The Oregon Health Authority (OHA), Public Health Division, Health Care Regulation and Quality Improvement section is proposing to permanently adopt and amend administrative rules relating to the licensing requirements for ambulance service agencies and ambulance vehicles including the license application process, qualifications for licensure, operations, policies and procedures, personnel, EMS medical direction, required notifications, ambulance vehicle construction requirements, ambulance vehicle equipment requirements, infection control practices, and violations.

Administrative rules are being adopted and amended to improve the accuracy, structure and clarity of the rules; align language with current processes including simplifying procedures; clarify licensing requirements; address concerns regarding ambulance service agencies responding to calls in accordance with an ambulance service plan; address enforcement issues for violation of ambulance service vehicle regulations; address confusion around ambulance vehicle construction requirements; and ensure that ambulance vehicles are properly cleaned and decontaminated or disinfected to ensure compliance with federal standards.

For more details, including a description of each rule's proposed changes, please see the attached Notice of Proposed Rulemaking including the Statement of Need and Fiscal and Racial Equity Impacts, and the full text of the proposed rules. This information is also available on the EMS Rulemaking Activity webpage under “Proposed Rules Out for Public

Comment: https://www.oregon.gov/oha/PH/PROVIDERPARTNERRESOURCES/EMSTRAUMASYSTEMS/Pages/Rulemaking-Activity.aspx

You are invited to review and comment on the proposed rules. There are two (2) options to provide comment:

1) You may provide oral (spoken) testimony during a public hearing scheduled on Monday, July 21, 2025, at 10:00 A.M. Pacific Time via video/phone conference using Microsoft Teams.

• To provide oral testimony during this hearing:
  • Join using the Meeting URL. You can also find the join link for the meeting in the Notice of Proposed Rulemaking under “Remote Meeting Details” using the “Meeting URL."
  • You may also contact the Public Health Division Rules Coordinator at publichealth.rules@odhsoha.oregon.gov to sign-up to give oral testimony and receive the link for the Microsoft Teams video conference via calendar appointment.
  • To join the hearing via phone (audio/listen only), you may dial 971-277-2343, phone conference ID 838 257 872#.

2) Written comments may be submitted before 5:00 P.M. Pacific Time on July 22, 2025:

• Email comments to: publichealth.rules@odhsoha.oregon.gov
• Mail comments* to:      OHA - Public Health Division

Brittany Hall, Administrative Rules Coordinator

800 NE Oregon St. Suite 930

Portland, OR 97232

*Comments sent by regular mail must be postmarked by 5:00 P.M. Pacific Time on July 22, 2025.

• Send comments by fax to 971-673-1299

Final rules will be filed after consideration of all comments.

If you have questions or would like a paper copy of the Notice of Proposed Rulemaking, please contact Mellony Bernal at mellony.c.bernal@oha.oregon.gov.

Accessibility Statement: For individuals with disabilities or individuals who speak a language other than English, OHA can provide free help. Some examples are sign language and spoken language interpreters, real-time captioning, braille, large print, audio, and written materials in other languages. If you need help with these services, please contact the Public Health Administrative Rules Coordinator at 971-673-1222, 711 TTY or publichealth.rules@odhsoha.oregon.gov.  All relay calls are accepted.