$10,000 EMSA Fine?
- benkeizer2
- Apr 29
- 2 min read

A $10,000 fine is no small amount of change, especially in the context of the operational budgets that many emergency medical services (EMS) departments must manage. The financial implications of such a penalty can be significant, potentially straining resources that are already allocated for critical services.
Report in 72 hours or less
This fine can arise from a serious lapse in compliance by the paramedic employer, specifically the failure to report any suspension or termination of a paramedic for cause to the Emergency Medical Services Authority (EMSA) and the Paramedic Disciplinary Review Board (PDRB) within seventy-two (72) hours.
-California Health & Safety Code § 1797.125.09(a)(1)
-California Health & Safety Code § 1797.125.09(c)
So the question is, what is "cause"?
California Health and Safety Code § 1797.125.09(d)(1-6) outlines the grounds for action. In essence, if a paramedic employer suspends or terminates a paramedic based on any of these six specified categories, mandatory reporting is required within seventy-two (72) hours.
Use of controlled substances or alcohol to such an extent that it impairs the ability to safely practice paramedicine.
Unlawful sale of controlled substances or other prescription items.
Patient neglect, physical harm to a patient, or sexual contact with a patient.
Falsification of medical records.
Gross incompetence or negligence.
Theft from patients, other employees, or the employer.
Such reporting is not merely a bureaucratic formality; it is a legal obligation that serves to maintain the integrity and accountability of the paramedic profession. When an employer neglects this duty, it can lead to severe repercussions, including the imposition of fines that can accumulate for each individual violation. This means that if multiple violations occur, the financial penalties can escalate rapidly, creating a potentially devastating impact on the employer's operational capabilities.
Furthermore, the failure to report such disciplinary actions can undermine public trust in the EMS system, as it may suggest that there is a lack of oversight or accountability for the professionals who are entrusted with the health and safety of the community.
In addition to the immediate financial consequences, there are broader implications for the paramedic employer's reputation and relationship with regulatory bodies. A history of non-compliance can lead to increased scrutiny and oversight, making it more challenging for the employer to operate effectively in the future.
It is essential for EMS employers to adhere strictly to reporting requirements to prevent the occurrence of these fines and to ensure that they are fostering a culture of accountability and professionalism within their ranks.
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