Rules This page provides information about Rules . EMS and Trauma Systems EMS and Trauma Systems Applications and Forms Contact Us Open submenu links Close submenu links Sign up for Email Updates EMS Field Offices Open Records Requests Rules Open submenu links Close submenu links Index of EMS-Trauma Systems Policies Rules in Revision Statutes and Laws EMS Careers and Education EMS Certification and Licensure Open submenu links Close submenu links Initial Certification-Licensure Renewals - EMS Personnel Certification and Licensure EMS Coordinator - Instructor Certification EMS Reciprocity Certification Open submenu links Close submenu links Military Service Members, Veterans, and Spouses EMS Equivalency EMS Application Fees EMS Continuing Education Open submenu links Close submenu links CE Hour and Content Area Requirements Course and content area requirements - Recertification Acceptance of CE Approved by Other Accrediting Agencies Continuing Education Content Areas National Registry EMS Exam Information Live Online Certification-Licensee Search Verification Emergency Medical Services Resources EMS Education Providers EMS Provider Licensing Open submenu links Close submenu links First Responder Organization Registration EMS Provider Surveys Out of Hospital Do Not Resuscitate Program Complaints & Compliance Open submenu links Close submenu links Emergency Medical Services Reports Criminal History Data Sources for EMS Trauma Systems EMS/Trauma Systems Interactive Map Links, Resources and References Open submenu links Close submenu links Child Abuse Reporting Requirements EMS Publications EMS Certification and Provider Licensing Statistics EMS Patch Information EMS-C Links Emergency Medical Services Resources EMS Trauma System Funding Open submenu links Close submenu links Emergency Care Attendant Training Funding EMS Allotment-Allocation Eligibility Extraordinary Emergency Fund Uncompensated Trauma Care Application Open submenu links Close submenu links FY 2019 Uncompensated Trauma Care Fund Distribution (5111) – August 2021 FY 2019 Uncompensated Trauma Care Fund Distribution (SB500) – May 2021 FY 2019 Uncompensated Trauma Care Fund Distribution (Funds 5108 & 5007) – August 2021 FY 2020 Uncompensated Trauma Care Fund Distribution (5111) – August 2022 FY 2020 Uncompensated Trauma Care Fund Distribution (Funds 5108 & 5007) – August 2022 FY 2021 Uncompensated Trauma Care Fund Distribution (Funds 5108 & 5007) – June 2023 FY 2021 Uncompensated Trauma Care Fund Distribution (5111) - June 2023 FY 2022 Uncompensated Trauma Care Fund Distribution (Funds 5108 & 5007) – July 2024 FY 2022 Uncompensated Trauma Care Fund Distribution (5111) – July 2024 Maternal Designation Open submenu links Close submenu links Texas Maternal Facilities Neonatal Designation Open submenu links Close submenu links Texas Neonatal Facilities Stroke Designation Open submenu links Close submenu links Texas Stroke Facilities Trauma Designation Open submenu links Close submenu links Texas Trauma Facilities Governor's EMS and Trauma Advisory Council Open submenu links Close submenu links GETAC- Air Medical and Specialty Care Transport Committee GETAC- Cardiac Care Committee GETAC- EMS Education Committee GETAC- EMS Medical Directors Committee GETAC- Disaster Preparedness and Response Committee GETAC- Stroke Committee GETAC- Trauma Systems Committee GETAC- Injury Prevention and Public Education Committee GETAC- Pediatrics Committee GETAC- Emergency Medical Services Committee GETAC Council Medical Advisory Board Open submenu links Close submenu links Laws and Rules - Medical Advisory Board Medical Evaluation for Concealed Handgun - Medical Advisory Board Resources for Drivers - Medical Advisory Board Resources for Law Enforcement - Medical Advisory Board Resources for Physicians - Medical Advisory Board Regional Advisory Councils Open submenu links Close submenu links Memorandums of Agreement for Disaster Response EMS Recruitment and Retention Texas EMS Trauma Awards Texas EMS Line of Duty Deaths Texas EMS Trauma News Contact this Program Search this Program Customer Surveys Please let us know how we are doing by completing our customer service survey. Rules EMS Trauma Systems Policies, Proposed, and Adopted Rules EMS/Trauma Systems Policies Rules in Revision Link to Texas Administrative Code All Texas Administrative Codes Program Rules Councils and Service Areas Perinatal Care Regions Title 25, Part 1, Chapter 133.191,Perinatal Care Regions (PCRs) Regional Advisory Councils Title 25, Part 1, Chapter 157.123, Regional EMS/Trauma Systems Trauma Service Areas Title 25, Part 1, Chapter 157.122, Trauma Service Areas Designation Hospital Level of Care Designations for Maternal Care Title 25, Part 1, Chapter 133.201 Purpose Title 25, Part 1, Chapter 133.202 Definitions Title 25, Part 1, Chapter 133.203 General Requirements Title 25, Part 1, Chapter 133.204 Designation Process Title 25, Part 1, Chapter 133.205 Program Requirements Title 25, Part 1, Chapter 133.206 Maternal Designation Level I Title 25, Part 1, Chapter 133.207 Maternal Designation Level II Title 25, Part 1, Chapter 133.208 Maternal Designation Level III Title 25, Part 1, Chapter 133.209 Maternal Designation Level IV Title 25, Part 1, Chapter 133.210 Survey Team Centers of Excellence for Fetal Diagnosis and Therapy Title 25, Part 1, Chapter 133.221 Purpose Title 25, Part 1, Chapter 133.222 Definitions Title 25, Part 1, Chapter 133.223 General Requirements Title 25, Part 1, Chapter 133.224 Designation Process Title 25, Part 1, Chapter 133.225 Program Requirements Title 25, Part 1, Chapter 133.226 Surveyors Hospital Level of Care Designations for Neonatal Care Title 25, Part 1, Chapter 133.181 Purpose Title 25, Part 1, Chapter 133.182 Definitions Title 25, Part 1, Chapter 133.183 General Requirements Title 25, Part 1, Chapter 133.184 Designation Process Title 25, Part 1, Chapter 133.185 Program Requirements Title 25, Part 1, Chapter 133.186 Neonatal Designation Level I Title 25, Part 1, Chapter 133.187 Neonatal Designation Level II Title 25, Part 1, Chapter 133.188 Neonatal Designation Level III Title 25, Part 1, Chapter 133.189 Neonatal Designation Level IV Title 25, Part 1, Chapter 133.190 Survey Team Trauma Facilities Title 25, Part 1, Chapter 157.125, Requirements for Trauma Facility Designation (Effective Through August 31, 2025) Title 25, Part 1, Chapter 157.126, Requirements for Trauma Facility Designation (Effective September 1, 2025) Title 25, Part 1, Chapter 157.128, Denial, Suspension, and Revocation of Trauma Facility Designation Stroke Facilities Title 25, Part 1, Chapter 157.133, Requirements for Stroke Facility Designation Emergency Medical Services Title 25, Part 1, Chapter 157.1, Purpose Title 25, Part 1, Chapter 157.2, Definitions Title 25, Part 1, Chapter 157.3, Processing EMS Provider Licenses and Applications Title 25, Part 1, Chapter 157.4, Audits Title 25, Part 1, Chapter 157.5, Rule Exemption Requests Title 25, Part 1, Chapter 157.11, Requirements for an EMS Provider License Title 25, Part 1, Chapter 157.12, Rotor-wing Air Ambulance Operations Title 25, Part 1, Chapter 157.13, Fixed-wing Air Ambulance Operations Title 25, Part 1, Chapter 157.14, Requirements for First Responder Organization Registration Title 25, Part 1, Chapter 157.16, Emergency Suspension, Suspension, Probation, Revocation or Denial of a Provider License Title 25, Part 1, Chapter 157.25, Out-of-Hospital Do Not Resuscitate (DNR) Title 25, Part 1, Chapter 157.32, EMS Education and Course Approval Title 25, Part 1, Chapter 157.33, Certifications Title 25, Part 1, Chapter 157.34, Recertification Title 25, Part 1, Chapter 157.36, Criteria for Denial and Disciplinary Actions for EMS Personnel and Voluntary Surrender of a Certificate or License Title 25, Part 1, Chapter 157.37, Certification or Licensure of Persons with Criminal Backgrounds Title 25, Part 1, Chapter 157.38, Continuing Education Title 25, Part 1, Chapter 157.39, Comprehensive Clinical Management Program Approval Title 25, Part 1, Chapter 157.40, Paramedic Licensure Title 25, Part 1, Chapter 157.43, Course Coordinator Certification Title 25, Part 1, Chapter 157.44, EMS Instructor Certification Title 25, Part 1, Chapter 157.49, EMS Operator and Operator Instructor Training and Certification Funding Title 25, Part 1, Chapter 157.130, EMS and Trauma Care System Account Medical Advisory Board Title 25, Part 1, Chapter 1, 1.151, Medical Advisory Board Definitions Title 25, Part 1, Chapter 1, 1.152, Operation of the Medical Advisory Board Title 37, Part 1, Chapter 6.11, License to Carry a Concealed Handguns Title 37, Part 1, Chapter 15.58, Driver License Rules Out of Hospital Do Not Resuscitate Program Title 25, Part 1, Chapter 157.25, Out-of-Hospital Do Not Resuscitate (DNR) Email program for rule questions Medical Advisory Board Email EMSEducation@dshs.texas.gov Out of Hospital Do Not Resuscitate Program Email emsinfo@dshs.texas.gov Trauma Service Areas and Regional Advisory Councils Email emsinfo@dshs.texas.gov Facility Designation Email DSHS.EMS-TRAUMA@dshs.texas.gov Funding Email fundingapp@dshs.texas.gov Emergency Medical Services Email emsinfo@dshs.texas.gov Book traversal links for Rules ‹ Open Records Requests Up Index of EMS-Trauma Systems Policies ›