{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/32.1-111.9.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/32.1-111.9.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/32.1-111.9.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/32.1-111.9.html"}],"law_id":74756,"edition_id":1,"section_id":74756,"structure_id":13671,"section_number":"32.1-111.9","catch_line":"Applications for variances or exemptions","history":"1996, c. 899; 2008, c. 61; 2011, c. 90; 2015, cc. 502, 503.","full_text":"A\n\nPrior to the submission of (i) an application for a variance to the Commissioner or (ii) an application for an exemption from any regulations promulgated pursuant to this chapter to the Board by an emergency medical services agency that holds a valid license issued by the Commissioner, the application shall be reviewed by the governing body or chief administrative officer of the jurisdiction in which the principal office of the emergency medical services agency is located. The recommendation of the governing body or chief administrative officer of the jurisdiction regarding the variance or exemption shall be submitted with the application, and the Commissioner or Board, whichever is appropriate, shall consider that recommendation for the purposes of granting or denying the variance or exemption.B\n\nAn individual who meets the definition of “emergency medical services personnel” in § 32.1-111.1 who is certified as an emergency medical services provider or is a candidate for certification by the Office of Emergency Medical Services shall not be required to submit an application for a variance or exemption to the local governing body or chief administrative officer of the jurisdiction for review, but shall submit the application for a variance or exemption to the Operational Medical Director and the emergency medical services agency chief with which he is affiliated, and shall include the recommendations of such Operational Medical Director and the emergency medical services agency chief together with the application for a variance or exemption. The recommendation of the Operational Medical Director and the emergency medical services agency chief with which the emergency medical services personnel is affiliated regarding the variance or exemption shall be submitted with the application and the Commissioner or Board, whichever is appropriate, shall consider that recommendation for the purposes of granting or denying the variance or exemption.C\n\nAn emergency medical services provider who is not affiliated with an emergency medical services agency shall submit an application for a variance or exemption to the Commissioner or Board, whichever is appropriate, and the Commissioner or Board, whichever is appropriate, shall consider the application for the purposes of granting or denying the variance or exemption. The Commissioner or Board, whichever is appropriate, may require an emergency medical services provider who is not affiliated with an emergency medical services agency to submit additional case-specific endorsements or supporting documentation as part of an application for a variance or exemption.D\n\nThe applicant shall have the right to appeal any denial by the Commissioner or Board of an application for a variance or exemption pursuant to the Administrative Process Act (§ 2.2-4000 et seq.).","order_by":null,"text":{"0":{"id":268655,"text":"Prior to the submission of (i) an application for a variance to the Commissioner or (ii) an application for an exemption from any regulations promulgated pursuant to this chapter to the Board by an emergency medical services agency that holds a valid license issued by the Commissioner, the application shall be reviewed by the governing body or chief administrative officer of the jurisdiction in which the principal office of the emergency medical services agency is located. The recommendation of the governing body or chief administrative officer of the jurisdiction regarding the variance or exemption shall be submitted with the application, and the Commissioner or Board, whichever is appropriate, shall consider that recommendation for the purposes of granting or denying the variance or exemption.","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":268656,"text":"An individual who meets the definition of “emergency medical services personnel” in § 32.1-111.1 who is certified as an emergency medical services provider or is a candidate for certification by the Office of Emergency Medical Services shall not be required to submit an application for a variance or exemption to the local governing body or chief administrative officer of the jurisdiction for review, but shall submit the application for a variance or exemption to the Operational Medical Director and the emergency medical services agency chief with which he is affiliated, and shall include the recommendations of such Operational Medical Director and the emergency medical services agency chief together with the application for a variance or exemption. The recommendation of the Operational Medical Director and the emergency medical services agency chief with which the emergency medical services personnel is affiliated regarding the variance or exemption shall be submitted with the application and the Commissioner or Board, whichever is appropriate, shall consider that recommendation for the purposes of granting or denying the variance or exemption.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A","next_prefix":"C"},"2":{"id":268657,"text":"An emergency medical services provider who is not affiliated with an emergency medical services agency shall submit an application for a variance or exemption to the Commissioner or Board, whichever is appropriate, and the Commissioner or Board, whichever is appropriate, shall consider the application for the purposes of granting or denying the variance or exemption. The Commissioner or Board, whichever is appropriate, may require an emergency medical services provider who is not affiliated with an emergency medical services agency to submit additional case-specific endorsements or supporting documentation as part of an application for a variance or exemption.","type":"section","prefixes":["C"],"prefix":"C","entire_prefix":"C","prefix_anchor":"C","level":1,"prior_prefix":"B","next_prefix":"D"},"3":{"id":268658,"text":"The applicant shall have the right to appeal any denial by the Commissioner or Board of an application for a variance or exemption pursuant to the Administrative Process Act (§ 2.2-4000 et seq.).","type":"section","prefixes":["D"],"prefix":"D","entire_prefix":"D","prefix_anchor":"D","level":1,"prior_prefix":"C"}},"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; Trauma Triage Plan; Stroke Triage Plan","url":"\/32.1-111.3\/","token":"32.1\/4\/2.1\/32.1-111.3","metadata":false},{"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","url":"\/32.1-111.4\/","token":"32.1\/4\/2.1\/32.1-111.4","metadata":false},{"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},{"id":64281,"structure_id":13671,"section_number":"32.1-111.4:2","catch_line":"Regional emergency medical services councils","url":"\/32.1-111.4_2\/","token":"32.1\/4\/2.1\/32.1-111.4_2","metadata":false},{"id":86752,"structure_id":13671,"section_number":"32.1-111.4:3","catch_line":"Provision of emergency medical services","url":"\/32.1-111.4_3\/","token":"32.1\/4\/2.1\/32.1-111.4_3","metadata":false},{"id":65841,"structure_id":13671,"section_number":"32.1-111.4:4","catch_line":"Emergency medical services personnel and equipment may in emergencies go or be sent beyond territorial limits","url":"\/32.1-111.4_4\/","token":"32.1\/4\/2.1\/32.1-111.4_4","metadata":false},{"id":85795,"structure_id":13671,"section_number":"32.1-111.4:5","catch_line":"Contracts of counties, cities, and towns to furnish emergency medical services; 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; appeals process","url":"\/32.1-111.5\/","token":"32.1\/4\/2.1\/32.1-111.5","metadata":false},{"id":65013,"structure_id":13671,"section_number":"32.1-111.5:1","catch_line":"Emergency medical services personnel mental health awareness training","url":"\/32.1-111.5_1\/","token":"32.1\/4\/2.1\/32.1-111.5_1","metadata":false},{"id":66746,"structure_id":13671,"section_number":"32.1-111.5:2","catch_line":"Emergency medical services personnel Alzheimer's disease and dementia training","url":"\/32.1-111.5_2\/","token":"32.1\/4\/2.1\/32.1-111.5_2","metadata":false},{"id":72624,"structure_id":13671,"section_number":"32.1-111.6","catch_line":"Emergency medical services agency license; emergency medical services vehicle permits","url":"\/32.1-111.6\/","token":"32.1\/4\/2.1\/32.1-111.6","metadata":false},{"id":65031,"structure_id":13671,"section_number":"32.1-111.6:1","catch_line":"Commissioner to issue certain emergency medical services licenses or permits","url":"\/32.1-111.6_1\/","token":"32.1\/4\/2.1\/32.1-111.6_1","metadata":false},{"id":81101,"structure_id":13671,"section_number":"32.1-111.7","catch_line":"Inspections","url":"\/32.1-111.7\/","token":"32.1\/4\/2.1\/32.1-111.7","metadata":false},{"id":72840,"structure_id":13671,"section_number":"32.1-111.8","catch_line":"Revocation and suspension of licenses and permits","url":"\/32.1-111.8\/","token":"32.1\/4\/2.1\/32.1-111.8","metadata":false},{"id":74756,"structure_id":13671,"section_number":"32.1-111.9","catch_line":"Applications for variances or exemptions","url":"\/32.1-111.9\/","token":"32.1\/4\/2.1\/32.1-111.9","metadata":false},{"id":81022,"structure_id":13671,"section_number":"32.1-111.9:1","catch_line":"Out-of-state emergency medical services providers","url":"\/32.1-111.9_1\/","token":"32.1\/4\/2.1\/32.1-111.9_1","metadata":false}],"previous_section":{"id":72840,"structure_id":13671,"section_number":"32.1-111.8","catch_line":"Revocation and suspension of licenses and permits","url":"\/32.1-111.8\/","token":"32.1\/4\/2.1\/32.1-111.8","metadata":false},"next_section":{"id":81022,"structure_id":13671,"section_number":"32.1-111.9:1","catch_line":"Out-of-state emergency medical services providers","url":"\/32.1-111.9_1\/","token":"32.1\/4\/2.1\/32.1-111.9_1","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/32.1-111.9\/","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 3 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 2008, chapter 61<\/a>; in 2011, chapter 90<\/a>; in 2015, chapters 502<\/a> and 503<\/a>.<\/p>","references":false,"refers_to":[{"id":86911,"section_number":"2.2-4000","catch_line":"Short title; purpose","order_by":null,"url":"\/2.2-4000\/"},{"id":74269,"section_number":"32.1-111.1","catch_line":"Definitions","order_by":null,"url":"\/32.1-111.1\/"}],"permalink":{"id":202659,"object_type":"law","relational_id":74756,"identifier":"32.1-111.9","token":"32.1\/4\/2.1\/32.1-111.9","url":"\/32.1-111.9\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/32.1-111.9\/","token":"32.1\/4\/2.1\/32.1-111.9","dublin_core":{"Title":"Applications for variances or exemptions","Type":"Text","Format":"text\/html","Identifier":"\u00a7 32.1-111.9","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

A.<\/span> Prior to the submission of (i) an application for a variance to the Commissioner<\/span> or (ii) an application for an exemption from any regulations promulgated pursuant to this chapter to the Board<\/span> by an emergency medical services<\/span> agency<\/span> that holds a valid license issued by the Commissioner<\/span>, the application shall be reviewed by the governing body or chief administrative officer of the jurisdiction<\/span> in which the principal office of the emergency medical services<\/span> agency<\/span> is located. The recommendation of the governing body or chief administrative officer of the jurisdiction<\/span> regarding the variance or exemption shall be submitted with the application, and the Commissioner<\/span> or Board<\/span>, whichever is appropriate, shall consider that recommendation for the purposes of granting or denying the variance or exemption. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

B.<\/span> An individual who meets the definition of “emergency medical services<\/span> personnel<\/span>” in § 32.1-111.1<\/a> who is certified as an emergency medical services<\/span> provider<\/span> or is a candidate for certification by the Office of Emergency Medical Services<\/span><\/span> shall not be required to submit an application for a variance or exemption to the local governing body or chief administrative officer of the jurisdiction<\/span> for review, but shall submit the application for a variance or exemption to the Operational Medical Director<\/span> and the emergency medical services<\/span> agency<\/span> chief with which he is affiliated, and shall include the recommendations of such Operational Medical Director<\/span> and the emergency medical services<\/span> agency<\/span> chief together with the application for a variance or exemption. The recommendation of the Operational Medical Director<\/span> and the emergency medical services<\/span> agency<\/span> chief with which the emergency medical services<\/span> personnel<\/span> is affiliated regarding the variance or exemption shall be submitted with the application and the Commissioner<\/span> or Board<\/span>, whichever is appropriate, shall consider that recommendation for the purposes of granting or denying the variance or exemption. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

C.<\/span> An emergency medical services<\/span> provider<\/span> who is not affiliated with an emergency medical services<\/span> agency<\/span> shall submit an application for a variance or exemption to the Commissioner<\/span> or Board<\/span>, whichever is appropriate, and the Commissioner<\/span> or Board<\/span>, whichever is appropriate, shall consider the application for the purposes of granting or denying the variance or exemption. The Commissioner<\/span> or Board<\/span>, whichever is appropriate, may require an emergency medical services<\/span> provider<\/span> who is not affiliated with an emergency medical services<\/span> agency<\/span> to submit additional case-specific endorsements or supporting documentation as part of an application for a variance or exemption. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

D.<\/span> The applicant shall have the right to appeal<\/span> any denial by the Commissioner<\/span> or Board<\/span> of an application for a variance or exemption pursuant to the Administrative Process Act (§ 2.2-4000<\/a> et seq.). <\/i><\/a><\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nAPPLICATIONS FOR VARIANCES OR EXEMPTIONS (\u00a7 32.1-111.9)\n\nA. Prior to the submission of (i) an application for a variance to the\nCommissioner or (ii) an application for an exemption from any regulations\npromulgated pursuant to this chapter to the Board by an emergency medical\nservices agency that holds a valid license issued by the Commissioner, the\napplication shall be reviewed by the governing body or chief administrative\nofficer of the jurisdiction in which the principal office of the emergency\nmedical services agency is located. The recommendation of the governing body or\nchief administrative officer of the jurisdiction regarding the variance or\nexemption shall be submitted with the application, and the Commissioner or\nBoard, whichever is appropriate, shall consider that recommendation for the\npurposes of granting or denying the variance or exemption.\n\nB. An individual who meets the definition of “emergency medical services\npersonnel” in § 32.1-111.1 who is certified as an emergency medical\nservices provider or is a candidate for certification by the Office of Emergency\nMedical Services shall not be required to submit an application for a variance\nor exemption to the local governing body or chief administrative officer of the\njurisdiction for review, but shall submit the application for a variance or\nexemption to the Operational Medical Director and the emergency medical services\nagency chief with which he is affiliated, and shall include the recommendations\nof such Operational Medical Director and the emergency medical services agency\nchief together with the application for a variance or exemption. The\nrecommendation of the Operational Medical Director and the emergency medical\nservices agency chief with which the emergency medical services personnel is\naffiliated regarding the variance or exemption shall be submitted with the\napplication and the Commissioner or Board, whichever is appropriate, shall\nconsider that recommendation for the purposes of granting or denying the\nvariance or exemption.\n\nC. An emergency medical services provider who is not affiliated with an\nemergency medical services agency shall submit an application for a variance or\nexemption to the Commissioner or Board, whichever is appropriate, and the\nCommissioner or Board, whichever is appropriate, shall consider the application\nfor the purposes of granting or denying the variance or exemption. The\nCommissioner or Board, whichever is appropriate, may require an emergency\nmedical services provider who is not affiliated with an emergency medical\nservices agency to submit additional case-specific endorsements or supporting\ndocumentation as part of an application for a variance or exemption.\n\nD. The applicant shall have the right to appeal any denial by the Commissioner\nor Board of an application for a variance or exemption pursuant to the\nAdministrative Process Act (§ 2.2-4000 et seq.).\n\nHISTORY: 1996, c. 899; 2008, c. 61; 2011, c. 90; 2015, cc. 502, 503.","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}}