Laws & Rules
Links to laws and rules related to the Ohio Division of Emergency Medical Services.
Draft and Proposed Rules
- Draft rules open for public comment and proposed rule public hearing notices
- View filing documents at the Register of Ohio
Rules Scheduled for Five-Year Review
- March 30, 2023: Fire rules in Chapters 4765-20, 4765-21, 4765-22, 4765-23, 4765-24, and 4765-25.
- March 1, 2023: EMS rules in Chapters 4765-7, 4765-12, 4765-15, 4765-16, 4765-17, and 4765-19.
- December 31, 2023: EMS rules in Chapters 4765-1, 4765-2, 4765-3, 4765-6, and 4765-18.
EMS Training Programs Laws & Rules
Ohio Revised Code
| Title | Section |
| Continuing education - approval and accreditation | 4765.15 |
| Continuing education - development | 4765.16 |
| Expedited paramedic certification for veterans | 4765.161 |
| Issuing certificate of accreditation or certificate of approval | 4765.17 |
| Grounds for suspension or revocation of certificate | 4765.18 |
| Applying to teach in emergency medical services training program or emergency medical services continuing education program | 4765.22 |
| Teaching certificate - issuance - renewal - suspension or revocation | 4765.23 |
| Continuing education - certificate of completion | 4765.24 |
| Emergency medical personnel and agencies - immunity | 4765.49 |
Ohio Administrative Code
| Title | Section |
| Accreditation of Training Programs | 4765-7 |
| Application for accreditation | 4765-7-04 |
| Offsite locations | 4765-7-05 |
| 10-day Notification requirement to the board | 4765-7-06 |
| Renewal of a certificate of accreditation | 4765-7-07 |
| Online education and distance learning delivery systems for EMS training programs offered through an accredited institution | 4765-7-12 |
| National accreditation of paramedic programs | 4765-7-13 |
| Certificate to Teach or Practice; Continuing Education | 4765-8 |
| Ethical Standards of Conduct | 4765-9 |
| First Responder Certification | 4765-12 |
| EMT-Basics | 4765-15 |
| EMT-Advanced (AEMT) | 4765-16 |
| EMT-Paramedics | 4765-17 |
| EMS Training and Continuing Education Programs | 4765-18 |
Approved CE Programs
Ohio Revised Code
| Title | Section |
| Continuing education - development | 4765.16 |
| Issuing certificate of accreditation or certificate of approval | 4765.17 |
| Grounds for suspension or revocation of certificate | 4765.18 |
| Continuing education - certificate of completion | 4765.24 |
Ohio Administrative Code
| Title | Section |
| Accreditation of Training Programs | 4765-7 |
| EMS Training and Continuing Education Programs | 4765-18 |
| Emergency Medical Services Continuing Education | 4765-19 |
Certification Laws & Rules
Ohio Revised Code
EMS
| Title | Section |
| Division of emergency medical services definitions | 4765.01 |
| Designation as EMR, EMT, or AEMT | 4765.011 |
| Teaching certificate - issuance - renewal - suspension or revocation | 4765.23 |
| Applying for certificate to practice | 4765.28 |
| Qualifications for certificate to practice | 4765.30 |
| Certificates issued under prior law | 4765.32 |
Fire
| Title | Section |
| Fire safety inspector certificate | 3737.34 |
| Fire service training programs | 4765.55 |
Ohio Administrative Code
EMS
| Title | Section |
| Qualifications for a certificate to practice | 4765-8-01 |
| Application for certificate to practice | 4765-8-02 |
| Renewal of certificate to practice | 4765-8-04 |
| EMS certificate to practice and EMS certificate to teach cycles and continuing education requirements | 4765-8-06 |
| Merging of EMS and fire certificates to establish a mutual expiration date | 4765-8-07 |
| Certification by reciprocity | 4765-8-15 |
| Application fees for certification | 4765-8-16 |
| Voluntary surrender or change in level of certificate to practice | 4765-8-17 |
| Reinstatement of a certificate to practice | 4765-8-18 |
| Reinstatement of revoked certificate to practice | 4765-8-19 |
| Emergency Medical Responder (First Responder) | 4765-12 |
| Emergency Medical Technician (EMT-Basics) | 4765-15 |
| Advanced Emergency Medical Technician (EMT-Intermediates) | 4765-16 |
| Paramedics | 4765-17 |
| EMS Training and Continuing Education Programs | 4765-18 |
| Emergency Medical Services Continuing Education | 4765-19 |
Fire
| Title | Section |
| General provisions | 4765-20-01 |
| Qualifications for a firefighter certificate | 4765-20-02 |
| Qualifications for a fire safety inspector or hazard recognition officer certificate | 4765-20-03 |
| Renewal of a firefighter, fire safety inspector, or hazard recognition officer certificate | 4765-20-07 |
| Reinstatement of a firefighter, fire safety inspector, or hazard recognition officer certificate | 4765-20-08 |
| Reinstatement of a revoked firefighter, fire safety inspector, or hazard recognition officer certificate | 4765-20-09 |
| Firefighter certification by reciprocity | 4765-20-10 |
| Firefighter continuing education | 4765-20-11 |
| Fire safety inspector and hazard recognition officer continuing education | 4765-20-12 |
| Extension of continuing education requirement for firefighter, fire safety inspector, or hazard recognition officer | 4765-20-13 |
| Exemption from firefighter, fire safety inspector, or hazard recognition officer continuing education | 4765-20-14 |
| Voluntary surrender or drop back of firefighter, fire safety inspector, or hazard recognition officer certificate | 4765-20-15 |
| Firefighter, fire safety inspector, or hazard recognition officer certification cycles and continuing education requirements | 4765-20-16 |
| Qualifications for an instructor certificate | 4765-21-03 |
| Renewal of a fire instructor, assistant fire instructor, live fire instructor, or fire safety inspector instructor certificate to teach | 4765-21-06 |
| Reinstatement of a fire instructor, assistant fire instructor, live fire instructor, or fire safety inspector instructor certificate to teach | 4765-21-07 |
| Reinstatement of a revoked fire instructor, assistant fire instructor, live fire instructor, and fire safety inspector instructor certificate | 4765-21-08 |
| Reciprocity for fire instructor | 4765-21-09 |
| EMS instructor seeking fire instructor or fire safety inspector instructor certification | 4765-21-10 |
| Fire instructor or fire safety inspector instructor crossover certification | 4765-21-11 |
| Extension of continuing education requirement for fire instructor, assistant fire instructor, live fire instructor, or fire safety inspector instructor | 4765-21-12 |
| Exemption from fire instructor, assistant fire instructor, live fire instructor, or fire safety inspector instructor renewal requirements | 4765-21-13 |
| Voluntary surrender of certificate to teach | 4765-21-14 |
Fire Charter Training Program Laws & Rules
Ohio Revised Code
| Title | Section |
| Fire and Fire Safety Inspector Training Committee | 4765.04 |
| Fire Service Training Programs | 4765.55 |
Ohio Administrative Code
| Title | Section |
| Fire Charters | 4765-24 |
| Fire Service Training Programs | 4765-20 |
| Fire Instructor Training Programs | 4765-21 |
| Professional Standards | 4765-22 |
| Disciplinary Actions | 4765-23 |
Ohio Revised Code
| Title | Section |
| Complaint and investigation of violations | 4765.101 |
| Investigative information confidential | 4765.102 |
| Disciplinary proceedings | 4765.111 |
| Suspension of certificate without hearing | 4765.112 |
| Reconsideration of suspension based on conviction | 4765.113 |
| Certificate automatically suspended for certain offenses | 4765.114 |
| Suspension orders - administrative hearing - disposition | 4765.115 |
| Procedure where hearing not timely requested | 4765.116 |
| Fire service training programs | 4765.55 |
| License qualifications for basic life-support, intermediate life-support, or advanced life-support service organization | 4766.04 |
| Revocation of license or permit - deficiencies | 4766.08 |
| Investigation of violations and complaints | 4766.11 |
Ohio Administrative Code
| Title | Section |
| Ethical Standards of Conduct | 4765-9 |
| Complaints | 4765-10 |
| Professional Standards | 4765-22 |
| Disciplinary Actions | 4765-23 |
Medical Direction Laws & Rules
Ohio Revised Code
| Title | Section |
| Division of emergency medical services definitions. | 4765.01 |
| Designation as EMR, EMT, or AEMT. | 4765.011 |
| State board of emergency medical, fire, and transportation services. | 4765.02 |
| Prehospital emergency medical services regions. | 4765.05 |
| Emergency medical services incidence reporting system - state trauma registry. | 4765.06 |
| State board - powers and duties. | 4765.10 |
| Guidelines for care of trauma victims by emergency medical service personnel conduct of peer review and quality assurance programs by emergency medical services organizations. | 4765.12 |
| Authorized services by first responders. | 4765.35 |
| Authorized services in hospital. | 4765.36 |
| Performance of services in nonemergency situations. | 4765.361 |
| Authorized services by EMT-basic. | 4765.37 |
| Authorized services by EMT-Advanced (AEMT). | 4765.38 |
| Authorized services by EMT-paramedic. | 4765.39 |
| Administration of immunizations for influenza to firefighters or EMTs. | 4765.391 |
| Written protocols for triage of adult and pediatric trauma victims. | 4765.40 |
| Local written protocols. | 4765.41 |
| Names of medical director or members of cooperating physician advisory board. | 4765.42 |
| Emergency medical personnel and agencies - immunity. | 4765.49 |
| Unauthorized practice. | 4765.50 |
| Registered nurses and physician assistants. | 4765.51 |
Ohio Administrative Code
| Title | Section |
| Definitions | 4765-1 |
| Regional Physician Advisory Boards | 4765-3 |
| Reporting Delivery of Emergency Medical Services and Trauma Care | 4765-4 |
| EMT Curriculums | 4765-6 |
| Certificate to Teach or Practice; Continuing Education | 4765-8 |
| Ethical Standards of Conduct | 4765-9 |
| Complaints | 4765-10 |
| First Responder Certification | 4765-12 |
| Trauma Triage | 4765-14 |
| EMT-Basics | 4765-15 |
| EMT-Intermediates | 4765-16 |
| EMT-Paramedics | 4765-17 |
Trauma Laws & Rules
Ohio Revised Code
| Title | Section |
| Hospital Trauma Care Protocols, Trauma Patient Transfer Agreements | 3727.09 |
| Prohibited Acts Regarding Trauma Care | 3727.10 |
| Verification or Reverification as a Trauma Center | 3727.101 |
| Notice of Changes in Trauma Center Status to State Agencies | 3727.102 |
| Trauma Committee | 4765.04 |
| Trauma Registry | 4765.06 |
| EMS Trauma Triage | 4765.40 |
Ohio Administrative Code
| Title | Section |
| Trauma Registry | 4765-4 |
| Trauma Triage | 4765-14 |
Training / Education Laws & Rules
Ohio Revised Code
EMS
| Title | Section |
| Continuing education - approval and accreditation | 4765.15 |
| Continuing education - development | 4765.16 |
| Rules for expedient veteran certification | 4765.161 |
| Issuing certificate of accreditation or certificate of approval | 4765.17 |
| Grounds for suspension or revocation of certificate | 4765.18 |
| Applying to teach in emergency medical services training program or emergency medical services continuing education program | 4765.22 |
| Teaching certificate - issuance - renewal - suspension or revocation | 4765.23 |
| Continuing education - certificate of completion | 4765.24 |
| Authorized services by first responders | 4765.35 |
| Authorized services in hospital | 4765.36 |
| Performance of services in nonemergency situations | 4765.361 |
| Authorized services by EMT-basic | 4765.37 |
| Authorized services by EMT-intermediate | 4765.38 |
| Authorized services by emergency medical technician-paramedic | 4765.39 |
| Administration of immunizations for influenza to firefighters or emts | 4765.391 |
| Written protocols for triage of adult and pediatric trauma victims | 4765.40 |
| Ambulance staffing | 4765.43 |
| Emergency medical personnel and agencies - immunity | 4765.49 |
Fire
| Title | Section |
| Firefighter and fire safety inspector training committee | 4765.04 |
| Fire service training programs | 4765.55 |
Ohio Administrative Code
EMS
| Title | Section |
| Accreditation of Training Programs | 4765-7 |
| Application for accreditation | 4765-7-04 |
| Offsite locations | 4765-7-05 |
| Notification to the board | 4765-7-06 |
| Renewal of a certificate of accreditation | 4765-7-07 |
| Online education and distance learning delivery systems for EMS training programs offered through an accredited institution | 4765-7-12 |
| National accreditation of paramedic programs | 4765-7-13 |
| Certificate to Teach or Practice; Continuing Education | 4765-8 |
| Ethical Standards of Conduct | 4765-9 |
| First Responder Certification | 4765-12 |
| EMT-Basics | 4765-15 |
| EMT-Intermediates | 4765-16 |
| EMT-Paramedics | 4765-17 |
| EMS Training and Continuing Education Programs | 4765-18 |
| Emergency Medical Services Continuing Education | 4765-19 |
Fire
| Title | Section |
| Fire Service Training Programs | 4765-20 |
| Fire Instructor Training Programs | 4765-21 |
| Professional Standards | 4765-22 |
| Disciplinary Actions | 4765-23 |
Medical Transportation Laws & Rules
Ohio Revised Code
ORC 4766: Laws governing licensure of medical transportation organizations, including providers of emergency medical services, inter-facility ground transportation via ambulance and mobile intensive care unit, air medical services and wheelchair transportation services (ambulettes).
Ohio Administrative Codes
| Title | Section |
| Public Notice | 4766-1 |
| Ambulances | 4766-2 |
| Ambulettes | 4766-3 |
| MoICU | 4766-4 |
| Air Medical | 4766-5 |