Alabama Administrative Code

(a) Each youth athletics association and recreational organization shall develop a Coach Safety training program that encapsulates the minimum training requirements identified above and develop a tracking tool to ensure every coach and athletics personnel completes the course wit…

All licensed and certified athletic trainers, doctors, nurses, first responders, and health care professionals with acute traumatic life support training shall be exempt from the course requirement. Notes Ala. Admin. Code r. 420-11-3-.04 Adopted by Alabama Administrative Monthly …

(1) "Aggregate Data" is a set of multiple data records that are tabulated, combined, or otherwise summarized for the purpose of describing characteristics of a group of patient discharges. No individualized patient data is identifiable in Aggregate Data. (2) "AlaHA" means the adm…

(1) The minimum data set for each Discharge Record to be included in the Discharge Data Report will include the following data elements: (a) Patient Control Number (b) Type of Bill (c) Federal Tax Number (d) Statement Covers Period (e) Patient's Address: City, State and Zip Code …

(1) Submission of Discharge Data Reports is required effective April 1, 2022, for the three (3) months immediately preceding and shall continue every three (3) months thereafter according to the schedule set forth in paragraph (2) below. (2) All required Discharge Data Reports mu…

(1) The Department will assess a civil penalty of five cents ($.05) per Discharge Record per day for each day the Discharge Data required to be reported is delinquent. (2) The maximum civil penalty for a Delinquent Discharge Data Report is ten dollars ($10) for each Discharge Rec…

(1) If errors, inconsistencies, or incomplete data elements are identified by the Department in a submitted Discharge Data Report, the Department will provide the hospital with a written and electronic notice to the hospital's designated staff member of the identified errors, inc…

(1) General (a) The Advisory Council shall assist in developing rules and standards necessary to implement the requirements of Code of Ala. 1975, § 22-21-410, et seq., to review and serve as consultants to the Department on all matters related to any reports, studies, or publicat…

(1) The State Health Officer has the authority to delay the release of any particular data element(s) to the public if it is determined that the quality or completeness of the information received by the Department is not acceptable. (2) The Department may release limited data se…

(1) All information reported to the Department pursuant to Code of Ala. 1975, § 22-21-410, et seq., and this Chapter is not available for release until it has been processed and verified by the Department. (2) Discharge Data that has been processed and verified may be released by…

(1) Purpose. The purpose of these rules is to protect the health of the public by establishing standards for the training, qualification, scope of practice, and licensing of emergency medical services personnel and for the operation, design, equipment, and licensing of ambulances…

(1) "Abandonment" means the unilateral termination of theprovider/patient relationship at a time when continuing care is still needed. This includes the termination of care without the patient's consent. (2) "Academic Dishonesty" means any emergency medical services (EMS) student…

(1) Records and data may be released as needed to the principal investigators associated with a valid scientific study provided that the protocols for release and handling of such records and data shall be approved in advance by a duly constituted institutional review board for t…

EMSP are authorized to follow Portable Physician DNAR and PPEL Care Orders that are available, known to them, and executed in accordance with Rules 420-5-19-.02 and -.03. In honoring such orders, EMSP shall not withhold comfort care, such as I.V. fluids, oxygen, suction, control …

Medical direction facilities shall: (1) Provide properly credentialed and licensed medical direction physician coverage in the emergency department 24 hours per day, 7 days a week, 365 days a year. (2) Provide on-line medical direction to EMSP for out of hospital care on a 24 hou…

(1) Service Medical Directors shall: (a) Sign a written agreement outlining accepted responsibilities to provide emergency medical provider service medical oversight. (b) Have experience, training, and a current or previous board certification from a recognized broad-based medica…

(1) Active - A license that allows an EMSP or provider service the privilege to practice all duties within the scope defined pursuant to the level of licensure. (a) Restricted - A restricted license may be granted by the Board to an individual who no longer meets the essential fu…

(1) Initial EMSP qualifications are: (a) The license candidate shall be 18 years of age within 1 year of the course completion date of the entry level course. (b) The license candidate shall meet the essential functions of an EMSP as outlined in the Functional Job Analysis. The F…

(1) All applicants shall have a current NREMT certificate, a current approved CPR card, a declaration of citizenship form, and verification of current Alabama protocol education to be issued an active license. (2) All persons possessing a current NREMT EMT Intermediate certificat…

(1) Prior to license expiration, the OEMS will attempt to notify each licensed individual utilizing the most recent contact information that has been provided. If an individual fails to receive this notice, it will not relieve him or her of the responsibility for license renewal.…

(1) No person shall operate an emergency medical provider service until obtaining a license. All emergency medical provider service licenses are issued by the OEMS under the authority of the Board. Each emergency medical provider service license will be issued with the appropriat…

(1) All advanced EMS licensure levels shall have the ability to provide ALS medical treatments and interventions as described in the Alabama EMS Patient Care Protocols as applicable to their level of licensure if the following criteria are met: (a) The individual has a valid Alab…

(1) To become Critical Care licensed, a provider service must: (a) Submit a Critical Care Practice application. (b) Follow the approved Alabama EMS Critical Care Patient Care Protocols in addition to the Alabama EMS Patient Care Protocols. (2) To be eligible for a Critical Care l…

NOTE: This section only applies to current licensed Alabama EMT-Intermediates. (1) The OEMS discontinued licensing EMT-Intermediates (I-85) in 2003. All existing EMT-Intermediates (I-85) will continue to be licensed as such so long as their licenses are properly renewed each lice…

(1) A valid driver license. (2) A current emergency vehicle operations certificate from an approved course that shall be maintained in the emergency medical provider service's employee file. (3) A current approved CPR card. (4) A certificate of completion from a Department of Tra…

(1) All emergency calls received for emergency medical provider services shall be processed by a certified EMO which will provide pre-arrival medical care instructions to the caller. (2) All EMDs must have: (a) A current designation of EMO from the Alabama EMO program or a nation…

(1) Ground Provider Services are subject to all rules in this chapter except Rule 420-2-1-.08. (2) No unlicensed emergency medical provider service or personnel shall transport a patient from one point within Alabama to another point within Alabama. (3) All permitted vehicles lis…

(1) Air Ambulance Providers are subject to all rules in this chapter except Rule 420-2-1-.17. (2) No unlicensed emergency medical provider service or personnel shall transport a patient from one point within Alabama to another point within Alabama. (3) All permitted aircraft list…

(1) Licensed Ground ALS transport and non-transport services shall meet the following applicable staffing configurations: (a) Licensed transport services with an ALS Level 1 Authorization shall, at a minimum, staff one ALS Ground Ambulance with an emergency vehicle operator and l…

(1) In no event shall an emergency medical provider service responding to the scene of an emergency fail to treat a patient because of the patient's inability to pay or perceived inability to pay for services. Provided, that nothing in the subsection shall be construed to prohibi…

(1) The EMSP providing patient care is responsible for the completion and submission of an electronic Patient Care Report(e-PCR) to the emergency medical provider service within 24 hours. (2) Each emergency medical provider service shall ensure that an accurate and complete e-PCR…

(1) Each emergency medical provider service shall be responsible for supervising, preparing, filing, and maintaining records and for submitting reports to the Board as requested. All records shall be handled in a manner as to ensure reasonable safety from water and fire damage an…

(1) Each emergency medical provider service carrying controlled substances shall submit a Controlled Substance Plan (CSP) to the OEMS at the time of licensure and renewal. If a provider service does not plan to carry controlled substances, this shall be noted in the service's I.V…

(1) No person or facility of any type shall order, arrange, or conduct a transfer of a patient in a recumbent position by ground or air ambulance unless transport of the patient is done by an emergency medical provider service licensed by the Board in an ambulance permitted in ac…

An emergency medical provider service (ground or air) shall contact the OEMS prior to deploying or sending any Alabama permitted ambulances to another state(s) to fulfill obligations of a state, federal, or private contract or agreement for a disaster. Notes Ala. Admin. Code r. 4…

(1) These rules shall not apply to the transport ambulance services referred to in § 22-18-2, Code of Ala. 1975, and listed below, except when the services listed in (a) or (e) are offering or proposing to offer ALS services, as defined in these rules, to the public. All transpor…

The State Health Officer may approve a variance to any provision of these rules, except for any provision that restates a statutory requirement or that defines any term, in accordance with Rule 420-1-2-.09, Ala. Admin. Code. Notes Ala. Admin. Code r. 420-2-1-.27 New Rule: Filed S…

(1) The OEMS shall have the right to inspect all licensed emergency medical provider service premises, facilities, vehicles, and aircraft at any time. A representative of the OEMS shall properly identify himself or herself prior to inspection. (2) The provider service and vehicle…

(1) A licensed EMSP shall perform his or her job duties and responsibilities in a manner that reflects the highest ethical and professional standards of conduct. Actions that are in violation of the standard of conduct will be considered misconduct and are subject to immediate di…

(1) When the OEMS receives evidence of the possible impairment of a licensed EMSP, it will initiate an investigation. The OEMS will consider the facts and circumstances of each case, and may recommend disciplinary action, or may offer entry into a drug, alcohol, or psychiatric re…

(1) The Board may investigate any complaint at the discretion of the State EMS Director, State EMS Medical Director, or their authorized representative. (2) If the Board receives a verbal complaint of any matter relating to the regulation of provider services, EMSP, EMS education…

(1) Education Program Specifics (a) Any institution desiring approval as an education program for Level 3 or Level 2 shall be an institution approved by the Alabama Community College System (ACCS), or the ADPH OEMS. Any institution desiring approval as an education program for Le…

(1) All continuing education submitted in support of license renewal shall meet the requirements set forth by the OEMS and the NREMT. (2) The Alabama EMS Patient Care Protocols include all adult and pediatric protocols and are available from the OEMS or can be found posted at htt…

(1) To obtain a Tactical endorsement, a paramedic must: (a) Present a Board approved application and proof of the IBSC Tactical Paramedic certification. (b) Have 3 years licensed at the paramedic level. (2) The Tactical endorsement shall be valid so long as the Paramedic maintain…

(1) To obtain a Community Paramedic license, an actively licensed paramedic must: (a) Present a Board approved application and proof of the IBSC Community Paramedic certification. (b) Be licensed and have 2 years of experience working at the paramedic level. (c) Successfully comp…

(1) Legal Authority for Adoption of Rules. Under and by virtue of authority vested in it by the Legislature of Alabama, Act 299, Regular Session, 2007(§ 22-11D-1,et seq. Ala. Code 1975), the State Board of Health does hereby adopt and promulgate the following rules to govern the …

Upon the receipt of advice and approval of the council, the board has adopted rules for verification and certification of trauma center status as set out in Appendix A. Notes Ala. Admin. Code r. 420-2-2-.02 New Rule: Filed March 20, 2008; effective April 24, 2008. Repealed and Re…

(1) Types of Designation. (a) Regular Designation. A regular designation may be issued by the Board after it has determined that an applicant hospital has met all requirements to be designated as a trauma center at the level applied for and is otherwise in substantial compliance …

(1) Creation. There is established a Statewide Trauma and Health Care Center Advisory Council. The Council assists in the development of these rules and serves as a consultant to the Board on matters related to the statewide trauma system and other statewide coordinated health ca…

Trauma Care Regions will be the same as the EMS Regions as have been approved by the Board. Notes Ala. Admin. Code r. 420-2-2-.05 New Rule: Filed May 21, 2008, Effective June 25, 2008. Repealed and Replaced: Filed February 18, 2009, Effective March 25, 2009 Authors: John Campbell…