A to Z
Data &
Forms &
News &
Licensing &
Rules &
Public Health
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 Hearing for OARs 333-200 and 333-205 "Trauma Hospital Categorization and Resource Standards"

The Oregon Health Authority (OHA), Public Health Division is proposing to permanently adopt and amend Oregon Administrative Rules in chapter 333, divisions 200 and 205 and Exhibits 1, 3, 4 and 5 relating to the Emergency Medical Services and Trauma System Program.
In accordance with ORS 431.609, the OHA is responsible for the development of a comprehensive statewide trauma system which includes the development of state trauma objectives and standards, and the criteria and procedures utilized in categorizing and designating trauma hospitals. The OHA is directed to categorize hospitals according to trauma care capabilities using standards modeled after the American College of Surgeons (ACS), Committee on Trauma Standards (COT). The OHA is updating these rules given passage of SB 728 (Oregon Laws 2013, chapter 605) relating to the State Trauma Advisory Board (STAB), updating and aligning Area Trauma Advisory Board requirements with statute, and providing better organization and identifying clearer processes and procedures for classifying and designating trauma hospitals. In 2014, the ACS COT published the 2014, Resources for Optimal Care of the Injured Patient and as such the OHA has amended Exhibits 3, 4 and 5 to align with this revised publication. Exhibit 1 has been revised to reflect changes that have occurred over time to geographic areas and referral patterns.
Persons wishing to comment on these proposed rules may do so orally or in writing. Oral testimony may be presented at a public hearing being held in Portland, Oregon at 800 NE Oregon St, Room 1B, on October 21, 2015 at 10:00 a.m. Written comments may be submitted before 5:00 p.m. on October 22, 2015 to the Public Health Division Rules Coordinator at the following address:
OHA, Public Health Division
Brittany Sande, Administrative Rules Coordinator
800 NE Oregon Street, Suite 930
Portland, Oregon 97232
E-mail comments to: or send comments by fax to (971) 673-1299.
Final rules will be filed after consideration of all comments.
Details can be found in the following documents:
Full text of proposed rule
Proposed changes to exhibits:  Note - Exhibits 1 and 4 are being replaced. Both the deleted and new versions are posted below.

New and Amended Rules

333-265-0023 “Provider Exams”

The Oregon Health Authority (OHA), Public Health Division has permanently amended Oregon Administrative Rule 333-265-0023 relating to provider exams. A public hearing was held on August 25th and after considering comments received, the following rule was amended and filed with the Secretary of State. This revised rule aligns with national standards and is effective September 3, 2015.

Temporary Rules

Notice of Temporary Rulemaking for OAR chapter 333, division 265 - "Temporary Licensure for Wild Land Fire Response"

The State of Oregon is in a critical fire danger situation. Much of the state is now in extreme fire danger and red flag warnings have been issued for hot, dry, windy conditions and thunderstorms. We have already experienced wildfires this season that resulted in evacuations and threatened critical infrastructure and hundreds of structures.

The Oregon Department of Forestry Incident Management Teams, along with National Interagency Teams are currently deployed in Oregon. Regional compacts are also being utilized for the deployment of specific wild land fire resources to Oregon. New and existing fire threats elevate the need for immediate access to state resources including firefighting helicopters. This threat is not likely to recede in the near future.

The OHA has received a request to expedite limited license reciprocity for out of state EMS providers to assist with emergency medical needs of the staff on the fire response teams. We anticipate receiving additional requests for this EMS license recognition.

This rulemaking is effective August 21, 2015 through February 16, 2016.

For more details, please see the following Statement of Need and Justification and the full text of the temporary rules:


Oregon Administrative Rules


OAR 333-200 Oregon Trauma System Rules and Exhibits
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 or Hypoglycemia and to Treat Opiate Overdose

Related materials:

Changes to Continuing Education Requirements
Appendices - Referenced in OAR 333-265
Appendix 2
    For Emergency Medical Responders (formerly known as First Responders)
    Effective Date: Beginning July 1, 2012 through June 30, 2014
Appendix 3
    For EMS providers, excluding Emergency Medical Responders
Effective Date: Beginning July 1, 2013 through June 30, 2015


Oregon Revised Statutes

ORS 431 Trauma System
​ORS 431.671​ ​Emergency Medical Services for Children
ORS 433.805-830 Programs to Treat Allergic Response or Hypoglycemia
ORS 682 Emergency Medical Services
ORS 030 "Good Samaritan Law" - see 030.800 & 030.803
ORS 041 Confidentiality of patient records in general - see 041.675 - 041.685
ORS 431 Confidentiality under the Oregon Trauma System - see 431.627(4) (a)
​ORS 431.690​ ​Automated External Defibrillator (AED) required at places of public assembly
ORS 820 Exemptions from traffic laws