Public Law 115–83: To amend the Controlled Substances Act with regard to the provision of emergency medical services.

shall register an emergency medical services agency if the agency submits an application demonstrating it is authorized to conduct such activity under the laws of each State in which the agency practices; and

may deny an application for such registration if the Attorney General determines that the issuance of such registration would be inconsistent with the requirements of this subsection or the public interest based on the factors listed in subsection (f).

authorized by the law of the State in which it occurs; and

pursuant to—

“(ii)

designates the unregistered location for such delivery; and

notifies the Attorney General at least 30 days prior to first delivering controlled substances to the unregistered location.

at a registered location of the agency;

at any designated location of the agency or in an emergency services vehicle situated at a registered or designated location of the agency; or

in an emergency medical services vehicle used by the agency that is—

The registered or designated location of the agency where the vehicle is primarily situated maintains a record of such receipt in accordance with paragraph (9).

The hospital maintains a record of such delivery to the agency in accordance with section 307.

If the vehicle is primarily situated at a designated location, such location notifies the registered location of the agency within 72 hours of the vehicle receiving the controlled substances.

A registered emergency medical services agency shall maintain records in accordance with subsections (a) and (b) of section 307 of all controlled substances that are received, administered, or otherwise disposed of pursuant to the agency’s registration, without regard to subsection 307(c)(1)(B).

Such records—

all emergency medical services professionals who administer controlled substances using the agency’s registration act in accordance with the requirements of this subsection;

the recordkeeping requirements of paragraph (9) are met with respect to a registered location and each designated location of the agency;

the applicable physical security requirements established by regulation of the Attorney General are complied with wherever controlled substances are stored by the agency in accordance with paragraph (6); and

the agency maintains, at a registered location of the agency, a record of the standing orders issued or adopted in accordance with paragraph (9).

specifying, with regard to delivery of controlled substances under paragraph (5)—

specifying, with regard to the storage of controlled substances under paragraph (6), the manner in which such substances must be stored at registered and designated locations, including in emergency medical service vehicles; and

addressing the ability of hospitals, emergency medical services agencies, registered locations, and designated 131 STAT. 1270 locations to deliver controlled substances to each other in the event of—

to limit the authority vested in the Attorney General by other provisions of this title to take measures to prevent diversion of controlled substances; or

to override the authority of any State to regulate the provision of emergency medical services consistent with this subsection.

The term ‘’ means an emergency or other physician, or another medical professional (including an advanced practice registered nurse or physician assistant)—

The term ‘’ means a location designated by an emergency medical services agency under paragraph (5).

The term ‘’ means emergency medical response and emergency mobile medical services provided outside of a fixed medical facility.

The term ‘’ means an organization providing emergency medical services, including such an organization that—

The term ‘’ means a health care professional (including a nurse, paramedic, or emergency medical technician) licensed or certified by the State in which the professional practices and credentialed by a medical director of the respective emergency medical services agency to provide emergency medical services within the scope of the professional’s State license or certification.

The term ‘’ means an ambulance, fire apparatus, supervisor truck, or other vehicle used by an emergency medical services agency for the purpose of providing or facilitating emergency medical care and transport or transporting controlled substances to and from the registered and designated locations.131 STAT. 1271

The term ‘’ means, with respect to an agency, owned or operated by a hospital.

The term ‘’ means a physician who is registered under subsection (f) and provides medical oversight for an emergency medical services agency.

The term ‘’ means supervision of the provision of medical care by an emergency medical services agency.

The term ‘’ means—

The term ‘’ means a location that appears on the certificate of registration issued to an emergency medical services agency under this subsection or subsection (f), which shall be where the agency receives controlled substances from distributors.

The term ‘’ means a governmental agency or other such authority, including a regional oversight and coordinating body, that, pursuant to State law or regulation, develops clinical protocols regarding the delivery of emergency medical services in the geographic jurisdiction of such agency or authority within the State that may be adopted by medical directors.

The term ‘’ means a written medical protocol in which a medical director determines in advance the medical criteria that must be met before administering controlled substances to individuals in need of emergency medical services.

The term ‘’ means an oral directive that is given through any method of communication including by radio or telephone, directly to an emergency medical services professional, to contemporaneously administer a controlled substance to individuals in need of emergency medical services outside the physical presence of the medical director or authorizing medical professional.”