Current Regulations
March 1, 2018
Click on this link to view Kansas Administrative Regulation 109, Kansas Board of Emergency Medical Services on the Kansas Secretary of State Webpage.
Proposed Regulations
October 17, 2013
Legal
July 15, 2009
- Current Regulations
- Proposed Regulations
- Statutes
- Adopted Documents
- Fine Schedules
- Proposed Future Regulations
Naloxone
April 28, 2017
- Naloxone Administration by EMT’s & EMR’s
Kansas HB 2217 authorizes the administration of Naloxone to patients believed to be at risk of
experiencing an opioid overdose by trained first responders, and provides for liability protection of
those who administer the medication in good faith and with reasonable care. Kansas Administrative
Regulations 109-3-3 and 109-3-4 authorize Kansas certified Emergency Medical Technicians and
Emergency Medical Responders to administer Naloxone to suspected opioid overdose patients via Auto
injector, Intramuscular (IM), or Intranasal (IN) administration routes provided the Kansas EMT and EMR
have received appropriate training and are authorized to perform these activities by a licensed physician
medical director.
The following link provides the approved medication lists for EMT & EMR:
EMT medication list – 109-3-4 approved by reference.pdf
EMR medication list – 109-3-3 approved by reference.pdf
The administration of Naloxone by the Kansas certified Paramedic or Advanced Emergency Medical
Technician via the Intravenous (IV), Intraosseous (IO), Intramuscular (IM), Intranasal (IN), or by
Autoinjector remains an authorized activity through existing statutes and regulations.
Kansas Board of Pharmacy Resources
The following types of resources and links concerning emergency opioid antagonists are available
on the Kansas Board of Pharmacy website at: www.pharmacy.ks.gov/naloxone
Naloxone Training
As defined in KSA 65-6144, all Kansas certified EMS providers are required to receive appropriate
training and operate under protocols approved by their licensed physician medical director. To assist
with providing initial or refresher training associated with administration of Naloxone, the following
links provide access to Naloxone training for EMR’s and EMT’s. The Kansas Board of EMS would like to
extend our appreciation to the Wisconsin Department of Health Services, Division of Public Health EMS
Section, for making these resources available to Kansas EMS for consideration in developing local
training and protocol deliverables.
Wisconsin Naloxone Training-EMR.pdf
Wisconsin Naloxone Training-EMT.pdf
PLEASE NOTE these are only made available as resources! We encourage all licensed EMS agencies and
authorized first responder groups to develop appropriate training deliveries which meet local needs
and authorized activities, and require local medical director approval for the scope of these activities!
Proposed Regulation Updates
May 8, 2023
MAC
August 27, 2014
KANSAS MEDICAL ADVISORY COUNCIL
The purpose of the Medical Advisory Council (MAC) is to advise and provide recommendation to the Kansas Board of Emergency Medical Services (KBEMS) regarding medical or clinical standards and practices for emergency medical services.
NOTE: Content within this web page may reflect may reflect the MAC’s opinion regarding a variety of issues related to patient care. These materials are provided for informational purposes only and are not mandatory standards unless adopted by the Board in regulations.
1. MAC Bylaws
2. MAC Current Members
3. MAC Meeting Notes, Agendas, and Supporting Materials
4. MAC Position Statements
5. MAC Issues Statements
6. Medical Director/Service Director Listing
1. MAC Bylaws:
Section 1: Purpose
To advise and provide recommendation to the Kansas Board of Emergency Medical Services (KBEMS) regarding medical or clinical standards and practices for emergency medical services.
Section 2: Membership
A. Membership shall be not less than six physicians, including two physicians who are Board members, and not less than four other physicians who are not members of the Board and who are active and knowledgeable in the field of emergency medical services.
B. Selection and appointment of the members will be the responsibility of the Board Chair.
C. Members shall reflect geographic and system diversity by ensuring at least the following are represented:
1) Rural services
2) Urban services
3) Critical care services
4) Fire-based services
5) Physician Board members
Section 3: Officers
A. Chair – elected from among the membership (K.S.A. 2012 Supp. 65-6111(a) (10))
B. Vice-Chair – elected from the membership.
Section 4: Terms
A. Both the Chair and Vice-Chair positions are two (2) year appointments.
B. The initial appointment for the Vice-Chair would be a one (1) year appointment to stagger the officer’s terms.
C. Other council members would be three (3) year appointments.
D. Staggered terms will be used to ensure continuity.
Section 5: Voting
A. Official business can be conducted with a majority of MAC members.
B. A consensus approach will typically be used for issues addressed by the MAC.
C. Official MAC decisions or recommendations to KBEMS require a majority vote.
D. Proxy voting is allowed with prior written notification to the MAC Chair.
Section 6: MeetingsFrequency:
1) Routine meetings will be conducted as part of the regularly scheduled KBEMS Board and Committee meetings OR via teleconference during the month prior to the regularly scheduled KBEMS Board and Committee meetings.
2) Special meetings may be called by the Chair as necessary (K.S.A. 65-6111 (a) (10)).
3) Meetings may be postponed or canceled as directed by the Chair.
Minutes:
1) Notes will be taken by the Executive Director of KBEMS or his/her designee.
2) Draft minutes will be provided to the Chair within seven (7) calendar days following the meeting.
3) Minutes will be approved at the next routine MAC meeting and will include member attendance.
Attendance:
1) Member attendance records will be maintained by the Executive Director of KBEMS or his/her designee.
2) Attendance issues will be addressed by the MAC Chair in conjunction with the Board Chair.
Agenda and notice to the public:
1) Reasonable notice of upcoming MAC meetings shall be provided to those who have requested notice of MAC meetings.
2) Any agenda for a MAC meeting shall be made available to any person requesting the agenda.
3) Distribution of the agenda will occur no later than seven (7) calendar days prior to the meeting.
4) Agenda items must be submitted for inclusion no later than seven (7) days prior to the distribution of the agenda (fourteen (14) days prior to the meeting).
Section 7: Amendments
A. The bylaws may be amended or revised by a majority of the MAC at a meeting designated for that purpose and become effective only upon approval by the Board.
B. Copies of the proposed amendments shall be given in writing at least thirty (30) days prior to the meeting.
2. MAC Current Members
Current Members:
Dr. Ryan Jacobsen, MAC – Chair
Dr. James Longabaugh, MAC – Vice-chair
Dr. Dennis Allin
Dr. Michael Machen
Dr. John M Gallagher
Dr. Sean Herrington
Dr. Marty Sellberg
Dr. Tim Stebbins
Dr. Paige Dodson
Dr. Caleb Trent
KBEMS Physician Member
3. MAC Meeting Notes, Agendas, and Supporting Materials
(NOTE: Agendas and Minutes for MAC meetings will be available on the “Board Meetings webpage”, Beginning in 2017.)
Agenda
2016 Meetings notes:
2015 Meetings notes:
2014 Meetings notes:
2013 Meetings Notes:
4. MAC Position Statements
a. Non-invasive positive pressure ventilation (NIPPV) – MAC PS 2013-001
b. Pre-hospital pain management – MAC PS2013-002
c. Spinal motion restriction – MAC PS2013-003
d. Rapid Sequence Intubation (RSI)/Drug-Assisted Intubation (DAI) – MAC PS 2015-001
e. Field Triage of the Injured Patient – MAC PS 2016-001
f. Clincal Guidance for the End-of-Life Period – MAC PS 2016-002
This Position Statement includes the MAC’s opinions on certain matters of public policy and provider liability. Such opinions are solely those of the physicians who serve on the MAC and do not represent the opinions of the Board or the State of Kansas. Nothing in this Position Statement should be construed as legal advice.
5. MAC Issues Statements
Medical direction issues related to non-medical provider naloxone (Narcan) use
6. Medical Director/Service Director Listing
A. List of Kansas Ambulance Services and Service Directors
B. List of Kansas Medical Advisors/Directors
7. Physician Resource Links
a. NAEMSP – National Association of EMS Physicians
b. ACEP – American College of Emergency Physicians
c. KACEP – Kansas Chapter – American College of Emergency Physicians
d. NASEMSO – National Association of State EMS Officials
