Indiana Administrative Code Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION
Overview of Title 836
Title 836 establishes the Indiana Emergency Medical Services Commission. This commission is responsible for regulating emergency medical care, ambulance services, paramedics, EMTs (Emergency Medical Technicians), and related training and operations across the state.
Its primary mission is to ensure that emergency medical services are safe, reliable, and consistent statewide, while protecting the health and safety of Hoosiers.
Core Responsibilities of the EMS Commission
Licensing & Certification
Issues licenses and certifications to:
EMTs (Emergency Medical Technicians)
Paramedics
First Responders
Ambulance services and providers
Sets qualifications, training requirements, and renewal procedures.
Training & Education
Approves training institutions, courses, and instructors.
Sets standards for certification exams.
Oversees continuing education requirements for EMS professionals.
Ambulance & Provider Oversight
Establishes standards for ambulances, equipment, and medical supplies.
Regulates provider agencies (public, private, hospital-based).
Ensures staffing requirements are met (properly trained and certified personnel).
Standards of Care
Creates treatment protocols for different levels of EMS providers.
Sets rules for patient transport, triage, and emergency response.
Provides guidance for disaster response and mass casualty incidents.
Compliance & Enforcement
Investigates complaints against EMS providers or agencies.
Holds disciplinary hearings when violations occur.
Can suspend, revoke, or fine licenses for noncompliance.
Data & Reporting
Requires EMS providers to submit reports on patient care, incidents, and outcomes.
Uses data to improve emergency care systems statewide.
Key Administrative Areas Covered in Title 836
Definitions – Clarifies terms like EMT, paramedic, ambulance provider, medical director, etc.
Application & Licensing Process – Steps for obtaining EMS certification or ambulance service licensing.
Training & Education Requirements – Minimum course hours, approved instructors, testing requirements.
Operational Standards – Rules for how EMS agencies and ambulances must operate.
Medical Oversight – Role of medical directors in supervising EMS professionals.
Disciplinary Rules – Grounds for denial, suspension, or revocation of certification.
Emergency Protocols – Procedures for disaster response, mutual aid, and public safety coordination.
Purpose of Title 836
To protect the public by ensuring safe, professional emergency medical care.
To standardize EMS training and operations across Indiana.
To promote accountability for both individuals and organizations in EMS.
To improve emergency response systems through regulation and data collection.
To support community health and safety in everyday emergencies and large-scale disasters.
✅ In short:
Indiana Administrative Code Title 836 – Indiana Emergency Medical Services Commission provides the full framework for regulating EMS in Indiana. It sets rules for training, certification, ambulance operations, medical standards, and enforcement — ensuring that every Hoosier receives safe and effective emergency medical care.
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