https://www.mass.gov/doc/advisory-25-11-01-limits-on-ems-personnel-functioning-as-emts-and-paramedics/download

1 page notice from Mass OEMS from Nov 2025

Limits on EMS Personnel Functioning as EMTs and Paramedics

ie - schools cant hire private EMTs and medics as off the shlf staffing

we assume that this related to quality assurance and liability and
insyrance requirements

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