                                 CODE OF VIRGINIA

REGULATIONS; EMERGENCY MEDICAL SERVICES PERSONNEL AND VEHICLES; RESPONSE TIMES;
ENFORCEMENT PROVISIONS; CIVIL PENALTIES (§ 32.1-111.4)

A. The Board shall prescribe by regulation:

   1. Requirements for recordkeeping, supplies, operating procedures, and other
   emergency medical services agency operations;

   2. Requirements for the sanitation and maintenance of emergency medical
   services vehicles and their medical supplies and equipment;

   3. Procedures, including the requirements for forms, to authorize qualified
   emergency medical services personnel to follow Do Not Resuscitate Orders
   pursuant to &#xA7; 54.1-2987.1;

   4. Requirements for the composition, administration, duties, and
   responsibilities of the Advisory Board;

   5. Requirements, developed in consultation with the Advisory Board, governing
   the training, certification, and recertification of emergency medical services
   personnel;

   6. Requirements for written notification to the Advisory Board, the Office of
   Emergency Medical Services, and the Financial Assistance and Review Committee
   of the Board&#8217;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. 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 &#xA7; 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. A uniform definition of &#8220;response time&#8221; 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. 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 &#xA7;
   46.2-694, to be used only for emergency medical services purposes; and

   10. 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.

B. 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.

C. 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.

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.