The Office of EMS Administrative Office shall be composed of a full-time salaried Administrator and sufficient supporting staff to efficiently fulfill the purpose of the emergency medical services system. The Administrator shall:

(a) implement emergency medical services regulations and standards;

(b) develop and promote, in cooperation with local public and private organizations and persons, a Program for the provision of emergency medical services and to set policies for the provision of such services. The Administrator shall explore the possibility of coordinating emergency medical services with like services in the military, the Commonwealth of the Northern Marianas Islands, the Federated States of Micronesia, and the Republic of Palau; and the United States;

(c) the Office of EMS shall develop plans, implement guidelines, and assess all current emergency medical services capability and performance, and the established programs, to remedy identified deficiencies through the development and periodic revision of a Comprehensive Plan for emergency

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medical services. The Plan shall include, but not be limited to:

(1) emergency medical services personnel and training;

(2) emergency medical services facilities assessment ;

(3) emergency medical services transportation and related equipment;

(4) telecommunications and communications; (5) interagency coordination and cooperation; (6) system organization and management;
(7) data collection, and management and evaluation;

(8) public information and education; and

(9) disaster response.

(d) develop emergency medical services regulations and standards, emergency medical services facilities, personnel, equipment, supplies, and communications facilities and locations as may be required to establish and maintain an adequate system of emergency medical services;

(e) the Office of EMS shall provide technical assistance for the coordination and approval of training to existing agencies, organizations, and private entities for the purpose of developing the components of implementing emergency medical services described in this Chapter;

(f) the Office of EMS shall be responsible for determining that the operation of training programs at the NREMR, NREMT, NAEMT and NRP levels are in compliance with this Chapter, and shall review and approve curricula and syllabi of training courses or programs offered to EMS personnel who provide basic, intermediate, and advanced emergency medical services; consult with the Guam Community College, the Guam Fire Department Training Center, and any training service provider or

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professional organization that provides emergency medical services training for responder, basic, intermediate, advanced life support and paramedic;

(g) establish and maintain standards for emergency medical services course instructor qualifications and requirements for emergency medical services training facilities, instructors, and competency-based curriculum;

(h) collect and evaluate data for the continued evaluation of the Guam EMS System through a quality improvement program;

(i) coordinate emergency medical resources, such as Disaster Teams comprised of NREMR, NREMT, NAEMT and NRP and Licensed Registered Nurses employed by the government of Guam agencies, and the allocation of the Guam EMS System’s services and facilities in the event of mass casualties, natural disasters, national emergencies, and other emergencies, ensuring linkage to local and national disaster plans, and participation in exercise to test these plans;

(j) implement public information and education programs to inform the public of the Guam EMS System and its use, and disseminate other emergency medical information, including appropriate methods of medical self- help and first-aid training programs on the island;

(k) collaborate with the Emergency Medical Services Commission on matters pertaining to the implementation of this Chapter;

(l) develop an effective emergency medical services communication system in cooperation with concerned public and private organizations and persons. The communication system shall include, but is not limited to:

(1) programs aimed at locating accidents and acute illnesses on and off the roadways and directly reporting such information to the responding agency;

(2) direct ambulance communication with the emergency medical services facility;

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(3) minimum standards and regulations on communication for all appropriate medical components;

(4) assist in the development of an enhanced 911 emergency telephone system; and

(5) establish the standards and provide training for dispatchers in the EMS System, and maintain a program of quality improvement for dispatch equipment and operations;

(m) regulate, inspect, certify, and re-certify emergency medical services facilities, personnel, equipment, supplies, ambulances, advanced life support vehicles, ambulance, emergency ambulance services, private non-emergent medical transport vehicle providers, private communications facilities and locations engaged in providing emergency medical services under this Chapter;

(n) the Office of EMS may contract for the provision of emergency medical services or any necessary component of an emergency medical services system;

(o) establish rules and regulations for the contract of, use, license, standards, liability, equipment and supplies, personnel certifications and revocation or suspension processes for ambulance service, emergency ambulance service and non-emergent medical transport vehicle;

(p) establish criteria necessary to maintain certification as emergency medical services personnel, which shall include, but not be limited to, the following:

(1) a formal program of continuing education;

(2) a minimum period of service as emergency medical services personnel; and

(3) re-certification at regular intervals, which shall include a performance examination and may include written examinations and skills proficiency exam;

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(q) apply for, receive, and accept gifts, bequests, grants-in-aid, and federal aid, and other forms of financial assistance to carry out this Chapter;

(r) prepare budgets, maintain fiscal integrity, and disburse funds for emergency medical services;

(s) establish a schedule of fees to provide courses of instruction and training for certification and/or recertification in an amount sufficient to cover the reasonable costs of administering the certification and/or recertification provisions of the Office of EMS.

(1) The EMS Commission shall annually evaluate fees to determine if the fee is sufficient to fund the actual costs of the Office of EMS Certification and/or Recertification program. If the evaluation shows that the fees are excessive or are insufficient to fund the actual costs of these programs, then the fees will be adjusted accordingly pursuant to the Administrative Adjudication Law (AAL). Any funds appropriated shall not be subject to I Maga’låhen Guåhan’s transfer authority and all monies not used in the fiscal year will be rolled over into the next fiscal year;

(A) Initial fee schedules subject to amendment pursuant to the AAL:

(i) for initial licensure applications the fee schedule is: Basic level application fee (NREMR or NREMT) – $75.00; Advanced level application fee (NRAEMT or NRP) –
$125.00;

(ii) for applicants completing renewal within one hundred twenty (120) days prior to expiration date, the fee schedule is: Basic level application fee (NREMR or NREMT) –
$50.00; Advanced level application fee
(NRAEMT or NRP) – $75.00;

(iii) for applicants completing renewal within sixty (60) days prior to expiration date,

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the fee schedule is: Basic level application fee (NREMR or NREMT) – $75.00; Advanced level application fee (NRAEMT or NRP) –
$100.00;

(iv) for applicants completing renewal within thirty (30) days prior to expiration date, the fee schedule is: Basic level application fee (NREMR or NREMT) – $75.00; Advanced level application fee (NRAEMT or NRP) –
$125.00;

(v) for applicants completing renewal within ninety (90) days after expiration date, the fee schedule is: Basic level application fee (NREMR or NREMT) – $100.00; Advanced level application fee (NRAEMT or NRP) –
$150.00;

(t) promote programs for the education of the general public in first aid and emergency medical services and the community paramedic outreach program;

(u) the Office of EMS shall, consistent with such plan, coordinate and otherwise facilitate arrangements necessary to develop the emergency medical services system;

(v) the Office of EMS will submit requests for grants for federal, state, or private funds concerning emergency medical services or related activities in its EMS area;

(w) the Office of EMS shall submit quarterly reports to the EMS Commission of its review on the operations of each of the following:

(1) ambulance services operating within Guam;
and

(2) emergency medical care offered within Guam,
including programs for training large numbers of people in cardiopulmonary resuscitation and lifesaving first aid techniques;

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(x) the Office of EMS may assist in the implementation of Guam’s poison information program, including the provision of the Guam Memorial Hospital Authority’s Poison Center;

(y) establish and maintain standards for emergency medical services course instructor qualifications and requirements for emergency medical services training facilities; and

(z) the Office of EMS will develop and incorporate an EMSC Program in the Guam EMS Plan. The EMSC component shall include, but not be limited to, the following:

(1) EMSC system planning, implementation, and management;

(2) injury and illness prevention planning that includes, among other things, coordination, education, and data collection;

(3) care rendered to patients outside the hospital; (4) emergency department care;
(5) interfacility consultation, transfer, and transport;

(6) pediatric critical care and pediatric trauma services;

(7) general trauma centers with pediatric considerations;

(8) pediatric rehabilitation plans that include, among other things, data collection and evaluation, education on early detection of need for referral, and proper referral of pediatric patients;

(9) children with special EMS needs outside the hospital;

(10) information management and system evaluation;

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(11) employ or contract with professional, technical, research, and clerical staff as necessary to implement this program;

(12) provide advice and technical assistance to local EMS partners on the integration of an EMSC Program into their EMS system;

(13) oversee implementation of the EMSC Program by local EMS agencies;

(14) establish an EMSC technical advisory committee;

(15) facilitate cooperative interstate relationships to provide appropriate care for pediatric patients who must travel abroad to receive emergency and critical care services;

(16) work cooperatively and in a coordinated manner with the Department of Public Health & Social Services, and other public and private agencies, in the development of standards and policies for the delivery of emergency and critical care services to children; and

(17) produce a report for the Guam EMS Commission describing any progress on implementation of this Chapter. The report shall contain, but not be limited to, a description of the status of emergency medical services for children, the recommendation for training, protocols, and special medical equipment for emergency services for children, an estimate of the costs and benefits of the services and programs authorized by this Chapter, and a calculation of the number of children served by the EMSC system.

SOURCE: Gov’t Code Article 1, Chapter 6, Title XLVII, codified by the Compiler as Chapter 84 of Title 10, Guam Code Ann.. Subsection (a) amended by P.L. 23-077:3 (Mar. 6, 1996). Amended by P.L. 31-
146:2 (Nov. 17, 2011). Subsections (c)(10), (d)(10), (g), (j), (k), (u), (x) amended by P.L. 34-168:5-11 (Dec. 29, 2018). Amended by P.L.
36-121:5 (Nov. 9, 2022).