HB346 Alabama 2010 Session

Summary

Primary Sponsor

Ronald Grantland

Democrat

Session

Regular Session 2010

Title

Emergency medical services, definitions, regulation by Health Department further provided for, licensure category added for advanced emergency medical technicians, Secs. 22-18-1, 22-18-2, 22-18-3, 22-18-4, 22-18-6, 22-18-8, 22-18-40, 22-18-41, 22-18-42 am'd.

Summary

HB346 updates Alabama's emergency medical services rules by adding an Advanced EMT licensure category, regulating air and ground ambulances, expanding the State Emergency Medical Control Committee, and aligning standards with national guidelines.

What This Bill Does

It creates a new Advanced Emergency Medical Technician license and clarifies Advanced Life Support practices under board rules and medical control. It defines and regulates air ambulances and ambulance services, sets license types, fees, and durations, and requires training and ongoing education. It expands the SEMCC membership, allows electronic meetings and proxy voting, and sets rulemaking, enforcement, and funding provisions tied to EMS training and operations.

Who It Affects

• Emergency medical services personnel and ambulance service operators: new licensure requirements (including Advanced EMT), defined ALS scope, license fees and durations, training and continuing education requirements, and regulatory oversight.
• Members of the public and patients who rely on EMS: potentially improved safety and access to regulated, higher-quality prehospital care and more consistent standards for air and ground ambulance services.

Key Provisions

• Creates Advanced Emergency Medical Technician (AEMT) licensure and defines Advanced Life Support (ALS) as techniques allowed under board rules and medical control.
• Regulates air and ground ambulances, ambulance drivers, and ambulance service operators; establishes license types, fees ($10 EMT licenses; $25 operator licenses), and renewal rules; allows dual licensure for ambulance driver and EMT with no extra fee.
• Authorizes the board to designate ALS techniques, set qualifications, and require proper certification; EMSP may perform ALS within board-approved constraints and not as unlawful medical practice when following those rules.
• Requires physician orders and medical control direction for ALS procedures; allows certain drug/fluids kits on emergency vehicles with board authorization and regional medical control plan.
• Imposes penalties for hindering EMS activities or for unlicensed practice; provides Good Samaritan protections and grounds for license suspension or revocation for misconduct or failing to meet requirements.
• Creates State Emergency Medical Control Committee (SEMCC) with defined ex officio and appointment members; allows electronic meetings and proxy voting; requires diversity and four-year terms for representatives.
• Requires training cost reimbursement to employing entities when EMS personnel trained with public funds move to other jobs; establishes itemized sworn statements and potential civil remedies for recovery.
• Sets exemptions for volunteer rescue squads, certain government-owned ambulance operations, and free employee ambulance services; outlines scope and limits of regulation for out-of-hospital EMS care.
• Authorizes regulatory procedures, public hearings, and appellate processes for rulemaking; outlines effective date (first day of the third month after passage).

AI-generated summary using openai/gpt-5-nano on Feb 24, 2026. May contain errors — refer to the official bill text for accuracy.

Subjects

Emergency Medical Services