{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2026\/code-json\/32.1-111.9_1.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2026\/code-text\/32.1-111.9_1.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2026\/code-xml\/32.1-111.9_1.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2026\/code-html\/32.1-111.9_1.html"}],"law_id":358957,"edition_id":2,"section_id":358957,"structure_id":51350,"section_number":"32.1-111.9:1","catch_line":"Out-of-state emergency medical services providers","history":"2018, c. 196.","full_text":"A\n\nNotwithstanding the provisions of this article or any other law or regulation to the contrary, an emergency medical services provider who holds a valid license or certification in a state that borders the Commonwealth may provide emergency medical services in the Commonwealth if (i) such services are provided at a widely attended event open to the public; (ii) due to the expected number of attendees, the anticipated need for emergency medical services at the event is beyond the capacity of local emergency medical services providers; (iii) the organizers of the event notify the Commissioner at least 10 business days prior to the event that out-of-state emergency medical services providers will be onsite at the event; and (iv) the out-of-state medical services providers provide to the Commissioner relevant licensure or certification information and any other information deemed necessary by the Commissioner.\n\nB\n\nThe provisions of this section shall not be construed to supersede or affect the provisions of Chapter 18 (&#xA7; 32.1-371) or any other interstate agreement regarding emergency medical services providers. Any out-of-state emergency medical services provider who holds a license or certification in a state that has entered into an interstate compact of which the Commonwealth is a member or any other interstate agreement with the Commonwealth regarding emergency medical services providers shall be governed by the provisions of such compact or agreement.\n\n","order_by":null,"text":{"0":{"id":1335216,"text":"Notwithstanding the provisions of this article or any other law or regulation to the contrary, an emergency medical services provider who holds a valid license or certification in a state that borders the Commonwealth may provide emergency medical services in the Commonwealth if (i) such services are provided at a widely attended event open to the public; (ii) due to the expected number of attendees, the anticipated need for emergency medical services at the event is beyond the capacity of local emergency medical services providers; (iii) the organizers of the event notify the Commissioner at least 10 business days prior to the event that out-of-state emergency medical services providers will be onsite at the event; and (iv) the out-of-state medical services providers provide to the Commissioner relevant licensure or certification information and any other information deemed necessary by the Commissioner.","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":1335217,"text":"The provisions of this section shall not be construed to supersede or affect the provisions of Chapter 18 (&#xA7; 32.1-371) or any other interstate agreement regarding emergency medical services providers. Any out-of-state emergency medical services provider who holds a license or certification in a state that has entered into an interstate compact of which the Commonwealth is a member or any other interstate agreement with the Commonwealth regarding emergency medical services providers shall be governed by the provisions of such compact or agreement.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A"}},"ancestry":[{"id":51350,"edition_id":2,"name":"Statewide Emergency Medical Services System and Services","identifier":"2.1","label":"article","depth":3,"order_by":4,"parent_id":51347,"metadata":{"child_laws":38,"child_structures":0},"date_created":"2026-08-02 02:41:00","date_modified":"2026-08-02 12:32:18","permalink":{"id":1429515,"object_type":"structure","relational_id":51350,"identifier":"2.1","token":"32.1\/4\/2.1","url":"\/32.1\/4\/2.1\/","edition_id":2,"permalink":0,"preferred":1}},{"id":51347,"edition_id":2,"name":"Health Care Planning","identifier":"4","label":"chapter","depth":2,"order_by":4,"parent_id":51343,"metadata":{"child_laws":109,"child_structures":14},"date_created":"2026-08-02 02:40:54","date_modified":"2026-08-02 12:32:17","permalink":{"id":1429391,"object_type":"structure","relational_id":51347,"identifier":"4","token":"32.1\/4","url":"\/32.1\/4\/","edition_id":2,"permalink":0,"preferred":1}},{"id":51343,"edition_id":2,"name":"Health","identifier":"32.1","label":"title","depth":1,"order_by":75,"parent_id":null,"metadata":{"child_laws":857,"child_structures":128},"date_created":"2026-08-02 02:40:53","date_modified":"2026-08-02 12:32:12","permalink":{"id":1428101,"object_type":"structure","relational_id":51343,"identifier":"32.1","token":"32.1","url":"\/32.1\/","edition_id":2,"permalink":0,"preferred":1}}],"structure_contents":[{"id":358919,"structure_id":51350,"section_number":"32.1-111.1","catch_line":"Definitions","url":"\/32.1-111.1\/","token":"32.1\/4\/2.1\/32.1-111.1","metadata":false},{"id":358920,"structure_id":51350,"section_number":"32.1-111.10","catch_line":"Repealed","url":"\/32.1-111.10\/","token":"32.1\/4\/2.1\/32.1-111.10","metadata":false},{"id":358921,"structure_id":51350,"section_number":"32.1-111.12","catch_line":"Virginia Rescue Squads Assistance Fund; disbursements","url":"\/32.1-111.12\/","token":"32.1\/4\/2.1\/32.1-111.12","metadata":{"court_decisions":""}},{"id":358922,"structure_id":51350,"section_number":"32.1-111.12:01","catch_line":"Financial Assistance and Review Committee; appointment; terms; duties","url":"\/32.1-111.12_01\/","token":"32.1\/4\/2.1\/32.1-111.12_01","metadata":{"court_decisions":""}},{"id":358923,"structure_id":51350,"section_number":"32.1-111.13","catch_line":"Annual financial reports","url":"\/32.1-111.13\/","token":"32.1\/4\/2.1\/32.1-111.13","metadata":false},{"id":358924,"structure_id":51350,"section_number":"32.1-111.14","catch_line":"Powers of governing bodies of counties, cities, and towns","url":"\/32.1-111.14\/","token":"32.1\/4\/2.1\/32.1-111.14","metadata":false},{"id":358925,"structure_id":51350,"section_number":"32.1-111.14:1","catch_line":"Repealed","url":"\/32.1-111.14_1\/","token":"32.1\/4\/2.1\/32.1-111.14_1","metadata":{"court_decisions":""}},{"id":358926,"structure_id":51350,"section_number":"32.1-111.14:2","catch_line":"Establishment of emergency medical services zones or districts; tax levies","url":"\/32.1-111.14_2\/","token":"32.1\/4\/2.1\/32.1-111.14_2","metadata":false},{"id":358927,"structure_id":51350,"section_number":"32.1-111.14:3","catch_line":"Exclusion of certain areas from emergency medical services zones or districts and exemption of such areas from certain levies","url":"\/32.1-111.14_3\/","token":"32.1\/4\/2.1\/32.1-111.14_3","metadata":false},{"id":358928,"structure_id":51350,"section_number":"32.1-111.14:4","catch_line":"Advances by county or city to emergency medical services zone or district; reimbursement; validation of prior advances","url":"\/32.1-111.14_4\/","token":"32.1\/4\/2.1\/32.1-111.14_4","metadata":{"court_decisions":""}},{"id":358929,"structure_id":51350,"section_number":"32.1-111.14:5","catch_line":"Authority of emergency medical services agency incident commander when operating at an emergency incident; penalty for refusal to obey orders","url":"\/32.1-111.14_5\/","token":"32.1\/4\/2.1\/32.1-111.14_5","metadata":{"court_decisions":""}},{"id":358930,"structure_id":51350,"section_number":"32.1-111.14:6","catch_line":"Supervision and control of joint services of emergency medical services agencies","url":"\/32.1-111.14_6\/","token":"32.1\/4\/2.1\/32.1-111.14_6","metadata":{"court_decisions":""}},{"id":358931,"structure_id":51350,"section_number":"32.1-111.14:7","catch_line":"Penalty for disobeying emergency medical services agency chief or other officer in command","url":"\/32.1-111.14_7\/","token":"32.1\/4\/2.1\/32.1-111.14_7","metadata":false},{"id":358932,"structure_id":51350,"section_number":"32.1-111.14:8","catch_line":"Purchase, maintenance, etc., of equipment; donated equipment","url":"\/32.1-111.14_8\/","token":"32.1\/4\/2.1\/32.1-111.14_8","metadata":false},{"id":358933,"structure_id":51350,"section_number":"32.1-111.14:9","catch_line":"Entry of buildings and premises adjoining during a medical emergency","url":"\/32.1-111.14_9\/","token":"32.1\/4\/2.1\/32.1-111.14_9","metadata":{"court_decisions":""}},{"id":358934,"structure_id":51350,"section_number":"32.1-111.15","catch_line":"Statewide poison control system established","url":"\/32.1-111.15\/","token":"32.1\/4\/2.1\/32.1-111.15","metadata":{"court_decisions":""}},{"id":358935,"structure_id":51350,"section_number":"32.1-111.15:1","catch_line":"Department responsible for stroke care quality improvement; sharing of data and information","url":"\/32.1-111.15_1\/","token":"32.1\/4\/2.1\/32.1-111.15_1","metadata":{"court_decisions":""}},{"id":358937,"structure_id":51350,"section_number":"32.1-111.2","catch_line":"Exemptions from provisions of this article","url":"\/32.1-111.2\/","token":"32.1\/4\/2.1\/32.1-111.2","metadata":false},{"id":358938,"structure_id":51350,"section_number":"32.1-111.3","catch_line":"Statewide Emergency Medical Services Plan; Trauma Triage Plan; Stroke Triage Plan","url":"\/32.1-111.3\/","token":"32.1\/4\/2.1\/32.1-111.3","metadata":false},{"id":358939,"structure_id":51350,"section_number":"32.1-111.4","catch_line":"Regulations; emergency medical services personnel and vehicles; response times; enforcement provisions; civil penalties","url":"\/32.1-111.4\/","token":"32.1\/4\/2.1\/32.1-111.4","metadata":false},{"id":358940,"structure_id":51350,"section_number":"32.1-111.4:1","catch_line":"State Emergency Medical Services Advisory Board; purpose; membership; duties; reimbursement of expenses; staff support","url":"\/32.1-111.4_1\/","token":"32.1\/4\/2.1\/32.1-111.4_1","metadata":{"court_decisions":""}},{"id":358941,"structure_id":51350,"section_number":"32.1-111.4:2","catch_line":"Regional emergency medical services councils","url":"\/32.1-111.4_2\/","token":"32.1\/4\/2.1\/32.1-111.4_2","metadata":{"court_decisions":""}},{"id":358942,"structure_id":51350,"section_number":"32.1-111.4:3","catch_line":"Provision of emergency medical services","url":"\/32.1-111.4_3\/","token":"32.1\/4\/2.1\/32.1-111.4_3","metadata":false},{"id":358943,"structure_id":51350,"section_number":"32.1-111.4:4","catch_line":"Emergency medical services personnel and equipment may in emergencies go or be sent beyond territorial limits","url":"\/32.1-111.4_4\/","token":"32.1\/4\/2.1\/32.1-111.4_4","metadata":false},{"id":358944,"structure_id":51350,"section_number":"32.1-111.4:5","catch_line":"Contracts of counties, cities, and towns to furnish emergency medical services; public liability insurance to cover claims arising out of mutual aid agreements","url":"\/32.1-111.4_5\/","token":"32.1\/4\/2.1\/32.1-111.4_5","metadata":{"court_decisions":""}},{"id":358945,"structure_id":51350,"section_number":"32.1-111.4:6","catch_line":"Establishment of an emergency medical services agency as a department of local government","url":"\/32.1-111.4_6\/","token":"32.1\/4\/2.1\/32.1-111.4_6","metadata":{"court_decisions":""}},{"id":358946,"structure_id":51350,"section_number":"32.1-111.4:7","catch_line":"Establishment of an emergency medical services agency as a nongovernmental entity; dissolution","url":"\/32.1-111.4_7\/","token":"32.1\/4\/2.1\/32.1-111.4_7","metadata":false},{"id":358947,"structure_id":51350,"section_number":"32.1-111.4:8","catch_line":"Ordinances as to emergency medical services agencies","url":"\/32.1-111.4_8\/","token":"32.1\/4\/2.1\/32.1-111.4_8","metadata":{"court_decisions":""}},{"id":358948,"structure_id":51350,"section_number":"32.1-111.4:9","catch_line":"Emergency treatment of fire, police, and search and rescue dogs","url":"\/32.1-111.4_9\/","token":"32.1\/4\/2.1\/32.1-111.4_9","metadata":false},{"id":358949,"structure_id":51350,"section_number":"32.1-111.5","catch_line":"Certification and recertification of emergency medical services providers; appeals process","url":"\/32.1-111.5\/","token":"32.1\/4\/2.1\/32.1-111.5","metadata":false},{"id":358950,"structure_id":51350,"section_number":"32.1-111.5:1","catch_line":"Emergency medical services personnel mental health awareness training","url":"\/32.1-111.5_1\/","token":"32.1\/4\/2.1\/32.1-111.5_1","metadata":false},{"id":358951,"structure_id":51350,"section_number":"32.1-111.5:2","catch_line":"Emergency medical services personnel Alzheimer's disease and dementia training","url":"\/32.1-111.5_2\/","token":"32.1\/4\/2.1\/32.1-111.5_2","metadata":{"court_decisions":""}},{"id":358952,"structure_id":51350,"section_number":"32.1-111.6","catch_line":"Emergency medical services agency license; emergency medical services vehicle permits","url":"\/32.1-111.6\/","token":"32.1\/4\/2.1\/32.1-111.6","metadata":false},{"id":358953,"structure_id":51350,"section_number":"32.1-111.6:1","catch_line":"Commissioner to issue certain emergency medical services licenses or permits","url":"\/32.1-111.6_1\/","token":"32.1\/4\/2.1\/32.1-111.6_1","metadata":false},{"id":358954,"structure_id":51350,"section_number":"32.1-111.7","catch_line":"Inspections","url":"\/32.1-111.7\/","token":"32.1\/4\/2.1\/32.1-111.7","metadata":{"court_decisions":""}},{"id":358955,"structure_id":51350,"section_number":"32.1-111.8","catch_line":"Revocation and suspension of licenses and permits","url":"\/32.1-111.8\/","token":"32.1\/4\/2.1\/32.1-111.8","metadata":false},{"id":358956,"structure_id":51350,"section_number":"32.1-111.9","catch_line":"Applications for variances or exemptions","url":"\/32.1-111.9\/","token":"32.1\/4\/2.1\/32.1-111.9","metadata":false},{"id":358957,"structure_id":51350,"section_number":"32.1-111.9:1","catch_line":"Out-of-state emergency medical services providers","url":"\/32.1-111.9_1\/","token":"32.1\/4\/2.1\/32.1-111.9_1","metadata":false}],"previous_section":{"id":358956,"structure_id":51350,"section_number":"32.1-111.9","catch_line":"Applications for variances or exemptions","url":"\/32.1-111.9\/","token":"32.1\/4\/2.1\/32.1-111.9","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/32.1-111.9:1\/","history_text":"<p>This law was first created in 2018. The record of its establishment is cataloged in chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?181+ful+CHAP0196\">196<\/a> of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year.<\/p>","references":false,"refers_to":[{"id":359595,"section_number":"32.1-371","catch_line":"Recognition of Emergency Medical Services Personnel Licensure Interstate Compact","order_by":null,"url":"\/32.1-371\/"}],"permalink":{"id":1429665,"object_type":"law","relational_id":358957,"identifier":"32.1-111.9:1","token":"32.1\/4\/2.1\/32.1-111.9_1","url":"\/32.1-111.9_1\/","edition_id":2,"permalink":0,"preferred":1},"url":"\/32.1-111.9_1\/","token":"32.1\/4\/2.1\/32.1-111.9_1","dublin_core":{"Title":"Out-of-state emergency medical services providers","Type":"Text","Format":"text\/html","Identifier":"\u00a7 32.1-111.9:1","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t<section id=\"A\"><p><span class=\"prefix-number\">A.<\/span> Notwithstanding the provisions of this article or any other <span class=\"dictionary\">law<\/span> or regulation to the contrary, an <span class=\"dictionary\">emergency medical services provider<\/span> who holds a valid license or certification in a state that borders the Commonwealth may provide <span class=\"dictionary\">emergency medical services<\/span> in the Commonwealth if (i) such services are provided at a widely attended event open to the public; (ii) due to the expected number of attendees, the anticipated need for <span class=\"dictionary\">emergency medical services<\/span> at the event is beyond the capacity of local <span class=\"dictionary\">emergency medical services providers<\/span>; (iii) the organizers of the event notify the <span class=\"dictionary\">Commissioner<\/span> at least 10 business days prior to the event that out-of-state <span class=\"dictionary\">emergency medical services providers<\/span> will be onsite at the event; and (iv) the out-of-state medical services providers provide to the <span class=\"dictionary\">Commissioner<\/span> relevant licensure or certification information and any other information deemed necessary by the <span class=\"dictionary\">Commissioner<\/span>. <a id=\"paragraph-1335216\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/32.1-111.9_1\/#A\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"B\"><p><span class=\"prefix-number\">B.<\/span> The provisions of this section shall not be construed to supersede or affect the provisions of Chapter 18 (&#xA7; <a class=\"law\" title=\"Recognition of Emergency Medical Services Personnel Licensure Interstate Compact\" href=\"\/32.1-371\/\">32.1-371<\/a>) or any other interstate agreement regarding <span class=\"dictionary\">emergency medical services providers<\/span>. Any out-of-state <span class=\"dictionary\">emergency medical services provider<\/span> who holds a license or certification in a state that has entered into an interstate compact of which the Commonwealth is a member or any other interstate agreement with the Commonwealth regarding <span class=\"dictionary\">emergency medical services providers<\/span> shall be governed by the provisions of such compact or agreement. <a id=\"paragraph-1335217\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/32.1-111.9_1\/#B\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>","plain_text":"                                 CODE OF VIRGINIA\n\nOUT-OF-STATE EMERGENCY MEDICAL SERVICES PROVIDERS (\u00a7 32.1-111.9:1)\n\nA. Notwithstanding the provisions of this article or any other law or regulation\nto the contrary, an emergency medical services provider who holds a valid\nlicense or certification in a state that borders the Commonwealth may provide\nemergency medical services in the Commonwealth if (i) such services are provided\nat a widely attended event open to the public; (ii) due to the expected number\nof attendees, the anticipated need for emergency medical services at the event\nis beyond the capacity of local emergency medical services providers; (iii) the\norganizers of the event notify the Commissioner at least 10 business days prior\nto the event that out-of-state emergency medical services providers will be\nonsite at the event; and (iv) the out-of-state medical services providers\nprovide to the Commissioner relevant licensure or certification information and\nany other information deemed necessary by the Commissioner.\n\nB. The provisions of this section shall not be construed to supersede or affect\nthe provisions of Chapter 18 (&#xA7; 32.1-371) or any other interstate agreement\nregarding emergency medical services providers. Any out-of-state emergency\nmedical services provider who holds a license or certification in a state that\nhas entered into an interstate compact of which the Commonwealth is a member or\nany other interstate agreement with the Commonwealth regarding emergency medical\nservices providers shall be governed by the provisions of such compact or\nagreement.\n\nHISTORY: 2018, c. 196.","edition":{"id":2,"name":"2026","slug":"2026","date_created":"2026-07-16 18:40:23","date_modified":"2026-08-02 15:14:36","current":1,"order_by":2,"last_import":"2026-08-02 12:37:30"}}