Rules This page provides information about Rules . Sistemas de Servicios Médicos de Emergencia y de Traumatología Sistemas de Servicios Médicos de Emergencia y de Traumatología Carreras y educación en Servicios Médicos de Emergencia (EMS, por sus siglas en inglés) Programa de No Reanimación Fuera del Hospital Consejo Médico Consultivo Open submenu links Close submenu links Leyes y normas - Junta Consultiva Médica Evaluación médica para portar armas ocultas - Junta Consultiva Médica Recursos del Consejo Médico Consultivo para conductores Recursos del Consejo Médico Consultivo para autoridades policiales Recursos del Consejo Médico Consultivo para médicos 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 ›