriate medical care facilities other than\n hospitals. The regulations shall include provisions for what constitutes a\n medically underserved area, cases appropriate for transferring a patient to a\n medical facility other than a hospital, and other information deemed relevant\n by the Board.\n\nB. The Board shall classify emergency medical services agencies and emergency\nmedical services vehicles by type of service rendered and shall specify the\nmedical equipment, the supplies, the vehicle specifications, and the emergency\nmedical services personnel required for each classification.\n\nC. In formulating its regulations, the Board shall consider the current Minimal\nEquipment List for Ambulances adopted by the Committee on Trauma of the American\nCollege of Surgeons.\n\nHISTORY: 1996, c. 899; 1997, c. 248; 1998, cc. 803, 854; 2001, c. 466; 2003, c.\n1020; 2005, c. 921; 2006, c. 194; 2015, cc. 502, 503; 2020, c. 930.","edition":{"id":1,"name":"2025","slug":"2025","date_created":"2026-06-21 22:39:22","date_modified":"2026-06-21 22:39:22","current":1,"order_by":1,"last_import":null}}