Section § 1797.160

Explanation

This law states that ambulance owners must ensure that the person operating the ambulance or the attendant on board has the necessary emergency medical training to care for sick or injured people during transport. However, in a declared state of emergency, when all ambulances must be used, it's okay if the personnel don't have the usual qualifications.

No owner of a publicly or privately owned ambulance shall permit the operation of the ambulance in emergency service unless the attendant on duty therein, or, if there is no attendant on duty therein, the operator, possesses evidence of that specialized training as is reasonably necessary to ensure that the attendant or operator is competent to care for sick or injured persons who may be transported by the ambulance, as set forth in the emergency medical training and educational standards for ambulance personnel established by the authority pursuant to this article. This section shall not be applicable in any state of emergency declared pursuant to the California Emergencies Services Act (Chapter 7 (commencing with Section 8550) of Division 1 of Title 2 of the Government Code), when it is necessary to fully utilize all available ambulances in an area and it is not possible to have the ambulance operated or attended by persons with the qualifications required by this section.

Section § 1797.165

Explanation

This law allows CAL-FIRE to certify individuals as Emergency Medical Responders (EMRs) if they have completed a training program at a conservation camp and are working towards or have a high school diploma. These individuals must meet specific training requirements set out by regulations. The law ensures that past actions do not automatically disqualify someone from becoming an EMR unless such actions occurred after certification. EMR certifications under this law are valid statewide without re-testing.

The Department of Forestry and Fire Protection, alongside relevant authorities, will establish emergency regulations for certifying EMRs, which are considered crucial for public safety and well-being.

(a)Copy CA Health & Safety Code § 1797.165(a)
(1)Copy CA Health & Safety Code § 1797.165(a)(1) Notwithstanding any other law, the Department of Forestry and Fire Protection, also known as CAL-FIRE pursuant to Section 701.6 of the Public Resources Code, may certify an individual as an Emergency Medical Responder (EMR) if he or she meets both of the following conditions:
(A)CA Health & Safety Code § 1797.165(a)(1)(A) The individual is a graduate of the CAL-FIRE training program at a conservation camp under the Department of Corrections and Rehabilitation and received a letter of recommendation from the Director of CAL-FIRE.
(B)CA Health & Safety Code § 1797.165(a)(1)(B) While participating in the training program described in subparagraph (A), the individual was working toward a high school diploma or its equivalent, unless he or she already earned one.
(2)CA Health & Safety Code § 1797.165(a)(2) Except as provided in subdivision (b), an individual certified as an EMR pursuant to this section shall meet the training requirements developed by the authority pursuant to this division, including, but not limited to, the requirements of Chapter 1.5 of Title 22 of Division 9 of the California Code of Regulations.
(b)Copy CA Health & Safety Code § 1797.165(b)
(1)Copy CA Health & Safety Code § 1797.165(b)(1) Any individual certified pursuant to paragraph (1) of subdivision (a) is not disqualified from certification as an EMR for having committed any of the actions described in subdivision (c) of Section 1798.200. This subdivision does not apply to an individual who committed any of those actions after he or she received certification pursuant to this section.
(2)CA Health & Safety Code § 1797.165(b)(2) The certification of an individual as an EMR pursuant to this section shall be recognized statewide as a valid EMR certification without an individual having to repeat testing or certification.
(c)CA Health & Safety Code § 1797.165(c) The authority, in consultation with CAL-FIRE, shall, after approval by the commission pursuant to Section 1799.50, promulgate emergency regulations for the process of establishing the certification process pursuant to this section. The emergency regulations promulgated pursuant to this section shall be adopted in accordance with Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, and, for purposes of that chapter, including Section 11349.6 of the Government Code, the adoption of the regulations is an emergency and shall be considered by the Office of Administrative Law as necessary for the immediate preservation of the public peace, health and safety, and general welfare.

Section § 1797.170

Explanation

This law outlines requirements and standards for certifying Emergency Medical Technicians (EMT-I) in California.

Regulations for EMT-I training and practice are developed by the relevant authority, and certification requires applicants to provide taxpayer or social security numbers for verification.

Citizenship status cannot be asked for certification, and denial cannot be based on it. Every EMT-I must be recognized statewide, complete training on sudden infant death syndrome, and receive specific training to administer naloxone for opioid overdoses.

Additionally, training must include interaction with dementia patients and address human trafficking issues.

(a)CA Health & Safety Code § 1797.170(a) The authority shall develop and, after approval by the commission pursuant to Section 1799.50, adopt regulations for the training and scope of practice for EMT-I certification.
(b)Copy CA Health & Safety Code § 1797.170(b)
(1)Copy CA Health & Safety Code § 1797.170(b)(1) No later than July 1, 2019, the authority, local EMS agency, and certifying entity shall require an applicant to provide either the individual taxpayer identification number or social security number for purposes of applying for a certificate or the renewal of a certificate.
(2)CA Health & Safety Code § 1797.170(b)(2) If the authority, local EMS agency, or certifying entity utilizes a national examination to issue a certificate, and if a reciprocity agreement or comity exists between the State of California and the state requesting release of the individual taxpayer identification number or social security number, any deputy, agent, clerk, officer, or employee of the authority or agency may release an individual’s taxpayer identification number or social security number to an examination or certifying entity, only for the purpose of verification of certification or examination status.
(3)CA Health & Safety Code § 1797.170(b)(3) The individual taxpayer identification or the social security number shall serve to establish the identification of persons affected by state tax laws and for purposes of establishing compliance with subsection (a) of Section 666 of Title 42 of the United States Code, Section 60.15 of Title 45 of the Code of Federal Regulations, Section 17520 of the Family Code, and Section 11105 of the Penal Code, and to that end, the information furnished pursuant to this section shall be used exclusively for those purposes.
(4)CA Health & Safety Code § 1797.170(b)(4) The authority, local EMS agency, and certifying entity shall not do either of the following:
(A)CA Health & Safety Code § 1797.170(b)(4)(A) Require an applicant to disclose citizenship status or immigration status for purposes of the application or renewal of a certificate.
(B)CA Health & Safety Code § 1797.170(b)(4)(B) Deny certification to an otherwise qualified and eligible applicant based solely on the applicant’s citizenship status or immigration status.
(c)CA Health & Safety Code § 1797.170(c) An individual certified as an EMT-I pursuant to this division shall be recognized as an EMT-I on a statewide basis, and recertification shall be based on statewide standards.
(d)CA Health & Safety Code § 1797.170(d) Effective July 1, 1990, an individual certified as an EMT-I pursuant to this act shall complete a course of training on the nature of sudden infant death syndrome that is developed by the California SIDS program in the State Department of Public Health in consultation with experts in the field of sudden infant death syndrome.
(e)CA Health & Safety Code § 1797.170(e) On or before July 1, 2016, the authority shall develop and, after approval by the commission pursuant to Section 1799.50, adopt regulations to include the administration of naloxone hydrochloride in the training and scope of practice of EMT-I certification. These regulations shall be substantially similar to existing regulations set forth in Chapter 3 (commencing with Section 100101) of Division 9 of Title 22 of the California Code of Regulations that authorize an EMT-I to receive EMT-II training in the administration of naloxone hydrochloride without having to complete the entire EMT-II certification course. This subdivision shall be implemented in accordance with Chapter 5 (commencing with Section 1798).
(f)CA Health & Safety Code § 1797.170(f) To ensure that EMT-Is licensed in this state are able to assist individuals living with cognitive impairment, the authority shall, as part of EMT-I basic training, include a component within the dementia-specific training hours on how to interact effectively with persons with dementia and their caregivers. In developing this component, the authority may consult with community organizations advocating on behalf of Californians with dementia or Alzheimer’s disease.
(g)CA Health & Safety Code § 1797.170(g) Commencing July 1, 2024, the authority shall require every EMT-I, upon initial licensure, to complete at least 20 minutes of training on issues relating to human trafficking.

Section § 1797.171

Explanation

This section outlines the rules and standards for EMT-II (Emergency Medical Technician - Intermediate) training and certification in California. It mandates that by July 1, 2019, applicants must provide a taxpayer or social security number when applying for or renewing certification, but citizenship or immigration status cannot be required. EMT-IIs must complete training on sudden infant death syndrome. In rural areas with long transport times, EMT-IIs may get expanded practice scope equivalent to paramedics (EMT-P) if approved. Dementia-specific training, including interaction techniques for those with cognitive impairments, is required. Starting July 1, 2024, EMT-IIs must also take training on human trafficking.

(a)CA Health & Safety Code § 1797.171(a) The authority shall develop, and after approval of the commission pursuant to Section 1799.50, shall adopt, minimum standards for the training and scope of practice for EMT-II.
(b)Copy CA Health & Safety Code § 1797.171(b)
(1)Copy CA Health & Safety Code § 1797.171(b)(1) No later than July 1, 2019, the authority, local EMS agency, and certifying entity shall require an applicant to provide either the individual taxpayer identification number or social security number for purposes of applying for a certificate or the renewal of a certificate.
(2)CA Health & Safety Code § 1797.171(b)(2) If the authority, local EMS agency, or certifying entity utilizes a national examination to issue a certificate, and if a reciprocity agreement or comity exists between the State of California and the state requesting release of the individual taxpayer identification number or social security number, any deputy, agent, clerk, officer, or employee of the authority or agency may release an individual’s taxpayer identification number or social security number to an examination or certifying entity, only for the purpose of verification of certification or examination status.
(3)CA Health & Safety Code § 1797.171(b)(3) The individual taxpayer identification or the social security number shall serve to establish the identification of persons affected by state tax laws and for purposes of establishing compliance with subsection (a) of Section 666 of Title 42 of the United States Code, Section 60.15 of Title 45 of the Code of Federal Regulations, Section 17520 of the Family Code, and Section 11105 of the Penal Code, and to that end, the information furnished pursuant to this section shall be used exclusively for those purposes.
(4)CA Health & Safety Code § 1797.171(b)(4) The authority, local EMS agency, and certifying entity shall not do either of the following:
(A)CA Health & Safety Code § 1797.171(b)(4)(A) Require an applicant to disclose citizenship status or immigration status for purposes of the application or renewal of a certificate.
(B)CA Health & Safety Code § 1797.171(b)(4)(B) Deny certification to an otherwise qualified and eligible applicant based solely on the applicant’s citizenship status or immigration status.
(c)CA Health & Safety Code § 1797.171(c) An EMT-II shall complete a course of training on the nature of sudden infant death syndrome in accordance with subdivision (d) of Section 1797.170.
(d)Copy CA Health & Safety Code § 1797.171(d)
(1)Copy CA Health & Safety Code § 1797.171(d)(1) In rural or remote areas of the state where patient transport times are particularly long and where local resources are inadequate to support an EMT-P program for EMS responses, the director may approve additions to the scope of practice of EMT-IIs serving the local system, if requested by the medical director of the local EMS agency, and if the EMT-II has received training equivalent to that of an EMT-P. The approval of the director, in consultation with a committee of local EMS medical directors named by the Emergency Medical Directors Association of California, is required prior to implementation of any addition to a local optional scope of practice for EMT-IIs proposed by the medical director of a local EMS agency. A drug or procedure that is not part of the basic EMT-P scope of practice, including, but not limited to, any approved local options, shall not be added to any EMT-II scope of practice pursuant to this subdivision.
(2)CA Health & Safety Code § 1797.171(d)(2) Approval of additions to the scope of practices pursuant to this subdivision may be given only for EMT-II programs in effect on January 1, 1994.
(e)CA Health & Safety Code § 1797.171(e) To ensure that EMT-IIs licensed in this state are able to assist individuals living with cognitive impairment, the authority shall, as part of EMT-II basic training, include a component within the dementia-specific training hours on how to interact effectively with persons with dementia and their caregivers. In developing this component, the authority may consult with community organizations advocating on behalf of Californians with dementia or Alzheimer’s disease.
(f)CA Health & Safety Code § 1797.171(f) Commencing July 1, 2024, the authority shall require every EMT-II, upon initial licensure, to complete at least 20 minutes of training on issues relating to human trafficking.

Section § 1797.172

Explanation

This section outlines the responsibilities of the authority in setting standards for EMT-Paramedics (EMT-Ps) in California. It covers their licensure, including initial application, renewal, and fees, which are set to cover program costs. The section also details the requirement for criminal background checks and the use of taxpayer or social security numbers for identification purposes, ensuring confidentiality unless needed for certification verification. Additionally, applicants cannot be denied based solely on citizenship or immigration status.

From January 2023, the Paramedic Disciplinary Review Board will handle appeals related to licensure denials. By July 2024, new EMT-Ps must take training on human trafficking and those with existing licenses will have dementia-specific training included in their education to better interact with affected individuals. The law permits entities to collect fees on behalf of the authority and mandates that these funds are deposited into the Emergency Medical Services Personnel Fund.

(a)CA Health & Safety Code § 1797.172(a) The authority shall develop and, after approval by the commission pursuant to Section 1799.50, adopt minimum standards for the training and scope of practice for EMT-Ps.
(b)CA Health & Safety Code § 1797.172(b) The approval of the director, in consultation with a committee of local EMS medical directors named by the EMS Medical Directors Association of California, is required prior to implementation of any addition to a local optional scope of practice for EMT-Ps proposed by the medical director of a local EMS agency.
(c)Copy CA Health & Safety Code § 1797.172(c)
(1)Copy CA Health & Safety Code § 1797.172(c)(1) Notwithstanding any other law, the authority shall be the agency solely responsible for licensure and licensure renewal of EMT-Ps who meet the standards and are not precluded from licensure because of any of the reasons listed in subdivision (c) of Section 1798.200. The authority shall require an applicant to provide an individual taxpayer identification number or the social security number in order to establish the identity of the applicant. The information obtained as a result of a state and federal level criminal offender record information search shall be used in accordance with Section 11105 of the Penal Code, and to determine whether the applicant is subject to denial of licensure or licensure renewal pursuant to this division. Submission of fingerprint images to the Department of Justice may not be required for licensure renewal upon determination by the authority that fingerprint images have previously been submitted to the Department of Justice during initial licensure, or a previous licensure renewal, provided that the license has not lapsed and the applicant has resided continuously in the state since the initial licensure.
(2)CA Health & Safety Code § 1797.172(c)(2) The individual taxpayer identification or the social security number shall serve to establish the identification of persons affected by state tax laws and for purposes of establishing compliance with subsection (a) of Section 666 of Title 42 of the United States Code, Section 60.15 of Title 45 of the Code of Federal Regulations, Section 17520 of the Family Code, and Section 11105 of the Penal Code, and to that end, the information furnished pursuant to this section shall be used exclusively for those purposes.
(3)CA Health & Safety Code § 1797.172(c)(3) If the authority utilizes a national examination to issue a certificate, and if a reciprocity agreement or comity exists between the State of California and the state requesting release of the individual taxpayer identification number or social security number, any deputy, agent, clerk, officer, or employee of the authority may release an individual’s taxpayer identification number or social security number to an examination or certifying entity, only for the purpose of verification of certification or examination status.
(4)CA Health & Safety Code § 1797.172(c)(4) The authority shall not do either of the following:
(A)CA Health & Safety Code § 1797.172(c)(4)(A) Require an applicant to disclose citizenship status or immigration status for purposes of the application or renewal of a certificate.
(B)CA Health & Safety Code § 1797.172(c)(4)(B) Deny certification to an applicant based solely on the applicant’s citizenship status or immigration status.
(5)CA Health & Safety Code § 1797.172(c)(5) On and after January 1, 2023, the Paramedic Disciplinary Review Board shall make the final determination after an appeal of a licensure denial pursuant to Article 2.5 (commencing with Section 1797.125).
(d)CA Health & Safety Code § 1797.172(d) The authority shall charge fees for the licensure and licensure renewal of EMT-Ps in an amount sufficient to support the authority’s licensure program at a level that ensures the qualifications of the individuals licensed to provide quality care. The basic fee for licensure or licensure renewal of an EMT-P shall not exceed one hundred twenty-five dollars ($125) until the adoption of regulations that specify a different amount that does not exceed the authority’s EMT-P licensure, license renewal, and enforcement programs. The authority shall annually evaluate fees to determine if the fee is sufficient to fund the actual costs of the authority’s licensure, licensure renewal, and enforcement programs. If the evaluation shows that the fees are excessive or are insufficient to fund the actual costs of the authority’s EMT-P licensure, licensure renewal, and enforcement programs, then the fees shall be adjusted accordingly through the rulemaking process described in the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code). Separate additional fees may be charged, at the option of the authority, for services that are not shared by all applicants for licensure and licensure renewal, including, but not limited to, any of the following services:
(1)CA Health & Safety Code § 1797.172(d)(1) Initial application for licensure as an EMT-P.
(2)CA Health & Safety Code § 1797.172(d)(2) Competency testing, the fee for which shall not exceed thirty dollars ($30), except that an additional fee may be charged for the cost of any services that provide enhanced availability of the exam for the convenience of the EMT-P, such as on-demand electronic testing.
(3)CA Health & Safety Code § 1797.172(d)(3) Fingerprint and criminal record check. The applicant shall, if applicable according to subdivision (c), submit fingerprint images and related information for criminal offender record information searches with the Department of Justice and the Federal Bureau of Investigation.
(4)CA Health & Safety Code § 1797.172(d)(4) Out-of-state training equivalency determination.
(5)CA Health & Safety Code § 1797.172(d)(5) Verification of continuing education for a lapse in licensure.
(6)CA Health & Safety Code § 1797.172(d)(6) Replacement of a lost licensure card. The fees charged for individual services shall be set so that the total fees charged to EMT-Ps shall not exceed the authority’s actual total cost for the EMT-P licensure program.
(e)CA Health & Safety Code § 1797.172(e) The authority may provide nonconfidential, nonpersonal information relating to EMS programs to interested persons upon request, and may establish and assess fees for the provision of this information. These fees shall not exceed the costs of providing the information.
(f)CA Health & Safety Code § 1797.172(f) At the option of the authority, fees may be collected for the authority by an entity that contracts with the authority to provide any of the services associated with the EMT-P program. All fees collected for the authority in a calendar month by any entity designated by the authority pursuant to this section to collect fees for the authority shall be transmitted to the authority for deposit into the Emergency Medical Services Personnel Fund within 30 calendar days following the last day of the calendar month in which the fees were received by the designated entity, unless the contract between the entity and the authority specifies a different timeframe.
(g)CA Health & Safety Code § 1797.172(g) To ensure that EMT-Ps licensed in this state are able to assist individuals living with cognitive impairment, the authority shall, as part of EMT-P basic training, include a component within the dementia-specific training hours on how to interact effectively with persons with dementia and their caregivers. In developing this component, the authority may consult with community organizations advocating on behalf of Californians with dementia or Alzheimer’s disease.
(h)CA Health & Safety Code § 1797.172(h) Commencing July 1, 2024, the authority shall require every EMT-P, upon initial licensure, to complete at least 20 minutes of training on issues relating to human trafficking.

Section § 1797.173

Explanation

This section mandates that training programs for different levels of Emergency Medical Technicians (EMTs) must be held in approved hospitals or educational institutions that have agreements with hospitals. Public safety agencies can also provide this training if approved by local emergency services. The training programs must have a competency-based curriculum. Additionally, fire service EMT training can be conducted at sites sanctioned by the State Board of Fire Services, and training for the California Highway Patrol can occur at their Academy.

The authority shall assure that all training programs for EMT-I, EMT-II, and EMT-P are located in an approved licensed hospital or an educational institution operated with written agreements with an acute care hospital, including a public safety agency that has been approved by the local emergency medical services agency to provide training. The authority shall also assure that each training program has a competency-based curriculum. EMT-I training and testing for fire service personnel may be offered at sites approved by the State Board of Fire Services and training for officers of the California Highway Patrol may be provided at the California Highway Patrol Academy.

Section § 1797.174

Explanation

The law requires the development of statewide guidelines for continuing education and course approval for paramedics (EMT-Ps) in California. This includes creating quality improvement systems to ensure high standards of care provided by these medical professionals. The process will involve consultations with various organizations, including the Emergency Medical Directors Association of California, to ensure comprehensive and effective guidelines.

In consultation with the commission, the Emergency Medical Directors Association of California, and other affected constituencies, the authority shall develop statewide guidelines for continuing education courses and approval of continuing education courses for EMT-Ps and for quality improvement systems which monitor and promote improvement in the quality of care provided by EMT-Ps throughout the state.

Section § 1797.175

Explanation

This law requires the relevant authority to set the rules for ongoing education and choose the exams needed for both certifying and recertifying emergency medical workers. Additionally, it suggests that training should cover aspects of AIDS, including how to evaluate and treat it.

The authority shall establish the standards for continuing education and shall designate the examinations for certification and recertification of all prehospital personnel.
The authority shall consider including training regarding the characteristics and method of assessment and treatment of acquired immune deficiency syndrome (AIDS).

Section § 1797.176

Explanation

This law requires the authority to set minimum standards for the rules and methods used to manage the Emergency Medical Services (EMS) system.

The authority shall establish the minimum standards for the policies and procedures necessary for medical control of the EMS system.

Section § 1797.177

Explanation

This law states that a person cannot claim to be an EMT (Emergency Medical Technician) or paramedic unless they have proper current certification from a local EMS agency or another certifying body.

No individual shall hold himself or herself out to be an EMT-I, EMT-II, EMT-P, or paramedic unless that individual is currently certified as such by the local EMS agency or other certifying authority.

Section § 1797.178

Explanation

This law states that no one can provide advanced life support or limited advanced life support unless they are officially recognized as part of the local emergency medical services or a specific pilot program under the Wedworth-Townsend Paramedic Act.

No person or organization shall provide advanced life support or limited advanced life support unless that person or organization is an authorized part of the emergency medical services system of the local EMS agency or of a pilot program operated pursuant to the Wedworth-Townsend Paramedic Act, Article 3 (commencing with Section 1480) of Chapter 2.5 of Division 2.

Section § 1797.179

Explanation

This law says that any city, county, or special district in California that provides paramedic services must pay back the state for medical claims costs, as long as there's federal funding to help. They can use money from their allocations of the County Health Services Fund to make these payments.

Notwithstanding any other provision of law, and to the extent federal financial participation is available, any city, county or special district providing paramedic services as set forth in Section 1797.172, shall reimburse the Health Care Deposit Fund for the state costs of paying such medical claims. Funds allocated to the county from the County Health Services Fund pursuant to Part 4.5 (commencing with Section 16700) of Division 9 of the Welfare and Institutions Code may be utilized by the county or city to make such reimbursement.

Section § 1797.180

Explanation

This California law states that any public or private agency cannot claim to offer EMT-II or EMT-P ambulance services in advertisements unless they actually provide these services 24/7. Additionally, vehicles displaying such advertisements must be exclusively used for those continuous services.

No agency, public or private, shall advertise or disseminate information to the public that the agency provides EMT-II or EMT-P rescue or ambulance services unless that agency does in fact provide this service on a continuous 24 hours-per-day basis. If advertising or information regarding that agency’s EMT-II or EMT-P rescue or ambulance service appears on any vehicle it may only appear on those vehicles utilized solely to provide that service on a continuous 24 hours-per-day basis.

Section § 1797.181

Explanation

This law allows the authority to create and enforce rules for standardized symbols or logos that can be added to the uniforms of different levels of Emergency Medical Technicians (EMT-I, EMT-II, or EMT-P).

The authority may, by regulation, prescribe standardized insignias or emblems for patches which may be affixed to the clothing of an EMT-I, EMT-II, or EMT-P.

Section § 1797.182

Explanation

This California law requires that all ocean, public beach, and public swimming pool lifeguards, as well as firefighters, receive training in first aid and CPR. Those whose jobs are mostly desk or administrative work are not included. They must complete their training within a year of being hired, and take a refresher course every three years. The law allows a designated public or nonprofit agency to provide this training in each county at no cost to the trainees. The definitions of 'lifeguard' and 'firefighter' include those employed by state, city, county departments, and other public entities.

All ocean, public beach, and public swimming pool lifeguards and all firefighters in this state, except those whose duties are primarily clerical or administrative, shall be trained to administer first aid and cardiopulmonary resuscitation. The training shall meet standards prescribed by the authority, and shall be satisfactorily completed by such persons as soon as practical, but in no event more than one year after the date of employment. Satisfactory completion of a refresher course which meets the standards prescribed by the authority in cardiopulmonary resuscitation and other first aid shall be required at least every three years.
The authority may designate a public agency or private nonprofit agency to provide for each county the training required by this section. The training shall be provided at no cost to the trainee.
As used in this section, “lifeguard” means any regularly employed and paid officer, employee, or member of a public aquatic safety department or marine safety agency of the State of California, a city, county, city and county, district, or other public or municipal corporation or political subdivision of this state.
As used in this section, “firefighter” means any regularly employed and paid officer, employee, or member of a fire department or fire protection or firefighting agency of the State of California, a city, county, city and county, district, or other public or municipal corporation or political subdivision of this state or member of an emergency reserve unit of a volunteer fire department or fire protection district.

Section § 1797.183

Explanation

This law requires that all peace officers, except those with mainly clerical or administrative roles, must be trained in first aid and CPR within their first year of employment. The training must meet certain standards and include periodic refreshers or testing.

All peace officers described in Section 13518 of the Penal Code, except those whose duties are primarily clerical or administrative, shall be trained to administer first aid and cardiopulmonary resuscitation (CPR). The training shall meet standards prescribed by the authority, in consultation with the Commission on Peace Officers Standards and Training, and shall be satisfactorily completed by those officers as soon as practical, but in no event more than one year after the date of employment. Satisfactory completion of either refresher training or appropriate testing, which meets the standards of the authority, in cardiopulmonary resuscitation and other first aid, shall be required at periodic intervals as determined by the authority.

Section § 1797.184

Explanation

This section outlines that the authority must create guidelines and regulations to ensure the safe practice of EMT-I and EMT-II certificate holders. They must develop rules for disciplinary actions, temporary suspensions, and probationary conditions to protect public health and safety. The authority must also establish certification and recertification processes for EMTs and guidelines for handling disciplinary cases, all ensuring public safety and compliance with certain government standards.

The authority shall develop and, after approval by the commission pursuant to Section 1799.50, adopt all of the following:
(a)CA Health & Safety Code § 1797.184(a) Guidelines for disciplinary orders, temporary suspensions, and conditions of probation for EMT-I and EMT-II certificate holders that protects the public health and safety.
(b)CA Health & Safety Code § 1797.184(b) Regulations for the issuance of EMT-I and EMT-II certificates by a certifying entity that protects the public health and safety.
(c)CA Health & Safety Code § 1797.184(c) Regulations for the recertification of EMT-I and EMT-II certificate holders that protect the public health and safety.
(d)CA Health & Safety Code § 1797.184(d) Regulations for disciplinary processes for EMT-I and EMT-II applicants and certificate holders that protect the public health and safety. These disciplinary processes shall be in accordance with Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code.

Section § 1797.185

Explanation

This section outlines how California establishes and recognizes the licensing of EMT-P (Emergency Medical Technician-Paramedic) personnel across the state. It includes creating standards for training, testing, and licensure, potentially designating specific exams and requiring registration. Local health systems can accredit EMT-Ps, provided they maintain medical control and system integrity. There might be additional certifications for specialized practices, and fees can be set for testing and registration, which must be forwarded to the Emergency Medical Services Personnel Fund monthly.

The Paramedic Disciplinary Review Board is responsible for setting policies regarding the discipline of EMT-P personnel, including revoking or suspending licenses or appealing decisions. Finally, any new regulations related to EMT-P work must consider the statewide recognition of their licensure and practice scope.

(a)CA Health & Safety Code § 1797.185(a) The authority shall establish criteria for the statewide recognition of the licensure of EMT-P personnel in the basic scope of practice of those personnel. The criteria shall include all of the following:
(1)CA Health & Safety Code § 1797.185(a)(1) Standards for training, testing, and licensure. The standards may include designation by the authority of the specific examinations required for licensure, including, at the option of the authority, an examination provided by the authority. At the option of the authority, the standards may include a requirement for registration of prehospital emergency care personnel with the authority or other entity designated by the authority.
(2)CA Health & Safety Code § 1797.185(a)(2) Conditions for local accreditation of licensed EMT-P personnel that are reasonable in order to maintain medical control and the integrity of the local EMS system, as determined by the authority and approved by the commission.
(3)CA Health & Safety Code § 1797.185(a)(3) Provisions for local accreditation in approved optional scope of practice, if any, as allowed by applicable state regulations and statutes.
(4)CA Health & Safety Code § 1797.185(a)(4) Provisions for the establishment and collection of fees by the appropriate agency, which may be the authority or an entity designated by the authority to collect fees for the authority, for testing, licensure, accreditation, and registration with the appropriate state or local agency in the appropriate scope of practice. All fees collected for the authority in a calendar month by any entity designated by the authority pursuant to this section to collect fees for the authority shall be transmitted to the authority for deposit into the Emergency Medical Services Personnel Fund within 30 calendar days following the last day of the calendar month in which the fees were received by the designated entity.
(b)CA Health & Safety Code § 1797.185(b) The Paramedic Disciplinary Review Board shall review and revise the criteria for the revocation or suspension of an EMT-P license, the probation of EMT-P personnel, and the appeal of a licensure decision by the authority to the board, so that it is consistent with Section 1797.125.07. The authority shall adopt that criteria, along with the criteria developed pursuant to Section 1797.125.07, pursuant to Section 1797.107.
(c)CA Health & Safety Code § 1797.185(c) All future regulations for EMT-P personnel adopted by the authority shall, if relevant, include provisions for statewide recognition of licensure or authorization for the scope of practice of those personnel.

Section § 1797.186

Explanation

This law ensures that people who provide first aid or CPR as part of their service, whether they are volunteers or paid, have the right to receive preventive medical treatment if they are exposed to a contagious disease. This includes diseases listed under Section 2500 of Title 17 of California's Administrative Code.

Importantly, this right to medical treatment doesn't interfere with their ability to file claims for work-related injuries or the conditions outlined in certain labor divisions.

All persons described in Sections 1797.170, 1797.171, 1797.172, 1797.182, and 1797.183, whether volunteers, partly paid, or fully paid, shall be entitled to prophylactic medical treatment to prevent the onset of disease, provided that the person demonstrates that he or she was exposed, while in the service of the department or unit, to a contagious disease, as listed in Section 2500 of Title 17 of the California Administrative Code, while performing first aid or cardiopulmonary resuscitation services to any person.
Medical treatment under this section shall not affect the provisions of Division 4 (commencing with Section 3200) or Division 5 (commencing with Section 6300) of the Labor Code or the person’s right to make a claim for work-related injuries, at the time the contagious disease manifests itself.

Section § 1797.187

Explanation

This law requires that peace officers be notified if they are exposed to known cancer-causing agents (carcinogens) during investigations involving drugs or toxic waste incidents. These exposures could happen during drug manufacturing, storage, accidents, or fires.

Additionally, the law mandates training courses for peace officers, which include education on identifying and handling carcinogens, recognizing related health risks, using protective gear to avoid contamination, and properly disposing of hazardous materials. This training was to be part of the basic training courses by January 1, 1990.

A peace officer as described in Section 830.1, subdivision (a) of Section 830.2, or subdivision (g) of Section 830.3 of the Penal Code, while in the service of the agency or local agency which employs him or her, shall be notified by the agency or local agency if the peace officer is exposed to a known carcinogen, as defined by the International Agency for Research on Cancer, or as defined by its director, during the investigation of any place where any controlled substance, as defined in Section 11007 is suspected of being manufactured, stored, transferred, or sold, or any toxic waste spills, accidents, leaks, explosions, or fires.
The Commission on Peace Officers Standards and Training basic training course, and other training courses as the commission determines appropriate, shall include, on or before January 1, 1990, instruction on, but not limited to, the identification and handling of possible carcinogenic materials and the potential health hazards associated with these materials, protective equipment, and clothing available to minimize contamination, handling, and disposing of materials and measures and procedures that can be adopted to minimize exposure to possible hazardous materials.

Section § 1797.188

Explanation

This section establishes the procedures for notifying emergency medical personnel about exposure to reportable communicable diseases. It defines key terms like 'prehospital emergency medical personnel', 'reportable diseases', and 'exposed'. If emergency medical workers think they've been exposed to a disease while treating someone, they must provide their contact info to the health facility. The facility's infection control officer will notify a designated officer if the disease is urgent, and that officer will inform the medical worker.

If workers didn't give their details, the health officer will only notify them if the disease's criteria meet certain urgency or exposure conditions. Employers and health facilities with websites must display contact info for relevant officers prominently. Officers must be available 24/7, and employees must be trained on these procedures. Confidentiality of patient information is maintained, and violations of this section are not considered criminal offenses.

(a)CA Health & Safety Code § 1797.188(a) As used in this section:
(1)CA Health & Safety Code § 1797.188(a)(1) “Prehospital emergency medical care person or personnel” means any of the following: an authorized registered nurse or mobile intensive care nurse, emergency medical technician-I, emergency medical technician-II, emergency medical technician-paramedic, lifeguard, firefighter, or peace officer, as defined or described by Sections 1797.56, 1797.80, 1797.82, 1797.84, 1797.182, and 1797.183, respectively, or a physician and surgeon who provides prehospital emergency medical care or rescue services.
(2)CA Health & Safety Code § 1797.188(a)(2) “Reportable communicable disease or condition” or “a communicable disease or condition listed as reportable” means those diseases prescribed by Subchapter 1 (commencing with Section 2500) of Chapter 4 of Title 17 of the California Code of Regulations, as may be amended from time to time.
(3)CA Health & Safety Code § 1797.188(a)(3) “Exposed” means at risk for contracting the disease, as defined by regulations of the state department.
(4)CA Health & Safety Code § 1797.188(a)(4) “Health facility” means a health facility, as defined in Section 1250, including a publicly operated facility.
(5)CA Health & Safety Code § 1797.188(a)(5) “Health facility infection control officer” means the official or officer who has been designated by the health facility to communicate with a designated officer, or his or her designee.
(6)CA Health & Safety Code § 1797.188(a)(6) “Designated officer” means the official or officer of an employer of a prehospital emergency medical care person or personnel who has been designated by the state’s public health officer or the employer.
(7)CA Health & Safety Code § 1797.188(a)(7) “Urgency reporting requirement” means a disease required to be reported immediately by telephone or reported by telephone within one working day pursuant to subdivisions (h) and (i) of Section 2500 of Title 17 of the California Code of Regulations.
(b)CA Health & Safety Code § 1797.188(b) In addition to the communicable disease testing and notification procedures applicable under Chapter 3.5 (commencing with Section 120260) of Part 1 of Division 105, all prehospital emergency medical care personnel, whether volunteers, partly paid, or fully paid, who have provided emergency medical or rescue services and have been exposed to a person afflicted with a communicable disease or condition listed as reportable, which can, as determined by the county health officer, be transmitted through physical or oral contact or secretions of the body, including blood, shall be notified that they have been exposed to the disease or condition in accordance with the following:
(1)CA Health & Safety Code § 1797.188(b)(1) If the prehospital emergency medical care person, who has rendered emergency medical or rescue services and believes that he or she may have been exposed to a person afflicted with a reportable communicable disease or condition in a manner that could result in transmission of a reportable communicable disease or condition, and provides the health facility infection control officer with his or her name and telephone number at the time the patient is transferred from that prehospital emergency medical care person to the admitting health facility; or the party transporting the person afflicted with the reportable communicable disease or condition provides that health facility with the name and telephone number of the prehospital emergency medical care person who provided the emergency medical or rescue services and believes he or she may have been exposed to a person afflicted with a reportable communicable disease or condition in a manner that could result in transmission of a communicable disease or condition, the health facility infection control officer, upon determining that the person to whom the prehospital emergency medical care person provided the emergency medical or rescue services is diagnosed as being afflicted with a reportable communicable disease or condition, and that the reportable communicable disease or condition may have been transmitted during the provision of emergency medical or rescue services, shall immediately notify the designated officer of the prehospital emergency medical care person if the reportable communicable disease or condition has an urgency reporting requirement on the list of reportable diseases or conditions, or if the conditions of the exposure may have included direct contact between the unprotected skin, eyes, or mucous membranes of the prehospital emergency medical care person and the blood of the person afflicted with the reportable communicable disease or condition. Otherwise, the health facility infection control officer shall notify the designated officer consistent with Section 2500 of Title 17 of the California Code of Regulations. The health facility infection control officer shall also report the name and telephone number of the prehospital emergency medical care person to the county health officer. The designated officer shall immediately notify the prehospital emergency medical care person if the reportable communicable disease or condition has an urgency reporting requirement on the list of reportable diseases or conditions, or if the conditions of the exposure may have included direct contact between the unprotected skin, eyes, or mucous membranes of the prehospital emergency medical care person and the blood of the person afflicted with the reportable communicable disease or condition. Otherwise, the designated officer shall notify the prehospital emergency medical care person consistent with Section 2500 of Title 17 of the California Code of Regulations.
(2)CA Health & Safety Code § 1797.188(b)(2) If the prehospital emergency medical care person who has rendered emergency medical or rescue services and has been exposed to a person afflicted with a reportable communicable disease or condition, but has not provided the health facility infection control officer with his or her name and telephone number pursuant to paragraph (1), the health facility infection control officer, upon determining that the person to whom the prehospital emergency medical care person provided the emergency medical or rescue services is diagnosed as being afflicted with a reportable communicable disease or condition that may have been transmitted during provision of emergency medical or rescue services, shall immediately notify the designated officer of the employer of the prehospital emergency medical care person and the county health officer if the reportable communicable disease or condition has an urgency reporting requirement on the list of reportable diseases or conditions, or if the conditions of the exposure may have included direct contact between the unprotected skin, eyes, or mucous membranes of the prehospital emergency medical care person and the blood of the person afflicted with the reportable communicable disease or condition. Otherwise, the health facility infection control officer shall notify the designated officer consistent with Section 2500 of Title 17 of the California Code of Regulations. The designated officer shall immediately notify the prehospital emergency medical care person if the reportable communicable disease or condition has an urgency reporting requirement on the list of reportable diseases or conditions, or if the conditions of the exposure may have included direct contact between the unprotected skin, eyes, or mucous membranes of the prehospital emergency medical care person and the blood of the person afflicted with the reportable communicable disease or condition. Otherwise, the designated officer shall notify the prehospital emergency medical care person consistent with Section 2500 of Title 17 of the California Code of Regulations.
(c)CA Health & Safety Code § 1797.188(c) The county health officer shall immediately notify the prehospital emergency medical care person who has provided emergency medical or rescue services and has been exposed to a person afflicted with a communicable disease or condition listed as reportable, which can, as determined by the county health officer, be transmitted through oral contact or secretions of the body, including blood, if the reportable communicable disease or condition has an urgency reporting requirement on the list of reportable diseases or conditions, or if the conditions of the exposure may have included direct contact between the unprotected skin, eyes, or mucous membranes of the prehospital emergency medical care person and the blood of the person afflicted with the reportable communicable disease or condition, upon receiving the report from a health facility pursuant to paragraph (1) of subdivision (b). Otherwise, the county health officer shall notify the prehospital emergency medical care person consistent with Section 2500 of Title 17 of the California Code of Regulations. The county health officer shall not disclose the name of the patient or other identifying characteristics to the prehospital emergency medical care person.
(d)CA Health & Safety Code § 1797.188(d) An employer of a prehospital emergency medical care person or personnel that maintains an Internet Web site shall post the title and telephone number of the designated officer in a conspicuous location on its Internet Web site accessible from the home page. A health facility that maintains an Internet Web site shall post the title and telephone number of the health facility infection control officer in a conspicuous location on its Internet Web site accessible from the home page.
(e)Copy CA Health & Safety Code § 1797.188(e)
(1)Copy CA Health & Safety Code § 1797.188(e)(1) The health facility infection control officer, or his or her designee, shall be available either onsite or on call 24 hours per day.
(2)CA Health & Safety Code § 1797.188(e)(2) The designated officer, or his or her designee, shall be available either onsite or on call 24 hours per day.
(f)CA Health & Safety Code § 1797.188(f) An employer of a health facility infection control officer and an employer of a prehospital emergency medical care person or personnel shall inform those employees of this law as part of the Cal-OSHA Injury and Illness Prevention Program training required by paragraph (7) of subdivision (a) of Section 3203 of Title 8 of the California Code of Regulations.
(g)CA Health & Safety Code § 1797.188(g) Nothing in this section shall be construed to authorize the further disclosure of confidential medical information by the health facility, the designated officer, or any prehospital emergency medical care personnel described in this section except as otherwise authorized by law.
(h)CA Health & Safety Code § 1797.188(h) In the event of the demise of the person afflicted with the reportable communicable disease or condition, the health facility or county health officer shall notify the funeral director, charged with removing the decedent from the health facility, of the reportable communicable disease or condition prior to the release of the decedent from the health facility to the funeral director.
(i)CA Health & Safety Code § 1797.188(i) Notwithstanding Section 1798.206, a violation of this section is not a misdemeanor.

Section § 1797.189

Explanation

This law outlines procedures to notify emergency medical personnel if they've been exposed to a reportable disease while providing emergency services. 'Prehospital emergency medical care personnel' includes nurses, emergency technicians, lifeguards, firefighters, or peace officers who offer medical or rescue services before reaching a hospital.

If these personnel have been exposed to a contagious disease, they're to be informed by the county health officer. However, the patient's identity remains confidential.

The chief medical examiner-coroner must collect and share the contact info of the medical personnel with the county health officer if an exposure has occurred. The county health officer then notifies the personnel of the exposure risk without revealing the patient's name.

Additionally, funeral directors must be informed of any reportable disease afflicting the deceased before handling the body.

Importantly, breaking these procedures is not a criminal offense.

(a)CA Health & Safety Code § 1797.189(a)  As used in this section:
(1)CA Health & Safety Code § 1797.189(a)(1)  “Chief medical examiner-coroner” means the chief medical examiner or the coroner as referred to in subdivision (m) of Section 24000, Section 24010, subdivisions (k), (m), and (n) of Section 24300, subdivisions (k), (m), and (n) of Section 24304, and Sections 27460 to 27530, inclusive, of the Government Code, and Section 102850.
(2)CA Health & Safety Code § 1797.189(a)(2)  “Prehospital emergency medical care person or personnel” means any of the following: authorized registered nurse or mobile intensive care nurse, emergency medical technician-I, emergency medical technician-II, emergency medical technician-paramedic, lifeguard, firefighter, or peace officer, as defined or described by Sections 1797.56, 1797.80, 1797.82, 1797.84, 1797.182, and 1797.183, respectively, or a physician and surgeon who provides prehospital emergency medical care or rescue services.
(3)CA Health & Safety Code § 1797.189(a)(3)  “Reportable disease or condition” or “a disease or condition listed as reportable” means those diseases specified in Subchapter 1 (commencing with Section 2500) of Chapter 4 of Title 17 of the California Administrative Code, as may be amended from time to time.
(4)CA Health & Safety Code § 1797.189(a)(4)  “Exposed” means at risk for contracting a disease, as defined by regulations of the state department.
(5)CA Health & Safety Code § 1797.189(a)(5)  “Health facility” means a health facility, as defined in Section 1250, including a publicly operated facility.
(b)CA Health & Safety Code § 1797.189(b)  Any prehospital emergency medical care personnel, whether volunteers, partly paid, or fully paid who have provided emergency medical or rescue services and have been exposed to a person afflicted with a disease or condition listed as reportable, that can, as determined by the county health officer, be transmitted through oral contact or secretions of the body, including blood, shall be notified that they have been exposed to the disease and should contact the county health officer if all of the following conditions are met:
(1)CA Health & Safety Code § 1797.189(b)(1)  The prehospital emergency medical care person, who has rendered emergency medical or rescue services and has been exposed to a person afflicted with a reportable disease or condition, provides the chief medical examiner-coroner with his or her name and telephone number at the time the patient is transferred from that prehospital medical care person to the chief medical examiner-coroner; or the party transporting the person afflicted with the reportable disease or condition provides that chief medical examiner-coroner with the name and telephone number of the prehospital emergency medical care person who provided the emergency medical or rescue services.
(2)CA Health & Safety Code § 1797.189(b)(2)  The chief medical examiner-coroner reports the name and telephone number of the prehospital emergency medical care person to the county health officer upon determining that the person to whom the prehospital emergency medical care person provided the emergency medical or rescue services is diagnosed as being afflicted with a reportable disease or condition.
(c)CA Health & Safety Code § 1797.189(c)  The county health officer shall immediately notify the prehospital emergency medical care person who has provided emergency medical or rescue services and has been exposed to a person afflicted with a disease or condition listed as reportable, that can, as determined by the county health officer, be transmitted through oral contact or secretions of the body, including blood, upon receiving the report from a health facility pursuant to paragraph (1) of subdivision (b). The county health officer shall not disclose the name of the patient or other identifying characteristics to the prehospital emergency medical care person.
Nothing in this section shall be construed to authorize the further disclosure of confidential medical information by the chief medical examiner-coroner or any of the prehospital emergency medical care personnel described in this section except as otherwise authorized by law.
The chief medical examiner-coroner, or the county health officer shall notify the funeral director, charged with removing or receiving the decedent afflicted with a reportable disease or condition from the chief medical examiner-coroner, of the reportable disease prior to the release of the decedent from the chief medical examiner-coroner to the funeral director.
Notwithstanding Section 1798.206, violation of this section is not a misdemeanor.

Section § 1797.190

Explanation

This law allows the authority, likely a state organization involved in health or emergency services, to set basic rules about how people should be trained to use automatic external defibrillators (AEDs) and how these devices should be used.

The authority may establish minimum standards for the training and use of automatic external defibrillators.

Section § 1797.191

Explanation

This law outlines the responsibilities and standards for training programs in pediatric first aid, CPR, and preventive health practices. The authority is tasked with setting minimum standards and establishing a review process for these programs, which must meet the standards set out in another section. They can charge fees to cover costs related to the approval and review processes. A fee can be charged for course completion cards, but it must not exceed $7 per card until January 2001. The law explains what constitutes a training program and affiliated programs, which must comply with the division's regulations.

The director has the power to deny, suspend, or revoke the approval of programs if there's a threat to public health and safety, including fraud, incompetence, or criminal acts related to the program. Temporary standards may be set to ensure adequate training programs are available. Anyone who completed a preventive health practices course before amendments in 1998 is considered to have met the training requirement.

(a)CA Health & Safety Code § 1797.191(a)  The authority shall establish minimum standards for the training in pediatric first aid, pediatric cardiopulmonary resuscitation (CPR), and preventive health practices required by Section 1596.866.
(b)Copy CA Health & Safety Code § 1797.191(b)
(1)Copy CA Health & Safety Code § 1797.191(b)(1)  The authority shall establish a process for the ongoing review and approval of training programs in pediatric first aid, pediatric CPR, and preventive health practices as specified in paragraph (2) of subdivision (a) of Section 1596.866 to ensure that those programs meet the minimum standards established pursuant to subdivision (a). The authority shall charge fees equal to its costs incurred for the pediatric first aid and pediatric CPR training standards program and for the ongoing review and approval of these programs.
(2)CA Health & Safety Code § 1797.191(b)(2)  The authority shall establish, in consultation with experts in pediatric first aid, pediatric CPR, and preventive health practices, a process to ensure the quality of the training programs, including, but not limited to, a method for assessing the appropriateness of the courses and the qualifications of the instructors.
(c)Copy CA Health & Safety Code § 1797.191(c)
(1)Copy CA Health & Safety Code § 1797.191(c)(1)  The authority may charge a fee equal to its costs incurred for the preventive health practices program and for the initial review and approval and renewal of approval of the program.
(2)CA Health & Safety Code § 1797.191(c)(2)  If the authority chooses to establish a fee process based on the use of course completion cards for the preventive health practices program, the cost shall not exceed seven dollars ($7) per card for each training participant until January 1, 2001, at which time the authority may evaluate its administrative costs. After evaluation of the costs, the authority may establish a new fee scale for the cards so that revenue does not exceed the costs of the ongoing review and approval of the preventive health practices training.
(d)CA Health & Safety Code § 1797.191(d)  For the purposes of this section, “training programs” means programs that apply for approval by the authority to provide the training in pediatric first aid, pediatric CPR, or preventive health practices as specified in paragraph (2) of subdivision (a) of Section 1596.866. Training programs include all affiliated programs that also provide any of the authority-approved training required by this division. “Affiliated programs” means programs that are overseen by persons or organizations that have an authority-approved training program in pediatric first aid, pediatric CPR, or preventive health practices. Affiliated programs also include programs that have purchased an authority-approved training program in pediatric first aid, pediatric CPR, or preventive health practices. Training programs and their affiliated programs shall comply with this division and with the regulations adopted by the authority pertaining to training programs in pediatric first aid, pediatric CPR, or preventive health practices.
(e)CA Health & Safety Code § 1797.191(e)  The director of the authority may, in accordance with regulations adopted by the authority, deny, suspend, or revoke any approval issued under this division or may place any approved program on probation, upon the finding by the director of the authority of an imminent threat to the public health and safety as evidenced by the occurrence of any of the actions listed in subdivision (f).
(f)CA Health & Safety Code § 1797.191(f)  Any of the following actions shall be considered evidence of a threat to the public health and safety, and may result in the denial, suspension, probation, or revocation of a program’s approval or application for approval pursuant to this division.
(1)CA Health & Safety Code § 1797.191(f)(1)  Fraud.
(2)CA Health & Safety Code § 1797.191(f)(2)  Incompetence.
(3)CA Health & Safety Code § 1797.191(f)(3)  The commission of any fraudulent, dishonest, or corrupt act that is substantially related to the qualifications, functions, and duties of training program directors and instructors.
(4)CA Health & Safety Code § 1797.191(f)(4)  Conviction of any crime that is substantially related to the qualifications, functions, and duties of training program directors and instructors. The record of conviction or a certified copy of the record shall be conclusive evidence of the conviction.
(5)CA Health & Safety Code § 1797.191(f)(5)  Violating or attempting to violate, directly or indirectly, or assisting in or abetting the violation of, or conspiring to violate, this division or the regulations promulgated by the authority pertaining to the review and approval of training programs in pediatric first aid, pediatric CPR, and preventive health practices as specified in paragraph (2) of subdivision (a) of Section 1596.866.
(g)CA Health & Safety Code § 1797.191(g)  In order to ensure that adequate qualified training programs are available to provide training in the preventive health practices course to all persons who are required to have that training, the authority may, after approval of the Commission on Emergency Medical Services pursuant to Section 1799.50, establish temporary standards for training programs for use until permanent standards are adopted pursuant to Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code.
(h)CA Health & Safety Code § 1797.191(h)  Persons who, prior to the date on which the amendments to this section enacted in 1998 become operative, have completed a course or courses in preventive health practices as specified in subparagraph (C) of paragraph (2) of subdivision (a) of Section 1596.866, and have a certificate of completion card for a course or courses in preventive health practices, or certified copies of transcripts that identify the number of hours and the specific course or courses taken for training in preventive health practices shall be deemed to have met the requirement for training in preventive health practices.

Section § 1797.192

Explanation

This law required that by July 1, 1991, specific standards be set for training and testing Emergency Medical Technician-Paramedics (EMT-Ps).

While there is a statewide practice standard, local Emergency Medical Service (EMS) systems aren't obligated to use the whole standard. When EMT-Ps are tested for local-level accreditation, the test only covers local rules, policies, and specific medical procedures used in that EMS system.

On or before July 1, 1991, the authority shall adopt standards for a standard statewide scope of practice which shall be utilized for the training and certification testing of EMT-P personnel for certification as EMT-P's. Local EMS systems shall not be required to utilize the entire standard scope of practice. Testing of EMT-P personnel for local accreditation to practice shall only include local operational policies and procedures, and drug, device, or treatment procedures being utilized within that local EMS system pursuant to Sections 1797.172 and 1797.221.

Section § 1797.193

Explanation

This law requires that all firefighters in California complete training on sudden infant death syndrome (SIDS). Firefighters who were already working by July 1, 1992, need to take this course by that date, while those who became firefighters after January 1, 1990, must complete it as part of their basic training. The course covers the nature of SIDS and community resources available to support families who have lost a child to SIDS.

The term 'firefighter' is defined as in another section, and if a local agency provides the training, they can charge a fee to cover their costs.

(a)CA Health & Safety Code § 1797.193(a)  By July 1, 1992, existing firefighters in this state shall complete a course on the nature of sudden infant death syndrome taught by experts in the field of sudden infant death syndrome. All persons who become firefighters after January 1, 1990, shall complete a course on this topic as part of their basic training as firefighters. The course shall include information on the community resources available to assist families who have lost children to sudden infant death syndrome.
(b)CA Health & Safety Code § 1797.193(b)  For purposes of this section, the term “firefighter” has the same meaning as that specified in Section 1797.182.
(c)CA Health & Safety Code § 1797.193(c)  When the instruction and training are provided by a local agency, a fee shall be charged sufficient to defray the entire cost of the instruction and training.

Section § 1797.194

Explanation

This section is about licensing EMT-P (Emergency Medical Technician-Paramedic) personnel in California. It clarifies that 'certification' and 'licensure' are essentially the same concerning fees and requirements. To be an EMT-P, one must pass a state-designated exam and hold a state-issued license. Licenses need to be renewed every two years with proof of completed continuing education, and a reexamination might be required every 10 years. EMT-Ps can face disciplinary actions, and after Jan 1, 2023, a Paramedic Disciplinary Review Board may handle appeals. This law doesn't let EMT-Ps work outside prehospital settings, interfere with local EMS agency accreditation, or limit a local EMS medical director's control.

The purpose of this section is to provide for the state licensure of EMT-P personnel. Notwithstanding any provision of law, including, but not limited to, Sections 1797.208 and 1797.214, all of the following applies to EMT-P personnel:
(a)CA Health & Safety Code § 1797.194(a) Any reference to EMT-P certification pursuant to this division shall be equivalent to EMT-P licensure pursuant to this division, including a provision in this division relating to the assessment of fees.
(b)CA Health & Safety Code § 1797.194(b) The statewide examination designated by the authority for licensure of EMT-P personnel and the licensure issued by the authority shall be the single sufficient examination and licensure required for practice as an EMT-P.
(c)CA Health & Safety Code § 1797.194(c) EMT-P licenses shall be renewed every two years upon submission to the authority of proof of satisfactory completion of continuing education or other educational requirements established by regulations of the authority, upon approval by the commission. If the evaluation and recommendations of the authority required pursuant to Section 8 of Chapter 997 of the Statutes of 1993, so concludes, the renewal of EMT-P licenses shall, in addition to continuing education requirements, be contingent upon reexamination at 10-year intervals to ensure competency.
(d)CA Health & Safety Code § 1797.194(d) An EMT-P licensee may be disciplined by the authority for violations of this division. The proceedings under this subdivision shall be conducted in accordance with Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code, and the authority shall have all the powers granted therein for this purpose. On and after January 1, 2023, the Paramedic Disciplinary Review Board may act on appeals of licensure discipline and denial, pursuant to Article 2.5 (commencing with Section 1797.125).
(e)CA Health & Safety Code § 1797.194(e) This section does not extend the scope of practice of an EMT-P beyond prehospital settings, as defined by regulations of the authority.
(f)CA Health & Safety Code § 1797.194(f) This section does not alter or interfere with the local EMS agency’s ability to locally accredit licensed EMT-Ps.
(g)CA Health & Safety Code § 1797.194(g) This section does not hinder the ability of the medical director of the local EMS agency to maintain medical control within the local EMS system in accordance with this division, including, but not limited to, Chapter 5 (commencing with Section 1798).

Section § 1797.195

Explanation

This law allows certain emergency medical technicians (EMTs) to provide emergency care in small, rural hospital emergency departments under specific conditions. The hospital must have protocols in place, and the EMTs must work under direct supervision during a patient crisis. EMTs must complete a training program and regularly demonstrate their skills. They can only perform tasks within their certification and must follow continuity and supervisory procedures. A contract is required between the ambulance company and the hospital if the EMTs are employed by an outside company. The hospital is responsible for medical direction, and the law doesn’t change the type of care EMTs are allowed to provide.

(a)CA Health & Safety Code § 1797.195(a)  Notwithstanding any other provision of law to the contrary, an EMT-I, EMT-II, or EMT-P may provide emergency medical care pursuant to this section in the emergency department of a hospital that meets the definition of small and rural hospital pursuant to Section 1188.855, except that in the case of a hospital meeting the definition contained in Section 1188.855 the population of the incorporated place or census designated place where the hospital is located shall not have increased to more than 20,000 since 1980, and all of the following conditions are met:
(1)CA Health & Safety Code § 1797.195(a)(1)  The EMT-I, EMT-II, or EMT-P is on duty as a prehospital emergency medical care provider.
(2)CA Health & Safety Code § 1797.195(a)(2)  The EMT-I, EMT-II, or EMT-P shall function under direct supervision as defined in hospital protocols that have been issued pursuant to paragraph (3), and only where the physician and surgeon or the registered nurse determines that the emergency department is faced with a patient crisis, and that the services of the EMT-I, EMT-II, or EMT-P are necessary to temporarily meet the health care needs of the patients in the emergency department.
(3)CA Health & Safety Code § 1797.195(a)(3)  The utilization of an EMT-I, EMT-II, or EMT-P in the emergency department is done pursuant to hospital protocols that have been developed by the hospital’s nursing staff, the physician and surgeon medical director of the emergency department, and the administration of the hospital, with the approval of the medical staff, and that shall include at least all of the following:
(A)CA Health & Safety Code § 1797.195(a)(3)(A)  A requirement that the EMT-I, EMT-II, or EMT-P successfully complete a hospital training program on the protocols and procedures of the hospital emergency department. The program shall include, but not be limited to, features of the protocols for which the EMT-I, EMT-II, or EMT-P has not previously received training and a postprogram evaluation.
(B)CA Health & Safety Code § 1797.195(a)(3)(B)  A requirement that the EMT-I, EMT-II, or EMT-P annually demonstrates and documents to the hospital competency in the emergency department procedures.
(C)CA Health & Safety Code § 1797.195(a)(3)(C)  The emergency medical care to be provided in the emergency department by the EMT-I, EMT-II, or EMT-P shall be set forth or referenced in the protocols and shall be limited to that which is otherwise authorized by their certification or licensure as defined in statute or regulation. The protocols shall not include patient assessment in this setting, except when the assessment is directly related to the specific task the EMT-I, EMT-II, and EMT-P is performing.
(D)CA Health & Safety Code § 1797.195(a)(3)(D)  A process for continuity of patient care when the EMT-I, EMT-II, or EMT-P is called to an off-site emergency situation.
(E)CA Health & Safety Code § 1797.195(a)(3)(E)  Procedures for the supervision of the EMT-I, EMT-II, or EMT-P.
(4)CA Health & Safety Code § 1797.195(a)(4)  The protocols for utilization of an EMT-I, EMT-II, or EMT-P in the emergency department are developed in consultation with the medical director of the local EMS agency and the emergency medical care committee, if a committee has been formed.
(5)CA Health & Safety Code § 1797.195(a)(5)  A written contract shall be in effect relative to the services provided pursuant to this section, between the ambulance company and the hospital, where the EMT-I, EMT-II, or EMT-P is employed by an ambulance company that is not owned by the hospital.
(b)CA Health & Safety Code § 1797.195(b)  When services of emergency personnel are called upon pursuant to this section, responsibility for the medical direction of the EMT-I, EMT-II, or EMT-P rests with the hospital, pursuant to the hospital protocols as set forth in paragraph (3) of subdivision (a).
(c)CA Health & Safety Code § 1797.195(c)  Although this section authorizes the provision of services in an emergency department of certain small and rural hospitals, nothing in this section is intended to expand or restrict the types of services or care to be provided by EMT-I, EMT-II, or EMT-P pursuant to this article.

Section § 1797.196

Explanation

This law describes the responsibilities of individuals or entities that acquire Automated External Defibrillators (AEDs) to ensure public safety. It mandates proper placement, maintenance, and notification to local emergency services. AEDs must be regularly tested and inspected, with records of maintenance kept. Building owners where AEDs are installed must inform tenants about their location and offer AED usage demonstrations annually. Schools that install AEDs have similar duties to ensure that staff, administrators, and in some cases students, are informed about AED locations and equipped with usage knowledge. Manufacturers must supply all necessary use and maintenance information to the buyer.

Notably, there's no penalty for violating this section, and it doesn't obligate building managers or owners to install AEDs. Facilities licensed under specified sections are exempt. This law doesn't require medical oversight for acquiring or placing AEDs.

(a)CA Health & Safety Code § 1797.196(a) For purposes of this section, “AED” or “defibrillator” means an automated external defibrillator.
(b)Copy CA Health & Safety Code § 1797.196(b)
(1)Copy CA Health & Safety Code § 1797.196(b)(1) In order to ensure public safety, a person or entity that acquires an AED shall do all of the following:
(A)CA Health & Safety Code § 1797.196(b)(1)(A) Comply with all regulations governing the placement of an AED.
(B)CA Health & Safety Code § 1797.196(b)(1)(B) Notify an agent of the local EMS agency of the existence, location, and type of AED acquired.
(C)CA Health & Safety Code § 1797.196(b)(1)(C) Ensure that the AED is maintained and tested according to the operation and maintenance guidelines set forth by the manufacturer.
(D)CA Health & Safety Code § 1797.196(b)(1)(D) Ensure that the AED is tested at least biannually and after each use.
(E)CA Health & Safety Code § 1797.196(b)(1)(E) Ensure that an inspection is made of all AEDs on the premises at least every 90 days for potential issues related to operability of the device, including a blinking light or other obvious defect that may suggest tampering or that another problem has arisen with the functionality of the AED.
(F)CA Health & Safety Code § 1797.196(b)(1)(F) Ensure that records of the maintenance and testing required pursuant to this paragraph are maintained.
(2)CA Health & Safety Code § 1797.196(b)(2) When an AED is placed in a building, the building owner shall do all of the following:
(A)CA Health & Safety Code § 1797.196(b)(2)(A) At least once a year, notify the tenants as to the location of the AED units and provide information to tenants about who they can contact if they want to voluntarily take AED or CPR training.
(B)CA Health & Safety Code § 1797.196(b)(2)(B) At least once a year, offer a demonstration to at least one person associated with the building so that the person can be walked through how to use an AED properly in an emergency. The building owner may arrange for the demonstration or partner with a nonprofit organization to do so.
(C)CA Health & Safety Code § 1797.196(b)(2)(C) Next to the AED, post instructions, in no less than 14-point type, on how to use the AED.
(3)CA Health & Safety Code § 1797.196(b)(3) A medical director or other physician and surgeon is not required to be involved in the acquisition or placement of an AED.
(c)Copy CA Health & Safety Code § 1797.196(c)
(1)Copy CA Health & Safety Code § 1797.196(c)(1) When an AED is placed in a public or private K–12 school, the principal shall ensure that the school administrators and staff annually receive information that describes sudden cardiac arrest, the school’s emergency response plan, and the proper use of an AED. The principal shall also ensure that instructions, in no less than 14-point type, on how to use the AED are posted next to every AED. The principal shall, at least annually, notify school employees as to the location of all AED units on the campus.
(2)CA Health & Safety Code § 1797.196(c)(2) When an AED is placed in a public or private school serving grades 6 to 12, inclusive, the principal shall, at least annually, notify pupils as to the location of all AED units on the campus.
(3)CA Health & Safety Code § 1797.196(c)(3) This section does not prohibit a school employee or other person from rendering aid with an AED.
(d)CA Health & Safety Code § 1797.196(d) A manufacturer or retailer supplying an AED shall provide to the acquirer of the AED all information governing the use, installation, operation, training, and maintenance of the AED.
(e)CA Health & Safety Code § 1797.196(e) A violation of this section is not subject to penalties pursuant to Section 1798.206.
(f)CA Health & Safety Code § 1797.196(f) Nothing in this section or Section 1714.21 of the Civil Code may be construed to require a building owner or a building manager to acquire and have installed an AED in any building.
(g)CA Health & Safety Code § 1797.196(g) For purposes of this section, “local EMS agency” means an agency established pursuant to Section 1797.200.
(h)CA Health & Safety Code § 1797.196(h) This section does not apply to facilities licensed pursuant to subdivision (a), (b), (c), or (f) of Section 1250.

Section § 1797.197

Explanation

This law requires that specific training and standards be established for emergency medical personnel. First, they must be trained on recognizing and treating severe allergic reactions (anaphylaxis) and using epinephrine. Secondly, emergency personnel need training on using naloxone, a medication that can reverse opioid overdoses, and other similar treatments. The state must create regulations for both. Local EMS agencies can approve trial studies for using naloxone, and the training from these studies can count towards fulfilling the training requirements. This training also aligns with existing civil code requirements related to naloxone use.

(a)CA Health & Safety Code § 1797.197(a) The authority shall establish training and standards for all prehospital emergency medical care personnel, as defined in paragraph (2) of subdivision (a) of Section 1797.189, regarding the characteristics and method of assessment and treatment of anaphylactic reactions and the use of epinephrine. The authority shall promulgate regulations regarding these matters for use by all prehospital emergency medical care personnel.
(b)Copy CA Health & Safety Code § 1797.197(b)
(1)Copy CA Health & Safety Code § 1797.197(b)(1) The authority shall develop and, after approval by the commission pursuant to Section 1799.50, adopt training and standards for all prehospital emergency medical care personnel, as defined in paragraph (2) of subdivision (a) of Section 1797.189, regarding the use and administration of naloxone hydrochloride and other opioid antagonists. The authority shall promulgate regulations regarding these matters for use by all prehospital emergency medical care personnel. The authority may adopt existing training and standards for prehospital emergency medical care personnel regarding the statewide use and administration of naloxone hydrochloride or another opioid antagonist to satisfy the requirements of this section.
(2)CA Health & Safety Code § 1797.197(b)(2) The medical director of a local EMS agency may, pursuant to Section 1797.221, approve or conduct a trial study of the use and administration of naloxone hydrochloride or other opioid antagonists by any level of prehospital emergency medical care personnel. Training received by prehospital emergency medical care personnel specific to the use and administration of naloxone hydrochloride or another opioid antagonist during this trial study may be used towards satisfying the training requirements established pursuant to paragraph (1) regarding the use and administration of naloxone hydrochloride and other opioid antagonists by prehospital emergency medical care personnel.
(3)CA Health & Safety Code § 1797.197(b)(3) The training described in paragraphs (1) and (2) shall satisfy the requirements of paragraph (1) of subdivision (d) of Section 1714.22 of the Civil Code.

Section § 1797.197

Explanation

This law allows certain trained non-medical individuals, called lay rescuers, to use epinephrine auto-injectors to treat someone having a severe allergic reaction, known as anaphylaxis. To do so, the epinephrine auto-injector must be obtained legally, used with the person's consent, stored properly, and the user must have completed a certified training course.

Training must be approved by the authority and includes recognizing signs of anaphylaxis, proper storage, and follow-up actions post-use. Authorized entities like businesses and nonprofits can keep epinephrine auto-injectors if they adhere to an operations plan and report each use. There are regulations around who can prescribe these devices and fees are assessed to cover training certification costs. Schools and emergency personnel already have separate rules for administering epinephrine and are not limited by this section.

(a)CA Health & Safety Code § 1797.197(a) For purposes of this section, the following definitions shall apply:
(1)CA Health & Safety Code § 1797.197(a)(1) “Anaphylaxis” means a potentially life-threatening hypersensitivity or allergic reaction to a substance.
(A)CA Health & Safety Code § 1797.197(a)(1)(A) Symptoms of anaphylaxis may include shortness of breath, wheezing, difficulty breathing, difficulty talking or swallowing, hives, itching, swelling, shock, or asthma.
(B)CA Health & Safety Code § 1797.197(a)(1)(B) Causes of anaphylaxis may include, but are not limited to, insect stings or bites, foods, drugs, and other allergens, as well as idiopathic or exercise-induced anaphylaxis.
(2)CA Health & Safety Code § 1797.197(a)(2) “Authorized entity” means any for-profit, nonprofit, or government entity or organization that employs at least one person or utilizes at least one volunteer or agent that has voluntarily completed a training course as described in subdivision (c).
(3)CA Health & Safety Code § 1797.197(a)(3) “Epinephrine auto-injector” means a disposable delivery device designed for the automatic injection of a premeasured dose of epinephrine into the human body to prevent or treat a life-threatening allergic reaction.
(4)CA Health & Safety Code § 1797.197(a)(4) “Lay rescuer” means any person who has met the training standards and other requirements of this section but who is not otherwise licensed or certified to use an epinephrine auto-injector on another person.
(5)CA Health & Safety Code § 1797.197(a)(5) “Prehospital emergency medical care person” has the same meaning as defined in paragraph (2) of subdivision (a) of Section 1797.189.
(b)CA Health & Safety Code § 1797.197(b) A prehospital emergency medical care person or lay rescuer may use an epinephrine auto-injector to render emergency care to another person if all of the following requirements are met:
(1)CA Health & Safety Code § 1797.197(b)(1) The epinephrine auto-injector is legally obtained by prescription from an authorized health care provider or from an authorized entity that acquired the epinephrine auto-injector pursuant to subdivision (e).
(2)CA Health & Safety Code § 1797.197(b)(2) The epinephrine auto-injector is used on another, with the expressed or implied consent of that person, to treat anaphylaxis.
(3)CA Health & Safety Code § 1797.197(b)(3) The epinephrine auto-injector is stored and maintained as directed by the manufacturer’s instructions for that product.
(4)CA Health & Safety Code § 1797.197(b)(4) The person using the epinephrine auto-injector has successfully completed a course of training with an authorized training provider, as described in subdivision (c), and has current certification of training issued by the provider.
(5)CA Health & Safety Code § 1797.197(b)(5) The epinephrine auto-injectors obtained by prehospital emergency medical care personnel pursuant to Section 4119.3 of the Business and Professions Code shall be used only when functioning outside the course of the person’s occupational duties, or as a volunteer, pursuant to this section.
(6)CA Health & Safety Code § 1797.197(b)(6) The Emergency Medical Services System is activated as soon as practicable when an epinephrine auto-injector is used.
(c)Copy CA Health & Safety Code § 1797.197(c)
(1)Copy CA Health & Safety Code § 1797.197(c)(1) The authorized training providers shall be approved, and the minimum standards for training and the use and administration of epinephrine auto-injectors pursuant to this section shall be established and approved, by the authority. The authority may designate existing training standards for the use and administration of epinephrine auto-injectors by prehospital emergency medical care personnel to satisfy the requirements of this section.
(2)CA Health & Safety Code § 1797.197(c)(2) The minimum training and requirements shall include all of the following components:
(A)CA Health & Safety Code § 1797.197(c)(2)(A) Techniques for recognizing circumstances, signs, and symptoms of anaphylaxis.
(B)CA Health & Safety Code § 1797.197(c)(2)(B) Standards and procedures for proper storage and emergency use of epinephrine auto-injectors.
(C)CA Health & Safety Code § 1797.197(c)(2)(C) Emergency followup procedures, including activation of the Emergency Medical Services System, by calling the emergency 911 telephone number or otherwise alerting and summoning more advanced medical personnel and services.
(D)CA Health & Safety Code § 1797.197(c)(2)(D) Compliance with all regulations governing the training, indications, use, and precautions concerning epinephrine auto-injectors.
(E)CA Health & Safety Code § 1797.197(c)(2)(E) Written material covering the information required under this provision, including the manufacturer product information sheets on commonly available models of epinephrine auto-injectors.
(F)CA Health & Safety Code § 1797.197(c)(2)(F) Completion of a training course in cardiopulmonary resuscitation and the use of an automatic external defibrillator (AED) for infants, children, and adults that complies with regulations adopted by the authority and the standards of the American Heart Association or the American Red Cross, and a current certification for that training.
(3)CA Health & Safety Code § 1797.197(c)(3) Training certification shall be valid for no more than two years, after which recertification with an authorized training provider is required.
(4)CA Health & Safety Code § 1797.197(c)(4) The director may, in accordance with regulations adopted by the authority, deny, suspend, or revoke any approval issued under this subdivision or may place any approved training provider on probation upon a finding by the director of an imminent threat to public health and safety, as evidenced by any of the following:
(A)CA Health & Safety Code § 1797.197(c)(4)(A) Fraud.
(B)CA Health & Safety Code § 1797.197(c)(4)(B) Incompetence.
(C)CA Health & Safety Code § 1797.197(c)(4)(C) The commission of any fraudulent, dishonest, or corrupt act that is substantially related to the qualifications, functions, or duties of training program directors or instructors.
(D)CA Health & Safety Code § 1797.197(c)(4)(D) Conviction of any crime that is substantially related to the qualifications, functions, or duties of training program directors or instructors. The record of conviction or a certified copy of the record shall be conclusive evidence of the conviction.
(E)CA Health & Safety Code § 1797.197(c)(4)(E) Violating or attempting to violate, directly or indirectly, or assisting in or abetting the violation of, or conspiring to violate, any provision of this section or the regulations promulgated by the authority pertaining to the review and approval of training programs in anaphylaxis and the use and administration of epinephrine auto-injectors, as described in this subdivision.
(d)Copy CA Health & Safety Code § 1797.197(d)
(1)Copy CA Health & Safety Code § 1797.197(d)(1) The authority shall assess a fee pursuant to regulation sufficient to cover the reasonable costs incurred by the authority for the ongoing review and approval of training and certification under subdivision (c).
(2)CA Health & Safety Code § 1797.197(d)(2) The fees shall be deposited in the Specialized First Aid Training Program Approval Fund, which is hereby created in the State Treasury. All moneys deposited in the fund shall be made available, upon appropriation, to the authority for purposes described in paragraph (1).
(3)CA Health & Safety Code § 1797.197(d)(3) The authority may transfer unused portions of the Specialized First Aid Training Program Approval Fund to the Surplus Money Investment Fund. Funds transferred to the Surplus Money Investment Fund shall be placed in a separate trust account, and shall be available for transfer to the Specialized First Aid Training Program Approval Fund, together with the interest earned, when requested by the authority.
(4)CA Health & Safety Code § 1797.197(d)(4) The authority shall maintain a reserve balance in the Specialized First Aid Training Program Approval Fund of 5 percent of annual revenues. Any increase in the fees deposited in the Specialized First Aid Training Program Approval Fund shall be effective upon determination by the authority that additional moneys are required to fund expenditures pursuant to subdivision (c).
(e)Copy CA Health & Safety Code § 1797.197(e)
(1)Copy CA Health & Safety Code § 1797.197(e)(1) An authorized health care provider may issue a prescription for an epinephrine auto-injector to a prehospital emergency medical care person or a lay rescuer for the purpose of rendering emergency care to another person upon presentation of a current epinephrine auto-injector certification card issued by the authority demonstrating that the person is trained and qualified to administer an epinephrine auto-injector pursuant to this section or any other law.
(2)CA Health & Safety Code § 1797.197(e)(2) An authorized health care provider may issue a prescription for an epinephrine auto-injector to an authorized entity if the authorized entity submits evidence it employs at least one person, or utilizes at least one volunteer or agent, who is trained and has a current epinephrine auto-injector certification card issued by the authority demonstrating that the person is qualified to administer an epinephrine auto-injector pursuant to this section.
(f)CA Health & Safety Code § 1797.197(f) An authorized entity that possesses and makes available epinephrine auto-injectors shall do both of the following:
(1)CA Health & Safety Code § 1797.197(f)(1) Create and maintain on its premises an operations plan that includes all of the following:
(A)CA Health & Safety Code § 1797.197(f)(1)(A) The name and contact number for the authorized health care provider who prescribed the epinephrine auto-injector.
(B)CA Health & Safety Code § 1797.197(f)(1)(B) Where and how the epinephrine auto-injector will be stored.
(C)CA Health & Safety Code § 1797.197(f)(1)(C) The names of the designated employees or agents who have completed the training program required by this section and who are authorized to administer the epinephrine auto-injector.
(D)CA Health & Safety Code § 1797.197(f)(1)(D) How and when the epinephrine auto-injector will be inspected for an expiration date.
(E)CA Health & Safety Code § 1797.197(f)(1)(E) The process to replace the expired epinephrine auto-injector, including the proper disposal of the expired epinephrine auto-injector or used epinephrine auto-injector in a sharps container.
(2)CA Health & Safety Code § 1797.197(f)(2) Submit to the authority, in a manner identified by the authority, a report of each incident that involves the use of an epinephrine auto-injector, not more than 30 days after each use. The authority shall annually publish a report that summarizes all reports submitted to it under this subdivision.
(g)CA Health & Safety Code § 1797.197(g) This section does not apply to a school district or county office of education, or its personnel, that provides and utilizes epinephrine auto-injectors to provide emergency medical aid pursuant to Section 49414 of the Education Code.
(h)CA Health & Safety Code § 1797.197(h) This section shall not be construed to limit or restrict the ability of prehospital emergency medical care personnel, under any other statute or regulation, to administer epinephrine, including the use of epinephrine auto-injectors, or to require additional training or certification beyond what is already required under the other statute or regulation.