AB-645 • 2026

Emergency medical services: dispatcher training.

Children Crime Education Healthcare

Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor: Carrillo
Last action: 2025-10-03
Official status: Chaptered by Secretary of State - Chapter 273, Statutes of 2025.
Effective date: Not listed

Plain English Breakdown

The bill summary and digest do not provide specific details on enforcement or penalties for non-compliance, leaving this aspect uncertain.

Emergency Medical Services: Dispatcher Training

This law requires public safety agencies that handle emergency medical calls to provide pre-arrival medical instructions to callers before the ambulance arrives.

What This Bill Does

Requires public safety agencies to provide pre-arrival medical instructions to people calling for emergency medical help by January 1, 2027.
Includes airway and choking management instructions for infants, children, and adults, as well as how to use naloxone for drug overdoses.
Receives approval from the local EMS agency's medical director before being put into practice.

Who It Names or Affects

Public safety agencies that handle emergency calls
People who call for emergency medical help

Terms To Know

Prearrival Medical Instructions: Instructions given to people calling for emergency help before the ambulance arrives.
EMS Agency Medical Director: A doctor who oversees and approves medical protocols for emergency services agencies.

Limits and Unknowns

The bill does not specify what happens if a public safety agency fails to follow the new requirements.
It is unclear how much it will cost local agencies to implement these changes.

Bill History

2025-10-03 California Legislative Information
Chaptered by Secretary of State - Chapter 273, Statutes of 2025.
2025-10-03 California Legislative Information
Approved by the Governor.
2025-09-15 California Legislative Information
Enrolled and presented to the Governor at 4:30 p.m.
2025-09-08 California Legislative Information
Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 79. Noes 0. Page 3030.).
2025-09-04 California Legislative Information
In Assembly. Concurrence in Senate amendments pending.
2025-09-04 California Legislative Information
Read third time. Passed. Ordered to the Assembly. (Ayes 39. Noes 0. Page 2521.).
2025-09-02 California Legislative Information
Ordered to special consent calendar.
2025-08-29 California Legislative Information
Read second time. Ordered to third reading.
2025-08-29 California Legislative Information
From committee: Do pass. (Ayes 7. Noes 0.) (August 29).
2025-08-18 California Legislative Information
In committee: Referred to suspense file.
2025-07-17 California Legislative Information
Read second time and amended. Re-referred to Com. on APPR.
2025-07-17 California Legislative Information
From committee: Amend, and do pass as amended and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 10. Noes 0.) .
2025-07-07 California Legislative Information
From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.
2025-05-28 California Legislative Information
Referred to Com. on HEALTH.
2025-05-20 California Legislative Information
In Senate. Read first time. To Com. on RLS. for assignment.
2025-05-19 California Legislative Information
Read third time. Passed. Ordered to the Senate. (Ayes 70. Noes 0. Page 1603.)
2025-05-15 California Legislative Information
Read second time. Ordered to third reading.
2025-05-14 California Legislative Information
From committee: Do pass. (Ayes 15. Noes 0.) (May 14).
2025-04-29 California Legislative Information
From committee: Do pass and re-refer to Com. on APPR. (Ayes 6. Noes 0.) (April 28). Re-referred to Com. on APPR.
2025-04-29 California Legislative Information
Measure version as amended on April 24 corrected.
2025-04-28 California Legislative Information
Re-referred to Com. on E.M.
2025-04-24 California Legislative Information
From committee chair, with author's amendments: Amend, and re-refer to Com. on E.M. Read second time and amended.
2025-04-23 California Legislative Information
From committee: Do pass and re-refer to Com. on E.M. (Ayes 13. Noes 0.) (April 22). Re-referred to Com. on E.M.
2025-04-23 California Legislative Information
Coauthors revised.
2025-04-02 California Legislative Information
In committee: Hearing postponed by committee.
2025-03-25 California Legislative Information
Re-referred to Com. on HEALTH.
2025-03-24 California Legislative Information
From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.
2025-03-24 California Legislative Information
Referred to Coms. on HEALTH and E.M.
2025-02-14 California Legislative Information
From printer. May be heard in committee March 16.
2025-02-13 California Legislative Information
Read first time. To print.

Official Summary Text

AB 645, Carrillo.
Emergency medical services: dispatcher training.
Existing law, the Emergency Medical Services System and the Prehospital Emergency Medical Care Personnel Act (act), establishes the Emergency Medical Services Authority, which is responsible for the coordination of various state activities concerning emergency medical services (EMS). The act authorizes a county to develop an EMS program by designating a local EMS agency. Existing law also requires the Commission on Emergency Medical Services to review and approve regulations, standards, and guidelines to be developed by the authority. Existing law generally makes a violation of the act a misdemeanor.
This bill would require, by January 1, 2027, a public safety agency that provides “911” call processing services for emergency medical response to provide prearrival medical instructions to “911” callers requiring medical assistance, including,
among other things, airway and choking medical instructions for infants, children, and adults and administration of naloxone for narcotics overdoses. The bill would require prearrival medical instructions to be approved by the local EMS agency medical director and implemented consistent with the medical protocols and procedures adopted by the public safety agency. By expanding the scope of a crime, and to the extent that the bill would create new duties for a public safety agency, the bill would impose a state-mandated local program.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that with regard to certain mandates no reimbursement is required by this act for a specified reason.
With regard to any other mandates, this bill would provide that, if the Commission on State Mandates determines that the bill contains costs so mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.

Current Bill Text

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