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  

Caption

Emergency medical services: dispatcher training.

Impact

If passed, AB 645 will significantly impact the operations of public safety agencies responsible for 911 dispatching. It obligates these agencies to expand their services to include training and instructions for emergency medical situations, which could enhance the effectiveness of emergency responses and potentially save lives. Furthermore, the implementation of this bill could lead to increased training requirements for dispatchers and necessitate changes to current operational protocols to comply with the new law.

Summary

Assembly Bill 645, introduced by Assembly Member Carrillo, aims to enhance emergency medical services by mandating that public safety agencies provide prearrival medical instructions to callers requiring medical assistance by January 1, 2027. This legislation will require initiatives such as airway and choking instructions for all age groups, CPR guidelines, and administration of naloxone for narcotics overdoses. These instructions must be approved by the local EMS agency medical director and implemented based on established medical protocols and procedures.

Sentiment

The sentiment surrounding AB 645 is largely supportive among advocates for improved emergency medical services, as it prioritizes timely and potentially life-saving instructions for dispatchers. Supporters argue that this bill fills a critical gap in emergency response training, enhancing the preparedness of dispatchers to provide essential assistance. However, concerns have also been voiced regarding the adequacy of resources for local agencies to effectively implement these new requirements by the 2027 deadline.

Contention

One notable point of contention is the bill's stipulation to add responsibilities to public safety agencies without mandating state reimbursements for costs incurred to implement these changes. While it provides some exemptions for reimbursement requirements, the anticipated financial burden on local agencies could lead to pushback. Critics are wary of the implications this may have, particularly in financially strained jurisdictions, potentially questioning the feasibility of compliance without adequate funding.

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 AB2348

California Emergency Services Act: notification systems: Feather Alert.

CA AB379

Emergency medical services.

CA AB2775

Emergency medical services.

CA AB1168

Emergency medical services (EMS): prehospital EMS.

CA SB1180

Health care coverage: emergency medical services.

CA AB2700

Emergency medical services: alternate destinations.

CA AB2859

Emergency medical technicians: peer support.

CA AB1651

Pupil health: emergency medical care: epinephrine auto-injectors.

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 SB1295

9-1-1 TELECOMMUNICATOR CPR

IL HB1697

9-1-1 TELECOMMUNICATOR CPR

MO SB449

Modifies provisions relating to emergency medical dispatchers

CA SB443

Emergency medical services (EMS): prehospital EMS.

MO SB46

Modifies provisions relating to emergency services