Minnesota Administrative Rules Agency 145 - Emergency Medical Services Regulatory Board
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Here’s a structured overview of Minnesota Administrative Rules – Agency 145 (Emergency Medical Services Regulatory Board):
🚑 What Is Agency 145?
Agency 145 refers to the EMS Regulatory Board, operating under Minnesota Statutes Chapter 144E. This independent board, created in 1996, oversees ambulance services, EMS personnel certification, and service standards statewide. The board comprises 15 governor-appointed members plus Health and Public Safety commissioners and ex‑officio legislators (auditor.leg.state.mn.us).
📘 Main Rule Set: Chapter 4690 – Ambulance Services
The core rules are encapsulated in Minnesota Rules Chapter 4690, covering:
Definitions – Key terms like “ambulance service”, “BLS/ALS”, “primary service area” (PSA) (regulations.justia.com, hennepin.us)
Applications for Licensure – Requirements agencies must meet to obtain and renew ambulance licenses.
Basic & Advanced Ambulance Services – Service delivery levels, training, staffing.
Ambulance Standards – Equipment, vehicle maintenance, safety protocols.
Communications – Dispatch protocols, information exchange during calls.
Scheduled vs. Unscheduled Services – BLS/ALS requirements, staffing models, operational scope (regulations.justia.com). For scheduled services, rules specify declared hours, group served, and service type (law.cornell.edu).
Primary Service Areas (PSAs) – Designation and coverage responsibilities.
Education & Certification Programs – For EMTs, AEMTs, paramedics, including required training programs.
License Provisions and Fees – Conditions, renewals, violations.
Waivers & Variance Procedures – How agencies may request exceptions, e.g. staffing hardship (regulations.justia.com, hennepin.us).
⚖️ Governance & Compliance
Licensing & Enforcement: EMSRB enforces compliance with rules and statutes (Minnesota Statutes Chapter 144E).
Local Oversight: Counties (e.g., Hennepin) may enact ordinances incorporating these rules and imposing additional county-level standards, including performance metrics, waiver/variance processes, penalties, and hearings (hennepin.us).
Complaint Investigations & Discipline: The board investigates complaints, can impose administrative penalties, suspend or revoke licenses, or redesignate PSAs.
🛠 Rulemaking & Advisory Structure
Rule Publication: Rules are maintained and published quarterly by the Revisor. Official versions available via Revisor’s site, Cornnell/Justia (mn.gov, hennepin.us).
Advisory Councils: Included within the broader → Office of EMS (OEMS, successor of EMSRB). Councils include medical, paramedic, and workforce groups to guide standards and training (mn.gov).
📝 Summary Table
Focus Area
Key Elements
Licensing
Mandatory licensure for BLS/ALS/scheduled services
Staffing & Training
EMT/AEMT/Paramedic education and certifications
Equipment & Vehicles
Standards for ambulances and equipment
Dispatch & Operations
Communication protocols and unscheduled/scheduled service rules
Areas of Service
Definition and coverage requirements for PSAs
Compliance
Procedures for waivers, variances, penalties, and designations
🔍 Want to Explore Further?
See the full text of Chapter 4690 on definitions, licensure, communications, staffing.
Browse subchapters (e.g. 4690.2800 for scheduled ambulance rules) for specifics (law.cornell.edu, leg.state.nv.us, hennepin.us).
Learn about county-level regulations (like Hennepin County’s integration of these rules) (hennepin.us).
Understand how waivers/variances work (timelines, criteria, appeals).
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