When patients arrive at hospitals via ambulance, the goal is to transfer them to hospital care as quickly as possible. But that process can be slowed by several factors: the physical layout of a hospital, current unprecedented patient volume, increased acuity of patients’ illness or injury, and more.
To make these transfers faster and more efficient, hospitals partner with their local fired departments, EMS providers, their local emergency medical services agencies (LEMSAs), as well as the state regulator, the California Emergency Medical Services Authority (EMSA) to improve the process.
2025 Emergency Services Forum
Registration for the 2025 Emergency Services Forum is now open.

APOT Reduction Protocol
Assembly Bill (AB) 40 Implementation
In 2023, the California Legislature passed Assembly Bill 40, requiring hospitals to submit APOT reduction protocols by September 1, 2024. CHA has developed a checklist to help members meet this requirement.

AB 40 Regulations
EMSA convened an AB 40 workgroup in September 2024. CHA participated and is awaiting EMSA’s release of regulations.
APOT Talking Points
Information in support of the Dec. 11 California Emergency Medical Services Authority (EMSA) Commission meeting where updated statewide and individual APOT data was discussed.
Talking Points for member hospitals that would like to respond.
Advocacy Materials

Education
On-Demand
Assembly Bill 40 (2023) – APOT Reduction Protocol Requirements
June 2024 – 24 min
New Demands on Emergency Departments in 2024
December 2023 – 90 min
2024 Emergency Services Forum Resources
May 2024