New Provision Allows Emergency Medical Technicians to Provide Care Outside of Emergencies

August 30, 2022


To: Chief Medical Officers, Chief Nursing Officers, Chief Operating Officers, Risk Management, Emergency Department Leads, Legal Counsel, and Government Affairs Staff
Staff Contact: Cara Helmer, J.D., R.N., Policy Director, Legal Affairs | (206) 577-1827


New Provision Expands the Ability of Emergency Medical Technicians to Provide Care Outside of Emergencies
The purpose of this bulletin is to inform hospitals of changes made by Substitute House Bill 1893 which allows emergency medical technicians (EMTs) to practice outside of emergency settings, pursuant to agreements with public health agencies, beginning June 9, 2022. Additionally, HB 1893 adds a provisional license option for emergency medical service (EMS) providers allowing those licensed in other states to work in Washington while transferring their licenses to Washington State.
This bill applies to all emergency medical services providers who are employed or will be employed in Washington.
EMS providers have historically only been authorized to provide patient care within a pre-hospital emergency setting, or during interfacility transport for a licensed EMS agency. Substitute House Bill 1893 adds the ability for EMTs, a subset of EMS providers, to additionally provide public health care, or “collaborative medical care,” within the scope of their training and certification. This bill makes permanent an emergency policy enacted during the states response to COVID-19, which aimed to utilize EMTs in combating the public health emergency.“Collaborative medical care” is defined in SHB 1893 as “medical treatment and care provided pursuant to agreements with local, regional, or state public health agencies to control and prevent the spread of communicable diseases which is rendered separately from emergency medical service.” In other words, under this bill, and the former COVID-19 emergency order, EMTs are permitted, within their scope of practice, to provide public health treatment, such as vaccines, outside of a pre-hospital or inter-hospital emergency setting.SHB 1893 additionally creates a new provisional emergency services provider certification. This certification is designed to allow EMS providers with licenses in other states, to work in Washington while their permanent license is being approved by the Department of Health (DOH). The provisional certification will be issued by DOH according to conditions established in SHB 1893, and procedures to be determined by DOH.
WSHA’s 2022 New Law Implementation Guide
Please visit WSHA’s New Law Implementation Guide online. The Government Affairs team is hard at work preparing resources and information on the high priority bills that passed in 2022 to help members implement the new laws, as well as links to resources such as this bulletin. In addition, you will find the Government Affairs team’s schedule for release of upcoming resources on other laws and additional resources for implementation.
Substitute House Bill 1893
RCW §18.71.097
RCW §18.71.205
RCW §18.73.030
RCW §18.73.081



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