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EMSA Withdraws AB 40 Emergency Regulations
What’s happening: On April 14, the Emergency Medical Services Authority (EMSA) released a withdrawal notice for its proposed Assembly Bill (AB) 40 (2023) emergency regulations.
What else to know: EMSA stated that it would take “this opportunity to revisit and refine the proposed regulations to better reflect the needs, values, and practical realities of the communities we serve.”
EMSA Releases AB 40 Emergency Regulations
What’s happening: On April 1, the Emergency Medical Services Authority (EMSA) released emergency regulations to implement Assembly Bill (AB) 40 (2023).
What else to know: Because these are emergency regulations, there will only be a five-day comment period. Comments are due to the Office of Administrative Law (OAL) by Saturday, April 5.
2025 Emergency Services Forum Returns to Newport Beach
What’s happening: In just over six weeks, the Emergency Services Forum returns to Newport Beach, where emergency services professionals will gather for a day of learning, discussion, and networking.
What else to know: The forum, held May 5 from 8 a.m. to 4 p.m., is open for registration. The deadline for booking at the discounted hotel room rate is April 14.
2025 Emergency Services Forum
Join us for the 2025 Emergency Services Forum, returning to beautiful Newport Beach! This conference is dedicated to the uniqueness of hospital ED management and its intersection with emergency services and the community. We’re finalizing an exceptional lineup of speakers and engaging topics. The 2024 Emergency Services Forum sold out – this is an event you and your colleagues don’t want to miss!
Timeline Undetermined for Implementation of AB 40 Regulations
What’s happening: Due to state budget constraints, the state Office of Administrative Law (OAL) has not yet approved the Emergency Medical Services Authority’s (EMSA) Assembly Bill (AB) 40 (2023) regulations for public comment.
What else to know: AB 40 passed in 2023 with the intent of improving long ambulance patient offload times (APOTs). Despite the delay on implementation, CHA continues pursuing opportunities to collaborate with health care partners to improve long APOTs, which affect the entire health care delivery system.
Upcoming EMSA Commission Meeting to Discuss APOT Report
What’s happening: On Dec. 11, the Commission on Emergency Medical Services will convene in San Francisco, where it will discuss an ambulance patient offload time (APOT) report, among other topics.
What else to know: The report in the Emergency Medical Services Authority (EMSA) Commission Meeting Packet includes APOT data by hospital. More details for the in-person meeting can be found on the EMSA web page. See CHA’s APOT issue web page for additional resources.
CHA Develops New APOT Resource Page for Members
What’s happening: CHA has created a new web page that houses all resources related to ambulance patient offload time (APOT) to assist hospitals with Assembly Bill (AB) 40 compliance.
What else to know: CHA plans to regularly update the web page with AB 40 regulation developments, news, advocacy materials, and information on educational events like the next Emergency Services Forum on May 5, 2025.
AB 40 Requires Hospitals to Submit APOT Reduction Protocol in 2024
What’s happening: All hospitals with emergency departments must submit an ambulance patient offload time (APOT) reduction protocol to the Emergency Medical Services Authority to be compliant under Assembly Bill (AB) 40 (2023).
What else to know: CHA recommends submitting the protocol by Sept. 1 directly through email to APOT@emsa.ca.gov.
CHA to Host Webinar on Buffer Zone Approach to Hospital Crowding
What’s happening: CHA will host a members-only webinar on The Buffer Zone: A Novel Approach to Mass Casualty Incident (MCI) Surge in the Era of Hospital Crowding on Aug. 26 from 10-11 a.m. (PT). Registration is open.
What else to know: In this session, Scott Goldberg, MD, MPH, medical director of emergency preparedness at Brigham and Women’s Hospital, will highlight the hospital’s experience with developing and implementing buffer zones as part of their institution’s MCI plans and highlight the lessons learned during the operationalization of their buffer zone plan.