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Informational Bulletins

On this page, you will be continuously updated on all important information released from the Pennsylvania Department of Health, Bureau of Emergency Medical Services.

2026

EMSIB 2026 01 Non-DOH EMR

2025

EMS IB 2025-01 Update Practical Testing July 2025
EMSIB 2025-02 2024-2025 Provider Tuition Assistance and Agency Recruitment Retention Expense Reimbursement
EMSIB 2025-03 Trauma Centers Update
EMSIB 2025-04 County-level or Broader-level Response Plans
EMSIB 2025-05 Agency Licensure Documents
EMSIB 2025-06 Instructions For Adding EMS Compact Privilege to Practice Providers (PTP) to Agency PTP Rosters
EMSIB 2025-07 Haz Mat Awareness TRAIN PA Update
EMSIB 2025-08 Guidance for EMS Providers and Agencies Regarding Act34 of 2025
EMSIB 2025-09 New Requirement for FBI Background Checks
EMS IB 2025-10 Out of State Educational Programs
EMS-IB 2025-11 Traffic Incident Management System (TIMS)
EMSIB 2025-12 NIMS
EMSIB 2025-13 Fulton Medical Center
EMSIB 2025-14 NIMS Rescinding NIMS Temporary Suspension
EMSIB 2025-15 PTSF Press Release

2024

EMSIB 2024-01 EMS Registry Unavailable Due to Maintenance
EMSIB 2024-02 Provider Tuition Assistance and Agency Recruitment & Retention Expense Reimbursement
EMSIB 2024-03 Syringe Admin EPI
EMSIB 2024-04 PA EMS Registry URL Change
EMSIB 2024-05 ESO Granted Extension For Transmission of NEMSIS v3.5 Data
EMSIB 2024-06 Education Manager Announcement
EMSIB 2024-07 Psychomotor Exam with SMC
EMSIB 2024-08 OSHA Emergency Response Rulemaking – Comments due by June 21, 2024
EMSIB 2024-09 Updating EMS Agency Roster
EMSIB 2024-10 QRS Licensure Exception
EMSIB 2024-11 Education Advisory Committee Members and Minutes
EMSIB 2024-12 Attrition Rate Formula
EMSIB 2024-13 Mechanical CPR Devices
EMSIB 2024-15 Proposals for EMS Pilot Program

2023

EMSIB 2023-001 Paramedic Scholarships- PA EMS Foundation
EMSIB 2023-002 Temporary Replacement Vehicle Form
EMSIB 2023-03 Appointment of State EMS Medical Director
EMSIB 2023-04 TRAIN-PA
EMSIB 2023-05 Contact Information Update
EMSIB 2023-06 TRAIN-PA 247 ConEd Restored
EMSIB 2023-07 PA Accredited EMS Educational Institute Checklist
EMSIB 2023-08 Continuing Education by Endorsement Process and Purpose
EMSIB 2023-009 Transition to NEMSIS version 3.5
EMSIB 2023-10 Change in Leadership at the Bureau of EMS
EMSIB 2023-11 New Trauma Centers
EMSIB 2023-12 Approved ePCR software
EMSIB 2023-13 Agency Email Domains for biospatial
EMSIB 2023-15 NEMSIS v3.5.0 Data Collection
EMSIB 2023-17 2023 PA DOH Statewide Protocol Update
EMSIB 2023-18 Rescinding EMSIB 2023-17 2023 PA DOH Statewide Protocol Update
EMSIB 2023-19 Appointment of State EMS Director / BEMS Bureau Director
EMSIB 2023-20 Agency Email Domain Change Reminder for biospatial access
EMSIB 2023-21 EMR Certification Application Change for Non-DOH EMR Course
EMSIB 2023-23 Updated Memorandum and Assumption of Risk Agreement for EMR and EMT Examinations
EMSIB-2023-24 Printing of Certification Cards
EMSIB 2023-25 Revised Protocol Release

2022

EMSIB 2022-01 Change in Leadership at the Bureau of EMS
EMSIB 2022-02 Act 10 of 2022 Announcement
EMSIB 2022-03 Act 10 of 2022 Announcement – Additional Information
EMSIB 2022-04 Status of EMS Regulatory Suspensions
EMSIB 2022-05 Act 10 Update – Signature Phase
EMSIB 2022-06 Appointment of Bureau Director
EMSIB 2022-07 Licensing of EMS Buses
EMSIB 2022-08 Act 17 extension
EMSIB 2022-09 U.S. Territory and Foreign National Certification Process
EMSIB 2022-10 – Bureau of EMS Employment Medical Evaluation Information
EMSIB 2022-11 Dextrose Shortage
EMSIB 2022-12 New Trauma Centers
EMSIB 2022-13 Data Repository
EMSIB 2022-14 EMS Medical Director Change
EMSIB 2022-15 EMS Medical Director Search

2021

2021-02 Updated EMS Participation in Mass Vaccination

2021-03 Updated Transfer of Care Form
EMS CARE TRANSFER FORM v3.4 3-31-21

2021-04 Spotted Lanternfly Webinar
2021-05 First Responder Mental Health Toolkit
2021-06 Draft 2021 Statewide EMS Protocols1
2021-07 Status of Regulatory and Statutory Suspensions
2021-08 State Recognized CPR Programs
2021-09 Resumption of Psychomotor Examinations
2021-10 Trauma Center Updates
2021-11 Rescinding EMSIB 2020-11 Level I Staffing Exceptions
2021-12 Additional Exceptions Under Act 17 of 2020
2021-13 State Recognized CPR Programs Updated
2021-14 2021 PA DOH Statewide Protocol Update
2021-15 Trauma Center Update
2021-16 Status of EMS Regulatory Suspensions
2021-17 2021 PA DOH Statewide TBI Protocol Update

2020

2020-01 Novel coronavirus 2019-nCoV
2020-02 Infection Control
2020-03 2020 PA DOH AEMT Protocol Update
2020-05 Issued Regulatory Exceptions to the Lapse of Registration .._
2020-06 Covid-19 Policy and Protocol Updates
2020-07 Alternate Pathway for Psychomotor Testing
2020-08 Issued Extension to EMS Certification Expiration Dates
2020-10 EMS Providers Obtaining Nasopharyngeal Swabs
2020-11 Level I EMS Staffing Exceptions
2020-12 PCR Data Collection for Exemptions Outlined in EMSIB 2020-.._
2020-13 Alternatives to Nebulized Bronchodilators During COVID-201…
2020-14 COVID-2019 Lapse of Registration Regulatory Exception
2020-15 Signatures on Transfer of Care Forms
2020-16 PPE Reminders
2020-17 Temporary Statewide BLS Non-transport of Patients with Sus…
2020-18 Cardiac Arrest Treatment by EMS in a Patient with Suspected COVID-19
2020-19 Revised Interim Guidance for Cardiac Arrest Treatment by EMS in a Patient with Suspected COVID-19
2020-20 Use of Out of State EMS Providers
2020-21 Statewide ALS Protocol Updates Including Interim COVID-19 …
2020-22 Guidance to EMS Educational Entities
2020-23 Changes to EMS Agency Licensure Inspection Process
2020-24 AEMT Protocol Implementation Extension
2020-25 Additional Extension of CPR Expiration Dates
2020-26 PPE Reminders (Updated)
2020-27 Act 17 of 2020 BLS Ambulance Staffing Exceptions
2020-28 Changes to BLS Psychomotor Examination
2020-29 Additional Extension of CPR Expiration Dates
2020-31 EMS Participation in Mass Vaccination

2019

2019-01 Drowning and near drowning event reporting for PA Public Bathing Place Regulated Facilities
2019-02 EMS Student Clinical Experience
2019-03-Measles Guidance for EMS Providers
2019-05 Hepatitis A Outbreak

2018

2018-02 Updated Naloxone Standing Order
2018-03 Naloxone Leave Behind – Medical Command
2018-04 FBI Clearance Service Codes Information
2018-05 Naloxone Leave Behind Survey
2018-06 EMS Agency NEMSIS Compliance Update
2018-07 Updated CCT and Air Ambulance Transport Approved Educational Programs
List of Updated CCT AND AIR AMBULANCE TRANSPORT APPROVED EDUCATIONAL PROGRAMS
2018-10 BLS agency survey of voluntary naloxone participation
2018-11 State Recognized CPR Programs
2018-12 Emergency Medical Responder (EMR) courses (non-department of health)
2018-13 Out-of-State EMS Providers PA EMS Educational Institute Clinical and Field Experience
2018-15 Stop the Bleed App
2018-16 -Tourniquet Quantities
2018-17-Ground Ambulances Supporting Air Ambulance Operations
2018-18-CCT Air Protocol 
2018-19 EMS Licensure Application Registry
2018-21 Direct Pay Notice of form publication
2018-22 PPE and Responder Safety
2018-23 Crediting EMR Stations to EMT Psychomotor Exams
2018-25 Approval of Law Enforcement K-9 Continuing Education Course

2017

2017-01 County Level or Broader Level EMS Response Plan
2017-02 Legal Blood Draws – Interim Guidelines
2017-03 Naloxone Increase Dosage Option
2017-05 Critical Care Transport and Air Ambulance Transport Approved Educational Programs
2017-06 Minimum Staffing
2017-07 Drowning
2017-08 WannaCry Ransomeware Cyber Attack
2017-09 2017 Statewide Protocol, Scope of Practice, Required Medication List, and Required Vehicle Equipment and Supplies List Updates
2017-11 Revising 2017-10 Pediatric Safe Transport Devices
2017-12 Vehicle Equipment and Supplies Implementation Date
2017-17 Expired Medications
2017-19 Potential Sterile Saline Solution Shortage
2017-20 Limited Continuing Education on TRAIN PA
2017-21 Allowance of Multiple Pediatric Safe Transport Devices

2016

2016-001 QRS Staffing Clarification
2016-002 Critical Care Transport and Air Transport Approved Educational Programs
2016-003 Clarification for Chest Tubes in Paramedic Scope of Practice
2016-06 EMS Provider Certification Examination Fees
2016-07 Emergency Medical Services Provider Certification Application
2016-08 PHRN Scope and Anesthetic Administration
2016-09 Statewide ALS Protocol Update to Reflect Increased Naloxone Dosing in Altered Mental Status
2016-10 DirectPay Legislation

2015

2015-001 EMS Medication Shortage Procedure
2015-002 CPR Requirements
2015-003 2015 PA DOH Statewide Protocol Update
2015-004 AEMT Certified Providers
2015-005 2015 PA DOH Statewide Protocol Update
2015-006 Voluntary Rescue Service Recognition (VRSR) Water Rescue Application
2015-007A State Recognized CPR Programs
2015-008 Federal Specification for the Star-of-life Ambulance, KKK-A-1822F
2015-009 2015 PA DOH Statewide AEMT Protocol
2015-010 Use of ALS Monitor/defibrillators by BLS Providers and AEMT’s on vehicles used at the BLS and IALS Levels
2015-011 2015 PA DOH Statewide Protocol Update
2015-012 New Release Update
2015-013 EMS Providers performing legal blood draws
2015-014 EMS Certification Reminders
2015-015 Critical Care Transport and Air Ambulance Provider Expaned Scope of Pratice

2014

2014-001 State Recognized CPR Programs
2014-002 EMS Transfer of Care Form
2014-003 Ebola Update
2014-004 Naloxone
2014-005 Identification of Ebola Treatment Facilities
2014-006 Scope of Practice for Emergency Medical Providers
2014-007 EVZIO Naloxone Auto-Injector Donation Update