Revise the law governing emergency medical technicians

As Introduced

136th
General Assembly

Regular
Session
H. B. No. 398

2025-2026

Representatives Deeter, Hall, T.

To
amend sections 4765.36 and 4765.361 of the Revised Code
to
revise the law governing emergency medical technicians and the
performance of certain medical services in hospitals.

BE
IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:

Section
1.
That
sections 4765.36 and 4765.361 of the Revised Code be amended to read
as follows:

Sec.
4765.36.
(A)

In
a hospital, an emergency medical technician-basic, emergency medical
technician-intermediate, or emergency medical technician-paramedic
may perform emergency
or
nonemergency
medical
services
in
the locations and under the circumstances described in division (B)
of this section, but only
if
the services are performed
in
accordance with both of the following conditions:

(A)
Only in the hospital's emergency department or while moving a patient
between the emergency department and another part of the hospital;

(B)
Only
under
the direction and supervision of one of the following:

(1)
A physician;

(2)
A physician assistant designated by a physician;

(3)
A registered nurse designated by a physician.

(B)(1)
In a hospital's emergency department or while moving a patient
between the emergency department and another area of the hospital, an
EMT-basic, EMT-I, or paramedic may perform emergency medical
services.

(2)
In any area of a hospital, an EMT-basic, EMT-I, or paramedic, as the
case may be under division (B)(2)(a) or (b) of this section, may
perform nonemergency medical services, but only if the services are
performed in accordance with privileges delineated by the hospital.

(a)
An EMT-basic, EMT-I, or paramedic may do either of the following:

(i)
Obtain a patient's vital signs;

(ii)
Transport a patient, including one who requires continuous
monitoring, from one area of the hospital to another.

(b)
An EMT-I or paramedic may place for a patient a peripheral
intravenous line or an intraosseous line, including with the
assistance of ultrasound.

(C)
Division (B)(2) of this section does not prevent an EMT-basic, EMT-I,
or paramedic from performing any of the services described in that
division when performed as emergency medical services under division
(B)(1) of this section.

Sec.
4765.361.
An

In
any place or setting other than a hospital, an
emergency
medical technician-basic, emergency medical technician-intermediate,
or emergency medical technician-paramedic may perform
as
nonemergency medical services any of the emergency
medical
services that the technician is authorized by law to perform

in nonemergency situations
,
but only
if
the services are performed under the direction of the technician's
medical director or cooperating physician advisory board.
In
nonemergency situations
Under
this section
,
no medical director or cooperating physician advisory board shall
delegate, instruct, or otherwise authorize
a
technician
an
EMT-basic, EMT-I, or paramedic
to
perform
as
a nonemergency medical service
any
medical service that the technician is not authorized by law to
perform

as an emergency medical service
.

Section
2.
That
existing sections 4765.36 and 4765.361 of the Revised Code are hereby
repealed.