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Laws & Rules

Links to laws and rules related to the Ohio Division of Emergency Medical Services.

Draft and Proposed Rules

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 Responder (First Responder) 4765-12
Advanced Emergency Medical Technician (EMT-Intermediate) 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

Grant Program Laws & Rules

Ohio Revised Code

Title Section
Administrative rules for grant program 4765.07

 

Ohio Administrative Code

Title Section
Grants 4765-5

Investigations & Compliance Laws & Rules

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