Mich. Comp. Laws » Michigan Compiled Laws / Chapter 333 / Act 368 of 1978
Michigan Compiled Laws

Mich. Comp. Laws § 333.20906 (2026)

Definitions; L, M.

✓ current as of July 2026
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PUBLIC HEALTH CODE


Act 368 of 1978


333.20906 Definitions; L, M.

Sec. 20906.

    (1) "Life support agency" means an ambulance operation, nontransport prehospital life support operation, aircraft transport operation, or medical first response service.

    (2) "Life support vehicle" means an ambulance, nontransport prehospital life support vehicle, aircraft transport vehicle, or medical first response vehicle.

    (3) "Limited advanced life support" means patient care that may include any care an emergency medical technician specialist is qualified to provide by emergency medical technician specialist education that meets the educational requirements established by the department under section 20912 or is authorized to provide by the protocols established by the local medical control authority under section 20919 for an emergency medical technician specialist.

    (4) "Local governmental unit" means a county, city, village, charter township, or township.

    (5) "Medical control" means supervising and coordinating emergency medical services through a medical control authority, as prescribed, adopted, and enforced through department-approved protocols, within an emergency medical services system.

    (6) "Medical control authority" means an organization designated by the department under section 20910(1)(g) to provide medical control.

    (7) "Medical director" means a physician who is appointed to that position by a medical control authority under section 20918.

    (8) "Medical first responder" means an individual who has met the educational requirements of a department approved medical first responder course and who is licensed to provide medical first response life support as part of a medical first response service or as a driver of an ambulance that provides basic life support services only. Medical first responder does not include a police officer solely because his or her police vehicle is equipped with an automated external defibrillator.

    (9) "Medical first response life support" means patient care that may include any care a medical first responder is qualified to provide by medical first responder education that meets the educational requirements established by the department under section 20912 or is authorized to provide by the protocols established by the local medical control authority under section 20919 for a medical first responder.

    (10) "Medical first response service" means a person licensed by the department to respond under medical control to an emergency scene with a medical first responder and equipment required by the department before the arrival of an ambulance, and includes a fire suppression agency only if it is dispatched for medical first response life support. Medical first response service does not include a law enforcement agency, as defined in section 8 of 1968 PA 319, MCL 28.258, unless the law enforcement agency holds itself out as a medical first response service and the unit responding was dispatched to provide medical first response life support.

    (11) "Medical first response vehicle" means a motor vehicle staffed by at least 1 medical first responder and meeting equipment requirements of the department. Medical first response vehicle does not include a vehicle solely because it is staffed with a medical first responder.

History: Add. 1990, Act 179, Imd. Eff. July 2, 1990 ;-- Am. 2000, Act 375, Imd. Eff. Jan. 2, 2001 ;-- Am. 2004, Act 6, Imd. Eff. Feb. 20, 2004 ;-- Am. 2006, Act 582, Imd. Eff. Jan. 3, 2007

Compiler's Notes:

    For transfer of powers and duties of department of licensing and regulatory affairs relative to registration, licensing, or regulation of professional occupations arising from part 209 of the public health code, including board, commission, council, or similar entity providing regulation of health professionals under part 209 of article 17 of the public health code to department of health and human services, see E.R.O. No. 2017-3, compiled at MCL 333.26254.

PopularName Notes:

Act 368
Notes of Decisions
Cited in 7 cases (1 in the last 5 years), 1995–2021 · leading case: Swartz Ambulance Serv., Inc. v. Genesee Cnty., 666 F. Supp. 2d 721 (E.D. Mich. 2009).
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Swartz Ambulance Serv., Inc. v. Genesee Cnty., 666 F. Supp. 2d 721 (E.D. Mich. 2009). · cites it 2× “Mich. Comp. Laws § 333.20948 (1). Under the statute, a local government unit includes not only a county, but also a “city, village, charter township, or township.”
Patriot Ambulance Serv., Inc. v. Genesee Cnty., 666 F. Supp. 2d 712 (E.D. Mich. 2009). · cites it 2× “Mich. Comp. Laws § 333.20948 (1). Under the statute, a local government unit includes not only a county, but also a “city, village, charter township, or township.”
Saylor v. Kingsley Area Emergency Ambulance Serv., 607 N.W.2d 112 (Mich. Ct. App. 2000). · cites it 2× “368 of the Public Acts of 1978, being section 333.20906 of the Michigan Compiled Laws, that contracts with or receives reimbursement from 1 or more counties, cities, villages, or townships shall be entitled to all the benefits of this act when personally injured in the…”
Lansing Mercy Ambulance Serv. v. Tri-Cnty. Emergency Med. Control Auth., Inc., 893 F. Supp. 1337 (1995). “Mich.Comp.Laws Ann. § 333.20906(4). “Protocol” is defined in the EMS statute as a “patient care standard, standing orders, policy, or procedure for providing emergency medical services that is established by a medical control authority and approved by the [MDPH] under section…”
Denboer v. Lakola Med. Control Auth., 618 N.W.2d 8 (Mich. Ct. App. 2000). · cites it 2× “15(20910)(l)(a), MCL 333.20906; MSA 14.15(20906). Further, paramedics (such as plaintiff) are emergency medical personnel, and part of the emergency medical services systems, and they are answerable to their local mcas rather than to (he statewide dph.”
Caleb Griffin v. Swartz Ambulance Serv. (Mich. 2020). · cites it 2× “” MCL 333.20906(1) (emphasis added). 14 An “ ‘[a]mbulance operation’ [is] a person licensed .”
Jonathan Schirmer v. James Robert (Mich. Ct. App. 2021). “In a divided decision, the Griffin majority began by recognizing that the defendant, an ambulance operation, qualified as a life support agency under MCL 333.20906(1). Id. at 3. The majority further recognized that “EMTs and ‘medical first responder[s],’ ” were also entitled to…”
— Mich. Comp. Laws § 333.20906(1) — 2 cases
Caleb Griffin v. Swartz Ambulance Serv. (Mich. 2020). “” MCL 333.20906(1) (emphasis added). 14 An “ ‘[a]mbulance operation’ [is] a person licensed .”
Jonathan Schirmer v. James Robert (Mich. Ct. App. 2021). “In a divided decision, the Griffin majority began by recognizing that the defendant, an ambulance operation, qualified as a life support agency under MCL 333.20906(1). Id. at 3. The majority further recognized that “EMTs and ‘medical first responder[s],’ ” were also entitled to…”
— Mich. Comp. Laws § 333.20906(3) — 1 case
Caleb Griffin v. Swartz Ambulance Serv. (Mich. 2020). “” MCL 333.20906(1) (emphasis added). 14 An “ ‘[a]mbulance operation’ [is] a person licensed .”
— Mich. Comp. Laws § 333.20906(4) — 2 cases
Lansing Mercy Ambulance Serv. v. Tri-Cnty. Emergency Med. Control Auth., Inc., 893 F. Supp. 1337 (1995). “Mich.Comp.Laws Ann. § 333.20906(4). “Protocol” is defined in the EMS statute as a “patient care standard, standing orders, policy, or procedure for providing emergency medical services that is established by a medical control authority and approved by the [MDPH] under section…”
Denboer v. Lakola Med. Control Auth., 618 N.W.2d 8 (Mich. Ct. App. 2000). “15(20910)(l)(a), MCL 333.20906; MSA 14.15(20906). Further, paramedics (such as plaintiff) are emergency medical personnel, and part of the emergency medical services systems, and they are answerable to their local mcas rather than to (he statewide dph.”
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