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Adopted Rules

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Adopted rules are not in effect until effective date of rule. Note that some rules which stand alone in the existing rules structure may be combined with related rules in the adopted format.

EMS Rules | Trauma Rules

Adopted EMS Rules

 

Adopted EMS Rules

Rule

Authorizing Statute

Texas
Administrative Code

Effective Date
(recent changes highlighted)
25 TAC, 157.1 Purpose Health & Safety Code 773 TAC §157.1
06/01/2004
25 TAC, 157.2
Definitions		 Health & Safety Code 773 TAC §157
09/01/2000
25 TAC, 157.3
Processing EMS Provider Licenses & App for EMS Personnel Cert		 Gov't Code 2005.003 
TAC §157
09/01/2000
25 TAC, 157.4 Audits Health & Safety Code 773 TAC §157
06/01/2004
25 TAC, 157.5 Rule Exemption Requests Health & Safety Code 773 TAC §157.5
07/29/2004
25 TAC, 157.11
EMS Provider 
Licensing		 Health & Safety Code 
773		 TAC §157.11

08/17/2008

  • All ground transfers by stretcher by licensed EMS provider
  • New requirement for Epi Pens or similar device to treat anaphylaxis
  • New requirement for CE for administration of anaphylaxis treatment
  • Mutual aid by providers in adjoining states authorized
  • New requirement to document medical director contracts
  • New requirement for professional liability insurance
  • New requirement to meet federal specifications for ambulance body type
  • New requirement for license number display on side of vehicle
  • New requirement for media notice when unable to provide continuous coverage
  • Clarified location of no-smoking signs
  • Clarified level of care authorization equipment requirements
  • Clarified requirement for written authorization of subscription programs, including enrollment period clarity, by highest local elected official
  • New requirement to develop, implement and enforce written operating procedures

 
25 TAC, 157.12
Rotor-wing Air Amb Provider Licensure		 Health & Safety Code 773 TAC §157.12
09/01/2000
25 TAC, 157.13
Fixed-wing Air Amb 
Provider Licensure		 Health & Safety Code 773 TAC §157.13
09/01/2000
25 TAC, 157.14
First Responder Organization		 Health & Safety Code 773 TAC §157.14

08/31/2006

  • Added medical direction requirement
25 TAC, 157.16
Disciplinary Action (Provider)		 Health & Safety Code 
773		 TAC §157.16
09/01/2000
25 TAC, 157.25
 Out-of-Hospital 
 DNR		 Health & Safety Code, Chapter 166 TAC §157.25

07/29/2004
25 TAC, 157.32
EMS Education Program & Course Approval		 Health & Safety Code, 773 TAC §157.32
08/16/2012
25 TAC, 157.33 Certification  Health & Safety Code
773		 TAC §157.33


08/31/2006

  • Added flexibility for out-of-state certified candidates & other healthcare professionals
  • Parallels requirements for National Registry exam

 
25 TAC, 157.34
Recertification		 Health & Safety Code 773 TAC §157.34

08/31/2006

  • Added a re-entry option for candidates with inactive or lapsed certifications
25 TAC, 157.36
Disciplinary Action (Personnel) 		 Health & Safety Code
773		 TAC §157.36
09/01/2000
25 TAC, 157.37
Certification or Licensure of Persons With Criminal Backgrounds

Occupations Code, Chapter 53

TAC §157.37
09/01/2000
25 TAC, 157.38
Continuing Education		 Health & Safety Code, 773 TAC §157.38

08/17/2008

  • Added Pedi CE content area
  • Adjusted content hour requirements
25 TAC, 157.39 Comprehensive Clinical Management Program Health & Safety Code, 773 TAC §157.38

12/27/2007

  • New rule implementing path for 5 th option for certification/license renewal for personnel affiliated with providers with ongoing program activities, including CE, quality improvement, individualized personnel monitoring, mentoring, assessment, & ongoing professional development
25 TAC, 157.40
Paramedic Licensure		 Health & Safety Code 773 TAC §157.40

08/31/2006

  • Added a re-entry option for candidates with inactive or lapsed certifications
  • Parallels requirements for National Registry exam

 
157.41 Automated External Defibrillators

Health & Safety Code 779

 TAC §157.41
07/29/2004
25 TAC, 157.43
Course Coordinator		 Health & Safety Code 773 TAC §157.43
06/01/2004
25 TAC, 157.44
EMS Instructor		 Health & Safety Code 773 TAC §157.44

08/17/2008

  • Eliminated skills verification orientation
  • Allows for exam by non-department entities
  • Clarified curriculum requirements
  • Itemized additional instructor responsibilities
  • New language addressing department’s reorganization
  • Further defined language regarding disciplinary action and surrender
 

 
25 TAC, 157.49 Emergency Medical Information Operator (EMD) Health & Safety Code 773 TAC §157.49
06/01/2004
       

Adopted Trauma Rules

 

 

Adopted Trauma Rules

Rules

Authorizing Statute

Texas Administrative Code

Effective Date
(recent changes highlighted)
25 TAC, 157.2
Definitions		 Health & Safety Code
773.111 - .124		 TAC §157.2
09/1/2000 
25 TAC, 157.122
Trauma Service Areas		 Health & Safety Code
773.111 - .124		 TAC §157.122
09/1/2000 
25 TAC, 157.123
Regional Emergency Medical Services/Trauma Systems		 Health & Safety Code
773.111 - .124		 TAC §157.123
09/01/2000 
25 TAC, 157.125
Requirements for Trauma Facility Designation		 Health & Safety Code
773.111 - .124		 TAC §157.125
09/01/2007
Attachment: 
Level III Criteria		 Health & Safety Code
773.111 - .124		 TAC §157.125(x)
09/01/2007
Attachment: 
Level III Standards		 Health & Safety Code
773.111 - .124		 TAC §157.125(x)(1)
09/01/2007
Attachment: 
Level III Audit Filters		 Health & Safety Code
773.111 - .124		 TAC §157.125(x)(2)
09/01/2007
Attachment: 
Level IV Criteria		 Health & Safety Code
773.111 - .124		 TAC §157.125(y)
09/01/2007
Attachment: 
Level IV Standards		 Health & Safety Code
773.111 - .124		 TAC §157.125(y)(1)
09/01/2007
Attachment: 
Level IV Audit Filters		 Health & Safety Code
773.111 - .124		 TAC §157.125(y)(2)
09/01/2007
25 TAC, 157.128
Denial, Suspension, and Revocation of Trauma Facility Designation		 Health & Safety Code
773.111 - .124		 TAC §157.128
09/01/2007
25 TAC, 157.130
Emergency Medical Services and Trauma Care System Account and Emergency Medical Services, Trauma Facilities, and Trauma Care System Fund		 Health & Safety Code
773.111 - .124		 TAC §157.130
12/20/2001
25 TAC, 157.131
Designated Trauma Facility and Emergency Medical Services Account		 Health & Safety Code 780 TAC §157.131
07/29/2004
25 TAC, 157.132
Regional Trauma Account 		  TAC §157.132

08/10/2008

25 TAC, 157.133
Requirements for Stroke Facility Designation

  TAC §157.133
08/30/2009

 

 

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Last updated August 20, 2012