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EMS Related Laws, Regulations & Administrative Requirements

  1. Home
  2. EMS Related Laws, Regulations & Administrative Requirements
OEMS Administrative Requirements EMS Laws & Regulations

A description of all of the Administrative Requirements for Emergency Medical Technicians, Ambulance Services and Accredited Training Institutions are listed below.

Click here to access the most current version of these ARs if they are not hyperlinked below.

First Responders and First Responder Agencies

AR 2- 100

Minimum Standards for First Responder Training

EMTs - All Levels

AR 2- 238

EMT Certification and Recertification for Returning Veterans and EMTs in Active Military Service

AR 2- 317

Exam Eligibility - Basic EMT and Advanced EMT

AR 2- 318

Exam Process for EMT-Cadets, Reinstatement Candidates, and Candidates for Paramedic Certification Ineligible for NREMT Certification

EMT - Basic

AR 2- 236

EMT Certification based on Out-of-State EMT and Massachusetts Physician, Physician Assistant, Registered Nurse or Nurse Practitioner licensure

AR 2- 248

Recertification Deadlines and Reinstatement Procedures for EMT-Basics

Advanced EMT

AR 2- 307

Minimum Skill Requirements for Advanced EMT Training Programs

AR 2- 320

Advanced EMT Certification Based on Out-of-State Advanced EMT

AR 2- 353

Recertification Deadlines and Reinstatement Procedures for Advanced EMTs and Paramedic

Paramedic

AR 2- 305

Minimum Skill Requirements for Paramedic Training Programs

AR 2- 322

Paramedic Certification based on Massachusetts Physician, Physician Assistant, Registered Nurse or Nurse Practitioner licensure

AR 2- 323

Paramedic Certification based on Out-of-State Paramedic

AR 2- 353

Recertification Deadlines and Reinstatement Procedures for Advanced EMTs and Paramedics

Instructors and Examiners

AR 2- 214A

Conflict of Interest Requirements for Chief Examiners, Examiners and Accredited Training Institutions

Training

AR 2- 200

Accredited Training Institution Roles and Responsibilities - Updated 09/25/2023

AR 2- 212

EMT Continuing Education Standards - Updated 09/25/2023

AR 2- 305

Minimum Skill Requirements for Paramedic Training Programs

AR 2- 307

Minimum Skill Requirements for Advanced EMT Training Programs

AR 2- 319

Psychomotor Skills Verification in Lieu of Full Psychomotor Exam, for Certain EMTs to Obtain NREMT EMT Certification

Ambulance Services

AR 2- 405

Minimum Specifications for Class I and Class II Ambulance Vehicles Certified by the Department

AR 2- 260

Standards for ALS/BLS Interface Training

AR 5- 211

Special Project Waiver Application Process

AR 5-400

Required Medication List

AR 5- 401

Ambulance Equipment List: Basic Life Support

AR 5-410K9

AR 5-401K9-BLS Equipment List for Police Dog Care

AR 5- 402

Ambulance Equipment List: Advanced Life Support

AR 5- 403

Statewide EMS Minimum Data Set

AR 5- 515

Withholding and Cessation of Resuscitation by EMTs

AR 5- 520

Requirements for Basic and Intermediate EMT Use of Glucose Monitoring

AR 5- 605

Duty to Provide a Patient's Personal and Medical Information Contained in Ambulance Service Records to Authorized Parties

AR 5- 610

Responding to Scenes Involving Minors Refusing Treatment or Transport

AR 5- 615

Cancellation of ALS

AR 5- 620

ALS Transfer Calls to BLS

Scope of Practice Transition

AR 2- 205

Transition Requirements for EMT-Intermediate to Advanced EMT and ALS-Intermediate level Ambulance Services to Advanced Service Licensure

AR 2- 207

Transition Requirements for EMT-Basics and EMT-Paramedics

Service Zone Planning

AR 2- 510

Priority of Recognition of Local Jurisdictions for Service Zone Planning

CHAPTER 111C. EMERGENCY MEDICAL SERVICES SYSTEM

105 CMR 170.000 : Emergency Medical Services System (Revised 3/28/14 & corrected 4/25/14)

105 CMR 130.1500-1504 : Hospital Licensure regulations pertaining to medical control licensure.

CHAPTER 111O. MOBILE INTEGRATED HEALTHCARE

Chapter 149: Section 177B Volunteer firefighters and emergency medical technicians; responding to emergencies; discharge from other employment.

Chapter 111: Section 111C. Unprotected Exposure.

Chapter 111: Section 51A. Injured Children Reports.

Chapter 123: Section 12. Emergency Restraint/dangerous persons.

Chapter 123: Section 21. Transport of Mentally ill/Restraint.

Chapter 111C. Section 18. Restraint of Patient/Written Report.

Chapter 19A: Section 15. Reports of Abuse/Liability.

Chapter 265: Section 13I. Assault on EMT.

Chapter 89: Section 7. Right of Way/Emergency Vehicles

Chapter 89: Section 7A. Restrictions/Approach of Emergency Vehicles.

Chapter 89: Section 7B. Operation of Emergency Vehicles.

Chapter 89: Section 7C. "Move Over Law".

Chapter 90: Section 16A. Stopped Vehicle Time limit.

Chapter 111C: Section 17. Transport of Children/Ambulance.

Chapter 111C: Section 20. Medical Control/limited liability.

Chapter 111C: Section 21. EMS Good Faith/limited liability.

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Central Massachusetts Emergency Medical Systems Corporation (CMEMSC) was designated by the Department of Public Health as the Region II emergency medical services council in 1977

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