Revised Code of Washington
Wash. Rev. Code § 18.73.081 (2026)
Duties of secretary—Minimum requirements to be prescribed
✓ current as of May 2026
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In addition to other duties prescribed by law, the secretary shall:
(1) Prescribe minimum requirements for:
(a) Ambulance, air ambulance, organ transport vehicles, and aid vehicles and equipment;
(b) Ambulance and aid services; and
(c) Minimum emergency communication equipment;
(2) Adopt procedures for services that fail to perform in accordance with minimum requirements;
(3) Prescribe minimum standards for first responder and emergency medical technician training including:
(a) Adoption of curriculum and period of certification;
(b) Procedures for provisional certification, certification, recertification, decertification, or modification of certificates;
(c) Adoption of requirements for ongoing training and evaluation, as approved by the county medical program director, to include appropriate evaluation for individual knowledge and skills. The first responder, emergency medical technician, or emergency medical services provider agency may elect a program of continuing education and a written and practical examination instead of meeting the ongoing training and evaluation requirements;
(d) Procedures for reciprocity with other states or national certifying agencies;
(e) Review and approval or disapproval of training programs; and
(f) Adoption of standards for numbers and qualifications of instructional personnel required for first responder and emergency medical technician training programs;
(4) Prescribe minimum requirements for liability insurance to be carried by licensed services except that this requirement shall not apply to public bodies; and
(5) Certify emergency medical program directors.
Notes of Decisions
Cited in 3
cases (3 in the last 5 years), 2021–2025 · leading case: State of Washington v. Edward Raymond Cruz (Wash. Ct. App. 2021).
State of Washington v. Edward Raymond Cruz (Wash. Ct. App. 2021). ““Emergency medical technician” means: [A] person who is authorized by the secretary to render emergency medical care pursuant to RCW 18.73.081 or, under the responsible supervision and direction of an approved medical program director, to participate in a community assistance…”
Clark v. Washington State Dep't of Health (W.D. Wash. 2024). “See 19 RCW 18.73.081(3)(b) (providing that “the secretary” is responsible for “[p]rescrib[ing] 20 minimum standards for first responder and emergency medical technician training including .”
Clark v. Washington State Dep't of Health (W.D. Wash. 2025). “42 at 3 (citing RCW 18.73.081). An individual’s application is first reviewed by the 11 Department’s Credentialing Unit to assess if all requirements are met.”
— Wash. Rev. Code § 18.73.081(3)(b) — 1 case
Clark v. Washington State Dep't of Health (W.D. Wash. 2024). “See 19 RCW 18.73.081(3)(b) (providing that “the secretary” is responsible for “[p]rescrib[ing] 20 minimum standards for first responder and emergency medical technician training including .”
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