Public Safety

Emergency Medical Services

Rule R911-5: Emergency Medical Services Training, Endorsement, Certification, and Licensing Standards

Effective Date: 06/10/2025

Admin. Code Reference: R911-5

Rule Type: Current Rule

R911. Public Safety, Emergency Medical Services.

R911-5. Emergency Medical Services Training, Endorsement, Certification, and Licensing Standards.

R911-5-100. Authority.

This rule is authorized by Title 53, Chapter 2d, Emergency Medical Services Act.

R911-5-105. Purpose.

The purpose of this rule is to:

(1) describe requirements for training, certification, endorsements, and licensing of individuals who provide emergency medical services;

(2) provide uniform minimum standards to be met by those providing emergency medical services within the state; and

(3) establish grounds and procedures for disciplinary actions.

R911-5-110. Definitions.

(1) Terms used in this rule are defined in Section 53-2d-101 and Section R911-1-200.

(2) In addition:

(a)(i) "Aggravating circumstances" means any consideration or factors that may justify an increase in the severity of an action to be imposed upon an applicant or licensee.

(ii) "Aggravating circumstances" includes the following:

(A) prior record of disciplinary action, unlawful conduct, or unprofessional conduct;

(B) dishonest or selfish motive;

(D) multiple offenses;

(E) obstruction of the disciplinary process by intentionally failing to comply with rules or orders of the bureau;

(F) submission of false evidence, false statements, or engaging in other deceptive practices, including creating, destroying, or altering records;

(G) refusal to acknowledge the wrongful nature of the misconduct involved;

(H) vulnerability of the victim;

(I) lack of good faith to make restitution or to rectify the consequences of the misconduct;

(J) illegal conduct, including the use of controlled substances; or

(K) intimidation or threats of withholding records or other detrimental consequences of any individual who reports, is a witness to or testifies regarding the unprofessional or unlawful conduct.

(b) "Board" means the EMS Personnel Peer Review Board created under Subsection 53-2d-103(1)(d).

(d) "Crisis Response Technician" or "CRT" means a person who provides "Behavioral Emergency Services" as defined in Section 53-2d-101.

(e) "Licensee" means any individual or entity who has applied or is issued any certificate, designation, permit, or license under Title 53, Chapter 2d, Emergency Medical Services Act, and Title 53, Chapter 2e, EMS Personnel Licensure Interstate Compact.

(f)(i) "Mitigating circumstances" means any consideration or factors that may justify a reduction in the severity of an action to be imposed upon an applicant or licensee.

(ii) "Mitigating circumstances" include:

(A) absence of prior record of disciplinary action, unlawful conduct or unprofessional conduct;

(B) personal, mental, or emotional problems if the problems have not posed a risk to the health, safety, or welfare of the public or clients served, such as drug or alcohol abuse while working or similar situations where the licensee or applicant should know that they should refrain from engaging in activities that may pose such a risk;

(D) full and free disclosure to the client or bureau before the discovery of any misconduct;

(E) inexperience in the practice of the profession, that is not the result of failure to obtain appropriate education or consultation that the applicant or licensee should have known they should obtain before beginning work on a particular matter;

(F) imposition of other penalties or sanctions if the other penalties and sanctions have alleviated threats to the public health, safety, and welfare; and

(G) remorse.

(iii) The following factors may not be considered as mitigating circumstances:

(A) forced or compelled restitution;

(B) withdrawal of complaint by an individual;

(D) failure of injured party to complain;

(E) complainant's recommendation as to sanction;

(F) disciplinary action taken by employer;

(G) criminal penalties imposed for the conduct;

(H) argument that a prior proceeding was conducted unfairly, contrary to law, or in violation of due process or any other procedural safeguard;

(I) argument that a prior finding or sanction was contrary to the evidence or entered without due consideration of relevant evidence;

(J) argument that a respondent was not adequately represented by counsel in a prior proceeding; or

(K) argument or evidence that former statements of a respondent made in conjunction with a plea or settlement agreement are not true.

(g) "Moral turpitude" means an act that:

(i) is done knowingly contrary to justice, honesty, or good morals;

(ii) is immoral in itself regardless of whether the act is punishable by law;

(iii) involves an element of falsification or fraud; or

(iv) involves an element of harm or injury directed to another person or another person's property.

(h) "Probation" means the individual is required to complete rehabilitative terms to maintain licensure for a maximum period of one year.

(i) "Provider" means "emergency medical service providers" as defined in Section 53-2d-101.

(j) "Respondent" means an emergency medical service personnel, licensee, provider, or endorsed individual against whom the bureau has initiated an investigation or adjudicative proceeding under Section 53-2d-603 or 53-2d-604, or this rule.

(k) "Revoke" or "revocation" means the permanent termination of a license.

(l) "Suspend" or "suspension" means the temporary removal of the license from an individual for a period.

(m) "Training Officer Manual" means the 2024 Training Officer Manual, incorporated by reference in this rule.

(n) "Unprofessional conduct" means the following:

(i) surrendering a license to any other licensing or regulatory authority having jurisdiction over the licensee or applicant in any regulated profession while an investigation or inquiry into allegations of unprofessional conduct or unlawful conduct is in progress, or after a charging document has been filed against the applicant or licensee alleging unprofessional conduct or unlawful conduct;

(ii) engaging in conduct that results in disciplinary action, including reprimand, censure, diversion, or probation;

(iii) suspension, or revocation, by any other licensing or regulatory authority having jurisdiction over the licensee or applicant in any profession, if the conduct:

(A) bears a substantial relationship to the licensee's or applicant's ability to safely and competently practice as an EMS professional; or

(B) would constitute grounds for denial of licensure or disciplinary proceedings under Title 53 Chapter 2d, Emergency Medical Procedures Act, or this rule;

(iv) engaging in cheating or otherwise dishonest conduct while taking any test or exam necessary for licensure;

(v) engaging in conduct or otherwise violating Section R911-5-210;

(vi) any conduct that renders a licensee unfit to perform as a licensee or endangers public safety; or

(vii) conduct that is a violation of standards of ethical conduct, performance, or professional competence.

R911-5-200. Licensing Standards.

(1) The bureau may license individuals meeting qualifications of Title 53, Chapter 2d, Emergency Medical Services Act, and this rule as a paramedic, advanced emergency medical services technician, emergency medical services technician, emergency medical responder, crisis response technician, or advanced crisis response technician.

(2) The committee shall advise the bureau concerning training and competency standards as defined in the National Association of State EMS Officials National EMS Scope of Practice Model 2019, Report No. DOT HS 812-666. Washington, DC: National Highway Traffic Safety Administration, which is incorporated by reference.

R911-5-201. Licensure of EMRs, EMTs, AEMTs, and Paramedics.

(1) A license issued by the bureau is valid for no more than two years unless it is extended by the bureau to standardize the renewal cycle.

(a) The bureau may modify license periods to standardize renewal cycles.

(b) A suspension or probation of a license does not change the expiration date.

(2) An individual seeking to become licensed shall submit to the bureau:

(a) documentation of successful completion of a bureau approved course for the respective license;

(b) a letter written and signed by a bureau endorsed EMS instructor stating that the applicant has competently and successfully performed the functions listed in the National EMS Education Standards referenced in Section R911-5-200;

(d) applicable fees;

(e) information necessary for a background clearance, including social security number, fingerprints, and other information required by Section 53-2d-410;

(f) a certificate of completion of a bureau approved cardiopulmonary resuscitation course dated no more than two years before the date of application;

(g) a favorable written recommendation from the course coordinator and course medical director stating technical competence during field and clinical training and successful completion of training requirements for licensure no more than two years before the date of application; and

(h) documentation of successful completion of a bureau approved written examination or re-examination no more than two years after the date the course under Subsection R911-5-201(2)(d)(iv) was completed.

(3) An applicant shall satisfy the following age requirements for licensure:

(a) 16 years of age or older for an EMR license; and

(b) 18 years of age or older for an EMT, AEMT, and paramedic license.

(4) An individual enrolling in an AEMT or paramedic course shall maintain a current Utah EMT license or higher, until a new license level is granted.

(5) The course coordinator and course medical director shall submit written verification of the successful candidates to the bureau for review upon successful completion of a bureau approved course for a license.

(6) The bureau may extend a license recommendation and verification time limit for an individual who has unusual circumstances or hardships.

R911-5-202. Paramedic Graduates Not Recommended for Licensure.

An individual who successfully completed a paramedic course, but is not recommended for licensure, may request licensure as an AEMT if:

(1) the paramedic course coordinator submits to the bureau a favorable letter of recommendation stating that the individual has successfully obtained the knowledge and skills of the AEMT level as required by this rule; and

(2) the individual successfully completes the application and testing requirements for an AEMT license.

R911-5-203. Wavier of EMT Course Requirements.

(1) The bureau may license an individual as an EMT or AEMT, if the individual:

(a) provides documentation showing the individual:

(i) is currently licensed in the state and in good standing as a registered nurse, a nurse practitioner, a physician assistant, or a physician; or

(ii) is able to provide documentation showing completion of military training consistent with National EMS education standards;

(b) demonstrates knowledge, proficiency, and competency to perform the functions listed in the National EMS education standards as described in Subsection R911-5-200(2), as verified through a letter written and signed by a certified course coordinator and an off-line medical director; and

(i) medical control protocols;

(ii) state and local protocols; and

(iii) the role and responsibilities of an EMT or AEMT, respectively.

(2) In addition to the requirements outlined in Subsection R911-5-204(1), an individual seeking licensure through the waiver process shall comply with the requirements for licensure of an EMT or AEMT in Subsection R911-5-201(2).

R911-5-204. License Renewal Requirements for EMRs, EMTs, AEMTs, and Paramedics.

(1) An individual seeking license renewal for an EMR, EMT, AEMT, or paramedic license shall, no earlier than six months, but at least 30 days before the individual's current license expires, submit to the bureau:

(a) a completed Utah EMS renewal application;

(b) applicable fees;

(c) information necessary for a background clearance, including social security number, fingerprints, and other information required by Section 53-2d-410;

(d) a current National Registry of Emergency Medical Technicians certification for their current license;

(e) documentation of completion of a bureau approved cardiopulmonary resuscitation course completed no more than two years before the date of application;

(f) documentation of completion of a pediatric course approved by the bureau completed no more than two years before the date of application, for an AEMT or paramedic licensed individual; and

(g) documentation of successful completion of Advanced Care Life Support or equivalent training, for a paramedic licensed individual.

(2) The licensee shall maintain cardiopulmonary resuscitation certification during the licensure period.

(3) An individual shall complete, no more than two years before the date of application, the required continuing medical education hours as outlined in EMS Recertification Guide (2024), published by the National Registry of Emergency Medical Technicians, and incorporated by reference in this rule.

(4) The bureau may not extend an individual's license period longer than two years.

(5) Notwithstanding the time limits in Section R911-5-205, an individual who is a member of the National Guard or Reserve component of the Armed Forces and is on active duty when the license expires shall have the same number of days the individual was on orders, not to exceed 90 days, to comply with renewal requirements after discharge.

R911-5-205. Reciprocity for EMRs, EMTs, AEMTs, and Paramedics.

(1) The bureau may license an individual as an EMR, EMT, AEMT, or paramedic who is licensed or certified by another state or certifying body if the applicant provides documentation that the applicant's out-of-state training and experience requirements are equivalent to or greater than Utah's requirements.

(2) An individual seeking reciprocity for licensure in the state based on out-of-state training and experience shall submit to the bureau:

(a) the applicable fees and a completed reciprocity application;

(b) information necessary for a background clearance, including social security number, fingerprints, and other information required by Section 53-2d-410;

(c) documentation of having completed a cardiopulmonary resuscitation course, no more than two years before the date of application, that is consistent with a bureau approved course; and

(d) a current certification from the National Registry of Emergency Medical Technician for the current license level.

(3) A paramedic candidate shall also submit documentation of successful completion of Advanced Care Life Support or equivalent.

(4) AEMT and paramedic licensed personnel shall submit documentation of completion of a pediatric course approved by the bureau, completed no more than two years before the date of application.

R911-5-300. CRT Licensure.

(1) An applicant seeking CRT licensure shall:

(a) have completed a bureau approved CRT course;

(b) be at least 21 years old;

(i) held another license under this rule; or

(ii) been a certified law enforcement officer;

(d) submit to the bureau:

(i) a completed CRT license application;

(ii) applicable fees;

(iii) documentation showing a current Utah license as a mental health professional; and

(iv) information necessary for a background clearance, including social security number, fingerprints, and other information required by Section 53-2d-410.

(2) The bureau may grant credit for minimum licensure if:

(a) the applicant submits documentation showing equivalent experience; and

(b) the bureau, in its sole discretion, finds the experience sufficient for licensure.

R911-5-301. Wavier of CRT Course.

(1) An individual who has not completed a bureau approved CRT course may request waiver of the bureau approved CRT course by submitting documentation showing:

(a) current licensure as a mental health professional in the state in good standing or military mental health training;

(b) knowledge, proficiency, and competency to perform the functions as verified through a letter written and signed by a county mental health authority or designee;

(i) crisis response protocols;

(ii) state and local protocols; and

(iii) the role and responsibilities of a CRT; and

(d) completion of a bureau approved cardiopulmonary resuscitation course completed no more than two years before the date of application.

(2) An individual who is granted a course completion waiver must comply with Subsections R911-5-300 (1)(c) through (d) to be eligible for licensure.

R911-5-302. License Renewal Requirements for CRTs.

(1)(a) An individual applying to renew a CRT license must be in good standing with the local mental health authority.

(b) The local mental health authority or designee may revoke a CRT's license upon written request to the bureau.

(2) An individual applying for a renewal license shall complete at least 8 hours of bureau approved continuous education every two years.

(3) An individual must complete and submit the required renewal materials to the bureau, no sooner than one year but no less than 30 days before the individual's current license expiration date.

(a) Renewal materials submitted less than 30 days before license expiration may result in license expiration; and

(b) the bureau shall process renewal applications in the order received.

(4) The bureau may modify a CRT's license period to standardize renewal cycles.

(5) The bureau may not extend an individual's license period longer than two years.

(6) Notwithstanding the time limits in Section R911-5-302, an individual who is a member of the National Guard or Reserve component of the Armed Forces and is on active duty when the license expires shall have the same number of days the individual was on orders, not to exceed 90 days, to comply with renewal requirements after discharge.

(7) An individual whose license for CRT has been expired for more than one year shall submit to the bureau:

(a) a letter of recommendation including results of an oral examination, from a county mental health director or designee, verifying proficiency in behavioral health care skills at the licensure level;

(b) documentation that shows successful completion of the bureau's approved written examination for CRT licensure;

(d) applicable late and renewal fees.

(8) A CRT license is valid for two years from the issuance date.

R911-5-303. Reciprocity for CRTs.

(1) The bureau may license an individual as a CRT who is licensed or certified by another state or certifying body if the applicant demonstrates the applicant's out-of-state training and experience requirements are equivalent to or greater than what is required in Utah.

(2) An individual seeking reciprocity for CRT licensure in the state based on out-of-state training and experience shall submit to the bureau:

(a) applicable fees;

(b) a completed CRT application;

(c) information necessary for a background clearance, including social security number, fingerprints, and other information required by Section 53-2d-410;

(d) documentation of having completed a CPR course, no more than two years before the date of application, that is consistent with the Highlights of the 2020 American Heart Association Guidelines for CPR and ECC, incorporated by reference in this rule; and

(e) a current CRT certification or license from another state and the name of the training institution.

R911-5-400. Certifications and Accounts With National Registry of Emergency Medical Technician Certification.

(1) An individual licensed as an EMR, EMT, AEMT, or paramedic shall maintain a certification and account with the National Registry of Emergency Medical Technicians.

(2) The bureau may suspend or revoke the license of an individual whose certification or account with the National Registry of Emergency Medical Technicians has expired.

R911-5-500. Emergency Medical Care During Clinical Training.

A student enrolled in a bureau approved training program may, under the direct supervision of the course coordinator, an instructor in the course, or a preceptor for the course, perform activities delineated within the training curriculum that otherwise require licensure to perform.

R911-5-600. EMS Instructor Requirements.

(1) The bureau may endorse an individual as an EMS instructor who:

(a) meets the initial licensure requirements in Section R911-5-601;

(b) is currently licensed in the state as an EMR, EMT, AEMT, or paramedic;

(d) has a minimum of one year experience working as a licensed provider with a licensed or designated agency or an emergency health care facility.

(2) The bureau adopts the 2002 National Guidelines For Educating EMS Instructors, which is incorporated by reference in this rule.

(3) An EMS instructor may only teach up to the license level for which the instructor is licensed.

(4) An EMS instructor shall comply with the teaching standards and procedures in the 2024 Course Coordinator Manual, which is incorporated by reference in this rule.

(5) An EMS instructor shall maintain the EMS license for the level the instructor is endorsed to teach. If an individual's EMS license lapses, the instructor endorsement shall become invalid until the EMS license is renewed.

R911-5-601. EMS Instructor Endorsement.

(1) The bureau may endorse an individual who is a licensed EMR, EMT, AEMT, or paramedic as an EMS instructor for a two-year period.

(2) An individual who wishes to become endorsed as an EMS instructor shall submit to the bureau:

(a) a completed application;

(b) applicable fees;

(c) a letter of recommendation regarding EMS skills and teaching abilities from a licensed or designated agency, which must be on the organization's letterhead and signed;

(d) documentation of 15 hours of teaching experience in EMS or other related medical discipline, such as first aid or CPR;

(e) documentation showing successful completion of the bureau sponsored initial EMS instructor training course;

(f) a completed and signed instructor contract with the bureau, agreeing to abide by the standards and procedures in the Course Coordinator Manual; and

(g) documentation of a minimum of 25 patient contacts with a licensed or designated agency or an emergency health care facility no more than one year before the date of application, which must be on the designated agency or emergency health care facility's letterhead and signed.

R911-5-602. EMS Instructor Endorsement Renewal.

An EMS instructor who seeks to renew an endorsement as an instructor shall submit to the bureau:

(1) documentation showing current EMS licensure;

(2) documentation showing attendance at a bureau approved instructor seminar at least once during the two year endorsement renewal cycle;

(3) a completed EMS instructor endorsement application; and

(4) applicable fees.

R911-5-603. EMS Instructor Lapsed Endorsement.

(1) An individual whose instructor endorsement has been expired less than one year may become endorsed by completing the endorsement renewal requirements and paying the applicable fees. The individual's new expiration date will be two years from the old expiration date.

(2) An EMS instructor whose instructor endorsement has been expired for more than one year may not renew the endorsement, and shall complete any initial instructor endorsement requirements and reapply as if there were no prior endorsement.

R911-5-604. Training Officer Endorsement.

(1) The bureau may endorse a licensed individual who is an endorsed EMS instructor as a training officer for a two-year period.

(2) An individual who wishes to become endorsed as an EMS training officer shall submit to the bureau:

(a) documentation showing competition of a minimum of 30 hours of EMS instruction within the past year;

(b) documentation showing a current EMS instructor endorsement;

(d) a completed training officer endorsement application;

(e) applicable fees; and

(f) a completed and signed training officer contract agreeing to abide by the standards and procedures in the Training Officer Manual.

(3) A training officer shall maintain an EMS instructor endorsement.

R911-5-605. Training Officer Endorsement Renewal.

(1) A training officer who seeks to renew an endorsement as a training officer shall submit to the bureau:

(a) documentation showing attendance at a training officer seminar no more than one year before the date of application;

(b) documentation showing a current EMS instructor endorsement and EMS license;

(d) applicable fees; and

(2) a completed and signed new training officer contract agreeing to abide by the standards and procedures in the current 2024 Training Officer Manual.

R911-5-606. Training Officer Lapsed Endorsement.

(1) An individual whose training officer endorsement has been expired less than one year may become endorsed by completing the endorsement renewal requirements and paying applicable fees. The individual's new expiration date will be two years from the old expiration date.

(2) An individual whose training officer endorsement has been expired more than one year may not renew the endorsement, and shall complete each initial training officer endorsement requirement and reapply as if there were no prior endorsement.

R911-5-700. Course Coordinator Endorsement.

(1) The bureau may endorse an individual as an EMS course coordinator for a two-year period.

(2) An individual who seeks to become endorsed as a course coordinator shall submit to the bureau:

(a) documentation showing completion of a minimum of 30 hours of EMS instruction no more than one year before the date of application;

(b) documentation showing current EMS instructor endorsement;

(c) documentation showing the applicant was a co-coordinator of record for one bureau approved course with an endorsed course coordinator;

(d) a written evaluation and recommendation from the course coordinator in which the applicant co-coordinated a course;

(e) documentation showing completion of the bureau's course for new course coordinators within one year before the date of the application;

(f) a completed course coordinator endorsement application;

(g) applicable fees;

(h) documentation showing completion of the bureau's course for new course coordinators;

(i) a completed and signed course coordinator contract agreeing to abide to the standards and procedures in the Course Coordinator Manual; and

(j) documentation showing EMS instructor endorsement.

(3) A course coordinator may only coordinate courses up to the licensure level for which the course coordinator is licensed.

(4) If an individual's EMS license or EMS instructor endorsement lapses, the course coordinator endorsement shall become invalid until EMS license or EMS instructor endorsement is renewed.

R911-5-701. Course Coordinator Endorsement Renewal.

A course coordinator who seeks to renew an endorsement as a course coordinator shall submit to the bureau:

(1) documentation showing a current EMS instructor endorsement;

(2) documentation showing a current EMR, EMT, AEMT, or paramedic license;

(3) documentation showing coordinating or co-coordinating at least one bureau approved course at least two years before the date of the application;

(4) documentation showing attendance at a course coordinator seminar at least one year before to the date of application;

(5) a completed course endorsement renewal application;

(6) applicable fees; and

(7) a signed course coordinator contract agreeing to abide by the policies and procedures in the Course Coordinator Manual.

R911-5-702. Course Coordinator Lapsed Endorsement.

(1) An individual whose course coordinator endorsement has been expired less than one year may become endorsed by completing the renewal requirements. The individual's new expiration date will be two years from the old expiration date.

(2)(a) An individual whose course coordinator endorsement has been expired for more than one year may not renew the endorsement, and shall complete each initial course coordinator endorsement requirement and reapply as if there were no prior endorsement.

(b) The bureau may waive the co-coordinator requirement if the candidate provides written verification they coordinated or co-coordinated a course within the past two years.

R911-5-800. Critical Care Paramedic Endorsement.

(1) The bureau may endorse an individual as a critical care paramedic for up to a four-year period.

(2) An individual who seeks to become endorsed as a critical care paramedic shall submit to the bureau:

(a) documentation showing the applicant is a licensed paramedic in the state;

(b) documentation the applicant is certified by the International Board of Specialty Certification as a:

(i) certified critical care paramedic (CCP-C); or

(ii) certified flight paramedic (FP-C);

(d) applicable fees.

(3) An applicant's education may not be used in place of a valid and current International Board of Specialty Certification critical care or flight paramedic certification to maintain the critical care endorsement.

R911-5-801. Critical Care Paramedic Endorsement Renewal.

A critical care paramedic who wishes to renew the critical care paramedic endorsement shall submit to the bureau:

(1) documentation showing the applicant is licensed as a paramedic in the state;

(2) a completed critical care paramedic endorsement application;

(3) applicable fees; and

(4) proof of certification from the International Board of Specialty Certification.

R911-5-900. Course Approvals.

(1) A course coordinator offering EMS training to individuals who seeks to become licensed as an EMR, EMT, AEMT, or paramedic shall obtain bureau approval before initiating an EMS training course.

(2) The bureau may approve a course if:

(a) the applicant submits the course application and fees no earlier than 90 days and no later than 30 days before commencing the course;

(b) the applicant shows proof that it has sufficient equipment and supplies available for the training;

(d) the course coordinators and instructors hold current respective course coordinator and EMS instructor endorsements; and

(e) the bureau has the capacity to offer the applicable examinations in a timely manner after the conclusion of the course.

R911-5-1000. Paramedic Training Institutions Standards Compliance.

A person who seeks to become authorized to provide paramedic training must adhere to the:

(1) Course Coordinator Manual; and

(2) January 1, 2024 Standards and Guidelines for the Accreditation of Educational Programs in the Emergency Medical Services Professions, incorporated by reference in this rule.

R911-5-1100. Off-line Medical Director Certification.

(1) The bureau may certify an off-line medical director for a two-year period.

(2) To become certified as an off-line medical director, the applicant shall be:

(a) a physician actively engaged in providing emergency medical care or meets this requirement at the discretion of the state EMS medical director;

(b) familiar with Title 53, Chapter 2b, Emergency Medical Services Act, and applicable EMS administrative rules under Title R911; and

(3) An individual who seeks to certify as an off-line medical director shall submit to the bureau:

(a) documentation showing completion of an American College of Emergency Physicians or National Association of Emergency Medical Services Physicians medical director training course, or the department's medical director training course, within 12 months of becoming a medical director;

(b) a medical director certification application; and

(4) An individual who seeks to recertify as an off-line medical director shall submit to the bureau:

(a) documentation showing attendance at the medical director's annual workshop no more than two years before the date of application;

(b) a complete off-line medical director application; and

R911-5-1200. Background Screening and Clearance for Licensure.

(1) The bureau shall conduct a background screening on an individual seeking licensure.

(2) Background clearance for licensure eligibility shall indicate the individual does not pose an unacceptable risk to public health and safety.

(3) The individual seeking a license, renewal, permit, or endorsement under this rule shall submit any completed applications and fees to the bureau, before submitting fingerprints to the bureau.

(4) If the bureau determines an individual is not eligible for licensure based upon the criminal background screening the individual may:

(a) request a hearing before the bureau director or the bureau director's designee; and

(b) obtain and submit a criminal history obtained from the Bureau of Criminal Identification to the bureau.

(i) If the criminal event did not occur in the state the individual may submit a criminal history called an identity history summary obtained from the FBI to the bureau.

(ii) Any dispute about information contained in the criminal history may be challenged to the appropriate agency. The bureau may not correct or ignore an entry on a criminal history.

(iii) The individual may obtain and submit any court dockets to the bureau.

(c) Any proceeding denying a license, permit, certification, or endorsement is designated as an informal adjudicative proceeding under Section 63G-4-202.

(d) Any adjudicative proceeding or hearing before the bureau shall be in accordance with Section 63G-4-203.

(5) If the bureau determines an individual is not eligible for licensure based upon the noncriminal background screening and the individual disagrees with the information provided, the individual may challenge the information through the appropriate agency.

(6) The bureau may deny an application for license, permit, or endorsement if the individual has been convicted, is subject to a plea in abeyance or a diversion agreement, is or has been on probation or parole, or has pending charges for any of the following:

(a) a felony or crime for which the applicant could have been punished by imprisonment in a federal penitentiary or by imprisonment in the penitentiary of this or another state;

(b) an act of personal violence or force on any person or convicted of threatening to commit an act of personal violence or force against another person;

(d) an act involving moral turpitude;

(e) an act involving illegally using, carrying, possessing a dangerous weapon;

(f) an act involving the use, possession, or distribution of controlled substances;

(g) an offense which requires the individual to register as a sex or kidnap offender under Title 77, Chapter 41, Sex, Kidnap, and Child Abuse Offender Registry;

(h) a criminal conviction or pattern of acts that may represent an unacceptable risk to public health and safety;

(i) a violation of Title 41, Chapter 6a, Part 5, Driving Under the Influence and Reckless Driving; or

(j) a violation of Title 32B, Chapter 4, Criminal Offenses and Procedure Act.

(7) The bureau may deny an application for license, renewal, permit, or endorsement for any conviction, admission of guilt, plea in abeyance, withheld judgment, diversion or similar procedural posture to any violations of statutes or ordinances previously in effect in this state or in effect in any other state, the United States, or any district, possession, or territory of the United States which would constitute a violation of Subsection R911-5-1300(6).

(8) The bureau may consider the facts of the convicted offense, any other criminal activity, the continued risk to patients, and the relative need of the community and ability to supervise the licensee when determining eligibility for licensure.

(9) The bureau may deny licensure if an adjudication by a juvenile court refers to an act that, if committed by an adult, would be a felony or a misdemeanor of the identified offenses in Subsection 53-2d-410(5)(b).

(10) The bureau may deny licensure based on a supported finding from:

(a) the Department of Health and Human Services' Division of Child and Family Services Licensing Information System described in Section 80-2-1001;

(b) child abuse or neglect findings described in Section 78A-6-3a; or

(c) the Department of Health and Human Services' Division of Aging and Adult Services vulnerable adult abuse, neglect, or exploitation database described in Section 26B-6-210.

(11) The bureau may deny licensure based on a finding from licensing records of individuals licensed by the Division of Professional Licensing under Title 58, Occupations and Professions.

(12) The bureau shall rely on relevant information identified in Subsection R911-5-1300(1) as conclusive evidence and may deny licensure based on that information.

(13) A licensee who has been arrested, charged, or convicted for a violation described in Subsection R911-5-1300(6) or (7) shall notify the bureau and each employer or affiliated entity who utilizes the EMS personnel's license immediately.

(14) A licensed or designated EMS provider who is notified or becomes aware of a licensed EMS personnel's arrest, charge, or conviction shall notify the bureau immediately.

(15) Background screening referrals may be submitted to the bureau for review and investigation.

(16) The bureau may require the licensee to provide proper or additional criminal background documentation.

R911-5-1201. Professional Conduct and Code of Ethics.

(1) Licensees shall adhere to the code of ethics from the EMT Student Handbook, October 2024 version, which is incorporated by reference.

(2) Licensees may be investigated for any conduct in violation of the EMT Student Handbook.

(3) Any EMS personnel who is found to have violated this section may be subject to license suspension or revocation.

R911-5-1202. Review and Investigation of Complaints and Referrals.

(1) The bureau shall initiate an investigation when it receives credible information that a licensee or provider has:

(a) been arrested or engaged in conduct in violation of Subsection R911-5-1300(6);

(b) engaged in conduct in violation of Title 53, Chapter 2d, Emergency Medical Services Act;

(d) failed to report within seven business days by an individual or any affiliated provider pursuant to Subsections R911-5-1300(13) and R911-5-1300(14);

(e) failed to comply with the training, licensing, or relicensing requirements for the license;

(f) failed to comply with the EMS curriculum, training standards, or the bureau's agreement as an EMS educator, EMS instructor, a training officer, or a course coordinator;

(g) engaged in conduct that may endanger public health, safety, erode public trust, or compromise professional integrity;

(h) engaged in a relationship that creates a conflict of interest, compromises the integrity of the educational environment or EMS profession, or in which the respondent holds an evaluative or supervisory role;

(i) engaged in any form of harassment, bullying, or retaliatory behavior;

(j) engaged in fraud or deceit in applying for, obtaining, or renewing a license;

(k) engaged in fraud, deceit, lack of professional competency, patient abuse, or theft in the performance of duties;

(l) provided false or misleading information or failure to disclose criminal background information during an investigation or a board proceeding;

(m) engaged in unauthorized administration, use, or removal of narcotics, medications, supplies, or equipment;

(n) aided, encouraged, or performed procedures or skills beyond the level of an individual's EMS licensure or provider's licensure;

(o) been found to be mentally incompetent as determined by a court of competent jurisdiction;

(p) demonstrated inability and failure to perform adequate patient care;

(q) been determined to be unable to act with reasonable skill and safety because of illness, or as a result of any other mental or physical condition, when the individual's condition demonstrates a clear and unjustifiable threat or potential threat to oneself, coworkers, or the public health, safety, or welfare that cannot be reasonably mitigated;

(r) misrepresentation the individual's level of licensure;

(s) failed to display a clearly identifiable level of EMS licensure upon demand;

(t) engaged in unsafe, unnecessary, or improper operation of an emergency vehicle that would likely cause concern or create a danger to the general public; or

(u) engaged in improper or unnecessary use of emergency equipment.

(2) A person seeking to file a complaint against a respondent may be asked to sign a written statement detailing the incident, and swearing to the accuracy of the statement, after being advised that providing a false statement may result in prosecution.

(3) The bureau may conduct interviews, gather evidence, which may include requiring the respondent to submit to a drug or alcohol screening or any other appropriate evaluation. The bureau shall allow the respondent an opportunity to provide supporting witnesses and evidence.

(4)(a) If a respondent under investigation is employed as an EMS personnel or provider, the bureau shall notify the respondent's employer and entities with whom the respondent is affiliated in connection with their EMS licensure concerning the complaint or investigation, unless the nature of the complaint would make such a course of action impractical.

(b) If the bureau determines an individual's license should be restricted at any time during the investigation:

(i) the bureau shall notify both the individual and each licensed, designated agency, or employer the individual is affiliated with; and

(ii) the bureau has sole discretion in determining what information may be disclosed to the individual, and each employer or agency, based on:

(A) the nature of the investigation; and

(B) if disclosure will interfere with the investigation or result in retaliation against any witness.

(c) The bureau, employer, and individual shall confer and determine reasonable terms and conditions restricting the individual's duties under their license pending final outcome of the complaint or investigation.

(i) If terms and conditions of restriction are agreed upon between the parties, the individual and each employer or agency shall be provided a written agreement of restrictions;

(ii) the agreement shall include terms and conditions to be followed until the resolution of any criminal charge or the final outcome of an investigation; and

(iii) if the individual violates the terms and conditions, the individual's license shall be immediately suspended by the bureau.

(d) If the individual is not employed or affiliated with an agency, or if terms and conditions are not agreed upon, the bureau has sole discretion to restrict the individuals license as necessary to protect the public's interest.

(5) Once the investigation is concluded, the bureau shall determine whether there is sufficient evidence to proceed with an adjudicative proceeding.

(6) The bureau may immediately suspend a respondent's license, certification, or endorsement as provided in Section 63G-4-502 if the bureau identifies any of the following:

(a) the respondent demonstrates a threat to themselves or to a coworker;

(b) the respondent demonstrates a threat to the public health; or

(7) If the bureau determines there is insufficient evidence to find that a respondent engaged in conduct in violation of this rule or Title 53, Chapter 2d, Emergency Medical Services Act, the bureau shall issue a letter to the respondent indicating that the investigation has been concluded and that the bureau is taking no action.

(8)(a) If the bureau determines there is sufficient evidence to find that a respondent engaged in conduct in violation of this rule or Title 53, Chapter 2d, Emergency Medical Services Act, the bureau shall issue a written notice of agency action to the respondent in accordance with Section 63G-4-201.

(b) The notice shall include:

(i) the bureau's recommended discipline; and

(ii) notice of the next scheduled board meeting.

R911-5-1300. EMS Personnel Peer Review Board.

(1) The board shall be composed of the following ten members appointed by the commissioner of the Department of Public Safety:

(a) one EMS administrative officer representing a licensed ambulance provider, a licensed paramedic provider, or a designated quick response unit provider from a county of the first or second class;

(b) one EMS administrative officer representing a licensed ambulance provider, a licensed paramedic provider, or a designated quick response unit provider from a county of the third through sixth class;

(d) one physician certified and practicing as an EMS medical director;

(e) two representatives from professional employee groups, one fire based, and one non-fire based;

(f) one endorsed EMS training officer;

(g) one non-supervisory licensed EMTs;

(h) one non-supervisory licensed AEMTs; and

(i) one non-supervisory licensed paramedic.

(2) The board shall have an equitable mix of urban and rural members.

(3) The board member's terms of office shall comply with the following criteria:

(a) except as provided in Subsection R911-5-1400(3)(b), members shall be appointed for a four-year term;

(b) the bureau shall adjust the length of terms to ensure the terms of members of the board are staggered so about one-fourth of the board is appointed every year;

(d) when a vacancy occurs in the membership of the board for any reason, the commissioner shall appoint the replacement for the balance of the unexpired term;

(e) the board shall organize and select one of its members as chair and one of its members as vice chair to serve no more than two years in each position; and

(f) if a board member becomes ineligible for the board membership position through promotion, an increase in level of licensure, or transfer out of the employment position that qualified them for the appointment, they shall be removed from the board.

(4) The board meeting shall take place quarterly.

(a) Regular meetings shall be noticed and posted to employers and posted in accordance with the Utah Open and Public Meetings Act, Section 52-4-202.

(b) Failure to attend two or more consecutive meetings by any member may be grounds for removal of that member and replacement in accordance with Subsection R911-5-1400(3)(d).

(c) A member may not receive compensation or benefits from the bureau for the member's service. The member may receive per diem and travel expenses in accordance with the department's rules and policies.

R911-5-1301. Hearing Before the EMS Personnel Peer Review Board.

(1) The bureau shall notify the respondent of the date, time, and location of the next board meeting.

(2)(a) Any proceeding to suspend, revoke, or place on probation, a license, permit, certification, or endorsement is designated as an informal adjudicative proceeding under Section 63G-4-202.

(b) Any adjudicative proceeding or hearing before the board shall be in accordance with Section 63G-4-203.

(i) Upon request, the respondent may obtain a copy of the materials contained in the bureau's investigative file that the bureau intends to use in the hearing.

(ii) The disclosure of any discovery materials is subject to Title 63G, Chapter 2, Government Records Access and Management.

(3) The board shall review the bureau's investigative findings and recommendations.

(4) The hearing shall be conducted according to Section 63G-4-203.

(5)(a) The board may take disciplinary action if the board finds the respondent engages in, or is convicted of, conduct in violation of this rule or conduct constituting a state or federal criminal offense.

(b) The board may consider aggravating or mitigating circumstances when determining a disciplinary sanction.

(c) If the board determines there is insufficient evidence to find that the respondent engaged in conduct in violation of Subsection (5)(a), the matter shall be dismissed.

(6) The board shall provide a written order stating:

(a) the decision;

(b) the reasons for the decision; and

(7) The board may take any of the following actions:

(a) accept the bureau's recommendation; or

(b) enter their own discipline including:

(i) a letter of caution;

(ii) probation of the respondent's license with specific terms and conditions;

(iii) suspension of the respondent's license for a defined period;

(iv) permanent revocation of the licensed respondent's license; or

(v) a combination of any of these actions.

(8) Action taken for a violation of Subsection R911-5-1302(1)(f) shall only be against the individual's endorsement to instruct, and may not affect their base EMS license.

(9) After the board has decided the matter, the board chairperson shall issue a final order within 30 days of the board meeting and send a copy of the board's findings to the director.

(10) If the respondent fails to participate in the proceeding before the board, an order of default may be entered, and the board may impose the recommended discipline.

R911-5-1302. Reconsideration.

(1) A respondent may file a written request for reconsideration of the board's final order within 20 days after receiving the board's final order in accordance with Section 63G-4-302.

(2) If the bureau does not issue an amended order within 20 days after receiving the request for reconsideration, the request for reconsideration shall be considered denied.

R911-5-1303. Judicial Review.

A respondent may obtain judicial review of the agency's final order by filing a petition for judicial review with the district court within 30 days after the date that the final order is issued in accordance with Section 63G-4-402.

KEY: emergency medical services

Date of Last Change: June 10, 2025

Authorizing, and Implemented or Interpreted Law: 53-2d-101.1