California 2025-2026 Regular Session

California Assembly Bill AB645

Introduced
2/13/25  
Refer
3/24/25  
Report Pass
3/24/25  
Refer
3/25/25  
Refer
3/24/25  
Report Pass
3/24/25  
Report Pass
4/23/25  
Refer
3/25/25  
Refer
4/23/25  
Refer
3/25/25  
Report Pass
4/24/25  
Refer
4/28/25  
Report Pass
4/29/25  
Refer
4/29/25  
Report Pass
5/14/25  
Engrossed
5/19/25  
Refer
5/20/25  
Refer
5/28/25  
Report Pass
7/7/25  
Refer
7/7/25  
Report Pass
7/17/25  
Refer
7/17/25  
Refer
8/18/25  
Report Pass
8/29/25  
Enrolled
9/8/25  

Caption

Emergency medical services: dispatcher training.

Impact

The bill directly impacts the Health and Safety Code by mandating that local emergency medical services (EMS) agencies adopt specific protocols for prearrival care. This includes the necessity for these protocols to be approved by local EMS medical directors, ensuring professional oversight and alignment with statewide standards. The legislation is expected to improve emergency response outcomes by equipping dispatchers with the tools they need to guide callers effectively.

Summary

AB 645, introduced by Assembly Member Carrillo, aims to enhance the efficiency and effectiveness of emergency medical service responses by requiring public safety agencies that handle 911 calls to provide prearrival medical instructions to callers. This includes guidance on critical medical situations such as choking, childbirth, and overdose. The requirement is set to take effect by January 1, 2027, and aims to ensure that emergency responders can give timely and appropriate advice to individuals in distress until help arrives.

Sentiment

The general sentiment surrounding AB 645 appears to be supportive, particularly from advocates of public health and safety. Many stakeholders recognize the necessity for enhanced dispatcher training, especially in crucial emergency medical situations. However, there are underlying concerns about the potential additional financial burdens on local agencies, particularly regarding the implementation costs associated with new training and protocols.

Contention

One notable point of contention is the financial implications of the bill, as it imposes new responsibilities on public safety agencies without providing explicit state funding for the required training and protocol implementation. While the bill states that certain mandates may not require reimbursement, local agencies remain wary about how the costs will be managed, emphasizing the ongoing tension between state mandates and local agency capabilities.

Companion Bills

No companion bills found.

Previously Filed As

CA AB1276

Emergency response services: “911” call and dispatch data.

CA AB40

Emergency medical services.

CA AB379

Emergency medical services.

CA AB2348

California Emergency Services Act: notification systems: Feather Alert.

CA AB1168

Emergency medical services (EMS): prehospital EMS.

CA AB2775

Emergency medical services.

CA AB2700

Emergency medical services: alternate destinations.

CA SB1180

Health care coverage: emergency medical services.

CA AB2859

Emergency medical technicians: peer support.

CA AB1316

Emergency services: psychiatric emergency medical conditions.

Similar Bills

CA SB438

Emergency medical services: dispatch.

MO SB1143

Modifies provisions relating to emergency medical dispatchers

MO SB180

Authorizes the cities of Clinton and Lincoln to impose a sales tax for public safety

IL HB1697

9-1-1 TELECOMMUNICATOR CPR

IL SB1295

9-1-1 TELECOMMUNICATOR CPR

MO SB449

Modifies provisions relating to emergency medical dispatchers

MO SB46

Modifies provisions relating to emergency services

CA SB443

Emergency medical services (EMS): prehospital EMS.