AB-645
Health & Public Health

Emergency medical services: dispatcher training.

Engrossed
CA
2025-2026 Regular Session
0
0
Track

Key Takeaways

  • Requires 911 dispatch centers to provide callers with life-saving medical instructions by January 2027.
  • Mandates emergency instructions for six critical situations including CPR, choking, and drug overdoses.
  • Requires local EMS medical directors to approve all emergency instructions provided by dispatchers.
  • Allows agencies to contract with other public safety organizations to provide these emergency instructions.

Summary

Assembly Member Carrillo's emergency medical services legislation requires California's 911 call centers to provide callers with standardized medical instructions before first responders arrive at emergency scenes. The measure mandates that by January 2027, public safety agencies handling emergency medical calls must guide callers through critical interventions including CPR, choking assistance for all ages, bleeding control, childbirth support, and administration of emergency medications like epinephrine and naloxone.

The bill establishes a framework for implementing these prearrival instructions while maintaining operational flexibility. Public safety agencies may fulfill the requirements either directly or by contracting with other agencies that already provide such guidance. All instruction protocols require approval from local Emergency Medical Services agency medical directors and must align with existing agency procedures. Agencies currently offering approved prearrival medical instructions through emergency medical dispatch systems may continue their existing programs without modifications.

To preserve established emergency response structures, the legislation explicitly maintains current regulations governing emergency medical dispatch and dispatcher training. The measure includes provisions for state reimbursement of certain local implementation costs, as determined by the Commission on State Mandates, while specifying that expenses related to modified criminal provisions do not qualify for compensation.

Key Dates

Next Step
Referred to the Senate Standing Committee on Health
Next Step
Senate Committee
Referred to the Senate Standing Committee on Health
Hearing scheduled for , 1021 O Street, Room 1200
Vote on Assembly Floor
Assembly Floor
Vote on Assembly Floor
AB 645 Carrillo Assembly Third Reading
Assembly Appropriations Hearing
Assembly Committee
Assembly Appropriations Hearing
Do pass
Assembly Emergency Management Hearing
Assembly Committee
Assembly Emergency Management Hearing
Do pass and be re-referred to the Committee on [Appropriations]
Assembly Health Hearing
Assembly Committee
Assembly Health Hearing
Do pass and be re-referred to the Committee on [Emergency Management]
Introduced
Assembly Floor
Introduced
Read first time. To print.

Contacts

Profile
Shannon GroveR
Senator
Committee Member
Not Contacted
Not Contacted
Profile
Cecilia Aguiar-CurryD
Assemblymember
Bill Author
Not Contacted
Not Contacted
Profile
Scott WienerD
Senator
Committee Member
Not Contacted
Not Contacted
Profile
Tim GraysonD
Senator
Committee Member
Not Contacted
Not Contacted
Profile
Monique LimonD
Senator
Committee Member
Not Contacted
Not Contacted
0 of 14 row(s) selected.
Page 1 of 3
Select All Legislators
Profile
Shannon GroveR
Senator
Committee Member
Profile
Cecilia Aguiar-CurryD
Assemblymember
Bill Author
Profile
Scott WienerD
Senator
Committee Member
Profile
Tim GraysonD
Senator
Committee Member
Profile
Monique LimonD
Senator
Committee Member
Profile
Maria DurazoD
Senator
Committee Member
Profile
Susan RubioD
Senator
Committee Member
Profile
Lena GonzalezD
Senator
Committee Member
Profile
Akilah Weber PiersonD
Senator
Committee Member
Profile
Juan CarrilloD
Assemblymember
Bill Author
Profile
Caroline MenjivarD
Senator
Committee Member
Profile
Steve PadillaD
Senator
Committee Member
Profile
Laura RichardsonD
Senator
Committee Member
Profile
Suzette ValladaresR
Senator
Committee Member

Get Involved

Act Now!

Email the authors or create an email template to send to all relevant legislators.

Introduced By

Juan Carrillo
Juan CarrilloD
California State Assembly Member
Co-Author
Cecilia Aguiar-Curry
Cecilia Aguiar-CurryD
California State Assembly Member
40% progression
Bill has passed all readings in its first house and is ready to move to the other house (5/19/2025)

Latest Voting History

May 19, 2025
PASS
Assembly Floor
Vote on Assembly Floor
AyesNoesNVRTotalResult
700979PASS

Key Takeaways

  • Requires 911 dispatch centers to provide callers with life-saving medical instructions by January 2027.
  • Mandates emergency instructions for six critical situations including CPR, choking, and drug overdoses.
  • Requires local EMS medical directors to approve all emergency instructions provided by dispatchers.
  • Allows agencies to contract with other public safety organizations to provide these emergency instructions.

Get Involved

Act Now!

Email the authors or create an email template to send to all relevant legislators.

Introduced By

Juan Carrillo
Juan CarrilloD
California State Assembly Member
Co-Author
Cecilia Aguiar-Curry
Cecilia Aguiar-CurryD
California State Assembly Member

Summary

Assembly Member Carrillo's emergency medical services legislation requires California's 911 call centers to provide callers with standardized medical instructions before first responders arrive at emergency scenes. The measure mandates that by January 2027, public safety agencies handling emergency medical calls must guide callers through critical interventions including CPR, choking assistance for all ages, bleeding control, childbirth support, and administration of emergency medications like epinephrine and naloxone.

The bill establishes a framework for implementing these prearrival instructions while maintaining operational flexibility. Public safety agencies may fulfill the requirements either directly or by contracting with other agencies that already provide such guidance. All instruction protocols require approval from local Emergency Medical Services agency medical directors and must align with existing agency procedures. Agencies currently offering approved prearrival medical instructions through emergency medical dispatch systems may continue their existing programs without modifications.

To preserve established emergency response structures, the legislation explicitly maintains current regulations governing emergency medical dispatch and dispatcher training. The measure includes provisions for state reimbursement of certain local implementation costs, as determined by the Commission on State Mandates, while specifying that expenses related to modified criminal provisions do not qualify for compensation.

40% progression
Bill has passed all readings in its first house and is ready to move to the other house (5/19/2025)

Key Dates

Next Step
Referred to the Senate Standing Committee on Health
Next Step
Senate Committee
Referred to the Senate Standing Committee on Health
Hearing scheduled for , 1021 O Street, Room 1200
Vote on Assembly Floor
Assembly Floor
Vote on Assembly Floor
AB 645 Carrillo Assembly Third Reading
Assembly Appropriations Hearing
Assembly Committee
Assembly Appropriations Hearing
Do pass
Assembly Emergency Management Hearing
Assembly Committee
Assembly Emergency Management Hearing
Do pass and be re-referred to the Committee on [Appropriations]
Assembly Health Hearing
Assembly Committee
Assembly Health Hearing
Do pass and be re-referred to the Committee on [Emergency Management]
Introduced
Assembly Floor
Introduced
Read first time. To print.

Latest Voting History

May 19, 2025
PASS
Assembly Floor
Vote on Assembly Floor
AyesNoesNVRTotalResult
700979PASS

Contacts

Profile
Shannon GroveR
Senator
Committee Member
Not Contacted
Not Contacted
Profile
Cecilia Aguiar-CurryD
Assemblymember
Bill Author
Not Contacted
Not Contacted
Profile
Scott WienerD
Senator
Committee Member
Not Contacted
Not Contacted
Profile
Tim GraysonD
Senator
Committee Member
Not Contacted
Not Contacted
Profile
Monique LimonD
Senator
Committee Member
Not Contacted
Not Contacted
0 of 14 row(s) selected.
Page 1 of 3
Select All Legislators
Profile
Shannon GroveR
Senator
Committee Member
Profile
Cecilia Aguiar-CurryD
Assemblymember
Bill Author
Profile
Scott WienerD
Senator
Committee Member
Profile
Tim GraysonD
Senator
Committee Member
Profile
Monique LimonD
Senator
Committee Member
Profile
Maria DurazoD
Senator
Committee Member
Profile
Susan RubioD
Senator
Committee Member
Profile
Lena GonzalezD
Senator
Committee Member
Profile
Akilah Weber PiersonD
Senator
Committee Member
Profile
Juan CarrilloD
Assemblymember
Bill Author
Profile
Caroline MenjivarD
Senator
Committee Member
Profile
Steve PadillaD
Senator
Committee Member
Profile
Laura RichardsonD
Senator
Committee Member
Profile
Suzette ValladaresR
Senator
Committee Member