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Rules and Statutes

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 recent changes to continuing education requirements and exhibits referenced in OAR 333-200 and OAR 333-205.

On this page:


Proposed Rules

Notice of Proposed Rulemaking - OAR 333-265 - EMS Providers

The Oregon Health Authority (Authority), Public Health Division, Emergency Medical Services (EMS) and Trauma Systems Program is proposing to permanently amend, repeal and amend and renumber Oregon Administrative Rules in chapter 333, division 265 relating to EMS course requirements and requirements for EMS provider licensure. Amendments are necessary in order to remove outdated fees, continuing education references, and provisional licensure requirement; align the rules with current national registry language and national education standards; and provide additional options for rural communities to provide courses to EMS providers. Amendments also clarify EMS provider licensure reinstatement requirements after reverting to a lower level. Non-substantive changes are proposed to ensure consistent use of terminology, make general updates consistent with current practice, update statutory and rule references, and clarify processes.
Further details:
Notice of Proposed Rulemaking Hearing

Notice of Proposed Rulemaking - OAR 333-250 - Ambulance Service Licensing

The Oregon Health Authority (OHA), Public Health Division, Emergency Medical Services (EMS) and Trauma Systems Program is proposing to permanently adopt, amend and renumber, and repeal Oregon Administrative Rules in chapter 333, division 250 relating to the licensing requirements for ambulance service agencies. The proposed amendments seek to:
  • Update language and terms used to reflect current terminology, technology and statutory references;
  • Align rules with other facility licensing types including streamlining the organization of the rules;
  • Clarify licensing requirements and actions necessary;
  • Require criminal background checks on qualified drivers that are not a licensed EMS provider;
  • Recommend minimum requirements for a quality assessment and performance improvement (QAPI) program;
  • Clarify ambulance service agency responsibilities; and
  • Clarify OHA responsibilities.
Further details:
Public Comment:
A public hearing for both the EMS Provider Rules (333-265) and Ambulance Service Licensing (333-250) rules has been scheduled for:
December 20, 2016
2:30 p.m.
800 NE Oregon Street, Room 1-D
Portland, OR 97232
Interested parties are invited to review these proposed rules and to comment on them. Oral testimony may be provided at the public hearing on December 20th (see meeting location above) or alternatively, written comments may be filed by 5:00 p.m. December 22, 2016 to the Public Health Division's Rules Coordinator at the following address: 
OHA, Public Health Division
Brittany Hall, Administrative Rules Coordinator
800 NE Oregon Street, Suite 930
Portland, Oregon 97232
FAX: (971) 673-1299

New and Amended Rules

Ambulance Service Agency Providing Secure Transport: OAR 333-250

The Oregon Health Authority (OHA), Public Health Division, has permanently amended and adopted Oregon Administrative Rules 333-250-0040 and 0041 which identifies policy and education requirements if an ambulance service agency provides transport to individuals suffering from a behavioral health crisis who are in custody or on diversion, often referred to as 'secure transport.' In addition, OAR 333-250-0085 has been adopted addressing patient rights for emergency medical care and transportation. While final rules have been filed with the Secretary of State's office and are effective April 28, 2016, additional rulemaking from the OHA-Health Systems Division is necessary prior to an ambulance performing this service. Approval of secure transport providers is addressed in OAR 309-033-0432. Should you wish additional information about rulemaking activity relating to 309-033 rules, please contact Nola Russell at


Temporary Rules

There are no temporary rules in effect at this time.


Oregon Administrative Rules

OAR 333-200

Oregon Trauma System Rules and Exhibits

Exhibit 1 - Oregon Trauma System Area Map
Exhibit 2 - Guidelines for Field Triage of Injured Patients
Exhibit 3 - Oregon Hospital Trauma Team Activation Criteria
Exhibit 4 - Oregon Trauma Hospital Resource Standards
Exhibit 5 - Oregon Criteria for Consideration of Transfer to a Level I or Level II Trauma Center
OAR 333-205 ​Oregon Trauma System Hospital Identification in Trauma Area #1 
OAR 333-250 Ambulance Service Licensing
OAR 333-255 Ambulance Licensing
OAR 333-260 Ambulance Service Areas
OAR 333-265

EMS Providers

OAR 847-035 EMS 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

Related materials:


Oregon Revised Statutes

ORS 431A Emergency Medical Services and Trauma Systems
​ORS 431A.105​ ​Emergency Medical Services for Children Program
ORS 433.800-830 Programs to Treat Allergic Response, Adrenal Insufficiency or Hypoglycemia
ORS 682 Regulation of Ambulance Services and Emergency Medical Services Providers
ORS 030 "Good Samaritan Law" - see ORS 030.800
ORS 041 Confidentiality of patient records in general - see ORS 041.675 - 041.685
ORS 431A Confidentiality under the Oregon Trauma System - see ORS 431A.090(4)(a)
ORS 431A.455 ​Automated External Defibrillator (AED) required at places of public assembly
ORS 676 ​Health Professionals Reporting and Complaints - see ORS 676.150 - 676.180
​ORS 183 Administrative Procedure Act
ORS 820 Exemptions from traffic laws: Ambulance and Emergency Vehicles - see ORS 820.300 - 820.380